CDISC QRS Controlled Terminology

CDISC QRS Controlled Terminology, 2022-03-25
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CodeList
CodeListItem
NCI attributes
C14165710-Meter Walk/Run Functional Test Test Code
C14165610-Meter Walk/Run Functional Test Test Name
C1416634-Stair Ascend Functional Test Test Code
C1416624-Stair Ascend Functional Test Test Name
C1416614-Stair Descend Functional Test Test Code
C1416604-Stair Descend Functional Test Test Name
C1153886 Minute Walk Functional Test Test Code
C1153876 Minute Walk Functional Test Test Name
C182464Abnormal Involuntary Movement Scale Clinical Classification ORRES for AIMS0101 Through AIMS0107 TN/TC
C182465Abnormal Involuntary Movement Scale Clinical Classification ORRES for AIMS0108 Through AIMS0109 TN/TC
C182466Abnormal Involuntary Movement Scale Clinical Classification ORRES for AIMS0110 TN/TC
C182467Abnormal Involuntary Movement Scale Clinical Classification ORRES for AIMS0111 Through AIMS0112 TN/TC
C182502Abnormal Involuntary Movement Scale Clinical Classification STRESC for AIMS0101 Through AIMS0107 TN/TC
C182503Abnormal Involuntary Movement Scale Clinical Classification STRESC for AIMS0108 Through AIMS0109 TN/TC
C182504Abnormal Involuntary Movement Scale Clinical Classification STRESC for AIMS0110 TN/TC
C182505Abnormal Involuntary Movement Scale Clinical Classification STRESC for AIMS0111 Through AIMS0112 TN/TC
C101805Abnormal Involuntary Movement Scale Clinical Classification Test Code
C101806Abnormal Involuntary Movement Scale Clinical Classification Test Name
C182484Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH101 TN/TC
C182485Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH102 TN/TC
C182486Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH103 TN/TC
C182487Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH104 TN/TC
C182488Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH105A TN/TC
C182489Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH105B TN/TC
C182490Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH106A TN/TC
C182491Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH106B TN/TC
C182492Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH107 TN/TC
C182493Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH108 TN/TC
C182494Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH109 TN/TC
C182495Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH110 TN/TC
C182496Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH111 TN/TC
C182497Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH114 TN/TC
C182498Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH115 TN/TC
C182522Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH101 TN/TC
C182523Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH102 TN/TC
C182524Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH103 TN/TC
C182525Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH104 TN/TC
C182526Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH105A TN/TC
C182527Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH105B TN/TC
C182528Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH106A TN/TC
C182529Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH106B TN/TC
C182530Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH107 TN/TC
C182531Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH108 TN/TC
C182532Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH109 TN/TC
C182533Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH110 TN/TC
C182534Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH111 TN/TC
C182535Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH114 TN/TC
C182536Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH115 TN/TC
C120985Acute Physiology and Chronic Health Evaluation II Clinical Classification Test Code
C120984Acute Physiology and Chronic Health Evaluation II Clinical Classification Test Name
C101807ADNI Auditory Verbal Learning Functional Test Test Code
C101808ADNI Auditory Verbal Learning Functional Test Test Name
C112435Airway Questionnaire 20 Questionnaire Test Code
C112434Airway Questionnaire 20 Questionnaire Test Name
C141655AJCC TNM Staging System 7th Edition Clinical Classification Test Code
C141654AJCC TNM Staging System 7th Edition Clinical Classification Test Name
C119062Alcohol Use Disorder Identification Test-Consumption Questions Questionnaire Test Code
C119061Alcohol Use Disorder Identification Test-Consumption Questions Questionnaire Test Name
C119060Alcohol Use Disorder Identification Test: Self-Report Version Questionnaire Test Code
C119059Alcohol Use Disorder Identification Test: Self-Report Version Questionnaire Test Name
C161623Alert Verbal Painful Unresponsive Scale Clinical Classification Test Code
C161622Alert Verbal Painful Unresponsive Scale Clinical Classification Test Name
C100132Alzheimer's Disease Assessment Scale - Cognitive CDISC Version Questionnaire Test Code
C100131Alzheimer's Disease Assessment Scale - Cognitive CDISC Version Questionnaire Test Name
C106651Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory MCI Version Questionnaire Test Code
C106650Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory MCI Version Questionnaire Test Name
C105140Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Questionnaire Test Code
C105139Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Questionnaire Test Name
C106653Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Severe Dementia Version Questionnaire Test Code
C106652Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Severe Dementia Version Questionnaire Test Name
C103459Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change Questionnaire Test Code
C103458Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change Questionnaire Test Name
C176047Apgar Score V1 Clinical Classification Test Code
C176046Apgar Score V1 Clinical Classification Test Name
C125741Arizona Sexual Experiences Scale - Female Questionnaire Test Code
C125740Arizona Sexual Experiences Scale - Female Questionnaire Test Name
C125743Arizona Sexual Experiences Scale - Male Questionnaire Test Code
C125742Arizona Sexual Experiences Scale - Male Questionnaire Test Name
C124668ASSIGN Cardiovascular Disease 10-Year Risk Score Clinical Classification Test Code
C124667ASSIGN Cardiovascular Disease 10-Year Risk Score Clinical Classification Test Name
C163385Asthma Daytime Symptom Diary v1.0 Questionnaire Test Code
C163384Asthma Daytime Symptom Diary v1.0 Questionnaire Test Name
C163387Asthma Nighttime Symptom Diary v1.0 Questionnaire Test Code
C163386Asthma Nighttime Symptom Diary v1.0 Questionnaire Test Name
C124666Atherosclerotic Cardiovascular Disease 10-Year Risk Estimator Clinical Classification Test Code
C124665Atherosclerotic Cardiovascular Disease 10-Year Risk Estimator Clinical Classification Test Name
C182470ATLAS Clinical Classification ORRES for ATLAS101 TN/TC
C182471ATLAS Clinical Classification ORRES for ATLAS102 TN/TC
C182472ATLAS Clinical Classification ORRES for ATLAS103 TN/TC
C182473ATLAS Clinical Classification ORRES for ATLAS104 TN/TC
C182474ATLAS Clinical Classification ORRES for ATLAS105 TN/TC
C182508ATLAS Clinical Classification STRESC for ATLAS101 TN/TC
C182509ATLAS Clinical Classification STRESC for ATLAS102 TN/TC
C182510ATLAS Clinical Classification STRESC for ATLAS103 TN/TC
C182511ATLAS Clinical Classification STRESC for ATLAS104 TN/TC
C182512ATLAS Clinical Classification STRESC for ATLAS105 TN/TC
C147538ATLAS Clinical Classification Test Code
C147537ATLAS Clinical Classification Test Name
C135680Baby Eating Behaviour Questionnaire Concurrent Version Questionnaire Test Code
C135679Baby Eating Behaviour Questionnaire Concurrent Version Questionnaire Test Name
C135682Baby Eating Behaviour Questionnaire Retrospective Version Questionnaire Test Code
C135681Baby Eating Behaviour Questionnaire Retrospective Version Questionnaire Test Name
C101809Barnes Akathisia Rating Scale Clinical Classification Test Code
C101810Barnes Akathisia Rating Scale Clinical Classification Test Name
C106655Baseline Dyspnea Index Clinical Classification Test Code
C106654Baseline Dyspnea Index Clinical Classification Test Name
C113852Bladder Control Scale Questionnaire Test Code
C113851Bladder Control Scale Questionnaire Test Name
C113846Borg CR10 Scale Questionnaire Test Code
C113845Borg CR10 Scale Questionnaire Test Name
C113854Bowel Control Scale Questionnaire Test Code
C113853Bowel Control Scale Questionnaire Test Name
C120983Brief Assessment of Cognition in Schizophrenia Functional Test Test Code
C120982Brief Assessment of Cognition in Schizophrenia Functional Test Test Name
C100162Brief Pain Inventory Questionnaire Test Code
C100161Brief Pain Inventory Questionnaire Test Name
C100164Brief Pain Inventory Short Form Questionnaire Test Code
C100163Brief Pain Inventory Short Form Questionnaire Test Name
C161625Brief Psychiatric Rating Scale 1988 Version Clinical Classification Test Code
C161624Brief Psychiatric Rating Scale 1988 Version Clinical Classification Test Name
C100134Brief Psychiatric Rating Scale-A Clinical Classification Test Code
C100133Brief Psychiatric Rating Scale-A Clinical Classification Test Name
C130239Brooke Upper Extremity Rating Scale Clinical Classification Test Code
C130238Brooke Upper Extremity Rating Scale Clinical Classification Test Name
C118971Category of Clinical Classification
C115304Category of Functional Test
C100129Category of Questionnaire
C124678CDC Classification System for HIV-Infected Adults and Adolescents Clinical Classification Test Code
C124677CDC Classification System for HIV-Infected Adults and Adolescents Clinical Classification Test Name
C120989Child-Pugh Classification Clinical Classification Test Code
C120988Child-Pugh Classification Clinical Classification Test Name
C154447Children's Depression Rating Scale, Revised Clinical Classification Test Code
C154446Children's Depression Rating Scale, Revised Clinical Classification Test Name
C120979Chronic Respiratory Questionnaire Self-Administered Standardized Format First Administration Version Questionnaire Test Code
C120978Chronic Respiratory Questionnaire Self-Administered Standardized Format First Administration Version Questionnaire Test Name
C120981Chronic Respiratory Questionnaire Self-Administered Standardized Format Follow-Up Administration Version Questionnaire Test Code
C120980Chronic Respiratory Questionnaire Self-Administered Standardized Format Follow-Up Administration Version Questionnaire Test Name
C119066Clinical COPD Questionnaire 1 Week Version Questionnaire Test Code
C119065Clinical COPD Questionnaire 1 Week Version Questionnaire Test Name
C119064Clinical COPD Questionnaire 24 Hour Version Questionnaire Test Code
C119063Clinical COPD Questionnaire 24 Hour Version Questionnaire Test Name
C101811Clinical Dementia Rating Questionnaire Test Code
C101812Clinical Dementia Rating Questionnaire Test Name
C135686Clinical Global Impression Generic Modification Version Questionnaire Test Code
C135685Clinical Global Impression Generic Modification Version Questionnaire Test Name
C101813Clinical Opiate Withdrawal Scale Questionnaire Test Code
C101814Clinical Opiate Withdrawal Scale Questionnaire Test Name
C106659Columbia-Suicide Severity Rating Scale Already Enrolled Subjects Questionnaire Test Code
C106658Columbia-Suicide Severity Rating Scale Already Enrolled Subjects Questionnaire Test Name
C100168Columbia-Suicide Severity Rating Scale Baseline Questionnaire Test Code
C100167Columbia-Suicide Severity Rating Scale Baseline Questionnaire Test Name
C105132Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study Questionnaire Test Code
C105131Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study Questionnaire Test Name
C106661Columbia-Suicide Severity Rating Scale Baseline/Screening Version Questionnaire Test Code
C106660Columbia-Suicide Severity Rating Scale Baseline/Screening Version Questionnaire Test Name
C111336Columbia-Suicide Severity Rating Scale Children's Baseline Questionnaire Test Code
C111335Columbia-Suicide Severity Rating Scale Children's Baseline Questionnaire Test Name
C111338Columbia-Suicide Severity Rating Scale Children's Baseline/Screening Questionnaire Test Code
C111337Columbia-Suicide Severity Rating Scale Children's Baseline/Screening Questionnaire Test Name
C111340Columbia-Suicide Severity Rating Scale Children's Since Last Visit Questionnaire Test Code
C111339Columbia-Suicide Severity Rating Scale Children's Since Last Visit Questionnaire Test Name
C117989Columbia-Suicide Severity Rating Scale Lifetime/Recent Version Questionnaire Test Code
C117988Columbia-Suicide Severity Rating Scale Lifetime/Recent Version Questionnaire Test Name
C113848Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent Questionnaire Test Code
C113847Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent Questionnaire Test Name
C111342Columbia-Suicide Severity Rating Scale Screening Questionnaire Test Code
C111341Columbia-Suicide Severity Rating Scale Screening Questionnaire Test Name
C103461Columbia-Suicide Severity Rating Scale Since Last Visit Questionnaire Test Code
C103460Columbia-Suicide Severity Rating Scale Since Last Visit Questionnaire Test Name
C179945Combat Exposure Scale Questionnaire ORRES for CES0101 TN/TC
C179946Combat Exposure Scale Questionnaire ORRES for CES0102 TN/TC
C179947Combat Exposure Scale Questionnaire ORRES for CES0103 TN/TC
C179948Combat Exposure Scale Questionnaire ORRES for CES0104 TN/TC
C179949Combat Exposure Scale Questionnaire ORRES for CES0105 Through CES0107 TN/TC
C179950Combat Exposure Scale Questionnaire STRESC for CES0101 TN/TC
C179951Combat Exposure Scale Questionnaire STRESC for CES0102 TN/TC
C179952Combat Exposure Scale Questionnaire STRESC for CES0103 TN/TC
C179953Combat Exposure Scale Questionnaire STRESC for CES0104 TN/TC
C179954Combat Exposure Scale Questionnaire STRESC for CES0105 Through CES0107 TN/TC
C132519Combat Exposure Scale Questionnaire Test Code
C132518Combat Exposure Scale Questionnaire Test Name
C150766Controlled Oral Word Association Test Functional Test Test Code
C150765Controlled Oral Word Association Test Functional Test Test Name
C119076Coronary Artery Dissection NHLBI Grade Clinical Classification Test Code
C119075Coronary Artery Dissection NHLBI Grade Clinical Classification Test Name
C119074Coronary Thrombus TIMI Grade Clinical Classification Test Code
C119073Coronary Thrombus TIMI Grade Clinical Classification Test Name
C156673Covi Anxiety Scale Clinical Classification Test Code
C156672Covi Anxiety Scale Clinical Classification Test Name
C117987Craig Handicap Assessment and Reporting Technique - Short Form Interview Version Questionnaire Test Code
C117986Craig Handicap Assessment and Reporting Technique - Short Form Interview Version Questionnaire Test Name
C119068Craig Handicap Assessment and Reporting Technique - Short Form Paper Version Questionnaire Test Code
C119067Craig Handicap Assessment and Reporting Technique - Short Form Paper Version Questionnaire Test Name
C176049Crohn's Disease Activity Index Version 1 Clinical Classification Test Code
C176048Crohn's Disease Activity Index Version 1 Clinical Classification Test Name
C100158Current Opioid Misuse Measure Questionnaire Test Code
C100157Current Opioid Misuse Measure Questionnaire Test Name
C141673Deployment Risk and Resilience Inventory-2 Questionnaire Test Code
C141672Deployment Risk and Resilience Inventory-2 Questionnaire Test Name
C119070Dermatology Life Quality Index Questionnaire Test Code
C119069Dermatology Life Quality Index Questionnaire Test Name
C161621Diabetes Distress Scale for Adults with Type 1 Diabetes Questionnaire Test Code
C161620Diabetes Distress Scale for Adults with Type 1 Diabetes Questionnaire Test Name
C163395Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes Questionnaire Test Code
C163394Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes Questionnaire Test Name
C163397Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes Questionnaire Test Code
C163396Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes Questionnaire Test Name
C183549Diary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 Questionnaire Test Code
C183548Diary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 Questionnaire Test Name
C105130Disability Assessment for Dementia Questionnaire Test Code
C105129Disability Assessment for Dementia Questionnaire Test Name
C115402Disability Rating Scale Clinical Classification Test Code
C115401Disability Rating Scale Clinical Classification Test Name
C112437Disease Steps Clinical Classification Test Code
C112436Disease Steps Clinical Classification Test Name
C179943Eastern Cooperative Oncology Group Performance Status Clinical Classification ORRES for ECOG101 TN/TC
C179944Eastern Cooperative Oncology Group Performance Status Clinical Classification STRESC for ECOG101 TN/TC
C101815Eastern Cooperative Oncology Group Performance Status Clinical Classification Test Code
C101816Eastern Cooperative Oncology Group Performance Status Clinical Classification Test Name
C132521Edinburgh Postnatal Depression Scale Questionnaire Test Code
C132520Edinburgh Postnatal Depression Scale Questionnaire Test Name
C161627Emory Treatment Resistance Interview for PTSD Clinical Classification Test Code
C161626Emory Treatment Resistance Interview for PTSD Clinical Classification Test Name
C150768Emotion Recognition Functional Test Test Code
C150767Emotion Recognition Functional Test Test Name
C103463Epworth Sleepiness Scale Questionnaire Test Code
C103462Epworth Sleepiness Scale Questionnaire Test Name
C170525European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 Questionnaire Test Code
C170524European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 Questionnaire Test Name
C161619European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 Questionnaire Test Code
C161618European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 Questionnaire Test Name
C172400European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module Questionnaire Test Code
C172399European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module Questionnaire Test Name
C161617European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 Questionnaire Test Code
C161616European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 Questionnaire Test Name
C101817European Quality of Life Five Dimension Five Level Scale Questionnaire Test Code
C101818European Quality of Life Five Dimension Five Level Scale Questionnaire Test Name
C100136European Quality of Life Five Dimension Three Level Scale Questionnaire Test Code
C100135European Quality of Life Five Dimension Three Level Scale Questionnaire Test Name
C123653Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome Questionnaire Test Code
C123652Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome Questionnaire Test Name
C125745Expanded Disability Rating Scale - Postacute Interview Caregiver Version Questionnaire Test Code
C125744Expanded Disability Rating Scale - Postacute Interview Caregiver Version Questionnaire Test Name
C125747Expanded Disability Rating Scale - Postacute Interview Survivor Version Questionnaire Test Code
C125746Expanded Disability Rating Scale - Postacute Interview Survivor Version Questionnaire Test Name
C115404Extended Glasgow Outcome Scale Questionnaire Test Code
C115403Extended Glasgow Outcome Scale Questionnaire Test Name
C117991Extrapyramidal Symptom Rating Scale-Abbreviated Clinical Classification Test Code
C117990Extrapyramidal Symptom Rating Scale-Abbreviated Clinical Classification Test Name
C100154Faces Pain Scale - Revised Questionnaire Test Code
C100153Faces Pain Scale - Revised Questionnaire Test Name
C113850Fatigue Severity Scale Questionnaire Test Code
C113849Fatigue Severity Scale Questionnaire Test Name
C124670Framingham Heart Study Cardiovascular Disease 10-Year Risk Score Clinical Classification Test Code
C124669Framingham Heart Study Cardiovascular Disease 10-Year Risk Score Clinical Classification Test Name
C111344Functional Activities Questionnaire Clinical Classification Test Code
C111343Functional Activities Questionnaire Clinical Classification Test Name
C179938Functional Assessment of Anorexia/Cachexia Treatment Version 4 Questionnaire Test Code
C179937Functional Assessment of Anorexia/Cachexia Treatment Version 4 Questionnaire Test Name
C150778Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 Questionnaire Test Code
C150777Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 Questionnaire Test Name
C154453Functional Assessment of Cancer Therapy-Bladder Version 4 Questionnaire Test Code
C154452Functional Assessment of Cancer Therapy-Bladder Version 4 Questionnaire Test Name
C147540Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 Questionnaire Test Code
C147539Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 Questionnaire Test Name
C179940Functional Assessment of Cancer Therapy-Bone Pain Version 4 Questionnaire Test Code
C179939Functional Assessment of Cancer Therapy-Bone Pain Version 4 Questionnaire Test Name
C138221Functional Assessment of Cancer Therapy-Brain Symptom Index Questionnaire Test Code
C138220Functional Assessment of Cancer Therapy-Brain Symptom Index Questionnaire Test Name
C129094Functional Assessment of Cancer Therapy-Breast Version 4 Questionnaire Test Code
C129093Functional Assessment of Cancer Therapy-Breast Version 4 Questionnaire Test Name
C166184Functional Assessment of Cancer Therapy-Cognitive Function Version 3 Questionnaire Test Code
C166183Functional Assessment of Cancer Therapy-Cognitive Function Version 3 Questionnaire Test Name
C150774Functional Assessment of Cancer Therapy-Colorectal Version 4 Questionnaire Test Code
C150773Functional Assessment of Cancer Therapy-Colorectal Version 4 Questionnaire Test Name
C130255Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 Questionnaire Test Code
C130254Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 Questionnaire Test Name
C138223Functional Assessment of Cancer Therapy-Kidney Symptom Index-15 Questionnaire Test Code
C138222Functional Assessment of Cancer Therapy-Kidney Symptom Index-15 Questionnaire Test Name
C150784Functional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 Questionnaire Test Code
C150783Functional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 Questionnaire Test Name
C130253Functional Assessment of Cancer Therapy-Leukemia Version 4 Questionnaire Test Code
C130252Functional Assessment of Cancer Therapy-Leukemia Version 4 Questionnaire Test Name
C138225Functional Assessment of Cancer Therapy-Lung Symptom Index Questionnaire Test Code
C138224Functional Assessment of Cancer Therapy-Lung Symptom Index Questionnaire Test Name
C150782Functional Assessment of Cancer Therapy-Lung Version 4 Questionnaire Test Code
C150781Functional Assessment of Cancer Therapy-Lung Version 4 Questionnaire Test Name
C130257Functional Assessment of Cancer Therapy-Lymphoma Version 4 Questionnaire Test Code
C130256Functional Assessment of Cancer Therapy-Lymphoma Version 4 Questionnaire Test Name
C129096Functional Assessment of Cancer Therapy-Ovarian Symptom Index Questionnaire Test Code
C129095Functional Assessment of Cancer Therapy-Ovarian Symptom Index Questionnaire Test Name
C150776Functional Assessment of Cancer Therapy-Taxane Version 4 Questionnaire Test Code
C150775Functional Assessment of Cancer Therapy-Taxane Version 4 Questionnaire Test Name
C150780Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 Questionnaire Test Code
C150779Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 Questionnaire Test Name
C147542Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form Questionnaire Test Code
C147541Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form Questionnaire Test Name
C154451Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank Questionnaire Test Code
C154450Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank Questionnaire Test Name
C147544Functional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 Questionnaire Test Code
C147543Functional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 Questionnaire Test Name
C129088Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 Questionnaire Test Code
C129087Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 Questionnaire Test Name
C183551Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult Questionnaire Test Code
C183550Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult Questionnaire Test Name
C112441Functional Assessment of Multiple Sclerosis Version 4 Questionnaire Test Code
C112440Functional Assessment of Multiple Sclerosis Version 4 Questionnaire Test Name
C111346Functional Assessment Questionnaire-NACC UDS V2.0 Clinical Classification Test Code
C111345Functional Assessment Questionnaire-NACC UDS V2.0 Clinical Classification Test Name
C170523Functional Assessment Scale-NACC UDS Version 3.0 Clinical Classification Test Code
C170522Functional Assessment Scale-NACC UDS Version 3.0 Clinical Classification Test Name
C105138General Clinical Global Impressions Questionnaire Test Code
C105137General Clinical Global Impressions Questionnaire Test Name
C103467Generalized Anxiety Disorder - 7 Questionnaire Test Code
C103466Generalized Anxiety Disorder - 7 Questionnaire Test Name
C163389Generalized Anxiety Disorder - 7 Version 2 Questionnaire Test Code
C163388Generalized Anxiety Disorder - 7 Version 2 Questionnaire Test Name
C106663Geriatric Depression Scale Questionnaire Test Code
C106662Geriatric Depression Scale Questionnaire Test Name
C106665Geriatric Depression Scale Short Form Questionnaire Test Code
C106664Geriatric Depression Scale Short Form Questionnaire Test Name
C124682Glasgow Coma Scale NINDS Version Clinical Classification Test Code
C124681Glasgow Coma Scale NINDS Version Clinical Classification Test Name
C182468Hamilton Anxiety Rating Scale Clinical Classification ORRES for HAMA101 Through HAMA114 TN/TC
C182506Hamilton Anxiety Rating Scale Clinical Classification STRESC for HAMA101 Through HAMA114 TN/TC
C101819Hamilton Anxiety Rating Scale Clinical Classification Test Code
C101820Hamilton Anxiety Rating Scale Clinical Classification Test Name
C100138Hamilton Depression Rating Scale - 17 Item Clinical Classification Test Code
C100137Hamilton Depression Rating Scale - 17 Item Clinical Classification Test Name
C130245Hamilton Depression Rating Scale - 24 Item Clinical Classification Test Code
C130244Hamilton Depression Rating Scale - 24 Item Clinical Classification Test Name
C130243Hamilton Depression Rating Scale - 6 Clinician Version Clinical Classification Test Code
C130242Hamilton Depression Rating Scale - 6 Clinician Version Clinical Classification Test Name
C130259Hamilton Depression Rating Scale - 6 Self-Report Questionnaire Test Code
C130258Hamilton Depression Rating Scale - 6 Self-Report Questionnaire Test Name
C101821Hamilton Depression Rating Scale 21-Item Clinical Classification Test Code
C101822Hamilton Depression Rating Scale 21-Item Clinical Classification Test Name
C138213HAS-BLED Bleeding Risk Score Clinical Classification Test Code
C138212HAS-BLED Bleeding Risk Score Clinical Classification Test Name
C115390Hauser Ambulation Index Functional Test Test Code
C115389Hauser Ambulation Index Functional Test Test Name
C106667Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale Questionnaire Test Code
C106666Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale Questionnaire Test Name
C132523Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale Questionnaire Test Code
C132522Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale Questionnaire Test Name
C103469Hospital Anxiety and Depression Scale Questionnaire Test Code
C103468Hospital Anxiety and Depression Scale Questionnaire Test Name
C166188Huntington's Disease Cognitive Assessment Battery Functional Test Test Code
C166187Huntington's Disease Cognitive Assessment Battery Functional Test Test Name
C163393Hypoglycemic Confidence Scale Questionnaire Test Code
C163392Hypoglycemic Confidence Scale Questionnaire Test Name
C113856Impact of Visual Impairment Scale Questionnaire Test Code
C113855Impact of Visual Impairment Scale Questionnaire Test Name
C103471International Index of Erectile Function Questionnaire Test Code
C103470International Index of Erectile Function Questionnaire Test Name
C141665International Physical Activity Questionnaire (August 2002) Short Last 7 Days Self-Administered Format Questionnaire Test Code
C141664International Physical Activity Questionnaire (August 2002) Short Last 7 Days Self-Administered Format Questionnaire Test Name
C141671International Physical Activity Questionnaire (August 2002) Short Last 7 Days Telephone Format Questionnaire Test Code
C141670International Physical Activity Questionnaire (August 2002) Short Last 7 Days Telephone Format Questionnaire Test Name
C141669International Physical Activity Questionnaire (November 2002) Long Last 7 Days Telephone Format Questionnaire Test Code
C141668International Physical Activity Questionnaire (November 2002) Long Last 7 Days Telephone Format Questionnaire Test Name
C141667International Physical Activity Questionnaire (October 2002) Long Last 7 Days Self-Administered Format Questionnaire Test Code
C141666International Physical Activity Questionnaire (October 2002) Long Last 7 Days Self-Administered Format Questionnaire Test Name
C182461International Prostate Symptom Score Questionnaire ORRES for IPS0101 Through IPS0106 TN/TC
C182462International Prostate Symptom Score Questionnaire ORRES for IPS0107 TN/TC
C182463International Prostate Symptom Score Questionnaire ORRES for IPS0109 TN/TC
C182499International Prostate Symptom Score Questionnaire STRESC for IPS0101 Through IPS0106 TN/TC
C182500International Prostate Symptom Score Questionnaire STRESC for IPS0107 TN/TC
C182501International Prostate Symptom Score Questionnaire STRESC for IPS0109 TN/TC
C183547International Prostate Symptom Score Questionnaire Test Code
C183546International Prostate Symptom Score Questionnaire Test Name
C130247Inventory of Depressive Symptomatology Clinician-Rated Version Clinical Classification Test Code
C130246Inventory of Depressive Symptomatology Clinician-Rated Version Clinical Classification Test Name
C130261Inventory of Depressive Symptomatology Self-Report Version Questionnaire Test Code
C130260Inventory of Depressive Symptomatology Self-Report Version Questionnaire Test Name
C124684JFK Coma Recovery Scale-Revised Clinical Classification Test Code
C124683JFK Coma Recovery Scale-Revised Clinical Classification Test Name
C182469Karnofsky Performance Status Scale Clinical Classification ORRES for KPSS0101 TN/TC
C182507Karnofsky Performance Status Scale Clinical Classification STRESC for KPSS0101 TN/TC
C100170Karnofsky Performance Status Scale Clinical Classification Test Code
C100169Karnofsky Performance Status Scale Clinical Classification Test Name
C170529Kidney Disease Improving Global Outcomes Staging For Acute Kidney Injury Clinical Classification Test Code
C170528Kidney Disease Improving Global Outcomes Staging For Acute Kidney Injury Clinical Classification Test Name
C130251Kidney Donor Profile Index Clinical Classification Test Code
C130250Kidney Donor Profile Index Clinical Classification Test Name
C112439Kurtzke Expanded Disability Status Scale Clinical Classification Test Code
C112438Kurtzke Expanded Disability Status Scale Clinical Classification Test Name
C182475Kurtzke Functional System Scores Clinical Classification ORRES for KFSS101 TN/TC
C182476Kurtzke Functional System Scores Clinical Classification ORRES for KFSS102 TN/TC
C182477Kurtzke Functional System Scores Clinical Classification ORRES for KFSS102A and KFSS106A TN/TC
C182478Kurtzke Functional System Scores Clinical Classification ORRES for KFSS103 TN/TC
C182479Kurtzke Functional System Scores Clinical Classification ORRES for KFSS104 TN/TC
C182480Kurtzke Functional System Scores Clinical Classification ORRES for KFSS105 TN/TC
C182481Kurtzke Functional System Scores Clinical Classification ORRES for KFSS106 TN/TC
C182482Kurtzke Functional System Scores Clinical Classification ORRES for KFSS107 TN/TC
C182483Kurtzke Functional System Scores Clinical Classification ORRES for KFSS108 TN/TC
C182513Kurtzke Functional System Scores Clinical Classification STRESC for KFSS101 TN/TC
C182514Kurtzke Functional System Scores Clinical Classification STRESC for KFSS102 TN/TC
C182515Kurtzke Functional System Scores Clinical Classification STRESC for KFSS102A and KFSS106A TN/TC
C182516Kurtzke Functional System Scores Clinical Classification STRESC for KFSS103 TN/TC
C182517Kurtzke Functional System Scores Clinical Classification STRESC for KFSS104 TN/TC
C182518Kurtzke Functional System Scores Clinical Classification STRESC for KFSS105 TN/TC
C182519Kurtzke Functional System Scores Clinical Classification STRESC for KFSS106 TN/TC
C182520Kurtzke Functional System Scores Clinical Classification STRESC for KFSS107 TN/TC
C182521Kurtzke Functional System Scores Clinical Classification STRESC for KFSS108 TN/TC
C112443Kurtzke Functional Systems Scores Clinical Classification Test Code
C112442Kurtzke Functional Systems Scores Clinical Classification Test Name
C138215Lansky Play-Performance Status Scale Clinical Classification Test Code
C138214Lansky Play-Performance Status Scale Clinical Classification Test Name
C135690Life Events Checklist for DSM-5 Standard Version Questionnaire Test Code
C135689Life Events Checklist for DSM-5 Standard Version Questionnaire Test Name
C115406Mayo-Portland Adaptability Inventory-4 Questionnaire Test Code
C115405Mayo-Portland Adaptability Inventory-4 Questionnaire Test Name
C100152Michigan Neuropathy Screening Instrument Questionnaire Test Code
C100151Michigan Neuropathy Screening Instrument Questionnaire Test Name
C150770Mini-Mental State Examination 2 Standard Version Functional Test Test Code
C150769Mini-Mental State Examination 2 Standard Version Functional Test Test Name
C100142Mini-Mental State Examination Functional Test Test Code
C100141Mini-Mental State Examination Functional Test Test Name
C120991Model for End Stage Liver Disease Clinical Classification Test Code
C120990Model for End Stage Liver Disease Clinical Classification Test Name
C113858Modified Fatigue Impact Scale Questionnaire Test Code
C113857Modified Fatigue Impact Scale Questionnaire Test Name
C112445Modified Hachinski Ischemic Scale-NACC Version Questionnaire Test Code
C112444Modified Hachinski Ischemic Scale-NACC Version Questionnaire Test Name
C106669Modified Medical Research Council Dyspnea Scale Questionnaire Test Code
C106668Modified Medical Research Council Dyspnea Scale Questionnaire Test Name
C111348Modified Rankin Scale Questionnaire Test Code
C111347Modified Rankin Scale Questionnaire Test Name
C100140Movement Disorder Society Unified Parkinson's Disease Rating Scale Questionnaire Test Code
C100139Movement Disorder Society Unified Parkinson's Disease Rating Scale Questionnaire Test Name
C113860Multiple Sclerosis Quality of Life-54 Instrument Questionnaire Test Code
C113859Multiple Sclerosis Quality of Life-54 Instrument Questionnaire Test Name
C129092National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 Questionnaire Test Code
C129091National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 Questionnaire Test Name
C150786National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 Questionnaire Test Code
C150785National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 Questionnaire Test Name
C150788National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 Questionnaire Test Code
C150787National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 Questionnaire Test Name
C129090National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 Questionnaire Test Code
C129089National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 Questionnaire Test Name
C129098National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 Questionnaire Test Code
C129097National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 Questionnaire Test Name
C171355National Early Warning Score 2 Clinical Classification Test Code
C171354National Early Warning Score 2 Clinical Classification Test Name
C112453National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format Questionnaire Test Code
C112452National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format Questionnaire Test Name
C112455National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format Questionnaire Test Code
C112454National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format Questionnaire Test Name
C120993Negative Symptom Assessment-16 Clinical Classification Test Code
C120992Negative Symptom Assessment-16 Clinical Classification Test Name
C103473Neuropathic Pain Scale Questionnaire Test Code
C103472Neuropathic Pain Scale Questionnaire Test Name
C100144Neuropsychiatric Inventory Questionnaire Test Code
C100143Neuropsychiatric Inventory Questionnaire Test Name
C115392Nine-Hole Peg Test Functional Test Test Code
C115391Nine-Hole Peg Test Functional Test Test Name
C154455Non-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 Questionnaire Test Code
C154454Non-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 Questionnaire Test Name
C132517North Star Ambulatory Assessment Clinical Classification Test Code
C132516North Star Ambulatory Assessment Clinical Classification Test Name
C115394Paced Auditory Serial Addition Test Functional Test Test Code
C115393Paced Auditory Serial Addition Test Functional Test Test Name
C150772Paced Tapping Functional Test Test Code
C150771Paced Tapping Functional Test Test Name
C105134Pain Intensity Questionnaire Test Code
C105133Pain Intensity Questionnaire Test Name
C105136Pain Relief Questionnaire Test Code
C105135Pain Relief Questionnaire Test Name
C112447Patient Determined Disease Steps Questionnaire Test Code
C112446Patient Determined Disease Steps Questionnaire Test Name
C135688Patient Global Impression Generic Modification Version Questionnaire Test Code
C135687Patient Global Impression Generic Modification Version Questionnaire Test Name
C103483Patient Health Questionnaire - 15 Item Questionnaire Test Code
C103482Patient Health Questionnaire - 15 Item Questionnaire Test Name
C157727Patient Health Questionnaire - 2 Item Questionnaire Test Code
C157726Patient Health Questionnaire - 2 Item Questionnaire Test Name
C103481Patient Health Questionnaire - 9 Item Questionnaire Test Code
C103480Patient Health Questionnaire - 9 Item Questionnaire Test Name
C125749Patient Health Questionnaire Screener Version Questionnaire Test Code
C125748Patient Health Questionnaire Screener Version Questionnaire Test Name
C179942Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 Questionnaire Test Code
C179941Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 Questionnaire Test Name
C147546Pediatric Functional Assessment of Chronic Illness Therapy-Fatigue Questionnaire Test Code
C147545Pediatric Functional Assessment of Chronic Illness Therapy-Fatigue Questionnaire Test Name
C135696Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported Version Questionnaire Test Code
C135695Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported Version Questionnaire Test Name
C135698Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported Version Questionnaire Test Code
C135697Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported Version Questionnaire Test Name
C135694Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported Version Questionnaire Test Code
C135693Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported Version Questionnaire Test Name
C138231Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report Questionnaire Test Code
C138230Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report Questionnaire Test Name
C138227Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Questionnaire Test Code
C138226Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Questionnaire Test Name
C138233Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report Questionnaire Test Code
C138232Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report Questionnaire Test Name
C138239Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Questionnaire Test Code
C138238Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Questionnaire Test Name
C138229Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report Questionnaire Test Code
C138228Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report Questionnaire Test Name
C138235Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report Questionnaire Test Code
C138234Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report Questionnaire Test Name
C138241Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Questionnaire Test Code
C138240Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Questionnaire Test Name
C138237Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report Questionnaire Test Code
C138236Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report Questionnaire Test Name
C138243Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Questionnaire Test Code
C138242Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Questionnaire Test Name
C138249Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report Questionnaire Test Code
C138248Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report Questionnaire Test Name
C138245Pediatric Quality of Life Neuromuscular Module Version 3 Child Questionnaire Test Code
C138244Pediatric Quality of Life Neuromuscular Module Version 3 Child Questionnaire Test Name
C138251Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report Questionnaire Test Code
C138250Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report Questionnaire Test Name
C138257Pediatric Quality of Life Neuromuscular Module Version 3 Teen Questionnaire Test Code
C138256Pediatric Quality of Life Neuromuscular Module Version 3 Teen Questionnaire Test Name
C138247Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report Questionnaire Test Code
C138246Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report Questionnaire Test Name
C138253Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report Questionnaire Test Code
C138252Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report Questionnaire Test Name
C138259Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Questionnaire Test Code
C138258Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Questionnaire Test Name
C138255Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report Questionnaire Test Code
C138254Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report Questionnaire Test Name
C138261Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Questionnaire Test Code
C138260Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Questionnaire Test Name
C138217Performance of the Upper Limb Module for DMD Version 1.2 Functional Test Test Code
C138216Performance of the Upper Limb Module for DMD Version 1.2 Functional Test Test Name
C138219Performance of the Upper Limb Module for DMD Version 2.0 Functional Test Test Code
C138218Performance of the Upper Limb Module for DMD Version 2.0 Functional Test Test Name
C124686Positive and Negative Syndrome Scale Clinical Classification Test Code
C124685Positive and Negative Syndrome Scale Clinical Classification Test Name
C135678Psoriasis Area and Severity Index Clinical Classification Test Code
C135677Psoriasis Area and Severity Index Clinical Classification Test Name
C179936Psoriasis Area and Severity Index Version 2 Clinical Classification Test Code
C179935Psoriasis Area and Severity Index Version 2 Clinical Classification Test Name
C130267Quality Of Life Enjoyment And Satisfaction Questionnaire - Short Form Test Code
C130266Quality Of Life Enjoyment And Satisfaction Questionnaire - Short Form Test Name
C130265Quality Of Life Enjoyment And Satisfaction Questionnaire Test Code
C130264Quality Of Life Enjoyment And Satisfaction Questionnaire Test Name
C174052Quality of Life in Inflammatory Bowel Disease Questionnaire Test Code
C174051Quality of Life in Inflammatory Bowel Disease Questionnaire Test Name
C130249Quick Inventory of Depressive Symptomatology Clinician-Rated Version Clinical Classification Test Code
C130248Quick Inventory of Depressive Symptomatology Clinician-Rated Version Clinical Classification Test Name
C130263Quick Inventory of Depressive Symptomatology Self-Report Version Questionnaire Test Code
C130262Quick Inventory of Depressive Symptomatology Self-Report Version Questionnaire Test Name
C113862RAND 36-Item Health Survey 1.0 Questionnaire Test Code
C113861RAND 36-Item Health Survey 1.0 Questionnaire Test Name
C135700RAND Social Support Survey Instrument Questionnaire Test Code
C135699RAND Social Support Survey Instrument Questionnaire Test Name
C103465Revised Fibromyalgia Impact Questionnaire Questionnaire Test Code
C103464Revised Fibromyalgia Impact Questionnaire Questionnaire Test Name
C123655Rey Auditory Verbal Learning Test Functional Test Test Code
C123654Rey Auditory Verbal Learning Test Functional Test Test Name
C124672Reynolds Cardiovascular Disease 10-Year Risk Score Clinical Classification Test Code
C124671Reynolds Cardiovascular Disease 10-Year Risk Score Clinical Classification Test Name
C171409Richmond Agitation-Sedation Scale Clinical Classification Test Code
C171408Richmond Agitation-Sedation Scale Clinical Classification Test Name
C171413Riker Sedation-Agitation Scale Clinical Classification Test Code
C171412Riker Sedation-Agitation Scale Clinical Classification Test Name
C141659Rising From Floor Functional Test Test Code
C141658Rising From Floor Functional Test Test Name
C119072Rivermead Post Concussion Symptoms Questionnaire Questionnaire Test Code
C119071Rivermead Post Concussion Symptoms Questionnaire Questionnaire Test Name
C166190Rockport One Mile Walk Test Version 1.0 Functional Test Test Code
C166189Rockport One Mile Walk Test Version 1.0 Functional Test Test Name
C100166Roland Morris Disability Questionnaire Questionnaire Test Code
C100165Roland Morris Disability Questionnaire Questionnaire Test Name
C115408Satisfaction With Life Scale Questionnaire Test Code
C115407Satisfaction With Life Scale Questionnaire Test Name
C100160Screener and Opioid Assessment for Patients with Pain - Revised Questionnaire Test Code
C100159Screener and Opioid Assessment for Patients with Pain - Revised Questionnaire Test Name
C185740SF-6Dv2 Health Utility Survey Acute, English Version 2.0 Questionnaire Test Code
C185739SF-6Dv2 Health Utility Survey Acute, English Version 2.0 Questionnaire Test Name
C185742SF-6Dv2 Health Utility Survey Standard, English Version 2.0 Questionnaire Test Code
C185741SF-6Dv2 Health Utility Survey Standard, English Version 2.0 Questionnaire Test Name
C111350Sheehan Disability Scale Questionnaire Test Code
C111349Sheehan Disability Scale Questionnaire Test Name
C177710Short Form 10 Health Survey for Children Acute, US Version 1.0 Questionnaire Test Code
C177709Short Form 10 Health Survey for Children Acute, US Version 1.0 Questionnaire Test Name
C177712Short Form 10 Health Survey for Children Standard, US Version 1.0 Questionnaire Test Code
C177711Short Form 10 Health Survey for Children Standard, US Version 1.0 Questionnaire Test Name
C177714Short Form 12 Health Survey Acute, US Version 1.0 Questionnaire Test Code
C177713Short Form 12 Health Survey Acute, US Version 1.0 Questionnaire Test Name
C177718Short Form 12 Health Survey Acute, US Version 2.0 Questionnaire Test Code
C177717Short Form 12 Health Survey Acute, US Version 2.0 Questionnaire Test Name
C177716Short Form 12 Health Survey Standard, US Version 1.0 Questionnaire Test Code
C177715Short Form 12 Health Survey Standard, US Version 1.0 Questionnaire Test Name
C177720Short Form 12 Health Survey Standard, US Version 2.0 Questionnaire Test Code
C177719Short Form 12 Health Survey Standard, US Version 2.0 Questionnaire Test Name
C177706Short Form 8 Health Survey Acute, US Version 1.0 Questionnaire Test Code
C177705Short Form 8 Health Survey Acute, US Version 1.0 Questionnaire Test Name
C177708Short Form 8 Health Survey Standard, US Version 1.0 Questionnaire Test Code
C177707Short Form 8 Health Survey Standard, US Version 1.0 Questionnaire Test Name
C170527Short Physical Performance Battery Version 1.2 Functional Test Test Code
C170526Short Physical Performance Battery Version 1.2 Functional Test Test Name
C100156Short-Form McGill Pain Questionnaire-2 Questionnaire Test Code
C100155Short-Form McGill Pain Questionnaire-2 Questionnaire Test Name
C176051Simple Endoscopic Score for Crohn's Disease Version 1 Clinical Classification Test Code
C176050Simple Endoscopic Score for Crohn's Disease Version 1 Clinical Classification Test Name
C106671St. George's Respiratory Questionnaire for COPD Patients Questionnaire Test Code
C106670St. George's Respiratory Questionnaire for COPD Patients Questionnaire Test Name
C112449St. George's Respiratory Questionnaire Past 3 Months Version Questionnaire Test Code
C112448St. George's Respiratory Questionnaire Past 3 Months Version Questionnaire Test Name
C112451St. George's Respiratory Questionnaire Past 4 Weeks Version Questionnaire Test Code
C112450St. George's Respiratory Questionnaire Past 4 Weeks Version Questionnaire Test Name
C119080Stent Thrombosis Coronary ARC Grade Clinical Classification Test Code
C119079Stent Thrombosis Coronary ARC Grade Clinical Classification Test Name
C101828Subjective Opiate Withdrawal Scale Questionnaire Test Code
C101829Subjective Opiate Withdrawal Scale Questionnaire Test Name
C150790Suicidal Ideation Questionnaire Test Code
C150789Suicidal Ideation Questionnaire Test Name
C150792Suicidal Ideation Questionnaire-JR Questionnaire Test Code
C150791Suicidal Ideation Questionnaire-JR Questionnaire Test Name
C115396Symbol Digit Modalities Test Functional Test Test Code
C115395Symbol Digit Modalities Test Functional Test Test Name
C103485Symptom Impact Questionnaire Questionnaire Test Code
C103484Symptom Impact Questionnaire Questionnaire Test Name
C154457Symptoms of Major Depressive Disorder Scale v1.0 Questionnaire Test Code
C154456Symptoms of Major Depressive Disorder Scale v1.0 Questionnaire Test Name
C124662Tanner Scale Boy Clinical Classification Test Code
C124661Tanner Scale Boy Clinical Classification Test Name
C124664Tanner Scale Girl Clinical Classification Test Code
C124663Tanner Scale Girl Clinical Classification Test Name
C120987The Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index Clinical Classification Test Code
C120986The Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index Clinical Classification Test Name
C127352The Expanded Prostate Cancer Index Composite for Clinical Practice Questionnaire Test Code
C127351The Expanded Prostate Cancer Index Composite for Clinical Practice Questionnaire Test Name
C127350The Expanded Prostate Cancer Index Composite Short Form Questionnaire Test Code
C127349The Expanded Prostate Cancer Index Composite Short Form Questionnaire Test Name
C127354The Functional Assessment of Cancer Therapy-General Version 4 Questionnaire Test Code
C127353The Functional Assessment of Cancer Therapy-General Version 4 Questionnaire Test Name
C127358The Functional Assessment of Cancer Therapy-Prostate Version 4 Questionnaire Test Code
C127357The Functional Assessment of Cancer Therapy-Prostate Version 4 Questionnaire Test Name
C163391The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes Questionnaire Test Code
C163390The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes Questionnaire Test Name
C127356The National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 Questionnaire Test Code
C127355The National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 Questionnaire Test Name
C103479The Oswestry Disability Index Version 2.1a Questionnaire Test Code
C103478The Oswestry Disability Index Version 2.1a Questionnaire Test Name
C103475The Overactive Bladder Questionnaire Questionnaire Test Code
C103474The Overactive Bladder Questionnaire Questionnaire Test Name
C103477The Overactive Bladder Questionnaire Short Form Questionnaire Test Code
C103476The Overactive Bladder Questionnaire Short Form Questionnaire Test Name
C127360The Prostate Cancer Specific Quality of Life Instrument Questionnaire Test Code
C127359The Prostate Cancer Specific Quality of Life Instrument Questionnaire Test Name
C135692The PTSD Checklist for DSM-5 Questionnaire Test Code
C135691The PTSD Checklist for DSM-5 Questionnaire Test Name
C101823The Short Form 36 Health Survey Acute, US Version 1.0 Questionnaire Test Code
C101824The Short Form 36 Health Survey Acute, US Version 1.0 Questionnaire Test Name
C101884The Short Form 36 Health Survey Acute, US Version 2.0 Questionnaire Test Code
C101825The Short Form 36 Health Survey Acute, US Version 2.0 Questionnaire Test Name
C100174The Short Form 36 Health Survey Standard, US Version 1.0 Questionnaire Test Code
C100173The Short Form 36 Health Survey Standard, US Version 1.0 Questionnaire Test Name
C101826The Short Form 36 Health Survey Standard, US Version 2.0 Questionnaire Test Code
C101827The Short Form 36 Health Survey Standard, US Version 2.0 Questionnaire Test Name
C166186The Work Productivity and Activity Impairment - General Health Version 2.0 Questionnaire Test Code
C166185The Work Productivity and Activity Impairment - General Health Version 2.0 Questionnaire Test Name
C115398Timed 25-Foot Walk Test Functional Test Test Code
C115397Timed 25-Foot Walk Test Functional Test Test Name
C115400Timed Up and Go Test Functional Test Test Code
C115399Timed Up and Go Test Functional Test Test Name
C124688Trail Making Test Functional Test Test Code
C124687Trail Making Test Functional Test Test Name
C106657Transition Dyspnea Index Clinical Classification Test Code
C106656Transition Dyspnea Index Clinical Classification Test Name
C147548Trauma Symptom Checklist for Children Questionnaire Test Code
C147547Trauma Symptom Checklist for Children Questionnaire Test Name
C147550Trauma Symptom Checklist for Young Children Questionnaire Test Code
C147549Trauma Symptom Checklist for Young Children Questionnaire Test Name
C132525Treatment Satisfaction Questionnaire for Medication Version 1.4 Questionnaire Test Code
C132524Treatment Satisfaction Questionnaire for Medication Version 1.4 Questionnaire Test Name
C154449Unified Huntington's Disease Rating Scale '99 Clinical Classification Test Code
C154448Unified Huntington's Disease Rating Scale '99 Clinical Classification Test Name
C100148Unified Parkinson's Disease Rating Scale Clinical Classification Test Code
C100147Unified Parkinson's Disease Rating Scale Clinical Classification Test Name
C103489Urgency Perception Scale Questionnaire Test Code
C103488Urgency Perception Scale Questionnaire Test Name
C141653Veterans Administration Lung Study Group Clinical Classification Test Code
C141652Veterans Administration Lung Study Group Clinical Classification Test Name
C130241Vignos Lower Extremity Rating Scale Clinical Classification Test Code
C130240Vignos Lower Extremity Rating Scale Clinical Classification Test Name
C124680West Haven Hepatic Encephalopathy Grade Clinical Classification Test Code
C124679West Haven Hepatic Encephalopathy Grade Clinical Classification Test Name
C124674WHO Clinical Staging of HIV/AIDS for Adults and Adolescents Clinical Classification Test Code
C124673WHO Clinical Staging of HIV/AIDS for Adults and Adolescents Clinical Classification Test Name
C124676WHO Clinical Staging of HIV/AIDS for Children Clinical Classification Test Code
C124675WHO Clinical Staging of HIV/AIDS for Children Clinical Classification Test Name
C100176Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 Questionnaire Test Code
C100175Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 Questionnaire Test Name
C130281World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer Questionnaire Test Code
C130280World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer Questionnaire Test Name
C130275World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer Questionnaire Test Code
C130274World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer Questionnaire Test Name
C130277World Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy Questionnaire Test Code
C130276World Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy Questionnaire Test Name
C130279World Health Organization Disability Assessment Schedule 2.0 - 12-Item Self Questionnaire Test Code
C130278World Health Organization Disability Assessment Schedule 2.0 - 12-Item Self Questionnaire Test Name
C130269World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer Questionnaire Test Code
C130268World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer Questionnaire Test Name
C130271World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy Questionnaire Test Code
C130270World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy Questionnaire Test Name
C130273World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self Questionnaire Test Code
C130272World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self Questionnaire Test Name

Codelist Definitions

OIDName
(CDISC Submission Value)
DataType
Extensible
NCI CodeCDISC SynonymCDISC DefinitionPreferred Term
CDISC Submission Value [ODM:CodedValue]
CL.C141657.TENMW1TC10-Meter Walk/Run Functional Test Test Code
(TENMW1TC)
text
Extensible: No
C14165710-Meter Walk/Run Functional Test Test Code10-Meter Walk/Run test code.CDISC Functional Test 10-Meter Walk/Run Test Code Terminology
TENMW101C174106TENMW1-Was Walk/Run Performed10-Meter Walk/Run - Was the 10-meter walk/run performed?10-Meter Walk/Run - Was Walk/Run Performed
TENMW102C141700TENMW1-Time to Walk/Run 10 Meters10-Meter Walk/Run - If yes, time to walk or run 10 meters.10-Meter Walk/Run - Time to Walk/Run 10 Meters
TENMW103C147592TENMW1-Wear Orthoses10-Meter Walk/Run - If yes, did subject wear orthoses?10-Meter Walk/Run - Wear Orthoses
TENMW104C141701TENMW1-Test Grade10-Meter Walk/Run - Test grade.10-Meter Walk/Run - Test Grade
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CL.C141656.TENMW1TN10-Meter Walk/Run Functional Test Test Name
(TENMW1TN)
text
Extensible: No
C14165610-Meter Walk/Run Functional Test Test Name10-Meter Walk/Run test name.CDISC Functional Test 10-Meter Walk/Run Test Name Terminology
TENMW1-Test GradeC141701TENMW1-Test Grade10-Meter Walk/Run - Test grade.10-Meter Walk/Run - Test Grade
TENMW1-Time to Walk/Run 10 MetersC141700TENMW1-Time to Walk/Run 10 Meters10-Meter Walk/Run - If yes, time to walk or run 10 meters.10-Meter Walk/Run - Time to Walk/Run 10 Meters
TENMW1-Was Walk/Run PerformedC174106TENMW1-Was Walk/Run Performed10-Meter Walk/Run - Was the 10-meter walk/run performed?10-Meter Walk/Run - Was Walk/Run Performed
TENMW1-Wear OrthosesC147592TENMW1-Wear Orthoses10-Meter Walk/Run - If yes, did subject wear orthoses?10-Meter Walk/Run - Wear Orthoses
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CL.C141663.A4STR1TC4-Stair Ascend Functional Test Test Code
(A4STR1TC)
text
Extensible: No
C1416634-Stair Ascend Functional Test Test Code4-Stair Ascend test code.CDISC Functional Test 4-Stair Ascend Test Code Terminology
A4STR101C174103A4STR1-Was 4-Stair Ascend Performed4-Stair Ascend - Was the 4-stair ascend performed?4-Stair Ascend - Was 4-Stair Ascend Performed
A4STR102C141706A4STR1-Time to Do 4-Stair Ascend4-Stair Ascend - If yes, time taken to do 4-stair ascend.4-Stair Ascend - Time to Do 4-Stair Ascend
A4STR103C147590A4STR1-Wear Orthoses4-Stair Ascend - If yes, did subject wear orthoses?4-Stair Ascend - Wear Orthoses
A4STR104C141707A4STR1-Test Grade4-Stair Ascend - Test grade.4-Stair Ascend - Test Grade
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CL.C141662.A4STR1TN4-Stair Ascend Functional Test Test Name
(A4STR1TN)
text
Extensible: No
C1416624-Stair Ascend Functional Test Test Name4-Stair Ascend test name.CDISC Functional Test 4-Stair Ascend Test Name Terminology
A4STR1-Test GradeC141707A4STR1-Test Grade4-Stair Ascend - Test grade.4-Stair Ascend - Test Grade
A4STR1-Time to Do 4-Stair AscendC141706A4STR1-Time to Do 4-Stair Ascend4-Stair Ascend - If yes, time taken to do 4-stair ascend.4-Stair Ascend - Time to Do 4-Stair Ascend
A4STR1-Was 4-Stair Ascend PerformedC174103A4STR1-Was 4-Stair Ascend Performed4-Stair Ascend - Was the 4-stair ascend performed?4-Stair Ascend - Was 4-Stair Ascend Performed
A4STR1-Wear OrthosesC147590A4STR1-Wear Orthoses4-Stair Ascend - If yes, did subject wear orthoses?4-Stair Ascend - Wear Orthoses
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CL.C141661.D4STR1TC4-Stair Descend Functional Test Test Code
(D4STR1TC)
text
Extensible: No
C1416614-Stair Descend Functional Test Test Code4-Stair Descend test code.CDISC Functional Test 4-Stair Descend Test Code Terminology
D4STR101C174104D4STR1-Was 4-Stair Descend Performed4-Stair Descend - Was the 4-stair descend performed?4-Stair Descend - Was 4-Stair Descend Performed
D4STR102C141704D4STR1-Time to Do 4-Stair Descend4-Stair Descend - If yes, time taken to do 4-stair descend.4-Stair Descend - Time to Do 4-Stair Descend
D4STR103C147591D4STR1-Wear Orthoses4-Stair Descend - If yes, did subject wear orthoses?4-Stair Descend - Wear Orthoses
D4STR104C141705D4STR1-Test Grade4-Stair Descend - Test grade.4-Stair Descend - Test Grade
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CL.C141660.D4STR1TN4-Stair Descend Functional Test Test Name
(D4STR1TN)
text
Extensible: No
C1416604-Stair Descend Functional Test Test Name4-Stair Descend test name.CDISC Functional Test 4-Stair Descend Test Name Terminology
D4STR1-Test GradeC141705D4STR1-Test Grade4-Stair Descend - Test grade.4-Stair Descend - Test Grade
D4STR1-Time to Do 4-Stair DescendC141704D4STR1-Time to Do 4-Stair Descend4-Stair Descend - If yes, time taken to do 4-stair descend.4-Stair Descend - Time to Do 4-Stair Descend
D4STR1-Was 4-Stair Descend PerformedC174104D4STR1-Was 4-Stair Descend Performed4-Stair Descend - Was the 4-stair descend performed?4-Stair Descend - Was 4-Stair Descend Performed
D4STR1-Wear OrthosesC147591D4STR1-Wear Orthoses4-Stair Descend - If yes, did subject wear orthoses?4-Stair Descend - Wear Orthoses
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CL.C115388.SIXMW1TC6 Minute Walk Functional Test Test Code
(SIXMW1TC)
text
Extensible: No
C1153886 Minute Walk Functional Test Test Code6 Minute Walk Test test code.CDISC Functional Test 6MWT Test Code Terminology
SIXMW101C115800SIXMW1-Distance at 1 Minute6 Minute Walk Test - Distance at 1 minute.6MWT - Distance at 1 Minute
SIXMW102C115801SIXMW1-Distance at 2 Minutes6 Minute Walk Test - Distance at 2 minutes.6MWT - Distance at 2 Minutes
SIXMW103C115802SIXMW1-Distance at 3 Minutes6 Minute Walk Test - Distance at 3 minutes.6MWT - Distance at 3 Minutes
SIXMW104C115803SIXMW1-Distance at 4 Minutes6 Minute Walk Test - Distance at 4 minutes.6MWT - Distance at 4 Minutes
SIXMW105C115804SIXMW1-Distance at 5 Minutes6 Minute Walk Test - Distance at 5 minutes.6MWT - Distance at 5 Minutes
SIXMW106C115805SIXMW1-Distance at 6 Minutes6 Minute Walk Test - Distance at 6 minutes.6MWT - Distance at 6 Minutes
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CL.C115387.SIXMW1TN6 Minute Walk Functional Test Test Name
(SIXMW1TN)
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C1153876 Minute Walk Functional Test Test Name6 Minute Walk Test test name.CDISC Functional Test 6MWT Test Name Terminology
SIXMW1-Distance at 1 MinuteC115800SIXMW1-Distance at 1 Minute6 Minute Walk Test - Distance at 1 minute.6MWT - Distance at 1 Minute
SIXMW1-Distance at 2 MinutesC115801SIXMW1-Distance at 2 Minutes6 Minute Walk Test - Distance at 2 minutes.6MWT - Distance at 2 Minutes
SIXMW1-Distance at 3 MinutesC115802SIXMW1-Distance at 3 Minutes6 Minute Walk Test - Distance at 3 minutes.6MWT - Distance at 3 Minutes
SIXMW1-Distance at 4 MinutesC115803SIXMW1-Distance at 4 Minutes6 Minute Walk Test - Distance at 4 minutes.6MWT - Distance at 4 Minutes
SIXMW1-Distance at 5 MinutesC115804SIXMW1-Distance at 5 Minutes6 Minute Walk Test - Distance at 5 minutes.6MWT - Distance at 5 Minutes
SIXMW1-Distance at 6 MinutesC115805SIXMW1-Distance at 6 Minutes6 Minute Walk Test - Distance at 6 minutes.6MWT - Distance at 6 Minutes
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CL.C182464.AIMS0101T07ORAbnormal Involuntary Movement Scale Clinical Classification ORRES for AIMS0101 Through AIMS0107 TN/TC
(AIMS0101T07OR)
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C182464Abnormal Involuntary Movement Scale Clinical Classification ORRES for AIMS0101 Through AIMS0107 TN/TCAbnormal Involuntary Movement Scale original result for AIMS0101 through AIMS0107 test and test code.CDISC Clinical Classification Abnormal Involuntary Movement Scale AIMS0101 Through AIMS0107 Original Response Terminology
MildC182674AIMS0101 through AIMS0107-MildAbnormal Involuntary Movement Scale original result for AIMS0101 through AIMS0107-Mild.Abnormal Involuntary Movement Scale AIMS0101 Through AIMS0107 Original Result - Mild
Minimal, may be extreme normalC182673AIMS0101 through AIMS0107-Minimal, may be extreme normalAbnormal Involuntary Movement Scale original result for AIMS0101 through AIMS0107-Minimal, may be extreme normal.Abnormal Involuntary Movement Scale AIMS0101 Through AIMS0107 Original Result - Minimal, may be extreme normal
ModerateC182675AIMS0101 through AIMS0107-ModerateAbnormal Involuntary Movement Scale original result for AIMS0101 through AIMS0107-Moderate.Abnormal Involuntary Movement Scale AIMS0101 Through AIMS0107 Original Result - Moderate
NoneC182672AIMS0101 through AIMS0107-NoneAbnormal Involuntary Movement Scale original result for AIMS0101 through AIMS0107-None.Abnormal Involuntary Movement Scale AIMS0101 Through AIMS0107 Original Result - None
SevereC182676AIMS0101 through AIMS0107-SevereAbnormal Involuntary Movement Scale original result for AIMS0101 through AIMS0107-Severe.Abnormal Involuntary Movement Scale AIMS0101 Through AIMS0107 Original Result - Severe
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CL.C182465.AIMS0108T09ORAbnormal Involuntary Movement Scale Clinical Classification ORRES for AIMS0108 Through AIMS0109 TN/TC
(AIMS0108T09OR)
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C182465Abnormal Involuntary Movement Scale Clinical Classification ORRES for AIMS0108 Through AIMS0109 TN/TCAbnormal Involuntary Movement Scale original result for AIMS0108 through AIMS0109 test and test code.CDISC Clinical Classification Abnormal Involuntary Movement Scale AIMS0108 Through AIMS0109 Original Response Terminology
MildC182684AIMS0108 through AIMS0109-MildAbnormal Involuntary Movement Scale original result for AIMS0108 through AIMS0109-Mild.Abnormal Involuntary Movement Scale AIMS0108 Through AIMS0109 Original Result - Mild
MinimalC182683AIMS0108 through AIMS0109-MinimalAbnormal Involuntary Movement Scale original result for AIMS0108 through AIMS0109-Minimal.Abnormal Involuntary Movement Scale AIMS0108 Through AIMS0109 Original Result - Minimal
ModerateC182685AIMS0108 through AIMS0109-ModerateAbnormal Involuntary Movement Scale original result for AIMS0108 through AIMS0109-Moderate.Abnormal Involuntary Movement Scale AIMS0108 Through AIMS0109 Original Result - Moderate
None, normalC182682AIMS0108 through AIMS0109-None, normalAbnormal Involuntary Movement Scale original result for AIMS0108 through AIMS0109-None, normal.Abnormal Involuntary Movement Scale AIMS0108 Through AIMS0109 Original Result - None, normal
SevereC182686AIMS0108 through AIMS0109-SevereAbnormal Involuntary Movement Scale original result for AIMS0108 through AIMS0109-Severe.Abnormal Involuntary Movement Scale AIMS0108 Through AIMS0109 Original Result - Severe
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CL.C182466.AIMS0110ORAbnormal Involuntary Movement Scale Clinical Classification ORRES for AIMS0110 TN/TC
(AIMS0110OR)
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C182466Abnormal Involuntary Movement Scale Clinical Classification ORRES for AIMS0110 TN/TCAbnormal Involuntary Movement Scale original result for AIMS0110 test and test code.CDISC Clinical Classification Abnormal Involuntary Movement Scale AIMS0110 Original Response Terminology
Aware, mild distressC182694AIMS0110-Aware, mild distressAbnormal Involuntary Movement Scale original result for AIMS0110-Aware, mild distress.Abnormal Involuntary Movement Scale AIMS0110 Original Result - Aware, mild distress
Aware, moderate distressC182695AIMS0110-Aware, moderate distressAbnormal Involuntary Movement Scale original result for AIMS0110-Aware, moderate distress.Abnormal Involuntary Movement Scale AIMS0110 Original Result - Aware, moderate distress
Aware, no distressC182693AIMS0110-Aware, no distressAbnormal Involuntary Movement Scale original result for AIMS0110-Aware, no distress.Abnormal Involuntary Movement Scale AIMS0110 Original Result - Aware, no distress
Aware, severe distressC182696AIMS0110-Aware, severe distressAbnormal Involuntary Movement Scale original result for AIMS0110-Aware, severe distress.Abnormal Involuntary Movement Scale AIMS0110 Original Result - Aware, severe distress
No awarenessC182692AIMS0110-No awarenessAbnormal Involuntary Movement Scale original result for AIMS0110-No awareness.Abnormal Involuntary Movement Scale AIMS0110 Original Result - No awareness
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CL.C182467.AIMS0111T12ORAbnormal Involuntary Movement Scale Clinical Classification ORRES for AIMS0111 Through AIMS0112 TN/TC
(AIMS0111T12OR)
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C182467Abnormal Involuntary Movement Scale Clinical Classification ORRES for AIMS0111 Through AIMS0112 TN/TCAbnormal Involuntary Movement Scale original result for AIMS0111 through AIMS0112 test and test code.CDISC Clinical Classification Abnormal Involuntary Movement Scale AIMS0111 Through AIMS0112 Original Response Terminology
NoC182702AIMS0111 through AIMS0112-NoAbnormal Involuntary Movement Scale original result for AIMS0111 through AIMS0112-No.Abnormal Involuntary Movement Scale AIMS0111 Through AIMS0112 Original Result - No
YesC182703AIMS0111 through AIMS0112-YesAbnormal Involuntary Movement Scale original result for AIMS0111 through AIMS0112-Yes.Abnormal Involuntary Movement Scale AIMS0111 Through AIMS0112 Original Result - Yes
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CL.C182502.AIMS0101T07STRAbnormal Involuntary Movement Scale Clinical Classification STRESC for AIMS0101 Through AIMS0107 TN/TC
(AIMS0101T07STR)
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C182502Abnormal Involuntary Movement Scale Clinical Classification STRESC for AIMS0101 Through AIMS0107 TN/TCAbnormal Involuntary Movement Scale standardized character result for AIMS0101 through AIMS0107 test and test code.CDISC Clinical Classification Abnormal Involuntary Movement Scale AIMS0101 Through AIMS0107 Standardized Character Response Terminology
0C182677AIMS0101 through AIMS0107-0Abnormal Involuntary Movement Scale standardized character result for AIMS0101 through AIMS0107-None.Abnormal Involuntary Movement Scale AIMS0101 Through AIMS0107 Standardized Character Result 0
1C182678AIMS0101 through AIMS0107-1Abnormal Involuntary Movement Scale standardized character result for AIMS0101 through AIMS0107-Minimal, may be extreme normal .Abnormal Involuntary Movement Scale AIMS0101 Through AIMS0107 Standardized Character Result 1
2C182679AIMS0101 through AIMS0107-2Abnormal Involuntary Movement Scale standardized character result for AIMS0101 through AIMS0107-Mild.Abnormal Involuntary Movement Scale AIMS0101 Through AIMS0107 Standardized Character Result 2
3C182680AIMS0101 through AIMS0107-3Abnormal Involuntary Movement Scale standardized character result for AIMS0101 through AIMS0107-Moderate.Abnormal Involuntary Movement Scale AIMS0101 Through AIMS0107 Standardized Character Result 3
4C182681AIMS0101 through AIMS0107-4Abnormal Involuntary Movement Scale standardized character result for AIMS0101 through AIMS0107-Severe.Abnormal Involuntary Movement Scale AIMS0101 Through AIMS0107 Standardized Character Result 4
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CL.C182503.AIMS0108T09STRAbnormal Involuntary Movement Scale Clinical Classification STRESC for AIMS0108 Through AIMS0109 TN/TC
(AIMS0108T09STR)
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C182503Abnormal Involuntary Movement Scale Clinical Classification STRESC for AIMS0108 Through AIMS0109 TN/TCAbnormal Involuntary Movement Scale standardized character result for AIMS0108 through AIMS0109 test and test code.CDISC Clinical Classification Abnormal Involuntary Movement Scale AIMS0108 Through AIMS0109 Standardized Character Response Terminology
0C182687AIMS0108 through AIMS0109-0Abnormal Involuntary Movement Scale standardized character result for AIMS0108 through AIMS0109-None, normal.Abnormal Involuntary Movement Scale AIMS0108 Through AIMS0109 Standardized Character Result 0
1C182688AIMS0108 through AIMS0109-1Abnormal Involuntary Movement Scale standardized character result for AIMS0108 through AIMS0109-Minimal.Abnormal Involuntary Movement Scale AIMS0108 Through AIMS0109 Standardized Character Result 1
2C182689AIMS0108 through AIMS0109-2Abnormal Involuntary Movement Scale standardized character result for AIMS0108 through AIMS0109-Mild.Abnormal Involuntary Movement Scale AIMS0108 Through AIMS0109 Standardized Character Result 2
3C182690AIMS0108 through AIMS0109-3Abnormal Involuntary Movement Scale standardized character result for AIMS0108 through AIMS0109-Moderate.Abnormal Involuntary Movement Scale AIMS0108 Through AIMS0109 Standardized Character Result 3
4C182691AIMS0108 through AIMS0109-4Abnormal Involuntary Movement Scale standardized character result for AIMS0108 through AIMS0109-Severe.Abnormal Involuntary Movement Scale AIMS0108 Through AIMS0109 Standardized Character Result 4
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CL.C182504.AIMS0110STRAbnormal Involuntary Movement Scale Clinical Classification STRESC for AIMS0110 TN/TC
(AIMS0110STR)
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C182504Abnormal Involuntary Movement Scale Clinical Classification STRESC for AIMS0110 TN/TCAbnormal Involuntary Movement Scale standardized character result for AIMS0110 test and test code.CDISC Clinical Classification Abnormal Involuntary Movement Scale AIMS0110 Standardized Character Response Terminology
0C182697AIMS0110-0Abnormal Involuntary Movement Scale standardized character result for AIMS0110-No awareness.Abnormal Involuntary Movement Scale AIMS0110 Standardized Character Result 0
1C182698AIMS0110-1Abnormal Involuntary Movement Scale standardized character result for AIMS0110-Aware, no distress.Abnormal Involuntary Movement Scale AIMS0110 Standardized Character Result 1
2C182699AIMS0110-2Abnormal Involuntary Movement Scale standardized character result for AIMS0110-Aware, mild distress.Abnormal Involuntary Movement Scale AIMS0110 Standardized Character Result 2
3C182700AIMS0110-3Abnormal Involuntary Movement Scale standardized character result for AIMS0110-Aware, moderate distress.Abnormal Involuntary Movement Scale AIMS0110 Standardized Character Result 3
4C182701AIMS0110-4Abnormal Involuntary Movement Scale standardized character result for AIMS0110-Aware, severe distress.Abnormal Involuntary Movement Scale AIMS0110 Standardized Character Result 4
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CL.C182505.AIMS0111T12STRAbnormal Involuntary Movement Scale Clinical Classification STRESC for AIMS0111 Through AIMS0112 TN/TC
(AIMS0111T12STR)
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C182505Abnormal Involuntary Movement Scale Clinical Classification STRESC for AIMS0111 Through AIMS0112 TN/TCAbnormal Involuntary Movement Scale standardized character result for AIMS0111 through AIMS0112 test and test code.CDISC Clinical Classification Abnormal Involuntary Movement Scale AIMS0111 Through AIMS0112 Standardized Character Response Terminology
0C182704AIMS0111 through AIMS0112-0Abnormal Involuntary Movement Scale standardized character result for AIMS0111 through AIMS0112-No.Abnormal Involuntary Movement Scale AIMS0111 through AIMS0112 Standardized Character Result 0
1C182705AIMS0111 through AIMS0112-1Abnormal Involuntary Movement Scale standardized character result for AIMS0111 through AIMS0112-Yes.Abnormal Involuntary Movement Scale AIMS0111 through AIMS0112 Standardized Character Result 1
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CL.C101805.AIMS01TCAbnormal Involuntary Movement Scale Clinical Classification Test Code
(AIMS01TC)
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C101805Abnormal Involuntary Movement Scale Clinical Classification Test CodeAbnormal Involuntary Movement Scale test code.CDISC Clinical Classification AIMS Test Code Terminology
AIMS0101C102034AIMS01-Muscles of Facial ExpressionAbnormal Involuntary Movement Scale - Facial and Oral Movements, Muscles of facial expression, e.g., movements of forehead, eyebrows, periorbital area, cheeks. Include frowning, blinking, grimacing of upper face.AIMS - Muscles of Facial Expression
AIMS0102C102035AIMS01-Lips and Perioral AreaAbnormal Involuntary Movement Scale - Facial and Oral Movements, Lips and perioral area, e.g., puckering, pouting, smacking.AIMS - Lips and Perioral Area
AIMS0103C102036AIMS01-JawAbnormal Involuntary Movement Scale - Facial and Oral Movements, Jaw, e.g., biting, clenching, chewing, mouth opening, lateral movement.AIMS - Jaw
AIMS0104C102037AIMS01-TongueAbnormal Involuntary Movement Scale - Facial and Oral Movements, Tongue. Rate only increase in movement both in and out of mouth, not inability to sustain movement.AIMS - Tongue
AIMS0105C102038AIMS01-Upper ExtremitiesAbnormal Involuntary Movement Scale - Extremity Movements, Upper (arms, wrists, hands, fingers). Include movements that are choreic (rapid, objectively purposeless, irregular, spontaneous) or athetoid (slow, irregular, complex, serpentine). Do not include tremor (repetitive, regular, rhythmic movements).AIMS - Upper Extremities
AIMS0106C102039AIMS01-Lower ExtremitiesAbnormal Involuntary Movement Scale - Extremity Movements, Lower (legs, knees, ankles, toes), e.g., lateral knee movement, foot tapping, heel dropping, foot squirming, inversion and eversion of foot.AIMS - Lower Extremities
AIMS0107C102040AIMS01-Neck, Shoulders, HipsAbnormal Involuntary Movement Scale - Trunk Movements, Neck, shoulders, hips, e.g., rocking, twisting, squirming, pelvic gyrations. Include diaphragmatic movements.AIMS - Neck, Shoulders, Hips
AIMS0108C102041AIMS01-Severity of Abnormal MovementsAbnormal Involuntary Movement Scale - Global Judgments, Severity of abnormal movements, based on the highest single score on the above items.AIMS - Severity of Abnormal Movements
AIMS0109C102042AIMS01-Incapacitation due Abn MovementsAbnormal Involuntary Movement Scale - Global Judgments, Incapacitation due to abnormal movements.AIMS - Incapacitation Due to Abnormal Movements
AIMS0110C102043AIMS01-Patient Awareness Abn MovementsAbnormal Involuntary Movement Scale - Global Judgments, Patient's awareness of abnormal movements.AIMS - Patient's Awareness of Abnormal Movements
AIMS0111C102044AIMS01-Current Problems Teeth/DenturesAbnormal Involuntary Movement Scale - Dental Status, Current problems with teeth and/or dentures.AIMS - Current Teeth/Dentures Problems
AIMS0112C102045AIMS01-Patient Usually Wear DenturesAbnormal Involuntary Movement Scale - Dental Status, Does patient usually wear dentures?AIMS - Patient Usually Wears Dentures
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CL.C101806.AIMS01TNAbnormal Involuntary Movement Scale Clinical Classification Test Name
(AIMS01TN)
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C101806Abnormal Involuntary Movement Scale Clinical Classification Test NameAbnormal Involuntary Movement Scale test name.CDISC Clinical Classification AIMS Test Name Terminology
AIMS01-Current Problems Teeth/DenturesC102044AIMS01-Current Problems Teeth/DenturesAbnormal Involuntary Movement Scale - Dental Status, Current problems with teeth and/or dentures.AIMS - Current Teeth/Dentures Problems
AIMS01-Incapacitation due Abn MovementsC102042AIMS01-Incapacitation due Abn MovementsAbnormal Involuntary Movement Scale - Global Judgments, Incapacitation due to abnormal movements.AIMS - Incapacitation Due to Abnormal Movements
AIMS01-JawC102036AIMS01-JawAbnormal Involuntary Movement Scale - Facial and Oral Movements, Jaw, e.g., biting, clenching, chewing, mouth opening, lateral movement.AIMS - Jaw
AIMS01-Lips and Perioral AreaC102035AIMS01-Lips and Perioral AreaAbnormal Involuntary Movement Scale - Facial and Oral Movements, Lips and perioral area, e.g., puckering, pouting, smacking.AIMS - Lips and Perioral Area
AIMS01-Lower ExtremitiesC102039AIMS01-Lower ExtremitiesAbnormal Involuntary Movement Scale - Extremity Movements, Lower (legs, knees, ankles, toes), e.g., lateral knee movement, foot tapping, heel dropping, foot squirming, inversion and eversion of foot.AIMS - Lower Extremities
AIMS01-Muscles of Facial ExpressionC102034AIMS01-Muscles of Facial ExpressionAbnormal Involuntary Movement Scale - Facial and Oral Movements, Muscles of facial expression, e.g., movements of forehead, eyebrows, periorbital area, cheeks. Include frowning, blinking, grimacing of upper face.AIMS - Muscles of Facial Expression
AIMS01-Neck, Shoulders, HipsC102040AIMS01-Neck, Shoulders, HipsAbnormal Involuntary Movement Scale - Trunk Movements, Neck, shoulders, hips, e.g., rocking, twisting, squirming, pelvic gyrations. Include diaphragmatic movements.AIMS - Neck, Shoulders, Hips
AIMS01-Patient Awareness Abn MovementsC102043AIMS01-Patient Awareness Abn MovementsAbnormal Involuntary Movement Scale - Global Judgments, Patient's awareness of abnormal movements.AIMS - Patient's Awareness of Abnormal Movements
AIMS01-Patient Usually Wear DenturesC102045AIMS01-Patient Usually Wear DenturesAbnormal Involuntary Movement Scale - Dental Status, Does patient usually wear dentures?AIMS - Patient Usually Wears Dentures
AIMS01-Severity of Abnormal MovementsC102041AIMS01-Severity of Abnormal MovementsAbnormal Involuntary Movement Scale - Global Judgments, Severity of abnormal movements, based on the highest single score on the above items.AIMS - Severity of Abnormal Movements
AIMS01-TongueC102037AIMS01-TongueAbnormal Involuntary Movement Scale - Facial and Oral Movements, Tongue. Rate only increase in movement both in and out of mouth, not inability to sustain movement.AIMS - Tongue
AIMS01-Upper ExtremitiesC102038AIMS01-Upper ExtremitiesAbnormal Involuntary Movement Scale - Extremity Movements, Upper (arms, wrists, hands, fingers). Include movements that are choreic (rapid, objectively purposeless, irregular, spontaneous) or athetoid (slow, irregular, complex, serpentine). Do not include tremor (repetitive, regular, rhythmic movements).AIMS - Upper Extremities
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CL.C182484.APCH101ORAcute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH101 TN/TC
(APCH101OR)
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C182484Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH101 TN/TCAcute Physiology and Chronic Health Evaluation II original result for APCH101 test and test code.CDISC Clinical Classification Acute Physiology and Chronic Health Evaluation II APCH101 Original Response Terminology
30-31.9C182888APCH101-30-31.9Acute Physiology and Chronic Health Evaluation II original result for APCH101-30-31.9.Acute Physiology and Chronic Health Evaluation II APCH101 Original Result - 30-31.9
32-33.9C182887APCH101-32-33.9Acute Physiology and Chronic Health Evaluation II original result for APCH101-32-33.9.Acute Physiology and Chronic Health Evaluation II APCH101 Original Result - 32-33.9
34-35.9C182886APCH101-34-35.9Acute Physiology and Chronic Health Evaluation II original result for APCH101-34-35.9.Acute Physiology and Chronic Health Evaluation II APCH101 Original Result - 34-35.9
36-38.4C182885APCH101-36-38.4Acute Physiology and Chronic Health Evaluation II original result for APCH101-36-38.4.Acute Physiology and Chronic Health Evaluation II APCH101 Original Result - 36-38.4
38.5-38.9C182884APCH101-38.5-38.9Acute Physiology and Chronic Health Evaluation II original result for APCH101-38.5-38.9.Acute Physiology and Chronic Health Evaluation II APCH101 Original Result - 38.5-38.9
39-40.9C182883APCH101-39-40.9Acute Physiology and Chronic Health Evaluation II original result for APCH101-39-40.9.Acute Physiology and Chronic Health Evaluation II APCH101 Original Result - 39-40.9
<=29.9C182889APCH101-<=29.9Acute Physiology and Chronic Health Evaluation II original result for APCH101-Less than or equal to 29.9.Acute Physiology and Chronic Health Evaluation II APCH101 Original Result - <=29.9
>=41C182882APCH101->=41Acute Physiology and Chronic Health Evaluation II original result for APCH101-Greater than or equal to 41.Acute Physiology and Chronic Health Evaluation II APCH101 Original Result - >=41
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CL.C182485.APCH102ORAcute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH102 TN/TC
(APCH102OR)
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C182485Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH102 TN/TCAcute Physiology and Chronic Health Evaluation II original result for APCH102 test and test code.CDISC Clinical Classification Acute Physiology and Chronic Health Evaluation II APCH102 Original Response Terminology
110-129C182897APCH102-110-129Acute Physiology and Chronic Health Evaluation II original result for APCH102-110-129.Acute Physiology and Chronic Health Evaluation II APCH102 Original Result - 110-129
130-159C182896APCH102-130-159Acute Physiology and Chronic Health Evaluation II original result for APCH102-130-159.Acute Physiology and Chronic Health Evaluation II APCH102 Original Result - 130-159
50-69C182899APCH102-50-69Acute Physiology and Chronic Health Evaluation II original result for APCH102-50-69.Acute Physiology and Chronic Health Evaluation II APCH102 Original Result - 50-69
70-109C182898APCH102-70-109Acute Physiology and Chronic Health Evaluation II original result for APCH102-70-109.Acute Physiology and Chronic Health Evaluation II APCH102 Original Result - 70-109
<=49C182900APCH102-<=49Acute Physiology and Chronic Health Evaluation II original result for APCH102-Less than or equal to 49.Acute Physiology and Chronic Health Evaluation II APCH102 Original Result - <=49
>=160C182895APCH102->=160Acute Physiology and Chronic Health Evaluation II original result for APCH102-Greater than or equal to 160.Acute Physiology and Chronic Health Evaluation II APCH102 Original Result - >=160
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CL.C182486.APCH103ORAcute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH103 TN/TC
(APCH103OR)
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C182486Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH103 TN/TCAcute Physiology and Chronic Health Evaluation II original result for APCH103 test and test code.CDISC Clinical Classification Acute Physiology and Chronic Health Evaluation II APCH103 Original Response Terminology
110-139C182907APCH103-110-139Acute Physiology and Chronic Health Evaluation II original result for APCH103-110-139.Acute Physiology and Chronic Health Evaluation II APCH103 Original Result - 110-139
140-179C182906APCH103-140-179Acute Physiology and Chronic Health Evaluation II original result for APCH103-140-179.Acute Physiology and Chronic Health Evaluation II APCH103 Original Result - 140-179
40-54C182910APCH103-40-54Acute Physiology and Chronic Health Evaluation II original result for APCH103-40-54.Acute Physiology and Chronic Health Evaluation II APCH103 Original Result - 40-54
55-69C182909APCH103-55-69Acute Physiology and Chronic Health Evaluation II original result for APCH103-55-69.Acute Physiology and Chronic Health Evaluation II APCH103 Original Result - 55-69
70-109C182908APCH103-70-109Acute Physiology and Chronic Health Evaluation II original result for APCH103-70-109.Acute Physiology and Chronic Health Evaluation II APCH103 Original Result - 70-109
<=39C182911APCH103-<=39Acute Physiology and Chronic Health Evaluation II original result for APCH103-Less than or equal to 39.Acute Physiology and Chronic Health Evaluation II APCH103 Original Result - <=39
>=180C182905APCH103->=180Acute Physiology and Chronic Health Evaluation II original result for APCH103-Greater than or equal to 180.Acute Physiology and Chronic Health Evaluation II APCH103 Original Result - >=180
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CL.C182487.APCH104ORAcute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH104 TN/TC
(APCH104OR)
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C182487Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH104 TN/TCAcute Physiology and Chronic Health Evaluation II original result for APCH104 test and test code.CDISC Clinical Classification Acute Physiology and Chronic Health Evaluation II APCH104 Original Response Terminology
10-11C182920APCH104-10-11Acute Physiology and Chronic Health Evaluation II original result for APCH104-10-11.Acute Physiology and Chronic Health Evaluation II APCH104 Original Result - 10-11
12-24C182919APCH104-12-24Acute Physiology and Chronic Health Evaluation II original result for APCH104-12-24.Acute Physiology and Chronic Health Evaluation II APCH104 Original Result - 12-24
25-34C182918APCH104-25-34Acute Physiology and Chronic Health Evaluation II original result for APCH104-25-34.Acute Physiology and Chronic Health Evaluation II APCH104 Original Result - 25-34
35-49C182917APCH104-35-49Acute Physiology and Chronic Health Evaluation II original result for APCH104-35-49.Acute Physiology and Chronic Health Evaluation II APCH104 Original Result - 35-49
6-9C182921APCH104-6-9Acute Physiology and Chronic Health Evaluation II original result for APCH104-6-9.Acute Physiology and Chronic Health Evaluation II APCH104 Original Result - 6-9
<=5C182922APCH104-<=5Acute Physiology and Chronic Health Evaluation II original result for APCH104-Less than or equal to 5.Acute Physiology and Chronic Health Evaluation II APCH104 Original Result - <=5
>=50C182916APCH104->=50Acute Physiology and Chronic Health Evaluation II original result for APCH104-Greater than or equal to 50.Acute Physiology and Chronic Health Evaluation II APCH104 Original Result - >=50
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CL.C182488.APCH105AORAcute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH105A TN/TC
(APCH105AOR)
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C182488Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH105A TN/TCAcute Physiology and Chronic Health Evaluation II original result for APCH105A test and test code.CDISC Clinical Classification Acute Physiology and Chronic Health Evaluation II APCH105A Original Response Terminology
200-349C182930APCH105A-200-349Acute Physiology and Chronic Health Evaluation II original result for APCH105A-200-349.Acute Physiology and Chronic Health Evaluation II APCH105A Original Result - 200-349
350-499C182929APCH105A-350-499Acute Physiology and Chronic Health Evaluation II original result for APCH105A-350-499.Acute Physiology and Chronic Health Evaluation II APCH105A Original Result - 350-499
<200C182931APCH105A-<200Acute Physiology and Chronic Health Evaluation II original result for APCH105A-Less than 200.Acute Physiology and Chronic Health Evaluation II APCH105A Original Result - <200
>=500C182928APCH105A->=500Acute Physiology and Chronic Health Evaluation II original result for APCH105A-Greater than or equal to 500.Acute Physiology and Chronic Health Evaluation II APCH105A Original Result - >=500
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CL.C182489.APCH105BORAcute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH105B TN/TC
(APCH105BOR)
text
Extensible: No
C182489Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH105B TN/TCAcute Physiology and Chronic Health Evaluation II original result for APCH105B test and test code.CDISC Clinical Classification Acute Physiology and Chronic Health Evaluation II APCH105B Original Response Terminology
55-60C182938APCH105B-55-60Acute Physiology and Chronic Health Evaluation II original result for APCH105B-55-60.Acute Physiology and Chronic Health Evaluation II APCH105B Original Result - 55-60
61-70C182937APCH105B-61-70Acute Physiology and Chronic Health Evaluation II original result for APCH105B-61-70.Acute Physiology and Chronic Health Evaluation II APCH105B Original Result - 61-70
<55C182939APCH105B-<55Acute Physiology and Chronic Health Evaluation II original result for APCH105B-Less than 55.Acute Physiology and Chronic Health Evaluation II APCH105B Original Result - <55
>70C182936APCH105B->70Acute Physiology and Chronic Health Evaluation II original result for APCH105B-Greater than 70.Acute Physiology and Chronic Health Evaluation II APCH105B Original Result - >70
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CL.C182490.APCH106AORAcute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH106A TN/TC
(APCH106AOR)
text
Extensible: No
C182490Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH106A TN/TCAcute Physiology and Chronic Health Evaluation II original result for APCH106A test and test code.CDISC Clinical Classification Acute Physiology and Chronic Health Evaluation II APCH106A Original Response Terminology
7.15-7.24C182949APCH106A-7.15-7.24Acute Physiology and Chronic Health Evaluation II original result for APCH106A-7.15-7.24.Acute Physiology and Chronic Health Evaluation II APCH106A Original Result - 7.15-7.24
7.25-7.32C182948APCH106A-7.25-7.32Acute Physiology and Chronic Health Evaluation II original result for APCH106A-7.25-7.32.Acute Physiology and Chronic Health Evaluation II APCH106A Original Result - 7.25-7.32
7.33-7.49C182947APCH106A-7.33-7.49Acute Physiology and Chronic Health Evaluation II original result for APCH106A-7.33-7.49.Acute Physiology and Chronic Health Evaluation II APCH106A Original Result - 7.33-7.49
7.5-7.59C182946APCH106A-7.5-7.59Acute Physiology and Chronic Health Evaluation II original result for APCH106A-7.5-7.59.Acute Physiology and Chronic Health Evaluation II APCH106A Original Result - 7.5-7.59
7.6-7.69C182945APCH106A-7.6-7.69Acute Physiology and Chronic Health Evaluation II original result for APCH106A-7.6-7.69.Acute Physiology and Chronic Health Evaluation II APCH106A Original Result - 7.6-7.69
<7.15C182950APCH106A-<7.15Acute Physiology and Chronic Health Evaluation II original result for APCH106A-Less than 7.15.Acute Physiology and Chronic Health Evaluation II APCH106A Original Result - <7.15
>=7.7C182944APCH106A->=7.7Acute Physiology and Chronic Health Evaluation II original result for APCH106A-Greater than or equal to 7.7.Acute Physiology and Chronic Health Evaluation II APCH106A Original Result - >=7.7
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CL.C182491.APCH106BORAcute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH106B TN/TC
(APCH106BOR)
text
Extensible: No
C182491Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH106B TN/TCAcute Physiology and Chronic Health Evaluation II original result for APCH106B test and test code.CDISC Clinical Classification Acute Physiology and Chronic Health Evaluation II APCH106B Original Response Terminology
15-17.9C182961APCH106B-15-17.9Acute Physiology and Chronic Health Evaluation II original result for APCH106B-15-17.9.Acute Physiology and Chronic Health Evaluation II APCH106B Original Result - 15-17.9
18-21.9C182960APCH106B-18-21.9Acute Physiology and Chronic Health Evaluation II original result for APCH106B-18-21.9.Acute Physiology and Chronic Health Evaluation II APCH106B Original Result - 18-21.9
22-31.9C182959APCH106B-22-31.9Acute Physiology and Chronic Health Evaluation II original result for APCH106B-22-31.9.Acute Physiology and Chronic Health Evaluation II APCH106B Original Result - 22-31.9
32-40.9C182958APCH106B-32-40.9Acute Physiology and Chronic Health Evaluation II original result for APCH106B-32-40.9.Acute Physiology and Chronic Health Evaluation II APCH106B Original Result - 32-40.9
41-51.9C182957APCH106B-41-51.9Acute Physiology and Chronic Health Evaluation II original result for APCH106B-41-51.9.Acute Physiology and Chronic Health Evaluation II APCH106B Original Result - 41-51.9
<15C182962APCH106B-<15Acute Physiology and Chronic Health Evaluation II original result for APCH106B-Less than 15.Acute Physiology and Chronic Health Evaluation II APCH106B Original Result - <15
>=52C182956APCH106B->=52Acute Physiology and Chronic Health Evaluation II original result for APCH106B-Greater than or equal to 52.Acute Physiology and Chronic Health Evaluation II APCH106B Original Result - >=52
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CL.C182492.APCH107ORAcute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH107 TN/TC
(APCH107OR)
text
Extensible: No
C182492Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH107 TN/TCAcute Physiology and Chronic Health Evaluation II original result for APCH107 test and test code.CDISC Clinical Classification Acute Physiology and Chronic Health Evaluation II APCH107 Original Response Terminology
111-119C182974APCH107-111-119Acute Physiology and Chronic Health Evaluation II original result for APCH107-111-119.Acute Physiology and Chronic Health Evaluation II APCH107 Original Result - 111-119
120-129C182973APCH107-120-129Acute Physiology and Chronic Health Evaluation II original result for APCH107-120-129.Acute Physiology and Chronic Health Evaluation II APCH107 Original Result - 120-129
130-149C182972APCH107-130-149Acute Physiology and Chronic Health Evaluation II original result for APCH107-130-149.Acute Physiology and Chronic Health Evaluation II APCH107 Original Result - 130-149
150-154C182971APCH107-150-154Acute Physiology and Chronic Health Evaluation II original result for APCH107-150-154.Acute Physiology and Chronic Health Evaluation II APCH107 Original Result - 150-154
155-159C182970APCH107-155-159Acute Physiology and Chronic Health Evaluation II original result for APCH107-155-159.Acute Physiology and Chronic Health Evaluation II APCH107 Original Result - 155-159
160-179C182969APCH107-160-179Acute Physiology and Chronic Health Evaluation II original result for APCH107-160-179.Acute Physiology and Chronic Health Evaluation II APCH107 Original Result - 160-179
<=110C182975APCH107-<=110Acute Physiology and Chronic Health Evaluation II original result for APCH107-Less than or equal to 110.Acute Physiology and Chronic Health Evaluation II APCH107 Original Result - <=110
>=180C182968APCH107->=180Acute Physiology and Chronic Health Evaluation II original result for APCH107-Greater than or equal to 180.Acute Physiology and Chronic Health Evaluation II APCH107 Original Result - >=180
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CL.C182493.APCH108ORAcute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH108 TN/TC
(APCH108OR)
text
Extensible: No
C182493Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH108 TN/TCAcute Physiology and Chronic Health Evaluation II original result for APCH108 test and test code.CDISC Clinical Classification Acute Physiology and Chronic Health Evaluation II APCH108 Original Response Terminology
2.5-2.9C182986APCH108-2.5-2.9Acute Physiology and Chronic Health Evaluation II original result for APCH108-2.5-2.9.Acute Physiology and Chronic Health Evaluation II APCH108 Original Result - 2.5-2.9
3-3.4C182985APCH108-3-3.4Acute Physiology and Chronic Health Evaluation II original result for APCH108-3-3.4.Acute Physiology and Chronic Health Evaluation II APCH108 Original Result - 3-3.4
3.5-5.4C182984APCH108-3.5-5.4Acute Physiology and Chronic Health Evaluation II original result for APCH108-3.5-5.4.Acute Physiology and Chronic Health Evaluation II APCH108 Original Result - 3.5-5.4
5.5-5.9C182983APCH108-5.5-5.9Acute Physiology and Chronic Health Evaluation II original result for APCH108-5.5-5.9.Acute Physiology and Chronic Health Evaluation II APCH108 Original Result - 5.5-5.9
6-6.9C182982APCH108-6-6.9Acute Physiology and Chronic Health Evaluation II original result for APCH108-6-6.9.Acute Physiology and Chronic Health Evaluation II APCH108 Original Result - 6-6.9
<2.5C182987APCH108-<2.5Acute Physiology and Chronic Health Evaluation II original result for APCH108-Less than 2.5.Acute Physiology and Chronic Health Evaluation II APCH108 Original Result - <2.5
>=7C182981APCH108->=7Acute Physiology and Chronic Health Evaluation II original result for APCH108-Greater than or equal to 7.Acute Physiology and Chronic Health Evaluation II APCH108 Original Result - >=7
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CL.C182494.APCH109ORAcute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH109 TN/TC
(APCH109OR)
text
Extensible: No
C182494Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH109 TN/TCAcute Physiology and Chronic Health Evaluation II original result for APCH109 test and test code.CDISC Clinical Classification Acute Physiology and Chronic Health Evaluation II APCH109 Original Response Terminology
0.6-1.4C182999APCH109-0.6-1.4Acute Physiology and Chronic Health Evaluation II original result for APCH109-0.6-1.4.Acute Physiology and Chronic Health Evaluation II APCH109 Original Result - 0.6-1.4
1.5-1.9 and acute renal failureC182995APCH109-1.5-1.9 and acute renal failureAcute Physiology and Chronic Health Evaluation II original result for APCH109-1.5-1.9 and acute renal failure.Acute Physiology and Chronic Health Evaluation II APCH109 Original Result - 1.5-1.9 and acute renal failure
1.5-1.9C182998APCH109-1.5-1.9Acute Physiology and Chronic Health Evaluation II original result for APCH109-1.5-1.9.Acute Physiology and Chronic Health Evaluation II APCH109 Original Result - 1.5-1.9
2-3.4 and acute renal failureC182994APCH109-2-3.4 and acute renal failureAcute Physiology and Chronic Health Evaluation II original result for APCH109-2-3.4 and acute renal failure.Acute Physiology and Chronic Health Evaluation II APCH109 Original Result - 2-3.4 and acute renal failure
2-3.4C182997APCH109-2-3.4Acute Physiology and Chronic Health Evaluation II original result for APCH109-2-3.4.Acute Physiology and Chronic Health Evaluation II APCH109 Original Result - 2-3.4
<0.6C183000APCH109-<0.6Acute Physiology and Chronic Health Evaluation II original result for APCH109-Less than 0.6.Acute Physiology and Chronic Health Evaluation II APCH109 Original Result - <0.6
>=3.5 and acute renal failureC182993APCH109->=3.5 and acute renal failureAcute Physiology and Chronic Health Evaluation II original result for APCH109-Greater than or equal to 3.5 and acute renal failure.Acute Physiology and Chronic Health Evaluation II APCH109 Original Result - >=3.5 and acute renal failure
>=3.5C182996APCH109->=3.5Acute Physiology and Chronic Health Evaluation II original result for APCH109-Greater than or equal to 3.5.Acute Physiology and Chronic Health Evaluation II APCH109 Original Result - >=3.5
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CL.C182495.APCH110ORAcute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH110 TN/TC
(APCH110OR)
text
Extensible: No
C182495Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH110 TN/TCAcute Physiology and Chronic Health Evaluation II original result for APCH110 test and test code.CDISC Clinical Classification Acute Physiology and Chronic Health Evaluation II APCH110 Original Response Terminology
20-29.9C183011APCH110-20-29.9Acute Physiology and Chronic Health Evaluation II original result for APCH110-20-29.9.Acute Physiology and Chronic Health Evaluation II APCH110 Original Result - 20-29.9
30-45.9C183010APCH110-30-45.9Acute Physiology and Chronic Health Evaluation II original result for APCH110-30-45.9.Acute Physiology and Chronic Health Evaluation II APCH110 Original Result - 30-45.9
46-49.9C183009APCH110-46-49.9Acute Physiology and Chronic Health Evaluation II original result for APCH110-46-49.9.Acute Physiology and Chronic Health Evaluation II APCH110 Original Result - 46-49.9
50-59.9C183008APCH110-50-59.9Acute Physiology and Chronic Health Evaluation II original result for APCH110-50-59.9.Acute Physiology and Chronic Health Evaluation II APCH110 Original Result - 50-59.9
<20C183012APCH110-<20Acute Physiology and Chronic Health Evaluation II original result for APCH110-Less than 20.Acute Physiology and Chronic Health Evaluation II APCH110 Original Result - <20
>=60C183007APCH110->=60Acute Physiology and Chronic Health Evaluation II original result for APCH110-Greater than or equal to 60.Acute Physiology and Chronic Health Evaluation II APCH110 Original Result - >=60
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CL.C182496.APCH111ORAcute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH111 TN/TC
(APCH111OR)
text
Extensible: No
C182496Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH111 TN/TCAcute Physiology and Chronic Health Evaluation II original result for APCH111 test and test code.CDISC Clinical Classification Acute Physiology and Chronic Health Evaluation II APCH111 Original Response Terminology
1-2.9C183021APCH111-1-2.9Acute Physiology and Chronic Health Evaluation II original result for APCH111-1-2.9.Acute Physiology and Chronic Health Evaluation II APCH111 Original Result - 1-2.9
15-19.9C183019APCH111-15-19.9Acute Physiology and Chronic Health Evaluation II original result for APCH111-15-19.9.Acute Physiology and Chronic Health Evaluation II APCH111 Original Result - 15-19.9
20-39.9C183018APCH111-20-39.9Acute Physiology and Chronic Health Evaluation II original result for APCH111-20-39.9.Acute Physiology and Chronic Health Evaluation II APCH111 Original Result - 20-39.9
3-14.9C183020APCH111-3-14.9Acute Physiology and Chronic Health Evaluation II original result for APCH111-3-14.9.Acute Physiology and Chronic Health Evaluation II APCH111 Original Result - 3-14.9
<1C183022APCH111-<1Acute Physiology and Chronic Health Evaluation II original result for APCH111-Less than 1.Acute Physiology and Chronic Health Evaluation II APCH111 Original Result - <1
>=40C183017APCH111->=40Acute Physiology and Chronic Health Evaluation II original result for APCH111-Greater than or equal to 40.Acute Physiology and Chronic Health Evaluation II APCH111 Original Result - >=40
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CL.C182497.APCH114ORAcute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH114 TN/TC
(APCH114OR)
text
Extensible: No
C182497Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH114 TN/TCAcute Physiology and Chronic Health Evaluation II original result for APCH114 test and test code.CDISC Clinical Classification Acute Physiology and Chronic Health Evaluation II APCH114 Original Response Terminology
45-54C183028APCH114-45-54Acute Physiology and Chronic Health Evaluation II original result for APCH114-45-54.Acute Physiology and Chronic Health Evaluation II APCH114 Original Result - 45-54
55-64C183029APCH114-55-64Acute Physiology and Chronic Health Evaluation II original result for APCH114-55-64.Acute Physiology and Chronic Health Evaluation II APCH114 Original Result - 55-64
65-74C183030APCH114-65-74Acute Physiology and Chronic Health Evaluation II original result for APCH114-65-74.Acute Physiology and Chronic Health Evaluation II APCH114 Original Result - 65-74
<=44C183027APCH114-<=44Acute Physiology and Chronic Health Evaluation II original result for APCH114-Less than or equal to 44.Acute Physiology and Chronic Health Evaluation II APCH114 Original Result - <=44
>=75C183031APCH114->=75Acute Physiology and Chronic Health Evaluation II original result for APCH114-Greater than or equal to 75.Acute Physiology and Chronic Health Evaluation II APCH114 Original Result - >=75
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CL.C182498.APCH115ORAcute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH115 TN/TC
(APCH115OR)
text
Extensible: No
C182498Acute Physiology and Chronic Health Evaluation II Clinical Classification ORRES for APCH115 TN/TCAcute Physiology and Chronic Health Evaluation II original result for APCH115 test and test code.CDISC Clinical Classification Acute Physiology and Chronic Health Evaluation II APCH115 Original Response Terminology
for elective postoperative patientsC183038APCH115-for elective postoperative patientsAcute Physiology and Chronic Health Evaluation II original result for APCH115-for elective postoperative patients.Acute Physiology and Chronic Health Evaluation II APCH115 Original Result - for elective postoperative patients
for nonoperative or emergency postoperative patientsC183037APCH115-for nonoperative or emergency postoperative patientsAcute Physiology and Chronic Health Evaluation II original result for APCH115-for nonoperative or emergency postoperative patients.Acute Physiology and Chronic Health Evaluation II APCH115 Original Result - for nonoperative or emergency postoperative patients
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CL.C182522.APCH101STRAcute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH101 TN/TC
(APCH101STR)
text
Extensible: No
C182522Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH101 TN/TCAcute Physiology and Chronic Health Evaluation II standardized character result for APCH101 test and test code.CDISC Clinical Classification Acute Physiology and Chronic Health Evaluation II APCH101 Standardized Character Response Terminology
0C182894APCH101-0Acute Physiology and Chronic Health Evaluation II standardized character result for APCH101-36-38.4.Acute Physiology and Chronic Health Evaluation II APCH101 Standardized Character Result 0
1C182893APCH101-1Acute Physiology and Chronic Health Evaluation II standardized character result for APCH101-38.5-38.9; 34-35.9.Acute Physiology and Chronic Health Evaluation II APCH101 Standardized Character Result 1
2C182892APCH101-2Acute Physiology and Chronic Health Evaluation II standardized character result for APCH101-32-33.9.Acute Physiology and Chronic Health Evaluation II APCH101 Standardized Character Result 2
3C182891APCH101-3Acute Physiology and Chronic Health Evaluation II standardized character result for APCH101-39-40.9; 30-31.9.Acute Physiology and Chronic Health Evaluation II APCH101 Standardized Character Result 3
4C182890APCH101-4Acute Physiology and Chronic Health Evaluation II standardized character result for APCH101-Greater than or equal to 41; Less than or equal to 29.9.Acute Physiology and Chronic Health Evaluation II APCH101 Standardized Character Result 4
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CL.C182523.APCH102STRAcute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH102 TN/TC
(APCH102STR)
text
Extensible: No
C182523Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH102 TN/TCAcute Physiology and Chronic Health Evaluation II standardized character result for APCH102 test and test code.CDISC Clinical Classification Acute Physiology and Chronic Health Evaluation II APCH102 Standardized Character Response Terminology
0C182904APCH102-0Acute Physiology and Chronic Health Evaluation II standardized character result for APCH102-70-109.Acute Physiology and Chronic Health Evaluation II APCH102 Standardized Character Result 0
2C182903APCH102-2Acute Physiology and Chronic Health Evaluation II standardized character result for APCH102-110-129; 50-69.Acute Physiology and Chronic Health Evaluation II APCH102 Standardized Character Result 2
3C182902APCH102-3Acute Physiology and Chronic Health Evaluation II standardized character result for APCH102-130-159.Acute Physiology and Chronic Health Evaluation II APCH102 Standardized Character Result 3
4C182901APCH102-4Acute Physiology and Chronic Health Evaluation II standardized character result for APCH102-Greater than or equal to 160; less than or equal to 49.Acute Physiology and Chronic Health Evaluation II APCH102 Standardized Character Result 4
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CL.C182524.APCH103STRAcute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH103 TN/TC
(APCH103STR)
text
Extensible: No
C182524Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH103 TN/TCAcute Physiology and Chronic Health Evaluation II standardized character result for APCH103 test and test code.CDISC Clinical Classification Acute Physiology and Chronic Health Evaluation II APCH103 Standardized Character Response Terminology
0C182915APCH103-0Acute Physiology and Chronic Health Evaluation II standardized character result for APCH103-70-109.Acute Physiology and Chronic Health Evaluation II APCH103 Standardized Character Result 0
2C182914APCH103-2Acute Physiology and Chronic Health Evaluation II standardized character result for APCH103-110-139; 55-69.Acute Physiology and Chronic Health Evaluation II APCH103 Standardized Character Result 2
3C182913APCH103-3Acute Physiology and Chronic Health Evaluation II standardized character result for APCH103-140-179; 40-54.Acute Physiology and Chronic Health Evaluation II APCH103 Standardized Character Result 3
4C182912APCH103-4Acute Physiology and Chronic Health Evaluation II standardized character result for APCH103-Greater than or equal to 180; Less than or equal 39.Acute Physiology and Chronic Health Evaluation II APCH103 Standardized Character Result 4
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CL.C182525.APCH104STRAcute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH104 TN/TC
(APCH104STR)
text
Extensible: No
C182525Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH104 TN/TCAcute Physiology and Chronic Health Evaluation II standardized character result for APCH104 test and test code.CDISC Clinical Classification Acute Physiology and Chronic Health Evaluation II APCH104 Standardized Character Response Terminology
0C182927APCH104-0Acute Physiology and Chronic Health Evaluation II standardized character result for APCH104-12-24.Acute Physiology and Chronic Health Evaluation II APCH104 Standardized Character Result 0
1C182926APCH104-1Acute Physiology and Chronic Health Evaluation II standardized character result for APCH104-25-34; 10-11.Acute Physiology and Chronic Health Evaluation II APCH104 Standardized Character Result 1
2C182925APCH104-2Acute Physiology and Chronic Health Evaluation II standardized character result for APCH104-6-9.Acute Physiology and Chronic Health Evaluation II APCH104 Standardized Character Result 2
3C182924APCH104-3Acute Physiology and Chronic Health Evaluation II standardized character result for APCH104-35-49.Acute Physiology and Chronic Health Evaluation II APCH104 Standardized Character Result 3
4C182923APCH104-4Acute Physiology and Chronic Health Evaluation II standardized character result for APCH104-Greater than or equal to 50; Less than or equal to 5.Acute Physiology and Chronic Health Evaluation II APCH104 Standardized Character Result 4
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CL.C182526.APCH105ASTRAcute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH105A TN/TC
(APCH105ASTR)
text
Extensible: No
C182526Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH105A TN/TCAcute Physiology and Chronic Health Evaluation II standardized character result for APCH105A test and test code.CDISC Clinical Classification Acute Physiology and Chronic Health Evaluation II APCH105A Standardized Character Response Terminology
0C182935APCH105A-0Acute Physiology and Chronic Health Evaluation II standardized character result for APCH105A-Less than 200.Acute Physiology and Chronic Health Evaluation II APCH105A Standardized Character Result 0
2C182934APCH105A-2Acute Physiology and Chronic Health Evaluation II standardized character result for APCH105A-200-349.Acute Physiology and Chronic Health Evaluation II APCH105A Standardized Character Result 2
3C182933APCH105A-3Acute Physiology and Chronic Health Evaluation II standardized character result for APCH105A-350-499.Acute Physiology and Chronic Health Evaluation II APCH105A Standardized Character Result 3
4C182932APCH105A-4Acute Physiology and Chronic Health Evaluation II standardized character result for APCH105A-Greater than or equal to 500.Acute Physiology and Chronic Health Evaluation II APCH105A Standardized Character Result 4
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CL.C182527.APCH105BSTRAcute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH105B TN/TC
(APCH105BSTR)
text
Extensible: No
C182527Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH105B TN/TCAcute Physiology and Chronic Health Evaluation II standardized character result for APCH105B test and test code.CDISC Clinical Classification Acute Physiology and Chronic Health Evaluation II APCH105B Standardized Character Response Terminology
0C182940APCH105B-0Acute Physiology and Chronic Health Evaluation II standardized character result for APCH105B-Greater than 70.Acute Physiology and Chronic Health Evaluation II APCH105B Standardized Character Result 0
1C182941APCH105B-1Acute Physiology and Chronic Health Evaluation II standardized character result for APCH105B-61-70.Acute Physiology and Chronic Health Evaluation II APCH105B Standardized Character Result 1
3C182942APCH105B-3Acute Physiology and Chronic Health Evaluation II standardized character result for APCH105B-55-60.Acute Physiology and Chronic Health Evaluation II APCH105B Standardized Character Result 3
4C182943APCH105B-4Acute Physiology and Chronic Health Evaluation II standardized character result for APCH105B-Less than 55.Acute Physiology and Chronic Health Evaluation II APCH105B Standardized Character Result 4
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CL.C182528.APCH106ASTRAcute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH106A TN/TC
(APCH106ASTR)
text
Extensible: No
C182528Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH106A TN/TCAcute Physiology and Chronic Health Evaluation II standardized character result for APCH106A test and test code.CDISC Clinical Classification Acute Physiology and Chronic Health Evaluation II APCH106A Standardized Character Response Terminology
0C182955APCH106A-0Acute Physiology and Chronic Health Evaluation II standardized character result for APCH106A-7.33-7.49.Acute Physiology and Chronic Health Evaluation II APCH106A Standardized Character Result 0
1C182954APCH106A-1Acute Physiology and Chronic Health Evaluation II standardized character result for APCH106A-7.5-7.59.Acute Physiology and Chronic Health Evaluation II APCH106A Standardized Character Result 1
2C182953APCH106A2Acute Physiology and Chronic Health Evaluation II standardized character result for APCH106A-7.25-7.32.Acute Physiology and Chronic Health Evaluation II APCH106A Standardized Character Result 2
3C182952APCH106A-3Acute Physiology and Chronic Health Evaluation II standardized character result for APCH106A-7.6-7.69; 7.15-7.24.Acute Physiology and Chronic Health Evaluation II APCH106A Standardized Character Result 3
4C182951APCH106A-4Acute Physiology and Chronic Health Evaluation II standardized character result for APCH106A-Greater than or equal to 7.7; Less than 7.15.Acute Physiology and Chronic Health Evaluation II APCH106A Standardized Character Result 4
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CL.C182529.APCH106BSTRAcute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH106B TN/TC
(APCH106BSTR)
text
Extensible: No
C182529Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH106B TN/TCAcute Physiology and Chronic Health Evaluation II standardized character result for APCH106B test and test code.CDISC Clinical Classification Acute Physiology and Chronic Health Evaluation II APCH106B Standardized Character Response Terminology
0C182967APCH106B-0Acute Physiology and Chronic Health Evaluation II standardized character result for APCH106B-22-31.9.Acute Physiology and Chronic Health Evaluation II APCH106B Standardized Character Result 0
1C182966APCH106B-1Acute Physiology and Chronic Health Evaluation II standardized character result for APCH106B-32-40.9.Acute Physiology and Chronic Health Evaluation II APCH106B Standardized Character Result 1
2C182965APCH106B-2Acute Physiology and Chronic Health Evaluation II standardized character result for APCH106B-18-21.9.Acute Physiology and Chronic Health Evaluation II APCH106B Standardized Character Result 2
3C182964APCH106B-3Acute Physiology and Chronic Health Evaluation II standardized character result for APCH106B-41-51.9; 15-17.9.Acute Physiology and Chronic Health Evaluation II APCH106B Standardized Character Result 3
4C182963APCH106B-4Acute Physiology and Chronic Health Evaluation II standardized character result for APCH106B-Greater than or equal to 52; Less than 15.Acute Physiology and Chronic Health Evaluation II APCH106B Standardized Character Result 4
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CL.C182530.APCH107STRAcute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH107 TN/TC
(APCH107STR)
text
Extensible: No
C182530Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH107 TN/TCAcute Physiology and Chronic Health Evaluation II standardized character result for APCH107 test and test code.CDISC Clinical Classification Acute Physiology and Chronic Health Evaluation II APCH107 Standardized Character Response Terminology
0C182980APCH107-0Acute Physiology and Chronic Health Evaluation II standardized character result for APCH107-130-149.Acute Physiology and Chronic Health Evaluation II APCH107 Standardized Character Result 0
1C182979APCH107-1Acute Physiology and Chronic Health Evaluation II standardized character result for APCH107-150-154.Acute Physiology and Chronic Health Evaluation II APCH107 Standardized Character Result 1
2C182978APCH107-2Acute Physiology and Chronic Health Evaluation II standardized character result for APCH107-155-159; 120-129.Acute Physiology and Chronic Health Evaluation II APCH107 Standardized Character Result 2
3C182977APCH107-3Acute Physiology and Chronic Health Evaluation II standardized character result for APCH107-160-179; 111-119.Acute Physiology and Chronic Health Evaluation II APCH107 Standardized Character Result 3
4C182976APCH107-4Acute Physiology and Chronic Health Evaluation II standardized character result for APCH107-Greater than or equal to 180; Less than or equal to 110.Acute Physiology and Chronic Health Evaluation II APCH107 Standardized Character Result 4
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CL.C182531.APCH108STRAcute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH108 TN/TC
(APCH108STR)
text
Extensible: No
C182531Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH108 TN/TCAcute Physiology and Chronic Health Evaluation II standardized character result for APCH108 test and test code.CDISC Clinical Classification Acute Physiology and Chronic Health Evaluation II APCH108 Standardized Character Response Terminology
0C182992APCH108-0Acute Physiology and Chronic Health Evaluation II standardized character result for APCH108-3.5-5.4.Acute Physiology and Chronic Health Evaluation II APCH108 Standardized Character Result 0
1C182991APCH108-1Acute Physiology and Chronic Health Evaluation II standardized character result for APCH108-5.5-5.9; 3-3.4.Acute Physiology and Chronic Health Evaluation II APCH108 Standardized Character Result 1
2C182990APCH108-2Acute Physiology and Chronic Health Evaluation II standardized character result for APCH108-2.5-2.9.Acute Physiology and Chronic Health Evaluation II APCH108 Standardized Character Result 2
3C182989APCH108-3Acute Physiology and Chronic Health Evaluation II standardized character result for APCH108-6-6.9.Acute Physiology and Chronic Health Evaluation II APCH108 Standardized Character Result 3
4C182988APCH108-4Acute Physiology and Chronic Health Evaluation II standardized character result for APCH108-Greater than or equal to 7; Less than 2.5.Acute Physiology and Chronic Health Evaluation II APCH108 Standardized Character Result 4
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CL.C182532.APCH109STRAcute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH109 TN/TC
(APCH109STR)
text
Extensible: No
C182532Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH109 TN/TCAcute Physiology and Chronic Health Evaluation II standardized character result for APCH109 test and test code.CDISC Clinical Classification Acute Physiology and Chronic Health Evaluation II APCH109 Standardized Character Response Terminology
0C183006APCH109-0Acute Physiology and Chronic Health Evaluation II standardized character result for APCH109-0.6-1.4.Acute Physiology and Chronic Health Evaluation II APCH109 Standardized Character Result 0
2C183005APCH109-2Acute Physiology and Chronic Health Evaluation II standardized character result for APCH109-1.5-1.9; Less than 0.6.Acute Physiology and Chronic Health Evaluation II APCH109 Standardized Character Result 2
3C183004APCH109-3Acute Physiology and Chronic Health Evaluation II standardized character result for APCH109-2-3.4.Acute Physiology and Chronic Health Evaluation II APCH109 Standardized Character Result 3
4C183003APCH109-4Acute Physiology and Chronic Health Evaluation II standardized character result for APCH109-1.5-1.9 and acute renal failure; Greater than or equal to 3.5.Acute Physiology and Chronic Health Evaluation II APCH109 Standardized Character Result 4
6C183002APCH109-6Acute Physiology and Chronic Health Evaluation II standardized character result for APCH109-2-3.4 and acute renal failure.Acute Physiology and Chronic Health Evaluation II APCH109 Standardized Character Result 6
8C183001APCH109-8Acute Physiology and Chronic Health Evaluation II standardized character result for APCH109-Greater than or equal to 3.5 and acute renal failure.Acute Physiology and Chronic Health Evaluation II APCH109 Standardized Character Result 8
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CL.C182533.APCH110STRAcute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH110 TN/TC
(APCH110STR)
text
Extensible: No
C182533Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH110 TN/TCAcute Physiology and Chronic Health Evaluation II standardized character result for APCH110 test and test code.CDISC Clinical Classification Acute Physiology and Chronic Health Evaluation II APCH110 Standardized Character Response Terminology
0C183016APCH110-0Acute Physiology and Chronic Health Evaluation II standardized character result for APCH110-30-45.9.Acute Physiology and Chronic Health Evaluation II APCH110 Standardized Character Result 0
1C183015APCH110-1Acute Physiology and Chronic Health Evaluation II standardized character result for APCH110-46-49.9.Acute Physiology and Chronic Health Evaluation II APCH110 Standardized Character Result 1
2C183014APCH110-2Acute Physiology and Chronic Health Evaluation II standardized character result for APCH110-50-59.9; 20-29.9.Acute Physiology and Chronic Health Evaluation II APCH110 Standardized Character Result 2
4C183013APCH110-4Acute Physiology and Chronic Health Evaluation II standardized character result for APCH110-Greater than or equal to 60; Less than 20.Acute Physiology and Chronic Health Evaluation II APCH110 Standardized Character Result 4
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CL.C182534.APCH111STRAcute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH111 TN/TC
(APCH111STR)
text
Extensible: No
C182534Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH111 TN/TCAcute Physiology and Chronic Health Evaluation II standardized character result for APCH111 test and test code.CDISC Clinical Classification Acute Physiology and Chronic Health Evaluation II APCH111 Standardized Character Response Terminology
0C183026APCH111-0Acute Physiology and Chronic Health Evaluation II standardized character result for APCH111-3-14.9.Acute Physiology and Chronic Health Evaluation II APCH111 Standardized Character Result 0
1C183025APCH111-1Acute Physiology and Chronic Health Evaluation II standardized character result for APCH111-15-19.9.Acute Physiology and Chronic Health Evaluation II APCH111 Standardized Character Result 1
2C183024APCH111-2Acute Physiology and Chronic Health Evaluation II standardized character result for APCH111-20-39.9; 1-2.9.Acute Physiology and Chronic Health Evaluation II APCH111 Standardized Character Result 2
4C183023APCH111-4Acute Physiology and Chronic Health Evaluation II standardized character result for APCH111-Greater than or equal to 40; Less than 1.Acute Physiology and Chronic Health Evaluation II APCH111 Standardized Character Result 4
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CL.C182535.APCH114STRAcute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH114 TN/TC
(APCH114STR)
text
Extensible: No
C182535Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH114 TN/TCAcute Physiology and Chronic Health Evaluation II standardized character result for APCH114 test and test code.CDISC Clinical Classification Acute Physiology and Chronic Health Evaluation II APCH114 Standardized Character Response Terminology
0C183032APCH114-0Acute Physiology and Chronic Health Evaluation II standardized character result for APCH114-Less than or equal to 44.Acute Physiology and Chronic Health Evaluation II APCH114 Standardized Character Result 0
2C183033APCH114-2Acute Physiology and Chronic Health Evaluation II standardized character result for APCH114-45-54.Acute Physiology and Chronic Health Evaluation II APCH114 Standardized Character Result 2
3C183034APCH114-3Acute Physiology and Chronic Health Evaluation II standardized character result for APCH114-55-64.Acute Physiology and Chronic Health Evaluation II APCH114 Standardized Character Result 3
5C183035APCH114-5Acute Physiology and Chronic Health Evaluation II standardized character result for APCH114-65-74.Acute Physiology and Chronic Health Evaluation II APCH114 Standardized Character Result 5
6C183036APCH114-6Acute Physiology and Chronic Health Evaluation II standardized character result for APCH114-Greater than or equal to 75.Acute Physiology and Chronic Health Evaluation II APCH114 Standardized Character Result 6
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CL.C182536.APCH115STRAcute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH115 TN/TC
(APCH115STR)
text
Extensible: No
C182536Acute Physiology and Chronic Health Evaluation II Clinical Classification STRESC for APCH115 TN/TCAcute Physiology and Chronic Health Evaluation II standardized character result for APCH115 test and test code.CDISC Clinical Classification Acute Physiology and Chronic Health Evaluation II APCH115 Standardized Character Response Terminology
2C183040APCH115-2Acute Physiology and Chronic Health Evaluation II standardized character result for APCH115-for elective postoperative patients.Acute Physiology and Chronic Health Evaluation II APCH115 Standardized Character Result 2
5C183039APCH115-5Acute Physiology and Chronic Health Evaluation II standardized character result for APCH115-for nonoperative or emergency postoperative patients.Acute Physiology and Chronic Health Evaluation II APCH115 Standardized Character Result 5
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CL.C120985.APCH1TCAcute Physiology and Chronic Health Evaluation II Clinical Classification Test Code
(APCH1TC)
text
Extensible: No
C120985Acute Physiology and Chronic Health Evaluation II Clinical Classification Test CodeAcute Physiology and Chronic Health Evaluation II test code.CDISC Clinical Classification APACHE II Test Code Terminology
APCH101C121096APCH1-Temperature - RectalAcute Physiology and Chronic Health Evaluation II - Temperature - rectal (degree C).APACHE II - Temperature, Rectal
APCH102C121097APCH1-Mean Arterial PressureAcute Physiology and Chronic Health Evaluation II - Mean arterial pressure - mmHg.APACHE II - Mean Arterial Pressure
APCH103C121098APCH1-Heart RateAcute Physiology and Chronic Health Evaluation II - Heart rate (ventricular response).APACHE II - Heart Rate
APCH104C121099APCH1-Respiratory RateAcute Physiology and Chronic Health Evaluation II - Respiratory rate (non-ventilated or ventilated).APACHE II - Respiratory Rate
APCH105AC121100APCH1-Oxygenation: A-aDO2Acute Physiology and Chronic Health Evaluation II - Oxygenation (mmHg): FIO2 greater than or equal to 0.5 record A-aDO2.APACHE II - Oxygenation, A-aDO2
APCH105BC121101APCH1-Oxygenation: PaO2Acute Physiology and Chronic Health Evaluation II - Oxygenation (mmHg): FIO2 less than 0.5 record only PaO2.APACHE II - Oxygenation, PaO2
APCH106AC121102APCH1-Arterial pHAcute Physiology and Chronic Health Evaluation II - Arterial pH (preferred).APACHE II - Arterial pH
APCH106BC121103APCH1-Serum HCO3Acute Physiology and Chronic Health Evaluation II - Serum HCO3 (venous mMol/L) (Not preferred, use if no ABGs).APACHE II - Serum HCO3
APCH107C121104APCH1-Serum SodiumAcute Physiology and Chronic Health Evaluation II - Serum sodium (mMol/L).APACHE II - Serum Sodium
APCH108C121105APCH1-Serum PotassiumAcute Physiology and Chronic Health Evaluation II - Serum potassium (mMol/L).APACHE II - Serum Potassium
APCH109C121106APCH1-Serum CreatinineAcute Physiology and Chronic Health Evaluation II - Serum creatinine (mg/100 mL) (double point score for acute renal failure).APACHE II - Serum Creatinine
APCH110C121107APCH1-HematocritAcute Physiology and Chronic Health Evaluation II - Hematocrit (%).APACHE II - Hematocrit
APCH111C121108APCH1-White Blood CountAcute Physiology and Chronic Health Evaluation II - White blood count (total/mm3) (in 1,000s).APACHE II - White Blood Count
APCH112C121109APCH1-15 Minus Glasgow Coma ScoreAcute Physiology and Chronic Health Evaluation II - Glasgow coma score: Score equals 15 minus actual GCS.APACHE II - 15 Minus Glasgow Coma Score
APCH113C121110APCH1-A: Total Acute Physiology ScoreAcute Physiology and Chronic Health Evaluation II - A: Total acute physiology score.APACHE II - A, Total Acute Physiology Score
APCH114C121111APCH1-B: Age PointsAcute Physiology and Chronic Health Evaluation II - B: Age points (years).APACHE II - B, Age Points
APCH115C121112APCH1-C: Chronic Health PointsAcute Physiology and Chronic Health Evaluation II - C: Chronic health points.APACHE II - C, Chronic Health Points
APCH116C121113APCH1-Total APACHE II ScoreAcute Physiology and Chronic Health Evaluation II - Total APACHE II score.APACHE II - Total APACHE II Score
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CL.C120984.APCH1TNAcute Physiology and Chronic Health Evaluation II Clinical Classification Test Name
(APCH1TN)
text
Extensible: No
C120984Acute Physiology and Chronic Health Evaluation II Clinical Classification Test NameAcute Physiology and Chronic Health Evaluation II test name.CDISC Clinical Classification APACHE II Test Name Terminology
APCH1-15 Minus Glasgow Coma ScoreC121109APCH1-15 Minus Glasgow Coma ScoreAcute Physiology and Chronic Health Evaluation II - Glasgow coma score: Score equals 15 minus actual GCS.APACHE II - 15 Minus Glasgow Coma Score
APCH1-A: Total Acute Physiology ScoreC121110APCH1-A: Total Acute Physiology ScoreAcute Physiology and Chronic Health Evaluation II - A: Total acute physiology score.APACHE II - A, Total Acute Physiology Score
APCH1-Arterial pHC121102APCH1-Arterial pHAcute Physiology and Chronic Health Evaluation II - Arterial pH (preferred).APACHE II - Arterial pH
APCH1-B: Age PointsC121111APCH1-B: Age PointsAcute Physiology and Chronic Health Evaluation II - B: Age points (years).APACHE II - B, Age Points
APCH1-C: Chronic Health PointsC121112APCH1-C: Chronic Health PointsAcute Physiology and Chronic Health Evaluation II - C: Chronic health points.APACHE II - C, Chronic Health Points
APCH1-Heart RateC121098APCH1-Heart RateAcute Physiology and Chronic Health Evaluation II - Heart rate (ventricular response).APACHE II - Heart Rate
APCH1-HematocritC121107APCH1-HematocritAcute Physiology and Chronic Health Evaluation II - Hematocrit (%).APACHE II - Hematocrit
APCH1-Mean Arterial PressureC121097APCH1-Mean Arterial PressureAcute Physiology and Chronic Health Evaluation II - Mean arterial pressure - mmHg.APACHE II - Mean Arterial Pressure
APCH1-Oxygenation: A-aDO2C121100APCH1-Oxygenation: A-aDO2Acute Physiology and Chronic Health Evaluation II - Oxygenation (mmHg): FIO2 greater than or equal to 0.5 record A-aDO2.APACHE II - Oxygenation, A-aDO2
APCH1-Oxygenation: PaO2C121101APCH1-Oxygenation: PaO2Acute Physiology and Chronic Health Evaluation II - Oxygenation (mmHg): FIO2 less than 0.5 record only PaO2.APACHE II - Oxygenation, PaO2
APCH1-Respiratory RateC121099APCH1-Respiratory RateAcute Physiology and Chronic Health Evaluation II - Respiratory rate (non-ventilated or ventilated).APACHE II - Respiratory Rate
APCH1-Serum CreatinineC121106APCH1-Serum CreatinineAcute Physiology and Chronic Health Evaluation II - Serum creatinine (mg/100 mL) (double point score for acute renal failure).APACHE II - Serum Creatinine
APCH1-Serum HCO3C121103APCH1-Serum HCO3Acute Physiology and Chronic Health Evaluation II - Serum HCO3 (venous mMol/L) (Not preferred, use if no ABGs).APACHE II - Serum HCO3
APCH1-Serum PotassiumC121105APCH1-Serum PotassiumAcute Physiology and Chronic Health Evaluation II - Serum potassium (mMol/L).APACHE II - Serum Potassium
APCH1-Serum SodiumC121104APCH1-Serum SodiumAcute Physiology and Chronic Health Evaluation II - Serum sodium (mMol/L).APACHE II - Serum Sodium
APCH1-Temperature - RectalC121096APCH1-Temperature - RectalAcute Physiology and Chronic Health Evaluation II - Temperature - rectal (degree C).APACHE II - Temperature, Rectal
APCH1-Total APACHE II ScoreC121113APCH1-Total APACHE II ScoreAcute Physiology and Chronic Health Evaluation II - Total APACHE II score.APACHE II - Total APACHE II Score
APCH1-White Blood CountC121108APCH1-White Blood CountAcute Physiology and Chronic Health Evaluation II - White blood count (total/mm3) (in 1,000s).APACHE II - White Blood Count
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CL.C101807.AVL01TCADNI Auditory Verbal Learning Functional Test Test Code
(AVL01TC)
text
Extensible: No
C101807ADNI Auditory Verbal Learning Functional Test Test CodeADNI AVLT test code.CDISC Functional Test ADNI AVLT Test Code Terminology
AVL01001C101896AVL01-List A Recall 1 Word 1Auditory Verbal Learning Test Version A - List A, Recall 1, Word 1.ADNI AVLT - List A Recall 1 Word 1
AVL01002C101897AVL01-List A Recall 1 Word 2Auditory Verbal Learning Test Version A - List A, Recall 1, Word 2.ADNI AVLT - List A Recall 1 Word 2
AVL01003C101898AVL01-List A Recall 1 Word 3Auditory Verbal Learning Test Version A - List A, Recall 1, Word 3.ADNI AVLT - List A Recall 1 Word 3
AVL01004C101899AVL01-List A Recall 1 Word 4Auditory Verbal Learning Test Version A - List A, Recall 1, Word 4.ADNI AVLT - List A Recall 1 Word 4
AVL01005C101900AVL01-List A Recall 1 Word 5Auditory Verbal Learning Test Version A - List A, Recall 1, Word 5.ADNI AVLT - List A Recall 1 Word 5
AVL01006C101901AVL01-List A Recall 1 Word 6Auditory Verbal Learning Test Version A - List A, Recall 1, Word 6.ADNI AVLT - List A Recall 1 Word 6
AVL01007C101902AVL01-List A Recall 1 Word 7Auditory Verbal Learning Test Version A - List A, Recall 1, Word 7.ADNI AVLT - List A Recall 1 Word 7
AVL01008C101903AVL01-List A Recall 1 Word 8Auditory Verbal Learning Test Version A - List A, Recall 1, Word 8.ADNI AVLT - List A Recall 1 Word 8
AVL01009C101904AVL01-List A Recall 1 Word 9Auditory Verbal Learning Test Version A - List A, Recall 1, Word 9.ADNI AVLT - List A Recall 1 Word 9
AVL01010C101905AVL01-List A Recall 1 Word 10Auditory Verbal Learning Test Version A - List A, Recall 1, Word 10.ADNI AVLT - List A Recall 1 Word 10
AVL01011C101906AVL01-List A Recall 1 Word 11Auditory Verbal Learning Test Version A - List A, Recall 1, Word 11.ADNI AVLT - List A Recall 1 Word 11
AVL01012C101907AVL01-List A Recall 1 Word 12Auditory Verbal Learning Test Version A - List A, Recall 1, Word 12.ADNI AVLT - List A Recall 1 Word 12
AVL01013C101908AVL01-List A Recall 1 Word 13Auditory Verbal Learning Test Version A - List A, Recall 1, Word 13.ADNI AVLT - List A Recall 1 Word 13
AVL01014C101909AVL01-List A Recall 1 Word 14Auditory Verbal Learning Test Version A - List A, Recall 1, Word 14.ADNI AVLT - List A Recall 1 Word 14
AVL01015C101910AVL01-List A Recall 1 Word 15Auditory Verbal Learning Test Version A - List A, Recall 1, Word 15.ADNI AVLT - List A Recall 1 Word 15
AVL01016C101911AVL01-List A Recall 1 TotalAuditory Verbal Learning Test Version A - The number of words recalled from List A, first attempt.ADNI AVLT - List A Recall 1 Total
AVL01017C101912AVL01-List A Intrusions 1Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, first attempt.ADNI AVLT - List A Intrusions 1
AVL01018C101913AVL01-List A Recall 2 Word 1Auditory Verbal Learning Test Version A - List A, Recall 2, Word 1.ADNI AVLT - List A Recall 2 Word 1
AVL01019C101914AVL01-List A Recall 2 Word 2Auditory Verbal Learning Test Version A - List A, Recall 2, Word 2.ADNI AVLT - List A Recall 2 Word 2
AVL01020C101915AVL01-List A Recall 2 Word 3Auditory Verbal Learning Test Version A - List A, Recall 2, Word 3.ADNI AVLT - List A Recall 2 Word 3
AVL01021C101916AVL01-List A Recall 2 Word 4Auditory Verbal Learning Test Version A - List A, Recall 2, Word 4.ADNI AVLT - List A Recall 2 Word 4
AVL01022C101917AVL01-List A Recall 2 Word 5Auditory Verbal Learning Test Version A - List A, Recall 2, Word 5.ADNI AVLT - List A Recall 2 Word 5
AVL01023C101918AVL01-List A Recall 2 Word 6Auditory Verbal Learning Test Version A - List A, Recall 2, Word 6.ADNI AVLT - List A Recall 2 Word 6
AVL01024C101919AVL01-List A Recall 2 Word 7Auditory Verbal Learning Test Version A - List A, Recall 2, Word 7.ADNI AVLT - List A Recall 2 Word 7
AVL01025C101920AVL01-List A Recall 2 Word 8Auditory Verbal Learning Test Version A - List A, Recall 2, Word 8.ADNI AVLT - List A Recall 2 Word 8
AVL01026C101921AVL01-List A Recall 2 Word 9Auditory Verbal Learning Test Version A - List A, Recall 2, Word 9.ADNI AVLT - List A Recall 2 Word 9
AVL01027C101922AVL01-List A Recall 2 Word 10Auditory Verbal Learning Test Version A - List A, Recall 2, Word 10.ADNI AVLT - List A Recall 2 Word 10
AVL01028C101923AVL01-List A Recall 2 Word 11Auditory Verbal Learning Test Version A - List A, Recall 2, Word 11.ADNI AVLT - List A Recall 2 Word 11
AVL01029C101924AVL01-List A Recall 2 Word 12Auditory Verbal Learning Test Version A - List A, Recall 2, Word 12.ADNI AVLT - List A Recall 2 Word 12
AVL01030C101925AVL01-List A Recall 2 Word 13Auditory Verbal Learning Test Version A - List A, Recall 2, Word 13.ADNI AVLT - List A Recall 2 Word 13
AVL01031C101926AVL01-List A Recall 2 Word 14Auditory Verbal Learning Test Version A - List A, Recall 2, Word 14.ADNI AVLT - List A Recall 2 Word 14
AVL01032C101927AVL01-List A Recall 2 Word 15Auditory Verbal Learning Test Version A - List A, Recall 2, Word 15.ADNI AVLT - List A Recall 2 Word 15
AVL01033C101928AVL01-List A Recall 2 TotalAuditory Verbal Learning Test Version A - The number of words recalled from List A, second attempt.ADNI AVLT - List A Recall 2 Total
AVL01034C101929AVL01-List A Intrusions 2Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, second attempt.ADNI AVLT - List A Intrusions 2
AVL01035C101930AVL01-List A Recall 3 Word 1Auditory Verbal Learning Test Version A - List A, Recall 3, Word 1.ADNI AVLT - List A Recall 3 Word 1
AVL01036C101931AVL01-List A Recall 3 Word 2Auditory Verbal Learning Test Version A - List A, Recall 3, Word 2.ADNI AVLT - List A Recall 3 Word 2
AVL01037C101932AVL01-List A Recall 3 Word 3Auditory Verbal Learning Test Version A - List A, Recall 3, Word 3.ADNI AVLT - List A Recall 3 Word 3
AVL01038C101933AVL01-List A Recall 3 Word 4Auditory Verbal Learning Test Version A - List A, Recall 3, Word 4.ADNI AVLT - List A Recall 3 Word 4
AVL01039C101934AVL01-List A Recall 3 Word 5Auditory Verbal Learning Test Version A - List A, Recall 3, Word 5.ADNI AVLT - List A Recall 3 Word 5
AVL01040C101935AVL01-List A Recall 3 Word 6Auditory Verbal Learning Test Version A - List A, Recall 3, Word 6.ADNI AVLT - List A Recall 3 Word 6
AVL01041C101936AVL01-List A Recall 3 Word 7Auditory Verbal Learning Test Version A - List A, Recall 3, Word 7.ADNI AVLT - List A Recall 3 Word 7
AVL01042C101937AVL01-List A Recall 3 Word 8Auditory Verbal Learning Test Version A - List A, Recall 3, Word 8.ADNI AVLT - List A Recall 3 Word 8
AVL01043C101938AVL01-List A Recall 3 Word 9Auditory Verbal Learning Test Version A - List A, Recall 3, Word 9.ADNI AVLT - List A Recall 3 Word 9
AVL01044C101939AVL01-List A Recall 3 Word 10Auditory Verbal Learning Test Version A - List A, Recall 3, Word 10.ADNI AVLT - List A Recall 3 Word 10
AVL01045C101940AVL01-List A Recall 3 Word 11Auditory Verbal Learning Test Version A - List A, Recall 3, Word 11.ADNI AVLT - List A Recall 3 Word 11
AVL01046C101941AVL01-List A Recall 3 Word 12Auditory Verbal Learning Test Version A - List A, Recall 3, Word 12.ADNI AVLT - List A Recall 3 Word 12
AVL01047C101942AVL01-List A Recall 3 Word 13Auditory Verbal Learning Test Version A - List A, Recall 3, Word 13.ADNI AVLT - List A Recall 3 Word 13
AVL01048C101943AVL01-List A Recall 3 Word 14Auditory Verbal Learning Test Version A - List A, Recall 3, Word 14.ADNI AVLT - List A Recall 3 Word 14
AVL01049C101944AVL01-List A Recall 3 Word 15Auditory Verbal Learning Test Version A - List A, Recall 3, Word 15.ADNI AVLT - List A Recall 3 Word 15
AVL01050C101945AVL01-List A Recall 3 TotalAuditory Verbal Learning Test Version A - The number of words recalled from List A, third attempt.ADNI AVLT - List A Recall 3 Total
AVL01051C101946AVL01-List A Intrusions 3Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, third attempt.ADNI AVLT - List A Intrusions 3
AVL01052C101947AVL01-List A Recall 4 Word 1Auditory Verbal Learning Test Version A - List A, Recall 4, Word 1.ADNI AVLT - List A Recall 4 Word 1
AVL01053C101948AVL01-List A Recall 4 Word 2Auditory Verbal Learning Test Version A - List A, Recall 4, Word 2.ADNI AVLT - List A Recall 4 Word 2
AVL01054C101949AVL01-List A Recall 4 Word 3Auditory Verbal Learning Test Version A - List A, Recall 4, Word 3.ADNI AVLT - List A Recall 4 Word 3
AVL01055C101950AVL01-List A Recall 4 Word 4Auditory Verbal Learning Test Version A - List A, Recall 4, Word 4.ADNI AVLT - List A Recall 4 Word 4
AVL01056C101951AVL01-List A Recall 4 Word 5Auditory Verbal Learning Test Version A - List A, Recall 4, Word 5.ADNI AVLT - List A Recall 4 Word 5
AVL01057C101952AVL01-List A Recall 4 Word 6Auditory Verbal Learning Test Version A - List A, Recall 4, Word 6.ADNI AVLT - List A Recall 4 Word 6
AVL01058C101953AVL01-List A Recall 4 Word 7Auditory Verbal Learning Test Version A - List A, Recall 4, Word 7.ADNI AVLT - List A Recall 4 Word 7
AVL01059C101954AVL01-List A Recall 4 Word 8Auditory Verbal Learning Test Version A - List A, Recall 4, Word 8.ADNI AVLT - List A Recall 4 Word 8
AVL01060C101955AVL01-List A Recall 4 Word 9Auditory Verbal Learning Test Version A - List A, Recall 4, Word 9.ADNI AVLT - List A Recall 4 Word 9
AVL01061C101956AVL01-List A Recall 4 Word 10Auditory Verbal Learning Test Version A - List A, Recall 4, Word 10.ADNI AVLT - List A Recall 4 Word 10
AVL01062C101957AVL01-List A Recall 4 Word 11Auditory Verbal Learning Test Version A - List A, Recall 4, Word 11.ADNI AVLT - List A Recall 4 Word 11
AVL01063C101958AVL01-List A Recall 4 Word 12Auditory Verbal Learning Test Version A - List A, Recall 4, Word 12.ADNI AVLT - List A Recall 4 Word 12
AVL01064C101959AVL01-List A Recall 4 Word 13Auditory Verbal Learning Test Version A - List A, Recall 4, Word 13.ADNI AVLT - List A Recall 4 Word 13
AVL01065C101960AVL01-List A Recall 4 Word 14Auditory Verbal Learning Test Version A - List A, Recall 4, Word 14.ADNI AVLT - List A Recall 4 Word 14
AVL01066C101961AVL01-List A Recall 4 Word 15Auditory Verbal Learning Test Version A - List A, Recall 4, Word 15.ADNI AVLT - List A Recall 4 Word 15
AVL01067C101962AVL01-List A Recall 4 TotalAuditory Verbal Learning Test Version A - The number of words recalled from List A, fourth attempt.ADNI AVLT - List A Recall 4 Total
AVL01068C101963AVL01-List A Intrusions 4Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, fourth attempt.ADNI AVLT - List A Intrusions 4
AVL01069C101964AVL01-List A Recall 5 Word 1Auditory Verbal Learning Test Version A - List A, Recall 5, Word 1.ADNI AVLT - List A Recall 5 Word 1
AVL01070C101965AVL01-List A Recall 5 Word 2Auditory Verbal Learning Test Version A - List A, Recall 5, Word 2.ADNI AVLT - List A Recall 5 Word 2
AVL01071C101966AVL01-List A Recall 5 Word 3Auditory Verbal Learning Test Version A - List A, Recall 5, Word 3.ADNI AVLT - List A Recall 5 Word 3
AVL01072C101967AVL01-List A Recall 5 Word 4Auditory Verbal Learning Test Version A - List A, Recall 5, Word 4.ADNI AVLT - List A Recall 5 Word 4
AVL01073C101968AVL01-List A Recall 5 Word 5Auditory Verbal Learning Test Version A - List A, Recall 5, Word 5.ADNI AVLT - List A Recall 5 Word 5
AVL01074C101969AVL01-List A Recall 5 Word 6Auditory Verbal Learning Test Version A - List A, Recall 5, Word 6.ADNI AVLT - List A Recall 5 Word 6
AVL01075C101970AVL01-List A Recall 5 Word 7Auditory Verbal Learning Test Version A - List A, Recall 5, Word 7.ADNI AVLT - List A Recall 5 Word 7
AVL01076C101971AVL01-List A Recall 5 Word 8Auditory Verbal Learning Test Version A - List A, Recall 5, Word 8.ADNI AVLT - List A Recall 5 Word 8
AVL01077C101972AVL01-List A Recall 5 Word 9Auditory Verbal Learning Test Version A - List A, Recall 5, Word 9.ADNI AVLT - List A Recall 5 Word 9
AVL01078C101973AVL01-List A Recall 5 Word 10Auditory Verbal Learning Test Version A - List A, Recall 5, Word 10.ADNI AVLT - List A Recall 5 Word 10
AVL01079C101974AVL01-List A Recall 5 Word 11Auditory Verbal Learning Test Version A - List A, Recall 5, Word 11.ADNI AVLT - List A Recall 5 Word 11
AVL01080C101975AVL01-List A Recall 5 Word 12Auditory Verbal Learning Test Version A - List A, Recall 5, Word 12.ADNI AVLT - List A Recall 5 Word 12
AVL01081C101976AVL01-List A Recall 5 Word 13Auditory Verbal Learning Test Version A - List A, Recall 5, Word 13.ADNI AVLT - List A Recall 5 Word 13
AVL01082C101977AVL01-List A Recall 5 Word 14Auditory Verbal Learning Test Version A - List A, Recall 5, Word 14.ADNI AVLT - List A Recall 5 Word 14
AVL01083C101978AVL01-List A Recall 5 Word 15Auditory Verbal Learning Test Version A - List A, Recall 5, Word 15.ADNI AVLT - List A Recall 5 Word 15
AVL01084C101979AVL01-List A Recall 5 TotalAuditory Verbal Learning Test Version A - The number of words recalled from List A, fifth attempt.ADNI AVLT - List A Recall 5 Total
AVL01085C101980AVL01-List A Intrusions 5Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, fifth attempt.ADNI AVLT - List A Intrusions 5
AVL01086C101981AVL01-List A Recall 6 (After B) Word 1Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 1.ADNI AVLT - List A Recall 6 (After B) Word 1
AVL01087C101982AVL01-List A Recall 6 (After B) Word 2Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 2.ADNI AVLT - List A Recall 6 (After B) Word 2
AVL01088C101983AVL01-List A Recall 6 (After B) Word 3Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 3.ADNI AVLT - List A Recall 6 (After B) Word 3
AVL01089C101984AVL01-List A Recall 6 (After B) Word 4Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 4.ADNI AVLT - List A Recall 6 (After B) Word 4
AVL01090C101985AVL01-List A Recall 6 (After B) Word 5Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 5.ADNI AVLT - List A Recall 6 (After B) Word 5
AVL01091C101986AVL01-List A Recall 6 (After B) Word 6Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 6.ADNI AVLT - List A Recall 6 (After B) Word 6
AVL01092C101987AVL01-List A Recall 6 (After B) Word 7Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 7.ADNI AVLT - List A Recall 6 (After B) Word 7
AVL01093C101988AVL01-List A Recall 6 (After B) Word 8Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 8.ADNI AVLT - List A Recall 6 (After B) Word 8
AVL01094C101989AVL01-List A Recall 6 (After B) Word 9Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 9.ADNI AVLT - List A Recall 6 (After B) Word 9
AVL01095C101990AVL01-List A Recall 6 (After B) Word 10Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 10.ADNI AVLT - List A Recall 6 (After B) Word 10
AVL01096C101991AVL01-List A Recall 6 (After B) Word 11Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 11.ADNI AVLT - List A Recall 6 (After B) Word 11
AVL01097C101992AVL01-List A Recall 6 (After B) Word 12Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 12.ADNI AVLT - List A Recall 6 (After B) Word 12
AVL01098C101993AVL01-List A Recall 6 (After B) Word 13Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 13.ADNI AVLT - List A Recall 6 (After B) Word 13
AVL01099C101994AVL01-List A Recall 6 (After B) Word 14Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 14.ADNI AVLT - List A Recall 6 (After B) Word 14
AVL01100C101995AVL01-List A Recall 6 (After B) Word 15Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 15.ADNI AVLT - List A Recall 6 (After B) Word 15
AVL01101C101996AVL01-List A Recall 6 (After B) TotalAuditory Verbal Learning Test Version A - The number of words recalled from List A, sixth attempt (after List B recall).ADNI AVLT - List A Recall 6 (After B) Total
AVL01102C101997AVL01-List A Intrusions 6Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, sixth attempt (after List B recall).ADNI AVLT - List A Intrusions 6
AVL01103C101998AVL01-List B Recall Word 1Auditory Verbal Learning Test Version A - List B, Word 1.ADNI AVLT - List B Recall Word 1
AVL01104C101999AVL01-List B Recall Word 2Auditory Verbal Learning Test Version A - List B, Word 2.ADNI AVLT - List B Recall Word 2
AVL01105C102000AVL01-List B Recall Word 3Auditory Verbal Learning Test Version A - List B, Word 3.ADNI AVLT - List B Recall Word 3
AVL01106C102001AVL01-List B Recall Word 4Auditory Verbal Learning Test Version A - List B, Word 4.ADNI AVLT - List B Recall Word 4
AVL01107C102002AVL01-List B Recall Word 5Auditory Verbal Learning Test Version A - List B, Word 5.ADNI AVLT - List B Recall Word 5
AVL01108C102003AVL01-List B Recall Word 6Auditory Verbal Learning Test Version A - List B, Word 6.ADNI AVLT - List B Recall Word 6
AVL01109C102004AVL01-List B Recall Word 7Auditory Verbal Learning Test Version A - List B, Word 7.ADNI AVLT - List B Recall Word 7
AVL01110C102005AVL01-List B Recall Word 8Auditory Verbal Learning Test Version A - List B, Word 8.ADNI AVLT - List B Recall Word 8
AVL01111C102006AVL01-List B Recall Word 9Auditory Verbal Learning Test Version A - List B, Word 9.ADNI AVLT - List B Recall Word 9
AVL01112C102007AVL01-List B Recall Word 10Auditory Verbal Learning Test Version A - List B, Word 10.ADNI AVLT - List B Recall Word 10
AVL01113C102008AVL01-List B Recall Word 11Auditory Verbal Learning Test Version A - List B, Word 11.ADNI AVLT - List B Recall Word 11
AVL01114C102009AVL01-List B Recall Word 12Auditory Verbal Learning Test Version A - List B, Word 12.ADNI AVLT - List B Recall Word 12
AVL01115C102010AVL01-List B Recall Word 13Auditory Verbal Learning Test Version A - List B, Word 13.ADNI AVLT - List B Recall Word 13
AVL01116C102011AVL01-List B Recall Word 14Auditory Verbal Learning Test Version A - List B, Word 14.ADNI AVLT - List B Recall Word 14
AVL01117C102012AVL01-List B Recall Word 15Auditory Verbal Learning Test Version A - List B, Word 15.ADNI AVLT - List B Recall Word 15
AVL01118C102013AVL01-List B Recall TotalAuditory Verbal Learning Test Version A - The number of words recalled from List B.ADNI AVLT - List B Recall Total
AVL01119C102014AVL01-List B IntrusionsAuditory Verbal Learning Test Version A - The number of intrusions while recalling List B.ADNI AVLT - List B Intrusions
AVL01120C102015AVL01-List A 30 Min Delay Recall Word 1Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 1.ADNI AVLT - List A 30 Min Delay Recall Word 1
AVL01121C102016AVL01-List A 30 Min Delay Recall Word 2Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 2.ADNI AVLT - List A 30 Min Delay Recall Word 2
AVL01122C102017AVL01-List A 30 Min Delay Recall Word 3Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 3.ADNI AVLT - List A 30 Min Delay Recall Word 3
AVL01123C102018AVL01-List A 30 Min Delay Recall Word 4Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 4.ADNI AVLT - List A 30 Min Delay Recall Word 4
AVL01124C102019AVL01-List A 30 Min Delay Recall Word 5Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 5.ADNI AVLT - List A 30 Min Delay Recall Word 5
AVL01125C102020AVL01-List A 30 Min Delay Recall Word 6Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 6.ADNI AVLT - List A 30 Min Delay Recall Word 6
AVL01126C102021AVL01-List A 30 Min Delay Recall Word 7Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 7.ADNI AVLT - List A 30 Min Delay Recall Word 7
AVL01127C102022AVL01-List A 30 Min Delay Recall Word 8Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 8.ADNI AVLT - List A 30 Min Delay Recall Word 8
AVL01128C102023AVL01-List A 30 Min Delay Recall Word 9Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 9.ADNI AVLT - List A 30 Min Delay Recall Word 9
AVL01129C102024AVL01-List A 30 Min Delay Recall Word 10Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 10.ADNI AVLT - List A 30 Min Delay Recall Word 10
AVL01130C102025AVL01-List A 30 Min Delay Recall Word 11Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 11.ADNI AVLT - List A 30 Min Delay Recall Word 11
AVL01131C102026AVL01-List A 30 Min Delay Recall Word 12Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 12.ADNI AVLT - List A 30 Min Delay Recall Word 12
AVL01132C102027AVL01-List A 30 Min Delay Recall Word 13Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 13.ADNI AVLT - List A 30 Min Delay Recall Word 13
AVL01133C102028AVL01-List A 30 Min Delay Recall Word 14Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 14.ADNI AVLT - List A 30 Min Delay Recall Word 14
AVL01134C102029AVL01-List A 30 Min Delay Recall Word 15Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 15.ADNI AVLT - List A 30 Min Delay Recall Word 15
AVL01135C102030AVL01-List A 30 Min Delay Recall TotalAuditory Verbal Learning Test Version A - The number of words recalled from List A, 30 Minute Delay recall.ADNI AVLT - List A 30 Min Delay Recall Total
AVL01136C102031AVL01-List A 30 Min Delay IntrusionsAuditory Verbal Learning Test Version A - The number of intrusions while recalling List A, 30 Minute Delay.ADNI AVLT - List A 30 Min Delay Intrusions
AVL01137C102032AVL01-List A Recognition TotalAuditory Verbal Learning Test Version A - The number of words correct on recognition test.ADNI AVLT - List A Recognition Total
AVL01138C102033AVL01-List A Recognition IntrusionsAuditory Verbal Learning Test Version A - The number of intrusions on recognition test.ADNI AVLT - List A Recognition Intrusions
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CL.C101808.AVL01TNADNI Auditory Verbal Learning Functional Test Test Name
(AVL01TN)
text
Extensible: No
C101808ADNI Auditory Verbal Learning Functional Test Test NameADNI AVLT test name.CDISC Functional Test ADNI AVLT Test Name Terminology
AVL01-List A 30 Min Delay IntrusionsC102031AVL01-List A 30 Min Delay IntrusionsAuditory Verbal Learning Test Version A - The number of intrusions while recalling List A, 30 Minute Delay.ADNI AVLT - List A 30 Min Delay Intrusions
AVL01-List A 30 Min Delay Recall TotalC102030AVL01-List A 30 Min Delay Recall TotalAuditory Verbal Learning Test Version A - The number of words recalled from List A, 30 Minute Delay recall.ADNI AVLT - List A 30 Min Delay Recall Total
AVL01-List A 30 Min Delay Recall Word 1C102015AVL01-List A 30 Min Delay Recall Word 1Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 1.ADNI AVLT - List A 30 Min Delay Recall Word 1
AVL01-List A 30 Min Delay Recall Word 10C102024AVL01-List A 30 Min Delay Recall Word 10Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 10.ADNI AVLT - List A 30 Min Delay Recall Word 10
AVL01-List A 30 Min Delay Recall Word 11C102025AVL01-List A 30 Min Delay Recall Word 11Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 11.ADNI AVLT - List A 30 Min Delay Recall Word 11
AVL01-List A 30 Min Delay Recall Word 12C102026AVL01-List A 30 Min Delay Recall Word 12Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 12.ADNI AVLT - List A 30 Min Delay Recall Word 12
AVL01-List A 30 Min Delay Recall Word 13C102027AVL01-List A 30 Min Delay Recall Word 13Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 13.ADNI AVLT - List A 30 Min Delay Recall Word 13
AVL01-List A 30 Min Delay Recall Word 14C102028AVL01-List A 30 Min Delay Recall Word 14Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 14.ADNI AVLT - List A 30 Min Delay Recall Word 14
AVL01-List A 30 Min Delay Recall Word 15C102029AVL01-List A 30 Min Delay Recall Word 15Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 15.ADNI AVLT - List A 30 Min Delay Recall Word 15
AVL01-List A 30 Min Delay Recall Word 2C102016AVL01-List A 30 Min Delay Recall Word 2Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 2.ADNI AVLT - List A 30 Min Delay Recall Word 2
AVL01-List A 30 Min Delay Recall Word 3C102017AVL01-List A 30 Min Delay Recall Word 3Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 3.ADNI AVLT - List A 30 Min Delay Recall Word 3
AVL01-List A 30 Min Delay Recall Word 4C102018AVL01-List A 30 Min Delay Recall Word 4Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 4.ADNI AVLT - List A 30 Min Delay Recall Word 4
AVL01-List A 30 Min Delay Recall Word 5C102019AVL01-List A 30 Min Delay Recall Word 5Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 5.ADNI AVLT - List A 30 Min Delay Recall Word 5
AVL01-List A 30 Min Delay Recall Word 6C102020AVL01-List A 30 Min Delay Recall Word 6Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 6.ADNI AVLT - List A 30 Min Delay Recall Word 6
AVL01-List A 30 Min Delay Recall Word 7C102021AVL01-List A 30 Min Delay Recall Word 7Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 7.ADNI AVLT - List A 30 Min Delay Recall Word 7
AVL01-List A 30 Min Delay Recall Word 8C102022AVL01-List A 30 Min Delay Recall Word 8Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 8.ADNI AVLT - List A 30 Min Delay Recall Word 8
AVL01-List A 30 Min Delay Recall Word 9C102023AVL01-List A 30 Min Delay Recall Word 9Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 9.ADNI AVLT - List A 30 Min Delay Recall Word 9
AVL01-List A Intrusions 1C101912AVL01-List A Intrusions 1Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, first attempt.ADNI AVLT - List A Intrusions 1
AVL01-List A Intrusions 2C101929AVL01-List A Intrusions 2Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, second attempt.ADNI AVLT - List A Intrusions 2
AVL01-List A Intrusions 3C101946AVL01-List A Intrusions 3Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, third attempt.ADNI AVLT - List A Intrusions 3
AVL01-List A Intrusions 4C101963AVL01-List A Intrusions 4Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, fourth attempt.ADNI AVLT - List A Intrusions 4
AVL01-List A Intrusions 5C101980AVL01-List A Intrusions 5Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, fifth attempt.ADNI AVLT - List A Intrusions 5
AVL01-List A Intrusions 6C101997AVL01-List A Intrusions 6Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, sixth attempt (after List B recall).ADNI AVLT - List A Intrusions 6
AVL01-List A Recall 1 TotalC101911AVL01-List A Recall 1 TotalAuditory Verbal Learning Test Version A - The number of words recalled from List A, first attempt.ADNI AVLT - List A Recall 1 Total
AVL01-List A Recall 1 Word 1C101896AVL01-List A Recall 1 Word 1Auditory Verbal Learning Test Version A - List A, Recall 1, Word 1.ADNI AVLT - List A Recall 1 Word 1
AVL01-List A Recall 1 Word 10C101905AVL01-List A Recall 1 Word 10Auditory Verbal Learning Test Version A - List A, Recall 1, Word 10.ADNI AVLT - List A Recall 1 Word 10
AVL01-List A Recall 1 Word 11C101906AVL01-List A Recall 1 Word 11Auditory Verbal Learning Test Version A - List A, Recall 1, Word 11.ADNI AVLT - List A Recall 1 Word 11
AVL01-List A Recall 1 Word 12C101907AVL01-List A Recall 1 Word 12Auditory Verbal Learning Test Version A - List A, Recall 1, Word 12.ADNI AVLT - List A Recall 1 Word 12
AVL01-List A Recall 1 Word 13C101908AVL01-List A Recall 1 Word 13Auditory Verbal Learning Test Version A - List A, Recall 1, Word 13.ADNI AVLT - List A Recall 1 Word 13
AVL01-List A Recall 1 Word 14C101909AVL01-List A Recall 1 Word 14Auditory Verbal Learning Test Version A - List A, Recall 1, Word 14.ADNI AVLT - List A Recall 1 Word 14
AVL01-List A Recall 1 Word 15C101910AVL01-List A Recall 1 Word 15Auditory Verbal Learning Test Version A - List A, Recall 1, Word 15.ADNI AVLT - List A Recall 1 Word 15
AVL01-List A Recall 1 Word 2C101897AVL01-List A Recall 1 Word 2Auditory Verbal Learning Test Version A - List A, Recall 1, Word 2.ADNI AVLT - List A Recall 1 Word 2
AVL01-List A Recall 1 Word 3C101898AVL01-List A Recall 1 Word 3Auditory Verbal Learning Test Version A - List A, Recall 1, Word 3.ADNI AVLT - List A Recall 1 Word 3
AVL01-List A Recall 1 Word 4C101899AVL01-List A Recall 1 Word 4Auditory Verbal Learning Test Version A - List A, Recall 1, Word 4.ADNI AVLT - List A Recall 1 Word 4
AVL01-List A Recall 1 Word 5C101900AVL01-List A Recall 1 Word 5Auditory Verbal Learning Test Version A - List A, Recall 1, Word 5.ADNI AVLT - List A Recall 1 Word 5
AVL01-List A Recall 1 Word 6C101901AVL01-List A Recall 1 Word 6Auditory Verbal Learning Test Version A - List A, Recall 1, Word 6.ADNI AVLT - List A Recall 1 Word 6
AVL01-List A Recall 1 Word 7C101902AVL01-List A Recall 1 Word 7Auditory Verbal Learning Test Version A - List A, Recall 1, Word 7.ADNI AVLT - List A Recall 1 Word 7
AVL01-List A Recall 1 Word 8C101903AVL01-List A Recall 1 Word 8Auditory Verbal Learning Test Version A - List A, Recall 1, Word 8.ADNI AVLT - List A Recall 1 Word 8
AVL01-List A Recall 1 Word 9C101904AVL01-List A Recall 1 Word 9Auditory Verbal Learning Test Version A - List A, Recall 1, Word 9.ADNI AVLT - List A Recall 1 Word 9
AVL01-List A Recall 2 TotalC101928AVL01-List A Recall 2 TotalAuditory Verbal Learning Test Version A - The number of words recalled from List A, second attempt.ADNI AVLT - List A Recall 2 Total
AVL01-List A Recall 2 Word 1C101913AVL01-List A Recall 2 Word 1Auditory Verbal Learning Test Version A - List A, Recall 2, Word 1.ADNI AVLT - List A Recall 2 Word 1
AVL01-List A Recall 2 Word 10C101922AVL01-List A Recall 2 Word 10Auditory Verbal Learning Test Version A - List A, Recall 2, Word 10.ADNI AVLT - List A Recall 2 Word 10
AVL01-List A Recall 2 Word 11C101923AVL01-List A Recall 2 Word 11Auditory Verbal Learning Test Version A - List A, Recall 2, Word 11.ADNI AVLT - List A Recall 2 Word 11
AVL01-List A Recall 2 Word 12C101924AVL01-List A Recall 2 Word 12Auditory Verbal Learning Test Version A - List A, Recall 2, Word 12.ADNI AVLT - List A Recall 2 Word 12
AVL01-List A Recall 2 Word 13C101925AVL01-List A Recall 2 Word 13Auditory Verbal Learning Test Version A - List A, Recall 2, Word 13.ADNI AVLT - List A Recall 2 Word 13
AVL01-List A Recall 2 Word 14C101926AVL01-List A Recall 2 Word 14Auditory Verbal Learning Test Version A - List A, Recall 2, Word 14.ADNI AVLT - List A Recall 2 Word 14
AVL01-List A Recall 2 Word 15C101927AVL01-List A Recall 2 Word 15Auditory Verbal Learning Test Version A - List A, Recall 2, Word 15.ADNI AVLT - List A Recall 2 Word 15
AVL01-List A Recall 2 Word 2C101914AVL01-List A Recall 2 Word 2Auditory Verbal Learning Test Version A - List A, Recall 2, Word 2.ADNI AVLT - List A Recall 2 Word 2
AVL01-List A Recall 2 Word 3C101915AVL01-List A Recall 2 Word 3Auditory Verbal Learning Test Version A - List A, Recall 2, Word 3.ADNI AVLT - List A Recall 2 Word 3
AVL01-List A Recall 2 Word 4C101916AVL01-List A Recall 2 Word 4Auditory Verbal Learning Test Version A - List A, Recall 2, Word 4.ADNI AVLT - List A Recall 2 Word 4
AVL01-List A Recall 2 Word 5C101917AVL01-List A Recall 2 Word 5Auditory Verbal Learning Test Version A - List A, Recall 2, Word 5.ADNI AVLT - List A Recall 2 Word 5
AVL01-List A Recall 2 Word 6C101918AVL01-List A Recall 2 Word 6Auditory Verbal Learning Test Version A - List A, Recall 2, Word 6.ADNI AVLT - List A Recall 2 Word 6
AVL01-List A Recall 2 Word 7C101919AVL01-List A Recall 2 Word 7Auditory Verbal Learning Test Version A - List A, Recall 2, Word 7.ADNI AVLT - List A Recall 2 Word 7
AVL01-List A Recall 2 Word 8C101920AVL01-List A Recall 2 Word 8Auditory Verbal Learning Test Version A - List A, Recall 2, Word 8.ADNI AVLT - List A Recall 2 Word 8
AVL01-List A Recall 2 Word 9C101921AVL01-List A Recall 2 Word 9Auditory Verbal Learning Test Version A - List A, Recall 2, Word 9.ADNI AVLT - List A Recall 2 Word 9
AVL01-List A Recall 3 TotalC101945AVL01-List A Recall 3 TotalAuditory Verbal Learning Test Version A - The number of words recalled from List A, third attempt.ADNI AVLT - List A Recall 3 Total
AVL01-List A Recall 3 Word 1C101930AVL01-List A Recall 3 Word 1Auditory Verbal Learning Test Version A - List A, Recall 3, Word 1.ADNI AVLT - List A Recall 3 Word 1
AVL01-List A Recall 3 Word 10C101939AVL01-List A Recall 3 Word 10Auditory Verbal Learning Test Version A - List A, Recall 3, Word 10.ADNI AVLT - List A Recall 3 Word 10
AVL01-List A Recall 3 Word 11C101940AVL01-List A Recall 3 Word 11Auditory Verbal Learning Test Version A - List A, Recall 3, Word 11.ADNI AVLT - List A Recall 3 Word 11
AVL01-List A Recall 3 Word 12C101941AVL01-List A Recall 3 Word 12Auditory Verbal Learning Test Version A - List A, Recall 3, Word 12.ADNI AVLT - List A Recall 3 Word 12
AVL01-List A Recall 3 Word 13C101942AVL01-List A Recall 3 Word 13Auditory Verbal Learning Test Version A - List A, Recall 3, Word 13.ADNI AVLT - List A Recall 3 Word 13
AVL01-List A Recall 3 Word 14C101943AVL01-List A Recall 3 Word 14Auditory Verbal Learning Test Version A - List A, Recall 3, Word 14.ADNI AVLT - List A Recall 3 Word 14
AVL01-List A Recall 3 Word 15C101944AVL01-List A Recall 3 Word 15Auditory Verbal Learning Test Version A - List A, Recall 3, Word 15.ADNI AVLT - List A Recall 3 Word 15
AVL01-List A Recall 3 Word 2C101931AVL01-List A Recall 3 Word 2Auditory Verbal Learning Test Version A - List A, Recall 3, Word 2.ADNI AVLT - List A Recall 3 Word 2
AVL01-List A Recall 3 Word 3C101932AVL01-List A Recall 3 Word 3Auditory Verbal Learning Test Version A - List A, Recall 3, Word 3.ADNI AVLT - List A Recall 3 Word 3
AVL01-List A Recall 3 Word 4C101933AVL01-List A Recall 3 Word 4Auditory Verbal Learning Test Version A - List A, Recall 3, Word 4.ADNI AVLT - List A Recall 3 Word 4
AVL01-List A Recall 3 Word 5C101934AVL01-List A Recall 3 Word 5Auditory Verbal Learning Test Version A - List A, Recall 3, Word 5.ADNI AVLT - List A Recall 3 Word 5
AVL01-List A Recall 3 Word 6C101935AVL01-List A Recall 3 Word 6Auditory Verbal Learning Test Version A - List A, Recall 3, Word 6.ADNI AVLT - List A Recall 3 Word 6
AVL01-List A Recall 3 Word 7C101936AVL01-List A Recall 3 Word 7Auditory Verbal Learning Test Version A - List A, Recall 3, Word 7.ADNI AVLT - List A Recall 3 Word 7
AVL01-List A Recall 3 Word 8C101937AVL01-List A Recall 3 Word 8Auditory Verbal Learning Test Version A - List A, Recall 3, Word 8.ADNI AVLT - List A Recall 3 Word 8
AVL01-List A Recall 3 Word 9C101938AVL01-List A Recall 3 Word 9Auditory Verbal Learning Test Version A - List A, Recall 3, Word 9.ADNI AVLT - List A Recall 3 Word 9
AVL01-List A Recall 4 TotalC101962AVL01-List A Recall 4 TotalAuditory Verbal Learning Test Version A - The number of words recalled from List A, fourth attempt.ADNI AVLT - List A Recall 4 Total
AVL01-List A Recall 4 Word 1C101947AVL01-List A Recall 4 Word 1Auditory Verbal Learning Test Version A - List A, Recall 4, Word 1.ADNI AVLT - List A Recall 4 Word 1
AVL01-List A Recall 4 Word 10C101956AVL01-List A Recall 4 Word 10Auditory Verbal Learning Test Version A - List A, Recall 4, Word 10.ADNI AVLT - List A Recall 4 Word 10
AVL01-List A Recall 4 Word 11C101957AVL01-List A Recall 4 Word 11Auditory Verbal Learning Test Version A - List A, Recall 4, Word 11.ADNI AVLT - List A Recall 4 Word 11
AVL01-List A Recall 4 Word 12C101958AVL01-List A Recall 4 Word 12Auditory Verbal Learning Test Version A - List A, Recall 4, Word 12.ADNI AVLT - List A Recall 4 Word 12
AVL01-List A Recall 4 Word 13C101959AVL01-List A Recall 4 Word 13Auditory Verbal Learning Test Version A - List A, Recall 4, Word 13.ADNI AVLT - List A Recall 4 Word 13
AVL01-List A Recall 4 Word 14C101960AVL01-List A Recall 4 Word 14Auditory Verbal Learning Test Version A - List A, Recall 4, Word 14.ADNI AVLT - List A Recall 4 Word 14
AVL01-List A Recall 4 Word 15C101961AVL01-List A Recall 4 Word 15Auditory Verbal Learning Test Version A - List A, Recall 4, Word 15.ADNI AVLT - List A Recall 4 Word 15
AVL01-List A Recall 4 Word 2C101948AVL01-List A Recall 4 Word 2Auditory Verbal Learning Test Version A - List A, Recall 4, Word 2.ADNI AVLT - List A Recall 4 Word 2
AVL01-List A Recall 4 Word 3C101949AVL01-List A Recall 4 Word 3Auditory Verbal Learning Test Version A - List A, Recall 4, Word 3.ADNI AVLT - List A Recall 4 Word 3
AVL01-List A Recall 4 Word 4C101950AVL01-List A Recall 4 Word 4Auditory Verbal Learning Test Version A - List A, Recall 4, Word 4.ADNI AVLT - List A Recall 4 Word 4
AVL01-List A Recall 4 Word 5C101951AVL01-List A Recall 4 Word 5Auditory Verbal Learning Test Version A - List A, Recall 4, Word 5.ADNI AVLT - List A Recall 4 Word 5
AVL01-List A Recall 4 Word 6C101952AVL01-List A Recall 4 Word 6Auditory Verbal Learning Test Version A - List A, Recall 4, Word 6.ADNI AVLT - List A Recall 4 Word 6
AVL01-List A Recall 4 Word 7C101953AVL01-List A Recall 4 Word 7Auditory Verbal Learning Test Version A - List A, Recall 4, Word 7.ADNI AVLT - List A Recall 4 Word 7
AVL01-List A Recall 4 Word 8C101954AVL01-List A Recall 4 Word 8Auditory Verbal Learning Test Version A - List A, Recall 4, Word 8.ADNI AVLT - List A Recall 4 Word 8
AVL01-List A Recall 4 Word 9C101955AVL01-List A Recall 4 Word 9Auditory Verbal Learning Test Version A - List A, Recall 4, Word 9.ADNI AVLT - List A Recall 4 Word 9
AVL01-List A Recall 5 TotalC101979AVL01-List A Recall 5 TotalAuditory Verbal Learning Test Version A - The number of words recalled from List A, fifth attempt.ADNI AVLT - List A Recall 5 Total
AVL01-List A Recall 5 Word 1C101964AVL01-List A Recall 5 Word 1Auditory Verbal Learning Test Version A - List A, Recall 5, Word 1.ADNI AVLT - List A Recall 5 Word 1
AVL01-List A Recall 5 Word 10C101973AVL01-List A Recall 5 Word 10Auditory Verbal Learning Test Version A - List A, Recall 5, Word 10.ADNI AVLT - List A Recall 5 Word 10
AVL01-List A Recall 5 Word 11C101974AVL01-List A Recall 5 Word 11Auditory Verbal Learning Test Version A - List A, Recall 5, Word 11.ADNI AVLT - List A Recall 5 Word 11
AVL01-List A Recall 5 Word 12C101975AVL01-List A Recall 5 Word 12Auditory Verbal Learning Test Version A - List A, Recall 5, Word 12.ADNI AVLT - List A Recall 5 Word 12
AVL01-List A Recall 5 Word 13C101976AVL01-List A Recall 5 Word 13Auditory Verbal Learning Test Version A - List A, Recall 5, Word 13.ADNI AVLT - List A Recall 5 Word 13
AVL01-List A Recall 5 Word 14C101977AVL01-List A Recall 5 Word 14Auditory Verbal Learning Test Version A - List A, Recall 5, Word 14.ADNI AVLT - List A Recall 5 Word 14
AVL01-List A Recall 5 Word 15C101978AVL01-List A Recall 5 Word 15Auditory Verbal Learning Test Version A - List A, Recall 5, Word 15.ADNI AVLT - List A Recall 5 Word 15
AVL01-List A Recall 5 Word 2C101965AVL01-List A Recall 5 Word 2Auditory Verbal Learning Test Version A - List A, Recall 5, Word 2.ADNI AVLT - List A Recall 5 Word 2
AVL01-List A Recall 5 Word 3C101966AVL01-List A Recall 5 Word 3Auditory Verbal Learning Test Version A - List A, Recall 5, Word 3.ADNI AVLT - List A Recall 5 Word 3
AVL01-List A Recall 5 Word 4C101967AVL01-List A Recall 5 Word 4Auditory Verbal Learning Test Version A - List A, Recall 5, Word 4.ADNI AVLT - List A Recall 5 Word 4
AVL01-List A Recall 5 Word 5C101968AVL01-List A Recall 5 Word 5Auditory Verbal Learning Test Version A - List A, Recall 5, Word 5.ADNI AVLT - List A Recall 5 Word 5
AVL01-List A Recall 5 Word 6C101969AVL01-List A Recall 5 Word 6Auditory Verbal Learning Test Version A - List A, Recall 5, Word 6.ADNI AVLT - List A Recall 5 Word 6
AVL01-List A Recall 5 Word 7C101970AVL01-List A Recall 5 Word 7Auditory Verbal Learning Test Version A - List A, Recall 5, Word 7.ADNI AVLT - List A Recall 5 Word 7
AVL01-List A Recall 5 Word 8C101971AVL01-List A Recall 5 Word 8Auditory Verbal Learning Test Version A - List A, Recall 5, Word 8.ADNI AVLT - List A Recall 5 Word 8
AVL01-List A Recall 5 Word 9C101972AVL01-List A Recall 5 Word 9Auditory Verbal Learning Test Version A - List A, Recall 5, Word 9.ADNI AVLT - List A Recall 5 Word 9
AVL01-List A Recall 6 (After B) TotalC101996AVL01-List A Recall 6 (After B) TotalAuditory Verbal Learning Test Version A - The number of words recalled from List A, sixth attempt (after List B recall).ADNI AVLT - List A Recall 6 (After B) Total
AVL01-List A Recall 6 (After B) Word 1C101981AVL01-List A Recall 6 (After B) Word 1Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 1.ADNI AVLT - List A Recall 6 (After B) Word 1
AVL01-List A Recall 6 (After B) Word 10C101990AVL01-List A Recall 6 (After B) Word 10Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 10.ADNI AVLT - List A Recall 6 (After B) Word 10
AVL01-List A Recall 6 (After B) Word 11C101991AVL01-List A Recall 6 (After B) Word 11Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 11.ADNI AVLT - List A Recall 6 (After B) Word 11
AVL01-List A Recall 6 (After B) Word 12C101992AVL01-List A Recall 6 (After B) Word 12Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 12.ADNI AVLT - List A Recall 6 (After B) Word 12
AVL01-List A Recall 6 (After B) Word 13C101993AVL01-List A Recall 6 (After B) Word 13Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 13.ADNI AVLT - List A Recall 6 (After B) Word 13
AVL01-List A Recall 6 (After B) Word 14C101994AVL01-List A Recall 6 (After B) Word 14Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 14.ADNI AVLT - List A Recall 6 (After B) Word 14
AVL01-List A Recall 6 (After B) Word 15C101995AVL01-List A Recall 6 (After B) Word 15Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 15.ADNI AVLT - List A Recall 6 (After B) Word 15
AVL01-List A Recall 6 (After B) Word 2C101982AVL01-List A Recall 6 (After B) Word 2Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 2.ADNI AVLT - List A Recall 6 (After B) Word 2
AVL01-List A Recall 6 (After B) Word 3C101983AVL01-List A Recall 6 (After B) Word 3Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 3.ADNI AVLT - List A Recall 6 (After B) Word 3
AVL01-List A Recall 6 (After B) Word 4C101984AVL01-List A Recall 6 (After B) Word 4Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 4.ADNI AVLT - List A Recall 6 (After B) Word 4
AVL01-List A Recall 6 (After B) Word 5C101985AVL01-List A Recall 6 (After B) Word 5Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 5.ADNI AVLT - List A Recall 6 (After B) Word 5
AVL01-List A Recall 6 (After B) Word 6C101986AVL01-List A Recall 6 (After B) Word 6Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 6.ADNI AVLT - List A Recall 6 (After B) Word 6
AVL01-List A Recall 6 (After B) Word 7C101987AVL01-List A Recall 6 (After B) Word 7Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 7.ADNI AVLT - List A Recall 6 (After B) Word 7
AVL01-List A Recall 6 (After B) Word 8C101988AVL01-List A Recall 6 (After B) Word 8Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 8.ADNI AVLT - List A Recall 6 (After B) Word 8
AVL01-List A Recall 6 (After B) Word 9C101989AVL01-List A Recall 6 (After B) Word 9Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 9.ADNI AVLT - List A Recall 6 (After B) Word 9
AVL01-List A Recognition IntrusionsC102033AVL01-List A Recognition IntrusionsAuditory Verbal Learning Test Version A - The number of intrusions on recognition test.ADNI AVLT - List A Recognition Intrusions
AVL01-List A Recognition TotalC102032AVL01-List A Recognition TotalAuditory Verbal Learning Test Version A - The number of words correct on recognition test.ADNI AVLT - List A Recognition Total
AVL01-List B IntrusionsC102014AVL01-List B IntrusionsAuditory Verbal Learning Test Version A - The number of intrusions while recalling List B.ADNI AVLT - List B Intrusions
AVL01-List B Recall TotalC102013AVL01-List B Recall TotalAuditory Verbal Learning Test Version A - The number of words recalled from List B.ADNI AVLT - List B Recall Total
AVL01-List B Recall Word 1C101998AVL01-List B Recall Word 1Auditory Verbal Learning Test Version A - List B, Word 1.ADNI AVLT - List B Recall Word 1
AVL01-List B Recall Word 10C102007AVL01-List B Recall Word 10Auditory Verbal Learning Test Version A - List B, Word 10.ADNI AVLT - List B Recall Word 10
AVL01-List B Recall Word 11C102008AVL01-List B Recall Word 11Auditory Verbal Learning Test Version A - List B, Word 11.ADNI AVLT - List B Recall Word 11
AVL01-List B Recall Word 12C102009AVL01-List B Recall Word 12Auditory Verbal Learning Test Version A - List B, Word 12.ADNI AVLT - List B Recall Word 12
AVL01-List B Recall Word 13C102010AVL01-List B Recall Word 13Auditory Verbal Learning Test Version A - List B, Word 13.ADNI AVLT - List B Recall Word 13
AVL01-List B Recall Word 14C102011AVL01-List B Recall Word 14Auditory Verbal Learning Test Version A - List B, Word 14.ADNI AVLT - List B Recall Word 14
AVL01-List B Recall Word 15C102012AVL01-List B Recall Word 15Auditory Verbal Learning Test Version A - List B, Word 15.ADNI AVLT - List B Recall Word 15
AVL01-List B Recall Word 2C101999AVL01-List B Recall Word 2Auditory Verbal Learning Test Version A - List B, Word 2.ADNI AVLT - List B Recall Word 2
AVL01-List B Recall Word 3C102000AVL01-List B Recall Word 3Auditory Verbal Learning Test Version A - List B, Word 3.ADNI AVLT - List B Recall Word 3
AVL01-List B Recall Word 4C102001AVL01-List B Recall Word 4Auditory Verbal Learning Test Version A - List B, Word 4.ADNI AVLT - List B Recall Word 4
AVL01-List B Recall Word 5C102002AVL01-List B Recall Word 5Auditory Verbal Learning Test Version A - List B, Word 5.ADNI AVLT - List B Recall Word 5
AVL01-List B Recall Word 6C102003AVL01-List B Recall Word 6Auditory Verbal Learning Test Version A - List B, Word 6.ADNI AVLT - List B Recall Word 6
AVL01-List B Recall Word 7C102004AVL01-List B Recall Word 7Auditory Verbal Learning Test Version A - List B, Word 7.ADNI AVLT - List B Recall Word 7
AVL01-List B Recall Word 8C102005AVL01-List B Recall Word 8Auditory Verbal Learning Test Version A - List B, Word 8.ADNI AVLT - List B Recall Word 8
AVL01-List B Recall Word 9C102006AVL01-List B Recall Word 9Auditory Verbal Learning Test Version A - List B, Word 9.ADNI AVLT - List B Recall Word 9
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CL.C112435.AQ01TCAirway Questionnaire 20 Questionnaire Test Code
(AQ01TC)
text
Extensible: No
C112435Airway Questionnaire 20 Questionnaire Test CodeAirway Questionnaire 20 test code.CDISC Questionnaire AQ20 Test Code Terminology
AQ0101C112529AQ01-Cough Often During DayAirway Questionnaire 20 - Do you cough often during the day?AQ20 - Cough Often During the Day
AQ0102C112530AQ01-Feel Restless Due to Chest TroubleAirway Questionnaire 20 - Does your chest trouble often make you feel restless?AQ20 - Chest Trouble Make You Feel Restless
AQ0103C112531AQ01-Gardening Make You BreathlessAirway Questionnaire 20 - Does gardening make you breathless?AQ20 - Gardening Make You Breathless
AQ0104C112532AQ01-Chest Upset at Friend HouseAirway Questionnaire 20 - Do you worry when going to a friend's house that there might be something there that will upset your chest?AQ20 - Worry When Going to Friend House Something Will Upset Your Chest
AQ0105C112533AQ01-Chest Prob Smell/Fume/Smoke/PerfumeAirway Questionnaire 20 - Do you get chest problems when you come into contact with strong smells, exhaust fumes, cigarette smoke, perfume etc?AQ20 - Get Chest Problems When Contact With Strong Smells
AQ0106C112534AQ01-Partner Upset by Your Chest TroubleAirway Questionnaire 20 - Does your partner find your chest trouble upsetting?AQ20 - Partner Find Your Chest Trouble Upsetting
AQ0107C112535AQ01-Breathless When Trying to SleepAirway Questionnaire 20 - Do you feel breathless when trying to sleep?AQ20 - Feel Breathless When Trying to Sleep
AQ0108C112536AQ01-Long Term Effects of DrugsAirway Questionnaire 20 - Do you worry about the long term effects of the drugs you take for your chest trouble?AQ20 - Worry About Long Term Effects of Drugs for Chest Trouble
AQ0109C112537AQ01-Emotional Upset Worse Chest TroubleAirway Questionnaire 20 - Does getting emotionally upset make your chest trouble worse?AQ20 - Getting Emotionally Upset Make Chest Trouble Worse
AQ0110C112538AQ01-Difficulty Getting Around the HouseAirway Questionnaire 20 - Are there times when you have difficulty getting around the house because of your chest trouble?AQ20 - Difficulty Getting Around the House Because of Chest Trouble
AQ0111C112539AQ01-Breathless Carry out Work ActivityAirway Questionnaire 20 - Does your chest problem make you breathless when you do things at work? (paid employment).AQ20 - Chest Problem Make You Breathless at Work
AQ0112C112540AQ01-Breathless Walking UpstairsAirway Questionnaire 20 - Does walking upstairs make you breathless?AQ20 - Walking Upstairs Make You Breathless
AQ0113C112541AQ01-Get Breathless Doing HouseworkAirway Questionnaire 20 - Do you get breathless doing housework?AQ20 - Get Breathless Doing Housework
AQ0114C112542AQ01-Go Home Sooner Than OthersAirway Questionnaire 20 - Does your chest trouble make you go home sooner than others after a night out?AQ20 - Chest Trouble Make You Go Home Sooner Than Others
AQ0115C112543AQ01-Breathlessness When LaughAirway Questionnaire 20 - Do you suffer from breathlessness when you laugh?AQ20 - Suffer From Breathlessness When Laugh
AQ0116C112544AQ01-Impatient Due to Chest TroubleAirway Questionnaire 20 - Does your chest trouble often make you feel impatient?AQ20 - Chest Trouble Make You Feel Impatient
AQ0117C112545AQ01-Full Life Limited by Chest TroubleAirway Questionnaire 20 - Do you think the fullness of your life is limited by your chest trouble?AQ20 - Fullness of Life is Limited by Chest Trouble
AQ0118C112546AQ01-Drained After a ColdAirway Questionnaire 20 - Do you feel drained after a cold because of your chest trouble?AQ20 - Feel Drained After a Cold Because of Chest Trouble
AQ0119C112547AQ01-Feeling of Chest HeavinessAirway Questionnaire 20 - Do you have a feeling of chest heaviness?AQ20 - Feeling of Chest Heaviness
AQ0120C112548AQ01-Worry About Chest TroubleAirway Questionnaire 20 - Do you worry a lot about your chest trouble?AQ20 - Worry a Lot About Chest Trouble
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CL.C112434.AQ01TNAirway Questionnaire 20 Questionnaire Test Name
(AQ01TN)
text
Extensible: No
C112434Airway Questionnaire 20 Questionnaire Test NameAirway Questionnaire 20 test name.CDISC Questionnaire AQ20 Test Name Terminology
AQ01-Breathless Carry out Work ActivityC112539AQ01-Breathless Carry out Work ActivityAirway Questionnaire 20 - Does your chest problem make you breathless when you do things at work? (paid employment).AQ20 - Chest Problem Make You Breathless at Work
AQ01-Breathless Walking UpstairsC112540AQ01-Breathless Walking UpstairsAirway Questionnaire 20 - Does walking upstairs make you breathless?AQ20 - Walking Upstairs Make You Breathless
AQ01-Breathless When Trying to SleepC112535AQ01-Breathless When Trying to SleepAirway Questionnaire 20 - Do you feel breathless when trying to sleep?AQ20 - Feel Breathless When Trying to Sleep
AQ01-Breathlessness When LaughC112543AQ01-Breathlessness When LaughAirway Questionnaire 20 - Do you suffer from breathlessness when you laugh?AQ20 - Suffer From Breathlessness When Laugh
AQ01-Chest Prob Smell/Fume/Smoke/PerfumeC112533AQ01-Chest Prob Smell/Fume/Smoke/PerfumeAirway Questionnaire 20 - Do you get chest problems when you come into contact with strong smells, exhaust fumes, cigarette smoke, perfume etc?AQ20 - Get Chest Problems When Contact With Strong Smells
AQ01-Chest Upset at Friend HouseC112532AQ01-Chest Upset at Friend HouseAirway Questionnaire 20 - Do you worry when going to a friend's house that there might be something there that will upset your chest?AQ20 - Worry When Going to Friend House Something Will Upset Your Chest
AQ01-Cough Often During DayC112529AQ01-Cough Often During DayAirway Questionnaire 20 - Do you cough often during the day?AQ20 - Cough Often During the Day
AQ01-Difficulty Getting Around the HouseC112538AQ01-Difficulty Getting Around the HouseAirway Questionnaire 20 - Are there times when you have difficulty getting around the house because of your chest trouble?AQ20 - Difficulty Getting Around the House Because of Chest Trouble
AQ01-Drained After a ColdC112546AQ01-Drained After a ColdAirway Questionnaire 20 - Do you feel drained after a cold because of your chest trouble?AQ20 - Feel Drained After a Cold Because of Chest Trouble
AQ01-Emotional Upset Worse Chest TroubleC112537AQ01-Emotional Upset Worse Chest TroubleAirway Questionnaire 20 - Does getting emotionally upset make your chest trouble worse?AQ20 - Getting Emotionally Upset Make Chest Trouble Worse
AQ01-Feel Restless Due to Chest TroubleC112530AQ01-Feel Restless Due to Chest TroubleAirway Questionnaire 20 - Does your chest trouble often make you feel restless?AQ20 - Chest Trouble Make You Feel Restless
AQ01-Feeling of Chest HeavinessC112547AQ01-Feeling of Chest HeavinessAirway Questionnaire 20 - Do you have a feeling of chest heaviness?AQ20 - Feeling of Chest Heaviness
AQ01-Full Life Limited by Chest TroubleC112545AQ01-Full Life Limited by Chest TroubleAirway Questionnaire 20 - Do you think the fullness of your life is limited by your chest trouble?AQ20 - Fullness of Life is Limited by Chest Trouble
AQ01-Gardening Make You BreathlessC112531AQ01-Gardening Make You BreathlessAirway Questionnaire 20 - Does gardening make you breathless?AQ20 - Gardening Make You Breathless
AQ01-Get Breathless Doing HouseworkC112541AQ01-Get Breathless Doing HouseworkAirway Questionnaire 20 - Do you get breathless doing housework?AQ20 - Get Breathless Doing Housework
AQ01-Go Home Sooner Than OthersC112542AQ01-Go Home Sooner Than OthersAirway Questionnaire 20 - Does your chest trouble make you go home sooner than others after a night out?AQ20 - Chest Trouble Make You Go Home Sooner Than Others
AQ01-Impatient Due to Chest TroubleC112544AQ01-Impatient Due to Chest TroubleAirway Questionnaire 20 - Does your chest trouble often make you feel impatient?AQ20 - Chest Trouble Make You Feel Impatient
AQ01-Long Term Effects of DrugsC112536AQ01-Long Term Effects of DrugsAirway Questionnaire 20 - Do you worry about the long term effects of the drugs you take for your chest trouble?AQ20 - Worry About Long Term Effects of Drugs for Chest Trouble
AQ01-Partner Upset by Your Chest TroubleC112534AQ01-Partner Upset by Your Chest TroubleAirway Questionnaire 20 - Does your partner find your chest trouble upsetting?AQ20 - Partner Find Your Chest Trouble Upsetting
AQ01-Worry About Chest TroubleC112548AQ01-Worry About Chest TroubleAirway Questionnaire 20 - Do you worry a lot about your chest trouble?AQ20 - Worry a Lot About Chest Trouble
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CL.C141655.AJCC1TCAJCC TNM Staging System 7th Edition Clinical Classification Test Code
(AJCC1TC)
text
Extensible: No
C141655AJCC TNM Staging System 7th Edition Clinical Classification Test CodeAJCC TNM Staging System 7th Edition test code.CDISC Clinical Classification AJCC v7 Test Code Terminology
AJCC101C141696AJCC1-Primary Tumor (T)AJCC TNM Staging System 7th Edition - Primary tumor (T).AJCC v7 - Primary Tumor (T)
AJCC102C141697AJCC1-Regional Lymph Nodes (N)AJCC TNM Staging System 7th Edition - Regional lymph nodes (N).AJCC v7 - Regional Lymph Nodes (N)
AJCC103C141698AJCC1-Distant Metastasis (M)AJCC TNM Staging System 7th Edition - Distant metastasis (M).AJCC v7 - Distant Metastasis (M)
AJCC104C141699AJCC1-Anatomic StageAJCC TNM Staging System 7th Edition - Anatomic stage.AJCC v7 - Anatomic Stage
AJCC105C176205AJCC1-Residual Tumor (R)AJCC TNM Staging System 7th Edition - Residual tumor (R).AJCC v7 - Residual Tumor (R)
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CL.C141654.AJCC1TNAJCC TNM Staging System 7th Edition Clinical Classification Test Name
(AJCC1TN)
text
Extensible: No
C141654AJCC TNM Staging System 7th Edition Clinical Classification Test NameAJCC TNM Staging System 7th Edition test name.CDISC Clinical Classification AJCC v7 Test Name Terminology
AJCC1-Anatomic StageC141699AJCC1-Anatomic StageAJCC TNM Staging System 7th Edition - Anatomic stage.AJCC v7 - Anatomic Stage
AJCC1-Distant Metastasis (M)C141698AJCC1-Distant Metastasis (M)AJCC TNM Staging System 7th Edition - Distant metastasis (M).AJCC v7 - Distant Metastasis (M)
AJCC1-Primary Tumor (T)C141696AJCC1-Primary Tumor (T)AJCC TNM Staging System 7th Edition - Primary tumor (T).AJCC v7 - Primary Tumor (T)
AJCC1-Regional Lymph Nodes (N)C141697AJCC1-Regional Lymph Nodes (N)AJCC TNM Staging System 7th Edition - Regional lymph nodes (N).AJCC v7 - Regional Lymph Nodes (N)
AJCC1-Residual Tumor (R)C176205AJCC1-Residual Tumor (R)AJCC TNM Staging System 7th Edition - Residual tumor (R).AJCC v7 - Residual Tumor (R)
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CL.C119062.ADTC01TCAlcohol Use Disorder Identification Test-Consumption Questions Questionnaire Test Code
(ADTC01TC)
text
Extensible: No
C119062Alcohol Use Disorder Identification Test-Consumption Questions Questionnaire Test CodeAlcohol Use Disorder Identification Test-Consumption Questions test code.CDISC Questionnaire AUDIT-C Test Code Terminology
ADTC0101C119119ADTC01-How Often Drink AlcoholAlcohol Use Disorder Identification Test-Consumption questions - How often do you have a drink containing alcohol?AUDIT-C - How Often Have Alcohol Drink
ADTC0102C119120ADTC01-Alcohol Drinks on a Typical DayAlcohol Use Disorder Identification Test-Consumption questions - How many standard drinks containing alcohol do you have on a typical day?AUDIT-C - How Many Alcohol Drinks on a Typical Day
ADTC0103C119121ADTC01-Six or More Drinks One OccasionAlcohol Use Disorder Identification Test-Consumption questions - How often do you have six or more drinks on one occasion?AUDIT-C - How Often Have Six or More Drinks
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CL.C119061.ADTC01TNAlcohol Use Disorder Identification Test-Consumption Questions Questionnaire Test Name
(ADTC01TN)
text
Extensible: No
C119061Alcohol Use Disorder Identification Test-Consumption Questions Questionnaire Test NameAlcohol Use Disorder Identification Test-Consumption Questions test name.CDISC Questionnaire AUDIT-C Test Name Terminology
ADTC01-Alcohol Drinks on a Typical DayC119120ADTC01-Alcohol Drinks on a Typical DayAlcohol Use Disorder Identification Test-Consumption questions - How many standard drinks containing alcohol do you have on a typical day?AUDIT-C - How Many Alcohol Drinks on a Typical Day
ADTC01-How Often Drink AlcoholC119119ADTC01-How Often Drink AlcoholAlcohol Use Disorder Identification Test-Consumption questions - How often do you have a drink containing alcohol?AUDIT-C - How Often Have Alcohol Drink
ADTC01-Six or More Drinks One OccasionC119121ADTC01-Six or More Drinks One OccasionAlcohol Use Disorder Identification Test-Consumption questions - How often do you have six or more drinks on one occasion?AUDIT-C - How Often Have Six or More Drinks
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CL.C119060.ADT01TCAlcohol Use Disorder Identification Test: Self-Report Version Questionnaire Test Code
(ADT01TC)
text
Extensible: No
C119060Alcohol Use Disorder Identification Test: Self-Report Version Questionnaire Test CodeAlcohol Use Disorder Identification Test: Self-Report Version test code.CDISC Questionnaire AUDIT-SR Test Code Terminology
ADT0101C119108ADT01-How Often Drink AlcoholAlcohol Use Disorder Identification Test: Self-Report Version - How often do you have a drink containing alcohol?AUDIT - How Often Have Alcohol Drink
ADT0102C119109ADT01-Alcohol Drinks on a Typical DayAlcohol Use Disorder Identification Test: Self-Report Version - How many drinks containing alcohol do you have on a typical day when you are drinking?AUDIT - How Many Alcohol Drinks on a Typical Day
ADT0103C119110ADT01-Six or More Drinks One OccasionAlcohol Use Disorder Identification Test: Self-Report Version - How often do you have six or more drinks on one occasion?AUDIT - How Often Have Six or More Drinks
ADT0104C119111ADT01-Not Able Stop Drinking Once StartAlcohol Use Disorder Identification Test: Self-Report Version - How often during the last year have you found that you were not able to stop drinking once you had started?AUDIT - How Often Last Year You Found Not Able to Stop Drinking
ADT0105C119112ADT01-Failed to Do as ExpectedAlcohol Use Disorder Identification Test: Self-Report Version - How often during the last year have you failed to do what was normally expected of you because of drinking?AUDIT - How Often Last Year You Failed to Do Normally Expected of You
ADT0106C119113ADT01-Need Drink Morning After DrinkingAlcohol Use Disorder Identification Test: Self-Report Version - How often during the last year have you needed a first drink in the morning to get yourself going after a heavy drinking session?AUDIT - How Often Last Year Need a Drink in the Morning to Get Going
ADT0107C119114ADT01-Feeling of Guilt or RemorseAlcohol Use Disorder Identification Test: Self-Report Version - How often during the last year have you had a feeling of guilt or remorse after drinking?AUDIT - How Often Last Year You Feel Guilt or Remorse After Drinking
ADT0108C119115ADT01-Unable to Remember What HappenedAlcohol Use Disorder Identification Test: Self-Report Version - How often during the last year have you been unable to remember what happened the night before because of your drinking?AUDIT - How Often Last Year You Unable to Remember What Happened the Night Before
ADT0109C119116ADT01-Injured Because of Your DrinkingAlcohol Use Disorder Identification Test: Self-Report Version - Have you or someone else been injured because of your drinking?AUDIT - Injured Because of Drinking
ADT0110C119117ADT01-Suggested to Cut DownAlcohol Use Disorder Identification Test: Self-Report Version - Has a relative, friend, doctor, or other health care worker been concerned about your drinking or suggested you cut down?AUDIT - Concerned About Your Drinking
ADT0111C119118ADT01-TotalAlcohol Use Disorder Identification Test: Self-Report Version - Total.AUDIT - Total
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CL.C119059.ADT01TNAlcohol Use Disorder Identification Test: Self-Report Version Questionnaire Test Name
(ADT01TN)
text
Extensible: No
C119059Alcohol Use Disorder Identification Test: Self-Report Version Questionnaire Test NameAlcohol Use Disorder Identification Test: Self-Report Version test name.CDISC Questionnaire AUDIT-SR Test Name Terminology
ADT01-Alcohol Drinks on a Typical DayC119109ADT01-Alcohol Drinks on a Typical DayAlcohol Use Disorder Identification Test: Self-Report Version - How many drinks containing alcohol do you have on a typical day when you are drinking?AUDIT - How Many Alcohol Drinks on a Typical Day
ADT01-Failed to Do as ExpectedC119112ADT01-Failed to Do as ExpectedAlcohol Use Disorder Identification Test: Self-Report Version - How often during the last year have you failed to do what was normally expected of you because of drinking?AUDIT - How Often Last Year You Failed to Do Normally Expected of You
ADT01-Feeling of Guilt or RemorseC119114ADT01-Feeling of Guilt or RemorseAlcohol Use Disorder Identification Test: Self-Report Version - How often during the last year have you had a feeling of guilt or remorse after drinking?AUDIT - How Often Last Year You Feel Guilt or Remorse After Drinking
ADT01-How Often Drink AlcoholC119108ADT01-How Often Drink AlcoholAlcohol Use Disorder Identification Test: Self-Report Version - How often do you have a drink containing alcohol?AUDIT - How Often Have Alcohol Drink
ADT01-Injured Because of Your DrinkingC119116ADT01-Injured Because of Your DrinkingAlcohol Use Disorder Identification Test: Self-Report Version - Have you or someone else been injured because of your drinking?AUDIT - Injured Because of Drinking
ADT01-Need Drink Morning After DrinkingC119113ADT01-Need Drink Morning After DrinkingAlcohol Use Disorder Identification Test: Self-Report Version - How often during the last year have you needed a first drink in the morning to get yourself going after a heavy drinking session?AUDIT - How Often Last Year Need a Drink in the Morning to Get Going
ADT01-Not Able Stop Drinking Once StartC119111ADT01-Not Able Stop Drinking Once StartAlcohol Use Disorder Identification Test: Self-Report Version - How often during the last year have you found that you were not able to stop drinking once you had started?AUDIT - How Often Last Year You Found Not Able to Stop Drinking
ADT01-Six or More Drinks One OccasionC119110ADT01-Six or More Drinks One OccasionAlcohol Use Disorder Identification Test: Self-Report Version - How often do you have six or more drinks on one occasion?AUDIT - How Often Have Six or More Drinks
ADT01-Suggested to Cut DownC119117ADT01-Suggested to Cut DownAlcohol Use Disorder Identification Test: Self-Report Version - Has a relative, friend, doctor, or other health care worker been concerned about your drinking or suggested you cut down?AUDIT - Concerned About Your Drinking
ADT01-TotalC119118ADT01-TotalAlcohol Use Disorder Identification Test: Self-Report Version - Total.AUDIT - Total
ADT01-Unable to Remember What HappenedC119115ADT01-Unable to Remember What HappenedAlcohol Use Disorder Identification Test: Self-Report Version - How often during the last year have you been unable to remember what happened the night before because of your drinking?AUDIT - How Often Last Year You Unable to Remember What Happened the Night Before
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CL.C161623.AVPU01TCAlert Verbal Painful Unresponsive Scale Clinical Classification Test Code
(AVPU01TC)
text
Extensible: No
C161623Alert Verbal Painful Unresponsive Scale Clinical Classification Test CodeAlert Verbal Painful Unresponsive Scale test code.CDISC Clinical Classification AVPU Test Code Terminology
AVPU0101C161740AVPU01-ResponsivenessAlert Verbal Painful Unresponsive Scale - Responsivenesss.AVPU - Responsiveness
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CL.C161622.AVPU01TNAlert Verbal Painful Unresponsive Scale Clinical Classification Test Name
(AVPU01TN)
text
Extensible: No
C161622Alert Verbal Painful Unresponsive Scale Clinical Classification Test NameAlert Verbal Painful Unresponsive Scale test name.CDISC Clinical Classification AVPU Test Name Terminology
AVPU01-ResponsivenessC161740AVPU01-ResponsivenessAlert Verbal Painful Unresponsive Scale - Responsivenesss.AVPU - Responsiveness
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CL.C100132.ADCTCAlzheimer's Disease Assessment Scale - Cognitive CDISC Version Questionnaire Test Code
(ADCTC)
text
Extensible: No
C100132Alzheimer's Disease Assessment Scale - Cognitive CDISC Version Questionnaire Test CodeADAS-Cog CDISC Version test code.CDISC Questionnaire ADAS-Cog CDISC Version Test Code Terminology
ADCCMDC100209CommandsAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for commands.CDISC ADAS-Cog - Commands Summary Score
ADCCMD01C100210Commands: FistAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for making a fist.CDISC ADAS-Cog - Commands: Fist
ADCCMD02C100211Commands: CeilingAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for pointing to the ceiling then to the floor.CDISC ADAS-Cog - Commands: Ceiling
ADCCMD03C100212Commands: PencilAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for put the pencil on top of the card and then put it back.CDISC ADAS-Cog - Commands: Pencil
ADCCMD04C100213Commands: WatchAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for put the watch on the other side of the pencil and then turn over the card.CDISC ADAS-Cog - Commands: Watch
ADCCMD05C100214Commands: ShoulderAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for tap each shoulder twice with two fingers keeping your eyes shut.CDISC ADAS-Cog - Commands: Shoulder
ADCCMPC100278ComprehensionAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ability to comprehend speech.CDISC ADAS-Cog - Comprehension
ADCCONC100279Concentration/DistractibilityAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ability to concentrate or easily be distracted.CDISC ADAS-Cog - Concentration/Distractibility
ADCCPC100226Constructional PraxisAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for constructional praxis.CDISC ADAS-Cog - Constructional Praxis Summary Score
ADCCP01C100227Constructional Praxis: CircleAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis task for copying a circle.CDISC ADAS-Cog - Constructional Praxis: Circle
ADCCP02C100228Constructional Praxis: 2 RectanglesAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis task for copying two overlapping rectangles.CDISC ADAS-Cog - Constructional Praxis: 2 Rectangles
ADCCP03C100229Constructional Praxis: DiamondAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis task for copying a diamond.CDISC ADAS-Cog - Constructional Praxis: Diamond
ADCCP04C100230Constructional Praxis: CubeAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis task for copying a cube.CDISC ADAS-Cog - Constructional Praxis: Cube
ADCCPSC100231Attempt to DrawAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis attempted to draw, but drew no forms correctly.CDISC ADAS-Cog - Attempt to Draw
ADCDIFC100277Word Finding Difficulty in Spont SpeechAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Difficulty finding the desired word in spontaneous speech.CDISC ADAS-Cog - Word Difficulty in Spontaneous Speech
ADCDRLC100215Delayed Word RecallAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for delayed word recall.CDISC ADAS-Cog - Delayed Word Recall Summary Score
ADCDRL01C100216Delayed Word Recall: Word [1]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 1.CDISC ADAS-Cog - Delayed Word Recall: Word 1
ADCDRL02C100217Delayed Word Recall: Word [2]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 2.CDISC ADAS-Cog - Delayed Word Recall: Word 2
ADCDRL03C100218Delayed Word Recall: Word [3]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 3.CDISC ADAS-Cog - Delayed Word Recall: Word 3
ADCDRL04C100219Delayed Word Recall: Word [4]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 4.CDISC ADAS-Cog - Delayed Word Recall: Word 4
ADCDRL05C100220Delayed Word Recall: Word [5]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 5.CDISC ADAS-Cog - Delayed Word Recall: Word 5
ADCDRL06C100221Delayed Word Recall: Word [6]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 6.CDISC ADAS-Cog - Delayed Word Recall: Word 6
ADCDRL07C100222Delayed Word Recall: Word [7]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 7.CDISC ADAS-Cog - Delayed Word Recall: Word 7
ADCDRL08C100223Delayed Word Recall: Word [8]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 8.CDISC ADAS-Cog - Delayed Word Recall: Word 8
ADCDRL09C100224Delayed Word Recall: Word [9]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 9.CDISC ADAS-Cog - Delayed Word Recall: Word 9
ADCDRL10C100225Delayed Word Recall: Word [10]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 10.CDISC ADAS-Cog - Delayed Word Recall: Word 10
ADCIPC100232Ideational PraxisAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for ideational praxis.CDISC ADAS-Cog - Ideational Praxis Summary Score
ADCIP01C100233Ideational Praxis: FoldAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for folding the paper.CDISC ADAS-Cog - Ideational Praxis: Fold
ADCIP02C100234Ideational Praxis: InsertAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for put the paper in the envelop.CDISC ADAS-Cog - Ideational Praxis: Insert
ADCIP03C100235Ideational Praxis: SealAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for seal the envelop.CDISC ADAS-Cog - Ideational Praxis: Seal
ADCIP04C100236Ideational Praxis: AddressAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for address the envelop to yourself.CDISC ADAS-Cog - Ideational Praxis: Address
ADCIP05C100237Ideational Praxis: StampAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for showing where the stamp goes.CDISC ADAS-Cog - Ideational Praxis: Stamp
ADCMZC100284Executive Function MazeAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for the executive function maze tasks.CDISC ADAS-Cog - Executive Function Maze Summary Score
ADCMZ01C100285Executive Function Maze: ErrorsAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Number of errors during the executive function maze task.CDISC ADAS-Cog - Executive Function Maze: Errors
ADCMZ02C100286Executive Function Maze: TimeAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - The time in seconds stored in ISO 8601 time for the executive function maze task.CDISC ADAS-Cog - Executive Function Maze: Time
ADCNCC100280Number CancellationAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for the number cancellation tasks.CDISC ADAS-Cog - Number Cancellation Summary Score
ADCNC01C100281Number Cancellation: CorrectAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Number of targets hit during the number cancellation task.CDISC ADAS-Cog - Number Cancellation: Correct
ADCNC02C100282Number Cancellation: ErrorsAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Number of errors during the number cancellation task.CDISC ADAS-Cog - Number Cancellation: Errors
ADCNC03C100283Number Cancellation: RemindAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Number of times reminded for the number cancellation task.CDISC ADAS-Cog - Number Cancellation: Remind
ADCOFC100191Naming Objects and FingersAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task summary score for object and fingers.CDISC ADAS-Cog - Naming Objects and Fingers Summary Score
ADCOFF01C100204Naming Objects and Fingers: ThumbAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for fingers of the dominant hand, thumb.CDISC ADAS-Cog - Naming Objects and Fingers: Thumb
ADCOFF02C100205Naming Objects and Fingers: PointerAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for fingers of the dominant hand, index, or pointer finger.CDISC ADAS-Cog - Naming Objects and Fingers: Pointer
ADCOFF03C100206Naming Objects and Fingers: MiddleAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for fingers of the dominant hand, middle finger.CDISC ADAS-Cog - Naming Objects and Fingers: Middle
ADCOFF04C100207Naming Objects and Fingers: RingAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for fingers of the dominant hand, ring finger.CDISC ADAS-Cog - Naming Objects and Fingers: Ring
ADCOFF05C100208Naming Objects and Fingers: PinkyAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for fingers of the dominant hand, little finger or pinky.CDISC ADAS-Cog - Naming Objects and Fingers: Pinky
ADCOFO01C100192Naming Objects and Fingers: 1Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 1.CDISC ADAS-Cog - Naming Objects and Fingers: 1
ADCOFO02C100193Naming Objects and Fingers: 2Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 2.CDISC ADAS-Cog - Naming Objects and Fingers: 2
ADCOFO03C100194Naming Objects and Fingers: 3Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 3.CDISC ADAS-Cog - Naming Objects and Fingers: 3
ADCOFO04C100195Naming Objects and Fingers: 4Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 4.CDISC ADAS-Cog - Naming Objects and Fingers: 4
ADCOFO05C100196Naming Objects and Fingers: 5Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 5.CDISC ADAS-Cog - Naming Objects and Fingers: 5
ADCOFO06C100197Naming Objects and Fingers: 6Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 6.CDISC ADAS-Cog - Naming Objects and Fingers: 6
ADCOFO07C100198Naming Objects and Fingers: 7Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 7.CDISC ADAS-Cog - Naming Objects and Fingers: 7
ADCOFO08C100199Naming Objects and Fingers: 8Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 8.CDISC ADAS-Cog - Naming Objects and Fingers: 8
ADCOFO09C100200Naming Objects and Fingers: 9Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 9.CDISC ADAS-Cog - Naming Objects and Fingers: 9
ADCOFO10C100201Naming Objects and Fingers: 10Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 10.CDISC ADAS-Cog - Naming Objects and Fingers: 10
ADCOFO11C100202Naming Objects and Fingers: 11Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 11.CDISC ADAS-Cog - Naming Objects and Fingers: 11
ADCOFO12C100203Naming Objects and Fingers: 12Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 12.CDISC ADAS-Cog - Naming Objects and Fingers: 12
ADCORC100238OrientationAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for orientation.CDISC ADAS-Cog - Orientation Summary Score
ADCOR01C100239Orientation: Full NameAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing one's own full name.CDISC ADAS-Cog - Orientation: Full Name
ADCOR02C100240Orientation: MonthAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current month.CDISC ADAS-Cog - Orientation: Month
ADCOR03C100241Orientation: DateAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current day.CDISC ADAS-Cog - Orientation: Date
ADCOR04C100242Orientation: YearAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current year.CDISC ADAS-Cog - Orientation: Year
ADCOR05C100243Orientation: Day of WeekAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current day of the week.CDISC ADAS-Cog - Orientation: Day of Week
ADCOR06C100244Orientation: SeasonAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current season.CDISC ADAS-Cog - Orientation: Season
ADCOR07C100245Orientation: PlaceAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current place.CDISC ADAS-Cog - Orientation: Place
ADCOR08C100246Orientation: TimeAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the approximate current clock time.CDISC ADAS-Cog - Orientation: Time
ADCRGC100247Word RecognitionAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for word recognition across trials 1-3.CDISC ADAS-Cog - Word Recognition Summary Score
ADCRGT01C100248Word Recognition Trial 1Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recognition trial 1.CDISC ADAS-Cog - Word Recognition Trial 1 Summary Score
ADCRGT02C100249Word Recognition Trial 2Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recognition trial 2.CDISC ADAS-Cog - Word Recognition Trial 2 Summary Score
ADCRGT03C100250Word Recognition Trial 3Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recognition trial 3.CDISC ADAS-Cog - Word Recognition Trial 3 Summary Score
ADCRGW01C100251Word Recognition: Word [1]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 1 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 1
ADCRGW02C100252Word Recognition: Word [2]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 2 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 2
ADCRGW03C100253Word Recognition: Word [3]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 3 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 3
ADCRGW04C100254Word Recognition: Word [4]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 4 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 4
ADCRGW05C100255Word Recognition: Word [5]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 5 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 5
ADCRGW06C100256Word Recognition: Word [6]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 6 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 6
ADCRGW07C100257Word Recognition: Word [7]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 7 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 7
ADCRGW08C100258Word Recognition: Word [8]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 8 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 8
ADCRGW09C100259Word Recognition: Word [9]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 9 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 9
ADCRGW10C100260Word Recognition: Word [10]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 10 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 10
ADCRGW11C100261Word Recognition: Word [11]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 11 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 11
ADCRGW12C100262Word Recognition: Word [12]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 12 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 12
ADCRGW13C100263Word Recognition: Word [13]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 13 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 13
ADCRGW14C100264Word Recognition: Word [14]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 14 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 14
ADCRGW15C100265Word Recognition: Word [15]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 15 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 15
ADCRGW16C100266Word Recognition: Word [16]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 16 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 16
ADCRGW17C100267Word Recognition: Word [17]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 17 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 17
ADCRGW18C100268Word Recognition: Word [18]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 18 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 18
ADCRGW19C100269Word Recognition: Word [19]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 19 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 19
ADCRGW20C100270Word Recognition: Word [20]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 20 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 20
ADCRGW21C100271Word Recognition: Word [21]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 21 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 21
ADCRGW22C100272Word Recognition: Word [22]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 22 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 22
ADCRGW23C100273Word Recognition: Word [23]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 23 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 23
ADCRGW24C100274Word Recognition: Word [24]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 24 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 24
ADCRIC100275Remembering Test InstructionsAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Remembering test instructions.CDISC ADAS-Cog - Remembering Test Instructions
ADCRLC100177Word RecallAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word average score of trials 1, 2, 3.CDISC ADAS-Cog - Word Recall Average Score
ADCRLT01C100178Word Recall Trial 1Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recall task trial 1.CDISC ADAS-Cog - Word Recall Trial 1 Subscore
ADCRLT02C100179Word Recall Trial 2Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recall task trial 2.CDISC ADAS-Cog - Word Recall Trial 2 Subscore
ADCRLT03C100180Word Recall Trial 3Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recall task trial 3.CDISC ADAS-Cog - Word Recall Trial 3 Subscore
ADCRLW01C100181Word Recall: Word [1]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 1 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 1
ADCRLW02C100182Word Recall: Word [2]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 2 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 2
ADCRLW03C100183Word Recall: Word [3]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 3 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 3
ADCRLW04C100184Word Recall: Word [4]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 4 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 4
ADCRLW05C100185Word Recall: Word [5]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 5 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 5
ADCRLW06C100186Word Recall: Word [6]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 6 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 6
ADCRLW07C100187Word Recall: Word [7]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 7 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 7
ADCRLW08C100188Word Recall: Word [8]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 8 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 8
ADCRLW09C100189Word Recall: Word [9]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 9 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 9
ADCRLW10C100190Word Recall: Word [10]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 10 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 10
ADCSLC100276Spoken Language AbilityAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Global rating of the quality of speech, or difficulty in making oneself understood.CDISC ADAS-Cog - Spoken Language Ability
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CL.C100131.ADCTNAlzheimer's Disease Assessment Scale - Cognitive CDISC Version Questionnaire Test Name
(ADCTN)
text
Extensible: No
C100131Alzheimer's Disease Assessment Scale - Cognitive CDISC Version Questionnaire Test NameADAS-Cog CDISC Version test name.CDISC Questionnaire ADAS-Cog CDISC Version Test Name Terminology
Attempt to DrawC100231Attempt to DrawAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis attempted to draw, but drew no forms correctly.CDISC ADAS-Cog - Attempt to Draw
CommandsC100209CommandsAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for commands.CDISC ADAS-Cog - Commands Summary Score
Commands: CeilingC100211Commands: CeilingAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for pointing to the ceiling then to the floor.CDISC ADAS-Cog - Commands: Ceiling
Commands: FistC100210Commands: FistAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for making a fist.CDISC ADAS-Cog - Commands: Fist
Commands: PencilC100212Commands: PencilAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for put the pencil on top of the card and then put it back.CDISC ADAS-Cog - Commands: Pencil
Commands: ShoulderC100214Commands: ShoulderAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for tap each shoulder twice with two fingers keeping your eyes shut.CDISC ADAS-Cog - Commands: Shoulder
Commands: WatchC100213Commands: WatchAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for put the watch on the other side of the pencil and then turn over the card.CDISC ADAS-Cog - Commands: Watch
ComprehensionC100278ComprehensionAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ability to comprehend speech.CDISC ADAS-Cog - Comprehension
Concentration/DistractibilityC100279Concentration/DistractibilityAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ability to concentrate or easily be distracted.CDISC ADAS-Cog - Concentration/Distractibility
Constructional PraxisC100226Constructional PraxisAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for constructional praxis.CDISC ADAS-Cog - Constructional Praxis Summary Score
Constructional Praxis: 2 RectanglesC100228Constructional Praxis: 2 RectanglesAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis task for copying two overlapping rectangles.CDISC ADAS-Cog - Constructional Praxis: 2 Rectangles
Constructional Praxis: CircleC100227Constructional Praxis: CircleAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis task for copying a circle.CDISC ADAS-Cog - Constructional Praxis: Circle
Constructional Praxis: CubeC100230Constructional Praxis: CubeAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis task for copying a cube.CDISC ADAS-Cog - Constructional Praxis: Cube
Constructional Praxis: DiamondC100229Constructional Praxis: DiamondAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis task for copying a diamond.CDISC ADAS-Cog - Constructional Praxis: Diamond
Delayed Word RecallC100215Delayed Word RecallAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for delayed word recall.CDISC ADAS-Cog - Delayed Word Recall Summary Score
Delayed Word Recall: Word [10]C100225Delayed Word Recall: Word [10]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 10.CDISC ADAS-Cog - Delayed Word Recall: Word 10
Delayed Word Recall: Word [1]C100216Delayed Word Recall: Word [1]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 1.CDISC ADAS-Cog - Delayed Word Recall: Word 1
Delayed Word Recall: Word [2]C100217Delayed Word Recall: Word [2]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 2.CDISC ADAS-Cog - Delayed Word Recall: Word 2
Delayed Word Recall: Word [3]C100218Delayed Word Recall: Word [3]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 3.CDISC ADAS-Cog - Delayed Word Recall: Word 3
Delayed Word Recall: Word [4]C100219Delayed Word Recall: Word [4]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 4.CDISC ADAS-Cog - Delayed Word Recall: Word 4
Delayed Word Recall: Word [5]C100220Delayed Word Recall: Word [5]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 5.CDISC ADAS-Cog - Delayed Word Recall: Word 5
Delayed Word Recall: Word [6]C100221Delayed Word Recall: Word [6]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 6.CDISC ADAS-Cog - Delayed Word Recall: Word 6
Delayed Word Recall: Word [7]C100222Delayed Word Recall: Word [7]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 7.CDISC ADAS-Cog - Delayed Word Recall: Word 7
Delayed Word Recall: Word [8]C100223Delayed Word Recall: Word [8]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 8.CDISC ADAS-Cog - Delayed Word Recall: Word 8
Delayed Word Recall: Word [9]C100224Delayed Word Recall: Word [9]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 9.CDISC ADAS-Cog - Delayed Word Recall: Word 9
Executive Function MazeC100284Executive Function MazeAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for the executive function maze tasks.CDISC ADAS-Cog - Executive Function Maze Summary Score
Executive Function Maze: ErrorsC100285Executive Function Maze: ErrorsAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Number of errors during the executive function maze task.CDISC ADAS-Cog - Executive Function Maze: Errors
Executive Function Maze: TimeC100286Executive Function Maze: TimeAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - The time in seconds stored in ISO 8601 time for the executive function maze task.CDISC ADAS-Cog - Executive Function Maze: Time
Ideational PraxisC100232Ideational PraxisAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for ideational praxis.CDISC ADAS-Cog - Ideational Praxis Summary Score
Ideational Praxis: AddressC100236Ideational Praxis: AddressAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for address the envelop to yourself.CDISC ADAS-Cog - Ideational Praxis: Address
Ideational Praxis: FoldC100233Ideational Praxis: FoldAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for folding the paper.CDISC ADAS-Cog - Ideational Praxis: Fold
Ideational Praxis: InsertC100234Ideational Praxis: InsertAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for put the paper in the envelop.CDISC ADAS-Cog - Ideational Praxis: Insert
Ideational Praxis: SealC100235Ideational Praxis: SealAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for seal the envelop.CDISC ADAS-Cog - Ideational Praxis: Seal
Ideational Praxis: StampC100237Ideational Praxis: StampAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for showing where the stamp goes.CDISC ADAS-Cog - Ideational Praxis: Stamp
Naming Objects and FingersC100191Naming Objects and FingersAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task summary score for object and fingers.CDISC ADAS-Cog - Naming Objects and Fingers Summary Score
Naming Objects and Fingers: 1C100192Naming Objects and Fingers: 1Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 1.CDISC ADAS-Cog - Naming Objects and Fingers: 1
Naming Objects and Fingers: 10C100201Naming Objects and Fingers: 10Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 10.CDISC ADAS-Cog - Naming Objects and Fingers: 10
Naming Objects and Fingers: 11C100202Naming Objects and Fingers: 11Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 11.CDISC ADAS-Cog - Naming Objects and Fingers: 11
Naming Objects and Fingers: 12C100203Naming Objects and Fingers: 12Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 12.CDISC ADAS-Cog - Naming Objects and Fingers: 12
Naming Objects and Fingers: 2C100193Naming Objects and Fingers: 2Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 2.CDISC ADAS-Cog - Naming Objects and Fingers: 2
Naming Objects and Fingers: 3C100194Naming Objects and Fingers: 3Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 3.CDISC ADAS-Cog - Naming Objects and Fingers: 3
Naming Objects and Fingers: 4C100195Naming Objects and Fingers: 4Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 4.CDISC ADAS-Cog - Naming Objects and Fingers: 4
Naming Objects and Fingers: 5C100196Naming Objects and Fingers: 5Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 5.CDISC ADAS-Cog - Naming Objects and Fingers: 5
Naming Objects and Fingers: 6C100197Naming Objects and Fingers: 6Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 6.CDISC ADAS-Cog - Naming Objects and Fingers: 6
Naming Objects and Fingers: 7C100198Naming Objects and Fingers: 7Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 7.CDISC ADAS-Cog - Naming Objects and Fingers: 7
Naming Objects and Fingers: 8C100199Naming Objects and Fingers: 8Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 8.CDISC ADAS-Cog - Naming Objects and Fingers: 8
Naming Objects and Fingers: 9C100200Naming Objects and Fingers: 9Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 9.CDISC ADAS-Cog - Naming Objects and Fingers: 9
Naming Objects and Fingers: MiddleC100206Naming Objects and Fingers: MiddleAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for fingers of the dominant hand, middle finger.CDISC ADAS-Cog - Naming Objects and Fingers: Middle
Naming Objects and Fingers: PinkyC100208Naming Objects and Fingers: PinkyAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for fingers of the dominant hand, little finger or pinky.CDISC ADAS-Cog - Naming Objects and Fingers: Pinky
Naming Objects and Fingers: PointerC100205Naming Objects and Fingers: PointerAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for fingers of the dominant hand, index, or pointer finger.CDISC ADAS-Cog - Naming Objects and Fingers: Pointer
Naming Objects and Fingers: RingC100207Naming Objects and Fingers: RingAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for fingers of the dominant hand, ring finger.CDISC ADAS-Cog - Naming Objects and Fingers: Ring
Naming Objects and Fingers: ThumbC100204Naming Objects and Fingers: ThumbAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for fingers of the dominant hand, thumb.CDISC ADAS-Cog - Naming Objects and Fingers: Thumb
Number CancellationC100280Number CancellationAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for the number cancellation tasks.CDISC ADAS-Cog - Number Cancellation Summary Score
Number Cancellation: CorrectC100281Number Cancellation: CorrectAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Number of targets hit during the number cancellation task.CDISC ADAS-Cog - Number Cancellation: Correct
Number Cancellation: ErrorsC100282Number Cancellation: ErrorsAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Number of errors during the number cancellation task.CDISC ADAS-Cog - Number Cancellation: Errors
Number Cancellation: RemindC100283Number Cancellation: RemindAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Number of times reminded for the number cancellation task.CDISC ADAS-Cog - Number Cancellation: Remind
OrientationC100238OrientationAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for orientation.CDISC ADAS-Cog - Orientation Summary Score
Orientation: DateC100241Orientation: DateAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current day.CDISC ADAS-Cog - Orientation: Date
Orientation: Day of WeekC100243Orientation: Day of WeekAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current day of the week.CDISC ADAS-Cog - Orientation: Day of Week
Orientation: Full NameC100239Orientation: Full NameAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing one's own full name.CDISC ADAS-Cog - Orientation: Full Name
Orientation: MonthC100240Orientation: MonthAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current month.CDISC ADAS-Cog - Orientation: Month
Orientation: PlaceC100245Orientation: PlaceAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current place.CDISC ADAS-Cog - Orientation: Place
Orientation: SeasonC100244Orientation: SeasonAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current season.CDISC ADAS-Cog - Orientation: Season
Orientation: TimeC100246Orientation: TimeAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the approximate current clock time.CDISC ADAS-Cog - Orientation: Time
Orientation: YearC100242Orientation: YearAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current year.CDISC ADAS-Cog - Orientation: Year
Remembering Test InstructionsC100275Remembering Test InstructionsAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Remembering test instructions.CDISC ADAS-Cog - Remembering Test Instructions
Spoken Language AbilityC100276Spoken Language AbilityAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Global rating of the quality of speech, or difficulty in making oneself understood.CDISC ADAS-Cog - Spoken Language Ability
Word Finding Difficulty in Spont SpeechC100277Word Finding Difficulty in Spont SpeechAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Difficulty finding the desired word in spontaneous speech.CDISC ADAS-Cog - Word Difficulty in Spontaneous Speech
Word Recall Trial 1C100178Word Recall Trial 1Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recall task trial 1.CDISC ADAS-Cog - Word Recall Trial 1 Subscore
Word Recall Trial 2C100179Word Recall Trial 2Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recall task trial 2.CDISC ADAS-Cog - Word Recall Trial 2 Subscore
Word Recall Trial 3C100180Word Recall Trial 3Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recall task trial 3.CDISC ADAS-Cog - Word Recall Trial 3 Subscore
Word RecallC100177Word RecallAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word average score of trials 1, 2, 3.CDISC ADAS-Cog - Word Recall Average Score
Word Recall: Word [10]C100190Word Recall: Word [10]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 10 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 10
Word Recall: Word [1]C100181Word Recall: Word [1]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 1 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 1
Word Recall: Word [2]C100182Word Recall: Word [2]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 2 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 2
Word Recall: Word [3]C100183Word Recall: Word [3]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 3 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 3
Word Recall: Word [4]C100184Word Recall: Word [4]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 4 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 4
Word Recall: Word [5]C100185Word Recall: Word [5]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 5 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 5
Word Recall: Word [6]C100186Word Recall: Word [6]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 6 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 6
Word Recall: Word [7]C100187Word Recall: Word [7]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 7 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 7
Word Recall: Word [8]C100188Word Recall: Word [8]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 8 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 8
Word Recall: Word [9]C100189Word Recall: Word [9]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 9 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 9
Word Recognition Trial 1C100248Word Recognition Trial 1Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recognition trial 1.CDISC ADAS-Cog - Word Recognition Trial 1 Summary Score
Word Recognition Trial 2C100249Word Recognition Trial 2Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recognition trial 2.CDISC ADAS-Cog - Word Recognition Trial 2 Summary Score
Word Recognition Trial 3C100250Word Recognition Trial 3Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recognition trial 3.CDISC ADAS-Cog - Word Recognition Trial 3 Summary Score
Word RecognitionC100247Word RecognitionAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for word recognition across trials 1-3.CDISC ADAS-Cog - Word Recognition Summary Score
Word Recognition: Word [10]C100260Word Recognition: Word [10]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 10 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 10
Word Recognition: Word [11]C100261Word Recognition: Word [11]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 11 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 11
Word Recognition: Word [12]C100262Word Recognition: Word [12]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 12 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 12
Word Recognition: Word [13]C100263Word Recognition: Word [13]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 13 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 13
Word Recognition: Word [14]C100264Word Recognition: Word [14]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 14 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 14
Word Recognition: Word [15]C100265Word Recognition: Word [15]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 15 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 15
Word Recognition: Word [16]C100266Word Recognition: Word [16]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 16 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 16
Word Recognition: Word [17]C100267Word Recognition: Word [17]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 17 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 17
Word Recognition: Word [18]C100268Word Recognition: Word [18]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 18 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 18
Word Recognition: Word [19]C100269Word Recognition: Word [19]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 19 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 19
Word Recognition: Word [1]C100251Word Recognition: Word [1]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 1 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 1
Word Recognition: Word [20]C100270Word Recognition: Word [20]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 20 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 20
Word Recognition: Word [21]C100271Word Recognition: Word [21]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 21 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 21
Word Recognition: Word [22]C100272Word Recognition: Word [22]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 22 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 22
Word Recognition: Word [23]C100273Word Recognition: Word [23]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 23 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 23
Word Recognition: Word [24]C100274Word Recognition: Word [24]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 24 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 24
Word Recognition: Word [2]C100252Word Recognition: Word [2]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 2 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 2
Word Recognition: Word [3]C100253Word Recognition: Word [3]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 3 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 3
Word Recognition: Word [4]C100254Word Recognition: Word [4]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 4 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 4
Word Recognition: Word [5]C100255Word Recognition: Word [5]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 5 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 5
Word Recognition: Word [6]C100256Word Recognition: Word [6]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 6 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 6
Word Recognition: Word [7]C100257Word Recognition: Word [7]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 7 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 7
Word Recognition: Word [8]C100258Word Recognition: Word [8]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 8 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 8
Word Recognition: Word [9]C100259Word Recognition: Word [9]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 9 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 9
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CL.C106651.ADL03TCAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory MCI Version Questionnaire Test Code
(ADL03TC)
text
Extensible: No
C106651Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory MCI Version Questionnaire Test CodeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory MCI Version test code.CDISC Questionnaire ADCS-ADL MCI Test Code Terminology
ADL0301C106891ADL03-Find Personal BelongingsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} usually manage to find his/her personal belongings at home?ADCS-ADL MCI - Find Personal Belongings
ADL0301AC106892ADL03-Find Belongings Usual PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes how he /she usually performed.ADCS-ADL MCI - Description of Usual Performance of Finding Belongings
ADL0302C106893ADL03-Select First Clothes for the DayAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} select his/her first set of clothes for the day?ADCS-ADL MCI - Select First Clothes for the Day
ADL0302AC106894ADL03-Usual Dressing PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her usual performance.ADCS-ADL MCI - Description of Usual Performance of Selecting First Clothes for the Day
ADL0303C106895ADL03-Usual Physically Dressing PerformAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Regarding physically getting dressed, which best describes his/her usual performance in the past 4 weeks.ADCS-ADL MCI - Description of Usual Performance of Physically Getting Dressed
ADL0304C106896ADL03-Clean RoomAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} clean a living-, sitting-, or family room?ADCS-ADL MCI - Clean Room
ADL0304AC106897ADL03-Clean Room PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes how he/she usually performed.ADCS-ADL MCI - Description of Usual Performance of Cleaning Room
ADL0305C106898ADL03-Balance CheckbookAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} balance his/her checkbook or credit card statement?ADCS-ADL MCI - Balance Checkbook
ADL0305AC106899ADL03-Balance Checkbook PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes how he/she usually performed.ADCS-ADL MCI - Description of Usual Performance of Balancing Checkbook
ADL0306C106900ADL03-Write Things DownAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} ever write things down?ADCS-ADL MCI - Write Things Down
ADL0306AC106901ADL03-Most Complicated WritingsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes the most complicated things that he/she wrote.ADCS-ADL MCI - Description of Usual Performance of Most Complicated Things Written
ADL0307C106902ADL03-Clean LaundryAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} clean a load of laundry?ADCS-ADL MCI - Clean Laundry
ADL0307AC106903ADL03-Laundry Cleaning PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes how he/she usually performed.ADCS-ADL MCI - Description of Usual Performance of Clean Laundry
ADL0308C106904ADL03-Keep AppointmentsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} keep appointments or meetings with other people, such as relatives, a doctor, the hairdresser, etc.?ADCS-ADL MCI - Keep Appointments
ADL0308AC106905ADL03-Aware of Appointment Ahead of TimeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her awareness of the meeting ahead of time.ADCS-ADL MCI - Description of Awareness of the Meeting Ahead of Time
ADL0309C106906ADL03-Use a TelephoneAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} use a telephone?ADCS-ADL MCI - Use a Telephone
ADL0309AC106907ADL03-Highest Telephone Use PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her highest level of performance.ADCS-ADL MCI - Description of Highest Level of Performance of Telephone Use
ADL0310C106908ADL03-Make a MealAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} make him/herself a meal or snack at home?ADCS-ADL MCI - Make a Meal or Snack
ADL0310AC106909ADL03-Highest Level of Food PreparationAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her highest level of food preparation.ADCS-ADL MCI - Description of Highest Level of Food Preparation
ADL0311C106910ADL03-Get Around Outside HomeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} get around (or travel) outside of his/her home?ADCS-ADL MCI - Travel Outside Home
ADL0311AC106911ADL03-Get Around Optimal PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her optimal performance.ADCS-ADL MCI - Description of Optimal Performance of Travelling Outside Home
ADL0312C106912ADL03-Talk About Current EventsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} talk about current events?ADCS-ADL MCI - Talk About Current Events
ADL0312AC106913ADL03-Regional, National, InternationalAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, did {S} talk about regional, national or international events?ADCS-ADL MCI - Talk About Regional, National or International Events
ADL0312BC106914ADL03-Talk About Outside EventsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} talk about events outside home involving family, friends, or neighbors?ADCS-ADL MCI - Talk About Outside Home Events
ADL0312CC106915ADL03-Talk About at Home EventsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} talk about events that occurred at home that he/she took part in or watched?ADCS-ADL MCI - Talk About at Home Events
ADL0312DC106916ADL03-Talk Without RepeatingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} converse without repeating him/herself, or asking the same questions repeatedly?ADCS-ADL MCI - Converse Without Repeating
ADL0313C106917ADL03-Read More Than 5 MinutesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} read a magazine, newspaper or book for more than 5 minutes at a time?ADCS-ADL MCI - Read More Than 5 Minutes
ADL0313AC106918ADL03-Select/Ask for Something to ReadAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually select or ask for something to read?ADCS-ADL MCI - Select or Ask for Something to Read
ADL0313BC106919ADL03-Talk Within 1 Hour After ReadingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually talk about what he/she read while or shortly after reading (less than 1 hour)?ADCS-ADL MCI - Talk Within 1 Hour After Reading
ADL0313CC106920ADL03-Talk Within 1 Day After ReadingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually talk about what he/she read 1-24 hours after reading?ADCS-ADL MCI - Talk Within 24 Hours After Reading
ADL0314C106921ADL03-Watch TelevisionAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} watch television?ADCS-ADL MCI - Watch Television
ADL0314AC106922ADL03-Select Television ProgramAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually select or ask for different programs or his/her favorite show?ADCS-ADL MCI - Select or Ask for Programs or Show
ADL0314BC106923ADL03-Talk About TV Content While WatchAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually talk about the content of a program while watching it?ADCS-ADL MCI - Talk About Content of Program While Watching
ADL0314CC106924ADL03-Talk About TV Content Within a DayAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} talk about the content of a program within a day (24 hours) after watching it?ADCS-ADL MCI - Talk About Content of Program After Watching Within a Day
ADL0315C106925ADL03-Go ShoppingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} ever go shopping at a store?ADCS-ADL MCI - Go Shopping At a Store
ADL0315AC106926ADL03-Select Items Without HelpAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually select correct items without supervision or help?ADCS-ADL MCI - Select Correct Items Without Help
ADL0315BC106927ADL03-Pay Items On His/Her OwnAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually pay for items on his/her own?ADCS-ADL MCI - Pay for Items on His or Her Own
ADL0316C106928ADL03-Left On His/Her OwnAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, was {S} ever left on his/her own?ADCS-ADL MCI - Left on His or Her Own
ADL0316AC106929ADL03-Left Away From HomeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Was {S} left away from home, for 15 minutes or longer, during the day?ADCS-ADL MCI - Left Away From Home Longer Than 15 Minutes
ADL0316BC106930ADL03-Left at Home for 1 Hour or LongerAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Was {S} left at home, for an hour or longer, during the day?ADCS-ADL MCI - Left at Home Longer Than an Hour
ADL0316CC106931ADL03-Left at Home for Less Than 1 HourAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Was {S} left at home, for less than 1 hour, during the day?ADCS-ADL MCI - Left at Home Less Than an Hour
ADL0317C106932ADL03-Use Household ApplianceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} use a household appliance to do chores?ADCS-ADL MCI - Use Household Appliance
ADL0317AC107089ADL03-Appliance: WasherAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: washer.ADCS-ADL MCI - Use Household Appliance: Washer
ADL0317BC107090ADL03-Appliance: DryerAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: dryer.ADCS-ADL MCI - Use Household Appliance: Dryer
ADL0317CC107091ADL03-Appliance: VacuumAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: vacuum.ADCS-ADL MCI - Use Household Appliance: Vacuum
ADL0317DC106933ADL03-Appliance: DishwasherAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: dishwasher.ADCS-ADL MCI - Use Household Appliance: Dishwasher
ADL0317EC106934ADL03-Appliance: Power ToolsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: power tool (s).ADCS-ADL MCI - Use Household Appliance: Power Tools
ADL0317FC106935ADL03-Appliance: Toaster OvenAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: toaster oven.ADCS-ADL MCI - Use Household Appliance: Toaster Oven
ADL0317GC106936ADL03-Appliance: RangeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: range.ADCS-ADL MCI - Use Household Appliance: Range
ADL0317HC106937ADL03-Appliance: MicrowaveAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: microwave.ADCS-ADL MCI - Use Household Appliance: Microwave
ADL0317IC106938ADL03-Appliance: Food ProcessorAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: food processor.ADCS-ADL MCI - Use Household Appliance: Food Processor
ADL0317JC106939ADL03-Appliance: OtherAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: other.ADCS-ADL MCI - Use Household Appliance: Other
ADL0317KC106940ADL03-Appliance: Other SpecifyAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: other specify.ADCS-ADL MCI - Use Household Appliance: Other Specify
ADL0317LC106941ADL03-Use Common Used Appliances (q17a)Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - For the 1 or 2 most commonly used appliances, which best describes how {S} usually used them.ADCS-ADL MCI - Description of Usual Use of Commonly Used Appliances
ADL0318C106942ADL03-Perform PastimeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} perform a pastime, hobby or game?ADCS-ADL MCI - Perform Pastime, Hobby or Game
ADL0318AC106943ADL03-Pastime: Card or Board GamesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: card or board games.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Card or Board Games
ADL0318BC106944ADL03-Pastime: BingoAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: bingo.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Bingo
ADL0318CC106945ADL03-Pastime: CrosswordsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: crosswords.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Crosswords
ADL0318DC106946ADL03-Pastime: ArtAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: art.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Art
ADL0318EC106947ADL03-Pastime: Musical InstrumentAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: musical instrument.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Musical Instrument
ADL0318FC106948ADL03-Pastime: KnittingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: knitting.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Knitting
ADL0318GC106949ADL03-Pastime: SewingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: sewing.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Sewing
ADL0318HC106950ADL03-Pastime: ReadingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: reading.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Reading
ADL0318IC106951ADL03-Pastime: GardeningAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: gardening.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Gardening
ADL0318JC106952ADL03-Pastime: GolfAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: golf.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Golf
ADL0318KC106953ADL03-Pastime: TennisAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: tennis.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Tennis
ADL0318LC106954ADL03-Pastime: WorkshopAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: workshop.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Workshop
ADL0318MC106955ADL03-Pastime: FishingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: fishing.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Fishing
ADL0318NC106956ADL03-Pastime: OtherAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: other.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Other
ADL0318OC106957ADL03-Pastime: Other SpecifyAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: other specify.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Other Specify
ADL0318PC106958ADL03-Hobbies Needed Help (Q18a)Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} require supervision, or help, to perform any of these hobbies?ADCS-ADL MCI - Require Help to Perform Hobbies
ADL0318QC106959ADL03-Hobbies Unable to Perform (Q18b)Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - List any hobby (ies) that the subject has lost the ability to perform.ADCS-ADL MCI - List Hobbies Lost Ability to Perform
ADL0319C106960ADL03-Drive CarAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} drive a car?ADCS-ADL MCI - Drive a Car
ADL0319AC106961ADL03-Drive Car Optimal PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her optimal performance.ADCS-ADL MCI - Description of Optimal Performance of Driving Car
ADL0320C106962ADL03-Take Medications RegularlyAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - During the past 4 weeks, did {S} take his/her medications regularly?ADCS-ADL MCI - Take Medications Regularly
ADL0320AC106963ADL03-Take Medications PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, was this.ADCS-ADL MCI - Description of Taking Medications Regularly
ADL0321C106964ADL03-Complete Complex ActivitiesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - During the past 4 weeks, did {S} usually carry through complex or time-consuming activities to completion?ADCS-ADL MCI - Carry Through Complex Activities to Completion
ADL0321AC106965ADL03-Extent Needed RemindersAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes extent to which he/she needed reminders.ADCS-ADL MCI - Description of Extent Needing Reminder
ADL0322C106966ADL03-Initiate Complex ActivitiesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - During the past 4 weeks, to what extent did {S} initiate complex daily activities or projects (e.g., hobbies, travel)?ADCS-ADL MCI - Initiate Complex Daily Activities
ADL0323C106967ADL03-Time to Complete Complex TasksAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - During the past 4 weeks, how long did it usually take {S} to complete complex or time-consuming tasks or activities?ADCS-ADL MCI - Time Taken to Complete Complex Activities
ADL0324C106968ADL03-Extenuating CircumstancesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Has an extenuating circumstance (such as a physical health problem, change in residence, change in support network, death of a family member, etc.) contributed to a recent alteration in the subject's activities of daily living?ADCS-ADL MCI - Extenuating Circumstance
ADL0324AC106969ADL03-Explain CircumstanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, explain.ADCS-ADL MCI - Explain Extenuating Circumstance
ADL0325C107092ADL03-Total Points for 'Don't Know'Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Were any questions (1-18) answered 'Don't Know'? If yes, calculate total points for 'Don't Know'.ADCS-ADL MCI - Points for Questions (1-18) Answered 'Don't Know'
ADL0326C106970ADL03-Subscore for Items 1 to 3Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 1.ADCS-ADL MCI - Subscore for Items 1 to 3
ADL0327C106971ADL03-Subscore for Items 4 to 7Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 2.ADCS-ADL MCI - Subscore for Items 4 to 7
ADL0328C106972ADL03-Subscore for Items 8 to 10Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 3.ADCS-ADL MCI - Subscore for Items 8 to 10
ADL0329C106973ADL03-Subscore for Items 11 to 12dAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 4.ADCS-ADL MCI - Subscore for Items 11 to 12
ADL0330C106974ADL03-Subscore for Items 13 to 14cAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 5.ADCS-ADL MCI - Subscore for Items 13 to 14
ADL0331C106975ADL03-Subscore for Items 15 to 16cAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 6.ADCS-ADL MCI - Subscore for Items 15 to 16
ADL0332C106976ADL03-Subscore for Item 17Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 7.ADCS-ADL MCI - Subscore for Item 17
ADL0333C106977ADL03-Subscore for Item 18Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 8.ADCS-ADL MCI - Subscore for Item 18
ADL0334C106978ADL03-Total ADCS-ADL ScoreAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Total Score.ADCS-ADL MCI - ADL Total Score
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CL.C106650.ADL03TNAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory MCI Version Questionnaire Test Name
(ADL03TN)
text
Extensible: No
C106650Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory MCI Version Questionnaire Test NameAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory MCI Version test name.CDISC Questionnaire ADCS-ADL MCI Test Name Terminology
ADL03-Appliance: DishwasherC106933ADL03-Appliance: DishwasherAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: dishwasher.ADCS-ADL MCI - Use Household Appliance: Dishwasher
ADL03-Appliance: DryerC107090ADL03-Appliance: DryerAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: dryer.ADCS-ADL MCI - Use Household Appliance: Dryer
ADL03-Appliance: Food ProcessorC106938ADL03-Appliance: Food ProcessorAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: food processor.ADCS-ADL MCI - Use Household Appliance: Food Processor
ADL03-Appliance: MicrowaveC106937ADL03-Appliance: MicrowaveAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: microwave.ADCS-ADL MCI - Use Household Appliance: Microwave
ADL03-Appliance: Other SpecifyC106940ADL03-Appliance: Other SpecifyAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: other specify.ADCS-ADL MCI - Use Household Appliance: Other Specify
ADL03-Appliance: OtherC106939ADL03-Appliance: OtherAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: other.ADCS-ADL MCI - Use Household Appliance: Other
ADL03-Appliance: Power ToolsC106934ADL03-Appliance: Power ToolsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: power tool (s).ADCS-ADL MCI - Use Household Appliance: Power Tools
ADL03-Appliance: RangeC106936ADL03-Appliance: RangeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: range.ADCS-ADL MCI - Use Household Appliance: Range
ADL03-Appliance: Toaster OvenC106935ADL03-Appliance: Toaster OvenAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: toaster oven.ADCS-ADL MCI - Use Household Appliance: Toaster Oven
ADL03-Appliance: VacuumC107091ADL03-Appliance: VacuumAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: vacuum.ADCS-ADL MCI - Use Household Appliance: Vacuum
ADL03-Appliance: WasherC107089ADL03-Appliance: WasherAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: washer.ADCS-ADL MCI - Use Household Appliance: Washer
ADL03-Aware of Appointment Ahead of TimeC106905ADL03-Aware of Appointment Ahead of TimeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her awareness of the meeting ahead of time.ADCS-ADL MCI - Description of Awareness of the Meeting Ahead of Time
ADL03-Balance Checkbook PerformanceC106899ADL03-Balance Checkbook PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes how he/she usually performed.ADCS-ADL MCI - Description of Usual Performance of Balancing Checkbook
ADL03-Balance CheckbookC106898ADL03-Balance CheckbookAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} balance his/her checkbook or credit card statement?ADCS-ADL MCI - Balance Checkbook
ADL03-Clean LaundryC106902ADL03-Clean LaundryAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} clean a load of laundry?ADCS-ADL MCI - Clean Laundry
ADL03-Clean Room PerformanceC106897ADL03-Clean Room PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes how he/she usually performed.ADCS-ADL MCI - Description of Usual Performance of Cleaning Room
ADL03-Clean RoomC106896ADL03-Clean RoomAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} clean a living-, sitting-, or family room?ADCS-ADL MCI - Clean Room
ADL03-Complete Complex ActivitiesC106964ADL03-Complete Complex ActivitiesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - During the past 4 weeks, did {S} usually carry through complex or time-consuming activities to completion?ADCS-ADL MCI - Carry Through Complex Activities to Completion
ADL03-Drive Car Optimal PerformanceC106961ADL03-Drive Car Optimal PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her optimal performance.ADCS-ADL MCI - Description of Optimal Performance of Driving Car
ADL03-Drive CarC106960ADL03-Drive CarAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} drive a car?ADCS-ADL MCI - Drive a Car
ADL03-Explain CircumstanceC106969ADL03-Explain CircumstanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, explain.ADCS-ADL MCI - Explain Extenuating Circumstance
ADL03-Extent Needed RemindersC106965ADL03-Extent Needed RemindersAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes extent to which he/she needed reminders.ADCS-ADL MCI - Description of Extent Needing Reminder
ADL03-Extenuating CircumstancesC106968ADL03-Extenuating CircumstancesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Has an extenuating circumstance (such as a physical health problem, change in residence, change in support network, death of a family member, etc.) contributed to a recent alteration in the subject's activities of daily living?ADCS-ADL MCI - Extenuating Circumstance
ADL03-Find Belongings Usual PerformanceC106892ADL03-Find Belongings Usual PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes how he /she usually performed.ADCS-ADL MCI - Description of Usual Performance of Finding Belongings
ADL03-Find Personal BelongingsC106891ADL03-Find Personal BelongingsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} usually manage to find his/her personal belongings at home?ADCS-ADL MCI - Find Personal Belongings
ADL03-Get Around Optimal PerformanceC106911ADL03-Get Around Optimal PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her optimal performance.ADCS-ADL MCI - Description of Optimal Performance of Travelling Outside Home
ADL03-Get Around Outside HomeC106910ADL03-Get Around Outside HomeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} get around (or travel) outside of his/her home?ADCS-ADL MCI - Travel Outside Home
ADL03-Go ShoppingC106925ADL03-Go ShoppingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} ever go shopping at a store?ADCS-ADL MCI - Go Shopping At a Store
ADL03-Highest Level of Food PreparationC106909ADL03-Highest Level of Food PreparationAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her highest level of food preparation.ADCS-ADL MCI - Description of Highest Level of Food Preparation
ADL03-Highest Telephone Use PerformanceC106907ADL03-Highest Telephone Use PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her highest level of performance.ADCS-ADL MCI - Description of Highest Level of Performance of Telephone Use
ADL03-Hobbies Needed Help (Q18a)C106958ADL03-Hobbies Needed Help (Q18a)Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} require supervision, or help, to perform any of these hobbies?ADCS-ADL MCI - Require Help to Perform Hobbies
ADL03-Hobbies Unable to Perform (Q18b)C106959ADL03-Hobbies Unable to Perform (Q18b)Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - List any hobby (ies) that the subject has lost the ability to perform.ADCS-ADL MCI - List Hobbies Lost Ability to Perform
ADL03-Initiate Complex ActivitiesC106966ADL03-Initiate Complex ActivitiesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - During the past 4 weeks, to what extent did {S} initiate complex daily activities or projects (e.g., hobbies, travel)?ADCS-ADL MCI - Initiate Complex Daily Activities
ADL03-Keep AppointmentsC106904ADL03-Keep AppointmentsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} keep appointments or meetings with other people, such as relatives, a doctor, the hairdresser, etc.?ADCS-ADL MCI - Keep Appointments
ADL03-Laundry Cleaning PerformanceC106903ADL03-Laundry Cleaning PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes how he/she usually performed.ADCS-ADL MCI - Description of Usual Performance of Clean Laundry
ADL03-Left at Home for 1 Hour or LongerC106930ADL03-Left at Home for 1 Hour or LongerAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Was {S} left at home, for an hour or longer, during the day?ADCS-ADL MCI - Left at Home Longer Than an Hour
ADL03-Left at Home for Less Than 1 HourC106931ADL03-Left at Home for Less Than 1 HourAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Was {S} left at home, for less than 1 hour, during the day?ADCS-ADL MCI - Left at Home Less Than an Hour
ADL03-Left Away From HomeC106929ADL03-Left Away From HomeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Was {S} left away from home, for 15 minutes or longer, during the day?ADCS-ADL MCI - Left Away From Home Longer Than 15 Minutes
ADL03-Left On His/Her OwnC106928ADL03-Left On His/Her OwnAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, was {S} ever left on his/her own?ADCS-ADL MCI - Left on His or Her Own
ADL03-Make a MealC106908ADL03-Make a MealAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} make him/herself a meal or snack at home?ADCS-ADL MCI - Make a Meal or Snack
ADL03-Most Complicated WritingsC106901ADL03-Most Complicated WritingsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes the most complicated things that he/she wrote.ADCS-ADL MCI - Description of Usual Performance of Most Complicated Things Written
ADL03-Pastime: ArtC106946ADL03-Pastime: ArtAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: art.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Art
ADL03-Pastime: BingoC106944ADL03-Pastime: BingoAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: bingo.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Bingo
ADL03-Pastime: Card or Board GamesC106943ADL03-Pastime: Card or Board GamesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: card or board games.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Card or Board Games
ADL03-Pastime: CrosswordsC106945ADL03-Pastime: CrosswordsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: crosswords.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Crosswords
ADL03-Pastime: FishingC106955ADL03-Pastime: FishingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: fishing.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Fishing
ADL03-Pastime: GardeningC106951ADL03-Pastime: GardeningAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: gardening.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Gardening
ADL03-Pastime: GolfC106952ADL03-Pastime: GolfAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: golf.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Golf
ADL03-Pastime: KnittingC106948ADL03-Pastime: KnittingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: knitting.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Knitting
ADL03-Pastime: Musical InstrumentC106947ADL03-Pastime: Musical InstrumentAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: musical instrument.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Musical Instrument
ADL03-Pastime: Other SpecifyC106957ADL03-Pastime: Other SpecifyAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: other specify.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Other Specify
ADL03-Pastime: OtherC106956ADL03-Pastime: OtherAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: other.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Other
ADL03-Pastime: ReadingC106950ADL03-Pastime: ReadingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: reading.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Reading
ADL03-Pastime: SewingC106949ADL03-Pastime: SewingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: sewing.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Sewing
ADL03-Pastime: TennisC106953ADL03-Pastime: TennisAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: tennis.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Tennis
ADL03-Pastime: WorkshopC106954ADL03-Pastime: WorkshopAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: workshop.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Workshop
ADL03-Pay Items On His/Her OwnC106927ADL03-Pay Items On His/Her OwnAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually pay for items on his/her own?ADCS-ADL MCI - Pay for Items on His or Her Own
ADL03-Perform PastimeC106942ADL03-Perform PastimeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} perform a pastime, hobby or game?ADCS-ADL MCI - Perform Pastime, Hobby or Game
ADL03-Read More Than 5 MinutesC106917ADL03-Read More Than 5 MinutesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} read a magazine, newspaper or book for more than 5 minutes at a time?ADCS-ADL MCI - Read More Than 5 Minutes
ADL03-Regional, National, InternationalC106913ADL03-Regional, National, InternationalAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, did {S} talk about regional, national or international events?ADCS-ADL MCI - Talk About Regional, National or International Events
ADL03-Select First Clothes for the DayC106893ADL03-Select First Clothes for the DayAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} select his/her first set of clothes for the day?ADCS-ADL MCI - Select First Clothes for the Day
ADL03-Select Items Without HelpC106926ADL03-Select Items Without HelpAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually select correct items without supervision or help?ADCS-ADL MCI - Select Correct Items Without Help
ADL03-Select Television ProgramC106922ADL03-Select Television ProgramAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually select or ask for different programs or his/her favorite show?ADCS-ADL MCI - Select or Ask for Programs or Show
ADL03-Select/Ask for Something to ReadC106918ADL03-Select/Ask for Something to ReadAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually select or ask for something to read?ADCS-ADL MCI - Select or Ask for Something to Read
ADL03-Subscore for Item 17C106976ADL03-Subscore for Item 17Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 7.ADCS-ADL MCI - Subscore for Item 17
ADL03-Subscore for Item 18C106977ADL03-Subscore for Item 18Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 8.ADCS-ADL MCI - Subscore for Item 18
ADL03-Subscore for Items 1 to 3C106970ADL03-Subscore for Items 1 to 3Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 1.ADCS-ADL MCI - Subscore for Items 1 to 3
ADL03-Subscore for Items 11 to 12dC106973ADL03-Subscore for Items 11 to 12dAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 4.ADCS-ADL MCI - Subscore for Items 11 to 12
ADL03-Subscore for Items 13 to 14cC106974ADL03-Subscore for Items 13 to 14cAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 5.ADCS-ADL MCI - Subscore for Items 13 to 14
ADL03-Subscore for Items 15 to 16cC106975ADL03-Subscore for Items 15 to 16cAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 6.ADCS-ADL MCI - Subscore for Items 15 to 16
ADL03-Subscore for Items 4 to 7C106971ADL03-Subscore for Items 4 to 7Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 2.ADCS-ADL MCI - Subscore for Items 4 to 7
ADL03-Subscore for Items 8 to 10C106972ADL03-Subscore for Items 8 to 10Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 3.ADCS-ADL MCI - Subscore for Items 8 to 10
ADL03-Take Medications PerformanceC106963ADL03-Take Medications PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, was this.ADCS-ADL MCI - Description of Taking Medications Regularly
ADL03-Take Medications RegularlyC106962ADL03-Take Medications RegularlyAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - During the past 4 weeks, did {S} take his/her medications regularly?ADCS-ADL MCI - Take Medications Regularly
ADL03-Talk About at Home EventsC106915ADL03-Talk About at Home EventsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} talk about events that occurred at home that he/she took part in or watched?ADCS-ADL MCI - Talk About at Home Events
ADL03-Talk About Current EventsC106912ADL03-Talk About Current EventsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} talk about current events?ADCS-ADL MCI - Talk About Current Events
ADL03-Talk About Outside EventsC106914ADL03-Talk About Outside EventsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} talk about events outside home involving family, friends, or neighbors?ADCS-ADL MCI - Talk About Outside Home Events
ADL03-Talk About TV Content While WatchC106923ADL03-Talk About TV Content While WatchAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually talk about the content of a program while watching it?ADCS-ADL MCI - Talk About Content of Program While Watching
ADL03-Talk About TV Content Within a DayC106924ADL03-Talk About TV Content Within a DayAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} talk about the content of a program within a day (24 hours) after watching it?ADCS-ADL MCI - Talk About Content of Program After Watching Within a Day
ADL03-Talk Within 1 Day After ReadingC106920ADL03-Talk Within 1 Day After ReadingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually talk about what he/she read 1-24 hours after reading?ADCS-ADL MCI - Talk Within 24 Hours After Reading
ADL03-Talk Within 1 Hour After ReadingC106919ADL03-Talk Within 1 Hour After ReadingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually talk about what he/she read while or shortly after reading (less than 1 hour)?ADCS-ADL MCI - Talk Within 1 Hour After Reading
ADL03-Talk Without RepeatingC106916ADL03-Talk Without RepeatingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} converse without repeating him/herself, or asking the same questions repeatedly?ADCS-ADL MCI - Converse Without Repeating
ADL03-Time to Complete Complex TasksC106967ADL03-Time to Complete Complex TasksAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - During the past 4 weeks, how long did it usually take {S} to complete complex or time-consuming tasks or activities?ADCS-ADL MCI - Time Taken to Complete Complex Activities
ADL03-Total ADCS-ADL ScoreC106978ADL03-Total ADCS-ADL ScoreAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Total Score.ADCS-ADL MCI - ADL Total Score
ADL03-Total Points for 'Don't Know'C107092ADL03-Total Points for 'Don't Know'Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Were any questions (1-18) answered 'Don't Know'? If yes, calculate total points for 'Don't Know'.ADCS-ADL MCI - Points for Questions (1-18) Answered 'Don't Know'
ADL03-Use a TelephoneC106906ADL03-Use a TelephoneAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} use a telephone?ADCS-ADL MCI - Use a Telephone
ADL03-Use Common Used Appliances (q17a)C106941ADL03-Use Common Used Appliances (q17a)Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - For the 1 or 2 most commonly used appliances, which best describes how {S} usually used them.ADCS-ADL MCI - Description of Usual Use of Commonly Used Appliances
ADL03-Use Household ApplianceC106932ADL03-Use Household ApplianceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} use a household appliance to do chores?ADCS-ADL MCI - Use Household Appliance
ADL03-Usual Dressing PerformanceC106894ADL03-Usual Dressing PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her usual performance.ADCS-ADL MCI - Description of Usual Performance of Selecting First Clothes for the Day
ADL03-Usual Physically Dressing PerformC106895ADL03-Usual Physically Dressing PerformAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Regarding physically getting dressed, which best describes his/her usual performance in the past 4 weeks.ADCS-ADL MCI - Description of Usual Performance of Physically Getting Dressed
ADL03-Watch TelevisionC106921ADL03-Watch TelevisionAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} watch television?ADCS-ADL MCI - Watch Television
ADL03-Write Things DownC106900ADL03-Write Things DownAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} ever write things down?ADCS-ADL MCI - Write Things Down
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CL.C105140.ADL01TCAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Questionnaire Test Code
(ADL01TC)
text
Extensible: No
C105140Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Questionnaire Test CodeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory test code.CDISC Questionnaire ADCS-ADL Test Code Terminology
ADL0101C105283ADL01-Usual Eating PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding eating: which best describes {S} usual performance during the past 4 weeks?ADCS-ADL - Description of Usual Performance of Eating
ADL0102C105284ADL01-Optimal Walking PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding walking (or getting around in a wheelchair), in the past 4 weeks, which best describes his/her optimal performance.ADCS-ADL - Description of Optimal Performance of Walking
ADL0103C105285ADL01-Usual Bowel/Bladder FunctionAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding bowel and bladder function at the toilet, which best describes his/her usual performance in the past 4 weeks.ADCS-ADL - Usual Bowel and Bladder Function at Toilet
ADL0104C105286ADL01-Usual Bathing PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding bathing, in the past 4 weeks, which best describes his/her usual performance.ADCS-ADL - Description of Usual Performance of Bathing
ADL0105C105287ADL01-Optimal Grooming PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding grooming, in the past 4 weeks, which best describes his/her optimal performance.ADCS-ADL - Description of Optimal Performance of Grooming
ADL0106C105288ADL01-Select First Clothes for the DayAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding dressing in the past 4 weeks: Did {S} select his/her first set of clothes for the day?ADCS-ADL - Select First Clothes for the Day
ADL0106AC105289ADL01-Usual Dressing PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes usual performance.ADCS-ADL - Description of Usual Performance of Dressing
ADL0106BC105290ADL01-Usual Physically Dressing PerformAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding physically getting dressed, which best describes his/her usual performance in the past 4 weeks.ADCS-ADL - Description of Usual Performance of Physically Getting Dressed
ADL0107C105291ADL01-Use a TelephoneAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} use a telephone?ADCS-ADL - Use a Telephone
ADL0107AC105292ADL01-Highest Telephone Use PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her highest level of performance.ADCS-ADL - Description of Highest Performance of Telephone Use
ADL0108C105293ADL01-Watch TelevisionAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} watch television?ADCS-ADL - Watch Television
ADL0108AC105294ADL01-Select Television ProgramAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} usually select or ask for different programs or his/her favorite show?ADCS-ADL - Select or Ask for Television Program
ADL0108BC105295ADL01-Talk About TV Content While WatchAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} usually talk about the content of a program while watching it?ADCS-ADL - Talk About TV Content While Watching
ADL0108CC105296ADL01-Talk About TV Content Within a DayAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} talk about the content of a program within a day (24 hours) after watching it?ADCS-ADL - Talk About TV Content Within a Day After Watching
ADL0109C105297ADL01-Pay Attention to ConversationAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} ever appear to pay attention to conversation or small talk for at least 5 minutes?ADCS-ADL - Pay Attention to Conversation
ADL0109AC105298ADL01-Usual Conversation ParticipationAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her usual degree of participation.ADCS-ADL - Usual Conversation Participation
ADL0110C105299ADL01-Clear DishesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} clear the dishes from the table after a meal or snack?ADCS-ADL - Clear Dishes After Meal or Snack
ADL0110AC105300ADL01-Clear Dishes Usual PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes how he/she usually performed.ADCS-ADL - Description of Usual Performance of Clearing Dishes
ADL0111C105301ADL01-Find BelongingsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} usually manage to find his/her personal belongings at home?ADCS-ADL - Find Personal Belongings at Home
ADL0111AC105302ADL01-Find Belongings Usual PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes how he/she usually performed.ADCS-ADL - Description of Usual Performance of Finding Personal Belonging at Home
ADL0112C105303ADL01-Obtain BeverageAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} obtain a hot or cold beverage for him/herself?ADCS-ADL - Obtain Beverage for Self
ADL0112AC105304ADL01-Obtain Beverage Highest PerformAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her highest level of performance.ADCS-ADL - Description of Highest Performance of Obtaining Beverage
ADL0113C105305ADL01-Make a MealAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} make him/herself a meal or snack at home?ADCS-ADL - Make a Meal or Snack at Home
ADL0113AC105306ADL01-Highest Level of Food PreparationAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her highest level of food preparation.ADCS-ADL - Highest Level of Food Preparation
ADL0114C105307ADL01-Dispose of GarbageAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} dispose of garbage or litter in an appropriate place or container at home?ADCS-ADL - Dispose of Garbage in Appropriate Place at Home
ADL0114AC105308ADL01-Dispose Garbage Usual PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes how he/she usually performed.ADCS-ADL - Description of Usual Performance of Garbage Disposal
ADL0115C105309ADL01-Get Around Outside HomeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} get around (or travel) outside of his/her home?ADCS-ADL - Get Around Outside Home
ADL0115AC105310ADL01-Get Around Optimal PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her optimal performance.ADCS-ADL - Description of Optimal Performance of Getting Around Outside of Home
ADL0116C105311ADL01-Go ShoppingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} ever go shopping?ADCS-ADL - Go Shopping
ADL0116AC105312ADL01-How Usually Selects ItemsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which one best describes how {S} usually selects items.ADCS-ADL - How Subject Usually Selects Items
ADL0116BC105313ADL01-Pay Without SupervisionAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} usually pay for items without supervision or physical help?ADCS-ADL - Pay for Items Without Supervision or Physical Help
ADL0117C105314ADL01-Keep AppointmentsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} keep appointments or meetings with other people, such as relatives, a doctor, the hairdresser, etc.?ADCS-ADL - Keep Appointments or Meetings with Others
ADL0117AC105315ADL01-Aware of Appointment Ahead of TimeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her awareness of the meeting ahead of time.ADCS-ADL - Description of Awareness of Appointment Ahead of Time
ADL0118C105316ADL01-Left On His/Her OwnAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, was {S} ever left on his/her own?ADCS-ADL - Subject Left on Their Own
ADL0118AC105317ADL01-Left Away From HomeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Was {S} left away from home, for 15 minutes or longer, during the day?ADCS-ADL - Left Away From Home for Fifteen Minutes or Longer
ADL0118BC105318ADL01-Left at Home for 1 Hour or LongerAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Was {S} left: at home, for an hour or longer, during the day?ADCS-ADL - Left at Home for One Hour or Longer
ADL0118CC105319ADL01-Left at Home for Less Than 1 HourAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Was {S} left at home, for less than 1 hour, during the day?ADCS-ADL - Left at Home for Less Than One Hour
ADL0119C105320ADL01-Talk About Current EventsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} talk about current events?ADCS-ADL - Talk About Current Events
ADL0119AC105321ADL01-Talk About Events Heard/Read AboutAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} talk about events that he/she heard or read about or saw on TV but did not take part in?ADCS-ADL - Talk About Events on TV that Subject Did not Take Part In
ADL0119BC105322ADL01-Talk About Outside EventsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} talk about events that he/she took part in outside home involving family, friends, or neighbors?ADCS-ADL - Talk About Events Outside of Home that Subject Took Part In
ADL0119CC105323ADL01-Talk About at Home EventsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} talk about events that occurred at home that he/she took part in or watched?ADCS-ADL - Talk About Events at Home that Subject Took Part in or Watched
ADL0120C105324ADL01-Read More Than 5 MinutesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} read a magazine, newspaper or book for more than 5 minutes at a time?ADCS-ADL - Read for More Than Five Minutes
ADL0120AC105325ADL01-Talk Within 1 Hour After ReadingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} usually talk about details of what he/she read while or shortly (less than 1 hour) after reading?ADCS-ADL - Talk About What Subject Read Less Than One Hour After Reading
ADL0120BC105326ADL01-Talk 1 Hour or More After ReadingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} usually talk about what he/she read 1 hour or longer after reading?ADCS-ADL - Talk About What Subject Read More Than One Hour After Reading
ADL0121C105327ADL01-Write Things DownAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} ever write things down?ADCS-ADL - Write Things Down
ADL0121AC105328ADL01-Most Complicated WritingsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes the most complicated things that he/she wrote.ADCS-ADL - Description of Most Complicated Writings
ADL0122C105329ADL01-Perform PastimeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} perform a pastime, hobby or game?ADCS-ADL - Perform Pastime, Hobby or Game
ADL0122AC105330ADL01-Pastime: Card or Board GamesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: Card or board games.ADCS-ADL - Pastime: Card or Board Games
ADL0122BC105331ADL01-Pastime: BingoAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: bingo.ADCS-ADL - Pastime: Bingo
ADL0122CC105332ADL01-Pastime: CrosswordsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: crosswords.ADCS-ADL - Pastime: Crosswords
ADL0122DC105333ADL01-Pastime: ArtAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: art.ADCS-ADL - Pastime: Art
ADL0122EC105334ADL01-Pastime: Musical InstrumentAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: musical instrument.ADCS-ADL - Pastime: Musical Instrument
ADL0122FC105335ADL01-Pastime: KnittingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: knitting.ADCS-ADL - Pastime: Knitting
ADL0122GC105336ADL01-Pastime: SewingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: sewing.ADCS-ADL - Pastime: Sewing
ADL0122HC105337ADL01-Pastime: ReadingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: reading.ADCS-ADL - Pastime: Reading
ADL0122IC105338ADL01-Pastime: GardeningAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: gardening.ADCS-ADL - Pastime: Gardening
ADL0122JC105339ADL01-Pastime: GolfAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: golf.ADCS-ADL - Pastime: Golf
ADL0122KC105340ADL01-Pastime: TennisAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: tennis.ADCS-ADL - Pastime: Tennis
ADL0122LC105341ADL01-Pastime: WorkshopAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: workshop.ADCS-ADL - Pastime: Workshop
ADL0122MC105342ADL01-Pastime: FishingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: fishing.ADCS-ADL - Pastime: Fishing
ADL0122NC105343ADL01-Pastime: OtherAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: other.ADCS-ADL - Pastime: Other
ADL0122OC105344ADL01-Pastime: Other SpecifyAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: other specify.ADCS-ADL - Pastime: Other Specify
ADL0122PC105345ADL01-Hobbies Only at Day CareAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If {S} performs hobbies/pastimes only at day care, check here.ADCS-ADL - Performed Hobbies Only at Day Care
ADL0122QC105346ADL01-Usual Common Pastimes PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, how did {S} usually perform his/her most common pastimes.ADCS-ADL - Description of Usual Performance of Common Pastimes
ADL0123C105347ADL01-Use Household ApplianceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} use a household appliance to do chores?ADCS-ADL - Use Household Appliance to do Chores
ADL0123AC105348ADL01-Appliance: WasherAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: washer.ADCS-ADL - Appliance: Washer
ADL0123BC105349ADL01-Appliance: DryerAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: dryer.ADCS-ADL - Appliance: Dryer
ADL0123CC105350ADL01-Appliance: VacuumAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: vacuum.ADCS-ADL - Appliance: Vacuum
ADL0123DC105351ADL01-Appliance: DishwasherAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: dishwasher.ADCS-ADL - Appliance: Dishwasher
ADL0123EC105352ADL01-Appliance: ToasterAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: toaster.ADCS-ADL - Appliance: Toaster
ADL0123FC105353ADL01-Appliance: Toaster OvenAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: toaster oven.ADCS-ADL - Appliance: Toaster Oven
ADL0123GC105354ADL01-Appliance: RangeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: range.ADCS-ADL - Appliance: Range
ADL0123HC105355ADL01-Appliance: MicrowaveAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: microwave.ADCS-ADL - Appliance: Microwave
ADL0123IC105356ADL01-Appliance: Food ProcessorAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: food processor.ADCS-ADL - Appliance: Food Processor
ADL0123JC105357ADL01-Appliance: OtherAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: other.ADCS-ADL - Appliance: Other
ADL0123KC105358ADL01-Appliance: Other SpecifyAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: other specify.ADCS-ADL - Appliance: Other Specify
ADL0123LC105359ADL01-Use Common Used AppliancesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, for the most commonly used appliances, which best describes how {S} usually used them.ADCS-ADL - Description of Usual Use of Commonly Used Appliances
ADL0124C105360ADL01-Total ADCS-ADL ScoreAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Total Score.ADCS-ADL - Total Score
ADL0125C105361ADL01-Number Don't Know ResponsesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Number of 'Don't Know' Responses.ADCS-ADL - Number of 'Don't Know' Responses
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CL.C105139.ADL01TNAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Questionnaire Test Name
(ADL01TN)
text
Extensible: No
C105139Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Questionnaire Test NameAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory test name.CDISC Questionnaire ADCS-ADL Test Name Terminology
ADL01-Appliance: DishwasherC105351ADL01-Appliance: DishwasherAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: dishwasher.ADCS-ADL - Appliance: Dishwasher
ADL01-Appliance: DryerC105349ADL01-Appliance: DryerAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: dryer.ADCS-ADL - Appliance: Dryer
ADL01-Appliance: Food ProcessorC105356ADL01-Appliance: Food ProcessorAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: food processor.ADCS-ADL - Appliance: Food Processor
ADL01-Appliance: MicrowaveC105355ADL01-Appliance: MicrowaveAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: microwave.ADCS-ADL - Appliance: Microwave
ADL01-Appliance: Other SpecifyC105358ADL01-Appliance: Other SpecifyAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: other specify.ADCS-ADL - Appliance: Other Specify
ADL01-Appliance: OtherC105357ADL01-Appliance: OtherAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: other.ADCS-ADL - Appliance: Other
ADL01-Appliance: RangeC105354ADL01-Appliance: RangeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: range.ADCS-ADL - Appliance: Range
ADL01-Appliance: Toaster OvenC105353ADL01-Appliance: Toaster OvenAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: toaster oven.ADCS-ADL - Appliance: Toaster Oven
ADL01-Appliance: ToasterC105352ADL01-Appliance: ToasterAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: toaster.ADCS-ADL - Appliance: Toaster
ADL01-Appliance: VacuumC105350ADL01-Appliance: VacuumAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: vacuum.ADCS-ADL - Appliance: Vacuum
ADL01-Appliance: WasherC105348ADL01-Appliance: WasherAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: washer.ADCS-ADL - Appliance: Washer
ADL01-Aware of Appointment Ahead of TimeC105315ADL01-Aware of Appointment Ahead of TimeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her awareness of the meeting ahead of time.ADCS-ADL - Description of Awareness of Appointment Ahead of Time
ADL01-Clear Dishes Usual PerformanceC105300ADL01-Clear Dishes Usual PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes how he/she usually performed.ADCS-ADL - Description of Usual Performance of Clearing Dishes
ADL01-Clear DishesC105299ADL01-Clear DishesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} clear the dishes from the table after a meal or snack?ADCS-ADL - Clear Dishes After Meal or Snack
ADL01-Dispose Garbage Usual PerformanceC105308ADL01-Dispose Garbage Usual PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes how he/she usually performed.ADCS-ADL - Description of Usual Performance of Garbage Disposal
ADL01-Dispose of GarbageC105307ADL01-Dispose of GarbageAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} dispose of garbage or litter in an appropriate place or container at home?ADCS-ADL - Dispose of Garbage in Appropriate Place at Home
ADL01-Find Belongings Usual PerformanceC105302ADL01-Find Belongings Usual PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes how he/she usually performed.ADCS-ADL - Description of Usual Performance of Finding Personal Belonging at Home
ADL01-Find BelongingsC105301ADL01-Find BelongingsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} usually manage to find his/her personal belongings at home?ADCS-ADL - Find Personal Belongings at Home
ADL01-Get Around Optimal PerformanceC105310ADL01-Get Around Optimal PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her optimal performance.ADCS-ADL - Description of Optimal Performance of Getting Around Outside of Home
ADL01-Get Around Outside HomeC105309ADL01-Get Around Outside HomeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} get around (or travel) outside of his/her home?ADCS-ADL - Get Around Outside Home
ADL01-Go ShoppingC105311ADL01-Go ShoppingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} ever go shopping?ADCS-ADL - Go Shopping
ADL01-Highest Level of Food PreparationC105306ADL01-Highest Level of Food PreparationAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her highest level of food preparation.ADCS-ADL - Highest Level of Food Preparation
ADL01-Highest Telephone Use PerformanceC105292ADL01-Highest Telephone Use PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her highest level of performance.ADCS-ADL - Description of Highest Performance of Telephone Use
ADL01-Hobbies Only at Day CareC105345ADL01-Hobbies Only at Day CareAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If {S} performs hobbies/pastimes only at day care, check here.ADCS-ADL - Performed Hobbies Only at Day Care
ADL01-How Usually Selects ItemsC105312ADL01-How Usually Selects ItemsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which one best describes how {S} usually selects items.ADCS-ADL - How Subject Usually Selects Items
ADL01-Keep AppointmentsC105314ADL01-Keep AppointmentsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} keep appointments or meetings with other people, such as relatives, a doctor, the hairdresser, etc.?ADCS-ADL - Keep Appointments or Meetings with Others
ADL01-Left at Home for 1 Hour or LongerC105318ADL01-Left at Home for 1 Hour or LongerAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Was {S} left: at home, for an hour or longer, during the day?ADCS-ADL - Left at Home for One Hour or Longer
ADL01-Left at Home for Less Than 1 HourC105319ADL01-Left at Home for Less Than 1 HourAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Was {S} left at home, for less than 1 hour, during the day?ADCS-ADL - Left at Home for Less Than One Hour
ADL01-Left Away From HomeC105317ADL01-Left Away From HomeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Was {S} left away from home, for 15 minutes or longer, during the day?ADCS-ADL - Left Away From Home for Fifteen Minutes or Longer
ADL01-Left On His/Her OwnC105316ADL01-Left On His/Her OwnAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, was {S} ever left on his/her own?ADCS-ADL - Subject Left on Their Own
ADL01-Make a MealC105305ADL01-Make a MealAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} make him/herself a meal or snack at home?ADCS-ADL - Make a Meal or Snack at Home
ADL01-Most Complicated WritingsC105328ADL01-Most Complicated WritingsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes the most complicated things that he/she wrote.ADCS-ADL - Description of Most Complicated Writings
ADL01-Number Don't Know ResponsesC105361ADL01-Number Don't Know ResponsesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Number of 'Don't Know' Responses.ADCS-ADL - Number of 'Don't Know' Responses
ADL01-Obtain Beverage Highest PerformC105304ADL01-Obtain Beverage Highest PerformAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her highest level of performance.ADCS-ADL - Description of Highest Performance of Obtaining Beverage
ADL01-Obtain BeverageC105303ADL01-Obtain BeverageAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} obtain a hot or cold beverage for him/herself?ADCS-ADL - Obtain Beverage for Self
ADL01-Optimal Grooming PerformanceC105287ADL01-Optimal Grooming PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding grooming, in the past 4 weeks, which best describes his/her optimal performance.ADCS-ADL - Description of Optimal Performance of Grooming
ADL01-Optimal Walking PerformanceC105284ADL01-Optimal Walking PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding walking (or getting around in a wheelchair), in the past 4 weeks, which best describes his/her optimal performance.ADCS-ADL - Description of Optimal Performance of Walking
ADL01-Pastime: ArtC105333ADL01-Pastime: ArtAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: art.ADCS-ADL - Pastime: Art
ADL01-Pastime: BingoC105331ADL01-Pastime: BingoAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: bingo.ADCS-ADL - Pastime: Bingo
ADL01-Pastime: Card or Board GamesC105330ADL01-Pastime: Card or Board GamesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: Card or board games.ADCS-ADL - Pastime: Card or Board Games
ADL01-Pastime: CrosswordsC105332ADL01-Pastime: CrosswordsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: crosswords.ADCS-ADL - Pastime: Crosswords
ADL01-Pastime: FishingC105342ADL01-Pastime: FishingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: fishing.ADCS-ADL - Pastime: Fishing
ADL01-Pastime: GardeningC105338ADL01-Pastime: GardeningAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: gardening.ADCS-ADL - Pastime: Gardening
ADL01-Pastime: GolfC105339ADL01-Pastime: GolfAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: golf.ADCS-ADL - Pastime: Golf
ADL01-Pastime: KnittingC105335ADL01-Pastime: KnittingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: knitting.ADCS-ADL - Pastime: Knitting
ADL01-Pastime: Musical InstrumentC105334ADL01-Pastime: Musical InstrumentAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: musical instrument.ADCS-ADL - Pastime: Musical Instrument
ADL01-Pastime: Other SpecifyC105344ADL01-Pastime: Other SpecifyAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: other specify.ADCS-ADL - Pastime: Other Specify
ADL01-Pastime: OtherC105343ADL01-Pastime: OtherAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: other.ADCS-ADL - Pastime: Other
ADL01-Pastime: ReadingC105337ADL01-Pastime: ReadingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: reading.ADCS-ADL - Pastime: Reading
ADL01-Pastime: SewingC105336ADL01-Pastime: SewingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: sewing.ADCS-ADL - Pastime: Sewing
ADL01-Pastime: TennisC105340ADL01-Pastime: TennisAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: tennis.ADCS-ADL - Pastime: Tennis
ADL01-Pastime: WorkshopC105341ADL01-Pastime: WorkshopAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: workshop.ADCS-ADL - Pastime: Workshop
ADL01-Pay Attention to ConversationC105297ADL01-Pay Attention to ConversationAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} ever appear to pay attention to conversation or small talk for at least 5 minutes?ADCS-ADL - Pay Attention to Conversation
ADL01-Pay Without SupervisionC105313ADL01-Pay Without SupervisionAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} usually pay for items without supervision or physical help?ADCS-ADL - Pay for Items Without Supervision or Physical Help
ADL01-Perform PastimeC105329ADL01-Perform PastimeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} perform a pastime, hobby or game?ADCS-ADL - Perform Pastime, Hobby or Game
ADL01-Read More Than 5 MinutesC105324ADL01-Read More Than 5 MinutesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} read a magazine, newspaper or book for more than 5 minutes at a time?ADCS-ADL - Read for More Than Five Minutes
ADL01-Select First Clothes for the DayC105288ADL01-Select First Clothes for the DayAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding dressing in the past 4 weeks: Did {S} select his/her first set of clothes for the day?ADCS-ADL - Select First Clothes for the Day
ADL01-Select Television ProgramC105294ADL01-Select Television ProgramAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} usually select or ask for different programs or his/her favorite show?ADCS-ADL - Select or Ask for Television Program
ADL01-Talk 1 Hour or More After ReadingC105326ADL01-Talk 1 Hour or More After ReadingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} usually talk about what he/she read 1 hour or longer after reading?ADCS-ADL - Talk About What Subject Read More Than One Hour After Reading
ADL01-Talk About at Home EventsC105323ADL01-Talk About at Home EventsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} talk about events that occurred at home that he/she took part in or watched?ADCS-ADL - Talk About Events at Home that Subject Took Part in or Watched
ADL01-Talk About Current EventsC105320ADL01-Talk About Current EventsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} talk about current events?ADCS-ADL - Talk About Current Events
ADL01-Talk About Events Heard/Read AboutC105321ADL01-Talk About Events Heard/Read AboutAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} talk about events that he/she heard or read about or saw on TV but did not take part in?ADCS-ADL - Talk About Events on TV that Subject Did not Take Part In
ADL01-Talk About Outside EventsC105322ADL01-Talk About Outside EventsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} talk about events that he/she took part in outside home involving family, friends, or neighbors?ADCS-ADL - Talk About Events Outside of Home that Subject Took Part In
ADL01-Talk About TV Content While WatchC105295ADL01-Talk About TV Content While WatchAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} usually talk about the content of a program while watching it?ADCS-ADL - Talk About TV Content While Watching
ADL01-Talk About TV Content Within a DayC105296ADL01-Talk About TV Content Within a DayAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} talk about the content of a program within a day (24 hours) after watching it?ADCS-ADL - Talk About TV Content Within a Day After Watching
ADL01-Talk Within 1 Hour After ReadingC105325ADL01-Talk Within 1 Hour After ReadingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} usually talk about details of what he/she read while or shortly (less than 1 hour) after reading?ADCS-ADL - Talk About What Subject Read Less Than One Hour After Reading
ADL01-Total ADCS-ADL ScoreC105360ADL01-Total ADCS-ADL ScoreAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Total Score.ADCS-ADL - Total Score
ADL01-Use a TelephoneC105291ADL01-Use a TelephoneAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} use a telephone?ADCS-ADL - Use a Telephone
ADL01-Use Common Used AppliancesC105359ADL01-Use Common Used AppliancesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, for the most commonly used appliances, which best describes how {S} usually used them.ADCS-ADL - Description of Usual Use of Commonly Used Appliances
ADL01-Use Household ApplianceC105347ADL01-Use Household ApplianceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} use a household appliance to do chores?ADCS-ADL - Use Household Appliance to do Chores
ADL01-Usual Bathing PerformanceC105286ADL01-Usual Bathing PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding bathing, in the past 4 weeks, which best describes his/her usual performance.ADCS-ADL - Description of Usual Performance of Bathing
ADL01-Usual Bowel/Bladder FunctionC105285ADL01-Usual Bowel/Bladder FunctionAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding bowel and bladder function at the toilet, which best describes his/her usual performance in the past 4 weeks.ADCS-ADL - Usual Bowel and Bladder Function at Toilet
ADL01-Usual Common Pastimes PerformanceC105346ADL01-Usual Common Pastimes PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, how did {S} usually perform his/her most common pastimes.ADCS-ADL - Description of Usual Performance of Common Pastimes
ADL01-Usual Conversation ParticipationC105298ADL01-Usual Conversation ParticipationAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her usual degree of participation.ADCS-ADL - Usual Conversation Participation
ADL01-Usual Dressing PerformanceC105289ADL01-Usual Dressing PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes usual performance.ADCS-ADL - Description of Usual Performance of Dressing
ADL01-Usual Eating PerformanceC105283ADL01-Usual Eating PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding eating: which best describes {S} usual performance during the past 4 weeks?ADCS-ADL - Description of Usual Performance of Eating
ADL01-Usual Physically Dressing PerformC105290ADL01-Usual Physically Dressing PerformAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding physically getting dressed, which best describes his/her usual performance in the past 4 weeks.ADCS-ADL - Description of Usual Performance of Physically Getting Dressed
ADL01-Watch TelevisionC105293ADL01-Watch TelevisionAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} watch television?ADCS-ADL - Watch Television
ADL01-Write Things DownC105327ADL01-Write Things DownAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} ever write things down?ADCS-ADL - Write Things Down
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CL.C106653.ADL02TCAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Severe Dementia Version Questionnaire Test Code
(ADL02TC)
text
Extensible: No
C106653Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Severe Dementia Version Questionnaire Test CodeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Severe Dementia Version test code.CDISC Questionnaire ADCS-ADL Severe Dementia Test Code Terminology
ADL0201C106979ADL02-Usual Eating PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding eating, which best describes {S} usual performance during the last 4 weeks?ADCS-ADL Severe Dementia - Description of Usual Performance of Eating
ADL0202C106980ADL02-Optimal Walking PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding walking (or getting around in a wheelchair) in the past 4 weeks, which best describes {S} optimal performance?ADCS-ADL Severe Dementia - Description of Optimal Performance of Walking
ADL0203C106981ADL02-Usual Bowel/Bladder FunctionAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding bowel and bladder function at the toilet, which best describes {S} usual performance during the past 4 weeks?ADCS-ADL Severe Dementia - Usual Bowel and Bladder Function at Toilet
ADL0204C106982ADL02-Usual Bathing PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding bathing, in the past 4 weeks, which best describes {S} usual performance?ADCS-ADL Severe Dementia - Description of Usual Performance of Bathing
ADL0205C106983ADL02-Optimal Grooming PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding grooming, in the past 4 weeks, which best describes {S} optimal performance?ADCS-ADL Severe Dementia - Description of Optimal Performance of Grooming
ADL0206C106984ADL02-Usual Physically Dressing PerformAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding physically getting dressed, which best describes {S} usual performance in the past 4 weeks?ADCS-ADL Severe Dementia - Description of Usual Performance of Physically Getting Dressed
ADL0207C106985ADL02-Use a TelephoneAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} use a telephone?ADCS-ADL Severe Dementia - Use a Telephone
ADL0207AC106986ADL02-Highest Telephone Use PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes {S} highest level of performance.ADCS-ADL Severe Dementia - Description of Highest Performance of Telephone Use
ADL0208C106987ADL02-Watch TelevisionAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} watch television?ADCS-ADL Severe Dementia - Watch Television
ADL0208AC106988ADL02-Select Television ProgramAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Did {S} usually select or ask for different programs or {S} favorite show?ADCS-ADL Severe Dementia - Select or Ask for Television Program
ADL0208BC106989ADL02-Talk About TV Content While WatchAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Did {S} usually talk about the content of a program while watching it?ADCS-ADL Severe Dementia - Talk About TV Content While Watching
ADL0208CC106990ADL02-Talk About TV Content Within a DayAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Did {S} talk about the content of a program within a day (24 hours) after watching it?ADCS-ADL Severe Dementia - Talk About TV Content Within a Day After Watching
ADL0209C106991ADL02-Pay Attention to ConversationAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} ever appear to pay attention to conversation or small talk for at least 5 minutes?ADCS-ADL Severe Dementia - Pay Attention to Conversation
ADL0209AC106992ADL02-Usual Conversation ParticipationAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes {S} usual degree of participation.ADCS-ADL Severe Dementia - Usual Conversation Participation
ADL0210C106993ADL02-Clear DishesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Did {S} clear the dishes from the table after a meal or snack?ADCS-ADL Severe Dementia - Clear Dishes After Meal or Snack
ADL0210AC106994ADL02-Clear Dishes Usual PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes how {S} usually performed.ADCS-ADL Severe Dementia - Description of Usual Performance of Clearing Dishes
ADL0211C106995ADL02-Find BelongingsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} usually manage to find his/her personal belongings at home?ADCS-ADL Severe Dementia - Find Personal Belongings at Home
ADL0211AC106996ADL02-Find Belongings Usual PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes how {S} usually performed.ADCS-ADL Severe Dementia - Description of Usual Performance of Finding Personal Belonging at Home
ADL0212C106997ADL02-Obtain BeverageAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} obtain a hot or cold beverage for him/herself?ADCS-ADL Severe Dementia - Obtain Beverage for Self
ADL0212AC106998ADL02-Obtain Beverage Highest PerformAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes {S} highest level of performance.ADCS-ADL Severe Dementia - Description of Highest Performance of Obtaining Beverage
ADL0213C106999ADL02-Dispose of GarbageAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} dispose of garbage or litter in an appropriate place or container at home?ADCS-ADL Severe Dementia - Dispose of Garbage in Appropriate Place at Home
ADL0213AC107000ADL02-Dispose Garbage Usual PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes how {S} usually performed.ADCS-ADL Severe Dementia - Description of Usual Performance of Garbage Disposal
ADL0214C107001ADL02-Get Around Outside HomeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} get around (or travel) outside of his/her home?ADCS-ADL Severe Dementia - Get Around Outside Home
ADL0214AC107002ADL02-Get Around Optimal PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes {S} optimal performance.ADCS-ADL Severe Dementia - Description of Optimal Performance of Getting Around Outside of Home
ADL0215C107003ADL02-Left On His/Her OwnAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, was {S} ever left on his/her own?ADCS-ADL Severe Dementia - Subject Left on Their Own
ADL0215AC107004ADL02-Left Away From HomeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Was {S} left: away from home for 15 minutes or longer, during the day?ADCS-ADL Severe Dementia - Alone Away From Home for Fifteen Minutes or Longer
ADL0215BC107005ADL02-Left at Home for 1 Hour or LongerAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Was {S} left: at home for an hour or longer during the day?ADCS-ADL Severe Dementia - Alone at Home for One Hour or Longer
ADL0215CC107006ADL02-Left at Home for Less Than 1 HourAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Was {S} left: at home for less than 1 hour during the day?ADCS-ADL Severe Dementia - Alone at Home for Less Than One Hour
ADL0216C107007ADL02-Run Water Faucet to WashAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} usually run water from a faucet to wash {S} hands or face without help?ADCS-ADL Severe Dementia - Turn On Faucet to Wash Without Help
ADL0217C107008ADL02-Turn Off FaucetAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} usually turn off the faucet after finishing running water without help?ADCS-ADL Severe Dementia - Turn Off Faucet After Wash Without Help
ADL0218C107009ADL02-Turn On LightAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} usually turn on a light without help when entering a dark room or area?ADCS-ADL Severe Dementia - Turn On Light Without Help Entering Room
ADL0219C107010ADL02-Turn Off LightAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} usually turn off lights without help when leaving a room or going to sleep?ADCS-ADL Severe Dementia - Turn Off Light Without Help Leaving Room
ADL0220C107011ADL02-Sum 1 to 5Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Sum of Items 1-5.ADCS-ADL Severe Dementia - Sum of Items 1-5
ADL0221C107012ADL02-Sum 6 to 8Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Sum of Items 6-8.ADCS-ADL Severe Dementia - Sum of Items 6-8
ADL0222C107013ADL02-Sum 9 to 12Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Sum of Items 9-12.ADCS-ADL Severe Dementia - Sum of Items 9-12
ADL0223C107014ADL02-Sum 13 to 15Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Sum of Items 13-15.ADCS-ADL Severe Dementia - Sum of Items 13-15
ADL0224C107015ADL02-Sum 16 to 19Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Sum of Items 16-19.ADCS-ADL Severe Dementia - Sum of Items 16-19
ADL0225C107016ADL02-Total ADCS-ADL ScoreAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Total Score.ADCS-ADL Severe Dementia - Total Score
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CL.C106652.ADL02TNAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Severe Dementia Version Questionnaire Test Name
(ADL02TN)
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Extensible: No
C106652Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Severe Dementia Version Questionnaire Test NameAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Severe Dementia Version test name.CDISC Questionnaire ADCS-ADL Severe Dementia Test Name Terminology
ADL02-Clear Dishes Usual PerformanceC106994ADL02-Clear Dishes Usual PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes how {S} usually performed.ADCS-ADL Severe Dementia - Description of Usual Performance of Clearing Dishes
ADL02-Clear DishesC106993ADL02-Clear DishesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Did {S} clear the dishes from the table after a meal or snack?ADCS-ADL Severe Dementia - Clear Dishes After Meal or Snack
ADL02-Dispose Garbage Usual PerformanceC107000ADL02-Dispose Garbage Usual PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes how {S} usually performed.ADCS-ADL Severe Dementia - Description of Usual Performance of Garbage Disposal
ADL02-Dispose of GarbageC106999ADL02-Dispose of GarbageAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} dispose of garbage or litter in an appropriate place or container at home?ADCS-ADL Severe Dementia - Dispose of Garbage in Appropriate Place at Home
ADL02-Find Belongings Usual PerformanceC106996ADL02-Find Belongings Usual PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes how {S} usually performed.ADCS-ADL Severe Dementia - Description of Usual Performance of Finding Personal Belonging at Home
ADL02-Find BelongingsC106995ADL02-Find BelongingsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} usually manage to find his/her personal belongings at home?ADCS-ADL Severe Dementia - Find Personal Belongings at Home
ADL02-Get Around Optimal PerformanceC107002ADL02-Get Around Optimal PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes {S} optimal performance.ADCS-ADL Severe Dementia - Description of Optimal Performance of Getting Around Outside of Home
ADL02-Get Around Outside HomeC107001ADL02-Get Around Outside HomeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} get around (or travel) outside of his/her home?ADCS-ADL Severe Dementia - Get Around Outside Home
ADL02-Highest Telephone Use PerformanceC106986ADL02-Highest Telephone Use PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes {S} highest level of performance.ADCS-ADL Severe Dementia - Description of Highest Performance of Telephone Use
ADL02-Left at Home for 1 Hour or LongerC107005ADL02-Left at Home for 1 Hour or LongerAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Was {S} left: at home for an hour or longer during the day?ADCS-ADL Severe Dementia - Alone at Home for One Hour or Longer
ADL02-Left at Home for Less Than 1 HourC107006ADL02-Left at Home for Less Than 1 HourAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Was {S} left: at home for less than 1 hour during the day?ADCS-ADL Severe Dementia - Alone at Home for Less Than One Hour
ADL02-Left Away From HomeC107004ADL02-Left Away From HomeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Was {S} left: away from home for 15 minutes or longer, during the day?ADCS-ADL Severe Dementia - Alone Away From Home for Fifteen Minutes or Longer
ADL02-Left On His/Her OwnC107003ADL02-Left On His/Her OwnAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, was {S} ever left on his/her own?ADCS-ADL Severe Dementia - Subject Left on Their Own
ADL02-Obtain Beverage Highest PerformC106998ADL02-Obtain Beverage Highest PerformAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes {S} highest level of performance.ADCS-ADL Severe Dementia - Description of Highest Performance of Obtaining Beverage
ADL02-Obtain BeverageC106997ADL02-Obtain BeverageAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} obtain a hot or cold beverage for him/herself?ADCS-ADL Severe Dementia - Obtain Beverage for Self
ADL02-Optimal Grooming PerformanceC106983ADL02-Optimal Grooming PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding grooming, in the past 4 weeks, which best describes {S} optimal performance?ADCS-ADL Severe Dementia - Description of Optimal Performance of Grooming
ADL02-Optimal Walking PerformanceC106980ADL02-Optimal Walking PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding walking (or getting around in a wheelchair) in the past 4 weeks, which best describes {S} optimal performance?ADCS-ADL Severe Dementia - Description of Optimal Performance of Walking
ADL02-Pay Attention to ConversationC106991ADL02-Pay Attention to ConversationAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} ever appear to pay attention to conversation or small talk for at least 5 minutes?ADCS-ADL Severe Dementia - Pay Attention to Conversation
ADL02-Run Water Faucet to WashC107007ADL02-Run Water Faucet to WashAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} usually run water from a faucet to wash {S} hands or face without help?ADCS-ADL Severe Dementia - Turn On Faucet to Wash Without Help
ADL02-Select Television ProgramC106988ADL02-Select Television ProgramAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Did {S} usually select or ask for different programs or {S} favorite show?ADCS-ADL Severe Dementia - Select or Ask for Television Program
ADL02-Sum 1 to 5C107011ADL02-Sum 1 to 5Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Sum of Items 1-5.ADCS-ADL Severe Dementia - Sum of Items 1-5
ADL02-Sum 13 to 15C107014ADL02-Sum 13 to 15Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Sum of Items 13-15.ADCS-ADL Severe Dementia - Sum of Items 13-15
ADL02-Sum 16 to 19C107015ADL02-Sum 16 to 19Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Sum of Items 16-19.ADCS-ADL Severe Dementia - Sum of Items 16-19
ADL02-Sum 6 to 8C107012ADL02-Sum 6 to 8Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Sum of Items 6-8.ADCS-ADL Severe Dementia - Sum of Items 6-8
ADL02-Sum 9 to 12C107013ADL02-Sum 9 to 12Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Sum of Items 9-12.ADCS-ADL Severe Dementia - Sum of Items 9-12
ADL02-Talk About TV Content While WatchC106989ADL02-Talk About TV Content While WatchAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Did {S} usually talk about the content of a program while watching it?ADCS-ADL Severe Dementia - Talk About TV Content While Watching
ADL02-Talk About TV Content Within a DayC106990ADL02-Talk About TV Content Within a DayAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Did {S} talk about the content of a program within a day (24 hours) after watching it?ADCS-ADL Severe Dementia - Talk About TV Content Within a Day After Watching
ADL02-Total ADCS-ADL ScoreC107016ADL02-Total ADCS-ADL ScoreAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Total Score.ADCS-ADL Severe Dementia - Total Score
ADL02-Turn Off FaucetC107008ADL02-Turn Off FaucetAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} usually turn off the faucet after finishing running water without help?ADCS-ADL Severe Dementia - Turn Off Faucet After Wash Without Help
ADL02-Turn Off LightC107010ADL02-Turn Off LightAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} usually turn off lights without help when leaving a room or going to sleep?ADCS-ADL Severe Dementia - Turn Off Light Without Help Leaving Room
ADL02-Turn On LightC107009ADL02-Turn On LightAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} usually turn on a light without help when entering a dark room or area?ADCS-ADL Severe Dementia - Turn On Light Without Help Entering Room
ADL02-Use a TelephoneC106985ADL02-Use a TelephoneAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} use a telephone?ADCS-ADL Severe Dementia - Use a Telephone
ADL02-Usual Bathing PerformanceC106982ADL02-Usual Bathing PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding bathing, in the past 4 weeks, which best describes {S} usual performance?ADCS-ADL Severe Dementia - Description of Usual Performance of Bathing
ADL02-Usual Bowel/Bladder FunctionC106981ADL02-Usual Bowel/Bladder FunctionAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding bowel and bladder function at the toilet, which best describes {S} usual performance during the past 4 weeks?ADCS-ADL Severe Dementia - Usual Bowel and Bladder Function at Toilet
ADL02-Usual Conversation ParticipationC106992ADL02-Usual Conversation ParticipationAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes {S} usual degree of participation.ADCS-ADL Severe Dementia - Usual Conversation Participation
ADL02-Usual Eating PerformanceC106979ADL02-Usual Eating PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding eating, which best describes {S} usual performance during the last 4 weeks?ADCS-ADL Severe Dementia - Description of Usual Performance of Eating
ADL02-Usual Physically Dressing PerformC106984ADL02-Usual Physically Dressing PerformAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding physically getting dressed, which best describes {S} usual performance in the past 4 weeks?ADCS-ADL Severe Dementia - Description of Usual Performance of Physically Getting Dressed
ADL02-Watch TelevisionC106987ADL02-Watch TelevisionAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} watch television?ADCS-ADL Severe Dementia - Watch Television
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CL.C103459.ACGC01TCAlzheimer's Disease Cooperative Study-Clinical Global Impression of Change Questionnaire Test Code
(ACGC01TC)
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C103459Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change Questionnaire Test CodeAlzheimer's Disease Cooperative Study-Clinical Global Impression of Change test code.CDISC Questionnaire ADCS-CGIC Test Code Terminology
ACGC0101C103531ACGC01-Clinical Impression of ChangeAlzheimer's Disease Cooperative Study-Clinical Global Impression of Change - Clinical impression of change from baseline.ADCS-CGIC - Clinical Impression of Change from Baseline
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CL.C103458.ACGC01TNAlzheimer's Disease Cooperative Study-Clinical Global Impression of Change Questionnaire Test Name
(ACGC01TN)
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Extensible: No
C103458Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change Questionnaire Test NameAlzheimer's Disease Cooperative Study-Clinical Global Impression of Change test name.CDISC Questionnaire ADCS-CGIC Test Name Terminology
ACGC01-Clinical Impression of ChangeC103531ACGC01-Clinical Impression of ChangeAlzheimer's Disease Cooperative Study-Clinical Global Impression of Change - Clinical impression of change from baseline.ADCS-CGIC - Clinical Impression of Change from Baseline
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CL.C176047.APGR01TCApgar Score V1 Clinical Classification Test Code
(APGR01TC)
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Extensible: No
C176047Apgar Score V1 Clinical Classification Test CodeApgar Score V1 test code.CDISC Clinical Classification APGAR Score Version 1 Test Code Terminology
APGR0101C176061APGR01-Appearance/ColorApgar Score V1 - Appearance, skin color, or color score.Apgar Score Version 1 - Appearance or Color
APGR0102C176062APGR01-Pulse/Heart RateApgar Score V1 - Pulse or heart rate score.Apgar Score Version 1 - Pulse or Heart Rate
APGR0103C176063APGR01-Grimace/Reflex IrritabilityApgar Score V1 - Grimace or reflex irritability score.Apgar Score Version 1 - Grimace or Reflex Irritability
APGR0104C176064APGR01-Activity/Muscle ToneApgar Score V1 - Activity or muscle tone score.Apgar Score Version 1 - Activity or Muscle Tone
APGR0105C176065APGR01-Respiration/Respiratory EffortApgar Score V1 - Respiration or respiratory effort score.Apgar Score Version 1 - Respiration or Respiratory Effort
APGR0106C176066APGR01-Total Apgar ScoreApgar Score V1 - Total Apgar score.Apgar Score Version 1 - Total Apgar Score
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CL.C176046.APGR01TNApgar Score V1 Clinical Classification Test Name
(APGR01TN)
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Extensible: No
C176046Apgar Score V1 Clinical Classification Test NameApgar Score V1 test name.CDISC Clinical Classification APGAR Score Version 1 Test Name Terminology
APGR01-Activity/Muscle ToneC176064APGR01-Activity/Muscle ToneApgar Score V1 - Activity or muscle tone score.Apgar Score Version 1 - Activity or Muscle Tone
APGR01-Appearance/ColorC176061APGR01-Appearance/ColorApgar Score V1 - Appearance, skin color, or color score.Apgar Score Version 1 - Appearance or Color
APGR01-Grimace/Reflex IrritabilityC176063APGR01-Grimace/Reflex IrritabilityApgar Score V1 - Grimace or reflex irritability score.Apgar Score Version 1 - Grimace or Reflex Irritability
APGR01-Pulse/Heart RateC176062APGR01-Pulse/Heart RateApgar Score V1 - Pulse or heart rate score.Apgar Score Version 1 - Pulse or Heart Rate
APGR01-Respiration/Respiratory EffortC176065APGR01-Respiration/Respiratory EffortApgar Score V1 - Respiration or respiratory effort score.Apgar Score Version 1 - Respiration or Respiratory Effort
APGR01-Total Apgar ScoreC176066APGR01-Total Apgar ScoreApgar Score V1 - Total Apgar score.Apgar Score Version 1 - Total Apgar Score
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CL.C125741.ASEX01TCArizona Sexual Experiences Scale - Female Questionnaire Test Code
(ASEX01TC)
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Extensible: No
C125741Arizona Sexual Experiences Scale - Female Questionnaire Test CodeArizona Sexual Experiences Scale - Female test code.CDISC Questionnaire ASEX-Female Version Test Code Terminology
ASEX0101C125763ASEX01-Sex DriveArizona Sexual Experiences Scale Female - How strong is your sex drive?ASEX-Female Version - Sex Drive
ASEX0102C125764ASEX01-Sexually ArousedArizona Sexual Experiences Scale Female - How easily are you sexually aroused (turned on)?ASEX-Female Version - Sexually Aroused
ASEX0103C125765ASEX01-Vagina Become MoistArizona Sexual Experiences Scale Female - How easily does your vagina become moist or wet during sex?ASEX-Female Version - Vagina Become Moist
ASEX0104C125766ASEX01-Reach OrgasmArizona Sexual Experiences Scale Female - How easily can you reach an orgasm?ASEX-Female Version - Reach Orgasm
ASEX0105C125767ASEX01-Orgasms SatisfyingArizona Sexual Experiences Scale Female - Are your orgasms satisfying?ASEX-Female Version - Orgasms Satisfying
ASEX0106C129254ASEX01-CommentsArizona Sexual Experiences Scale Female - Comments.ASEX-Female Version - Comments
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CL.C125740.ASEX01TNArizona Sexual Experiences Scale - Female Questionnaire Test Name
(ASEX01TN)
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C125740Arizona Sexual Experiences Scale - Female Questionnaire Test NameArizona Sexual Experiences Scale - Female test name.CDISC Questionnaire ASEX-Female Version Test Name Terminology
ASEX01-CommentsC129254ASEX01-CommentsArizona Sexual Experiences Scale Female - Comments.ASEX-Female Version - Comments
ASEX01-Orgasms SatisfyingC125767ASEX01-Orgasms SatisfyingArizona Sexual Experiences Scale Female - Are your orgasms satisfying?ASEX-Female Version - Orgasms Satisfying
ASEX01-Reach OrgasmC125766ASEX01-Reach OrgasmArizona Sexual Experiences Scale Female - How easily can you reach an orgasm?ASEX-Female Version - Reach Orgasm
ASEX01-Sex DriveC125763ASEX01-Sex DriveArizona Sexual Experiences Scale Female - How strong is your sex drive?ASEX-Female Version - Sex Drive
ASEX01-Sexually ArousedC125764ASEX01-Sexually ArousedArizona Sexual Experiences Scale Female - How easily are you sexually aroused (turned on)?ASEX-Female Version - Sexually Aroused
ASEX01-Vagina Become MoistC125765ASEX01-Vagina Become MoistArizona Sexual Experiences Scale Female - How easily does your vagina become moist or wet during sex?ASEX-Female Version - Vagina Become Moist
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CL.C125743.ASEX02TCArizona Sexual Experiences Scale - Male Questionnaire Test Code
(ASEX02TC)
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Extensible: No
C125743Arizona Sexual Experiences Scale - Male Questionnaire Test CodeArizona Sexual Experiences Scale - Male test code.CDISC Questionnaire ASEX-Male Version Test Code Terminology
ASEX0201C125768ASEX02-Sex DriveArizona Sexual Experiences Scale Male - How strong is your sex drive?ASEX-Male Version - Sex Drive
ASEX0202C125769ASEX02-Sexually ArousedArizona Sexual Experiences Scale Male - How easily are you sexually aroused (turned on)?ASEX-Male Version - Sexually Aroused
ASEX0203C125770ASEX02-Keep ErectionArizona Sexual Experiences Scale Male - Can you easily get and keep an erection?ASEX-Male Version - Keep Erection
ASEX0204C125771ASEX02-Reach OrgasmArizona Sexual Experiences Scale Male - How easily can you reach an orgasm?ASEX-Male Version - Reach Orgasm
ASEX0205C125772ASEX02-Orgasms SatisfyingArizona Sexual Experiences Scale Male - Are your orgasms satisfying?ASEX-Male Version - Orgasms Satisfying
ASEX0206C129256ASEX02-CommentsArizona Sexual Experiences Scale Male - Comments.ASEX-Male Version - Comments
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CL.C125742.ASEX02TNArizona Sexual Experiences Scale - Male Questionnaire Test Name
(ASEX02TN)
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Extensible: No
C125742Arizona Sexual Experiences Scale - Male Questionnaire Test NameArizona Sexual Experiences Scale - Male test name.CDISC Questionnaire ASEX-Male Version Test Name Terminology
ASEX02-CommentsC129256ASEX02-CommentsArizona Sexual Experiences Scale Male - Comments.ASEX-Male Version - Comments
ASEX02-Keep ErectionC125770ASEX02-Keep ErectionArizona Sexual Experiences Scale Male - Can you easily get and keep an erection?ASEX-Male Version - Keep Erection
ASEX02-Orgasms SatisfyingC125772ASEX02-Orgasms SatisfyingArizona Sexual Experiences Scale Male - Are your orgasms satisfying?ASEX-Male Version - Orgasms Satisfying
ASEX02-Reach OrgasmC125771ASEX02-Reach OrgasmArizona Sexual Experiences Scale Male - How easily can you reach an orgasm?ASEX-Male Version - Reach Orgasm
ASEX02-Sex DriveC125768ASEX02-Sex DriveArizona Sexual Experiences Scale Male - How strong is your sex drive?ASEX-Male Version - Sex Drive
ASEX02-Sexually ArousedC125769ASEX02-Sexually ArousedArizona Sexual Experiences Scale Male - How easily are you sexually aroused (turned on)?ASEX-Male Version - Sexually Aroused
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CL.C124668.ASSG01TCASSIGN Cardiovascular Disease 10-Year Risk Score Clinical Classification Test Code
(ASSG01TC)
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Extensible: No
C124668ASSIGN Cardiovascular Disease 10-Year Risk Score Clinical Classification Test CodeASSIGN Cardiovascular Disease 10-Year Risk Score test code.CDISC Clinical Classification ASSIGN Score Test Code Terminology
ASSG0101C124721ASSG01-ASSIGN ScoreASSIGN Cardiovascular Disease 10-Year Risk Score - ASSIGN score.ASSIGN Score - Risk Score
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CL.C124667.ASSG01TNASSIGN Cardiovascular Disease 10-Year Risk Score Clinical Classification Test Name
(ASSG01TN)
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C124667ASSIGN Cardiovascular Disease 10-Year Risk Score Clinical Classification Test NameASSIGN Cardiovascular Disease 10-Year Risk Score test name.CDISC Clinical Classification ASSIGN Score Test Name Terminology
ASSG01-ASSIGN ScoreC124721ASSG01-ASSIGN ScoreASSIGN Cardiovascular Disease 10-Year Risk Score - ASSIGN score.ASSIGN Score - Risk Score
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CL.C163385.ADSD01TCAsthma Daytime Symptom Diary v1.0 Questionnaire Test Code
(ADSD01TC)
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C163385Asthma Daytime Symptom Diary v1.0 Questionnaire Test CodeAsthma Daytime Symptom Diary v1.0 test code.CDISC Questionnaire ADSD Version 1.0 Test Code Terminology
ADSD0101C163818ADSD01-Rate Breathing at Its WorstAsthma Daytime Symptom Diary v1.0 - Please rate your difficulty breathing at its worst since you got up this morning.ADSD Version 1.0 - Rate Breathing at Its Worst
ADSD0102C163819ADSD01-Rate Wheezing at Its WorstAsthma Daytime Symptom Diary v1.0 - Please rate your wheezing at its worst since you got up this morning.ADSD Version 1.0 - Rate Wheezing at Its Worst
ADSD0103C163820ADSD01-Rate Shortness of Breath at WorstAsthma Daytime Symptom Diary v1.0 - Please rate your shortness of breath at its worst since you got up this morning.ADSD Version 1.0 - Rate Shortness of Breath at Worst
ADSD0104C163821ADSD01-Rate Chest Tightness at Its WorstAsthma Daytime Symptom Diary v1.0 - Please rate your chest tightness at its worst since you got up this morning.ADSD Version 1.0 - Rate Chest Tightness at Its Worst
ADSD0105C163822ADSD01-Rate Chest Pain at Its WorstAsthma Daytime Symptom Diary v1.0 - Please rate your chest pain at its worst since you got up this morning.ADSD Version 1.0 - Rate Chest Pain at Its Worst
ADSD0106C163823ADSD01-Rate Cough at Its WorstAsthma Daytime Symptom Diary v1.0 - Please rate your cough at its worst since you got up this morning.ADSD Version 1.0 - Rate Cough at Its Worst
ADSD0107C163824ADSD01-Total ScoreAsthma Daytime Symptom Diary v1.0 - Total score.ADSD Version 1.0 - Total Score
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CL.C163384.ADSD01TNAsthma Daytime Symptom Diary v1.0 Questionnaire Test Name
(ADSD01TN)
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C163384Asthma Daytime Symptom Diary v1.0 Questionnaire Test NameAsthma Daytime Symptom Diary v1.0 test name.CDISC Questionnaire ADSD Version 1.0 Test Name Terminology
ADSD01-Rate Breathing at Its WorstC163818ADSD01-Rate Breathing at Its WorstAsthma Daytime Symptom Diary v1.0 - Please rate your difficulty breathing at its worst since you got up this morning.ADSD Version 1.0 - Rate Breathing at Its Worst
ADSD01-Rate Chest Pain at Its WorstC163822ADSD01-Rate Chest Pain at Its WorstAsthma Daytime Symptom Diary v1.0 - Please rate your chest pain at its worst since you got up this morning.ADSD Version 1.0 - Rate Chest Pain at Its Worst
ADSD01-Rate Chest Tightness at Its WorstC163821ADSD01-Rate Chest Tightness at Its WorstAsthma Daytime Symptom Diary v1.0 - Please rate your chest tightness at its worst since you got up this morning.ADSD Version 1.0 - Rate Chest Tightness at Its Worst
ADSD01-Rate Cough at Its WorstC163823ADSD01-Rate Cough at Its WorstAsthma Daytime Symptom Diary v1.0 - Please rate your cough at its worst since you got up this morning.ADSD Version 1.0 - Rate Cough at Its Worst
ADSD01-Rate Shortness of Breath at WorstC163820ADSD01-Rate Shortness of Breath at WorstAsthma Daytime Symptom Diary v1.0 - Please rate your shortness of breath at its worst since you got up this morning.ADSD Version 1.0 - Rate Shortness of Breath at Worst
ADSD01-Rate Wheezing at Its WorstC163819ADSD01-Rate Wheezing at Its WorstAsthma Daytime Symptom Diary v1.0 - Please rate your wheezing at its worst since you got up this morning.ADSD Version 1.0 - Rate Wheezing at Its Worst
ADSD01-Total ScoreC163824ADSD01-Total ScoreAsthma Daytime Symptom Diary v1.0 - Total score.ADSD Version 1.0 - Total Score
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CL.C163387.ANSD01TCAsthma Nighttime Symptom Diary v1.0 Questionnaire Test Code
(ANSD01TC)
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C163387Asthma Nighttime Symptom Diary v1.0 Questionnaire Test CodeAsthma Nighttime Symptom Diary v1.0 test code.CDISC Questionnaire ANSD Version 1.0 Test Code Terminology
ANSD0101C163825ANSD01-Rate Breathing at Its WorstAsthma Nighttime Symptom Diary v1.0 - Please rate your difficulty breathing at its worst since you went to bed last night.ANSD Version 1.0 - Rate Breathing at Its Worst
ANSD0102C163826ANSD01-Rate Wheezing at Its WorstAsthma Nighttime Symptom Diary v1.0 - Please rate your wheezing at its worst since you went to bed last night.ANSD Version 1.0 - Rate Wheezing at Its Worst
ANSD0103C163827ANSD01-Rate Shortness of Breath at WorstAsthma Nighttime Symptom Diary v1.0 - Please rate your shortness of breath at its worst since you went to bed last night.ANSD Version 1.0 - Rate Shortness of Breath at Worst
ANSD0104C163828ANSD01-Rate Chest Tightness at Its WorstAsthma Nighttime Symptom Diary v1.0 - Please rate your chest tightness at its worst since you went to bed last night.ANSD Version 1.0 - Rate Chest Tightness at Its Worst
ANSD0105C163829ANSD01-Rate Chest Pain at Its WorstAsthma Nighttime Symptom Diary v1.0 - Please rate your chest pain at its worst since you went to bed last night.ANSD Version 1.0 - Rate Chest Pain at Its Worst
ANSD0106C163830ANSD01-Rate Cough at Its WorstAsthma Nighttime Symptom Diary v1.0 - Please rate your cough at its worst since you went to bed last night.ANSD Version 1.0 - Rate Cough at Its Worst
ANSD0107C163831ANSD01-Total ScoreAsthma Nighttime Symptom Diary v1.0 - Total score.ANSD Version 1.0 - Total Score
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CL.C163386.ANSD01TNAsthma Nighttime Symptom Diary v1.0 Questionnaire Test Name
(ANSD01TN)
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C163386Asthma Nighttime Symptom Diary v1.0 Questionnaire Test NameAsthma Nighttime Symptom Diary v1.0 test name.CDISC Questionnaire ANSD Version 1.0 Test Name Terminology
ANSD01-Rate Breathing at Its WorstC163825ANSD01-Rate Breathing at Its WorstAsthma Nighttime Symptom Diary v1.0 - Please rate your difficulty breathing at its worst since you went to bed last night.ANSD Version 1.0 - Rate Breathing at Its Worst
ANSD01-Rate Chest Pain at Its WorstC163829ANSD01-Rate Chest Pain at Its WorstAsthma Nighttime Symptom Diary v1.0 - Please rate your chest pain at its worst since you went to bed last night.ANSD Version 1.0 - Rate Chest Pain at Its Worst
ANSD01-Rate Chest Tightness at Its WorstC163828ANSD01-Rate Chest Tightness at Its WorstAsthma Nighttime Symptom Diary v1.0 - Please rate your chest tightness at its worst since you went to bed last night.ANSD Version 1.0 - Rate Chest Tightness at Its Worst
ANSD01-Rate Cough at Its WorstC163830ANSD01-Rate Cough at Its WorstAsthma Nighttime Symptom Diary v1.0 - Please rate your cough at its worst since you went to bed last night.ANSD Version 1.0 - Rate Cough at Its Worst
ANSD01-Rate Shortness of Breath at WorstC163827ANSD01-Rate Shortness of Breath at WorstAsthma Nighttime Symptom Diary v1.0 - Please rate your shortness of breath at its worst since you went to bed last night.ANSD Version 1.0 - Rate Shortness of Breath at Worst
ANSD01-Rate Wheezing at Its WorstC163826ANSD01-Rate Wheezing at Its WorstAsthma Nighttime Symptom Diary v1.0 - Please rate your wheezing at its worst since you went to bed last night.ANSD Version 1.0 - Rate Wheezing at Its Worst
ANSD01-Total ScoreC163831ANSD01-Total ScoreAsthma Nighttime Symptom Diary v1.0 - Total score.ANSD Version 1.0 - Total Score
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CL.C124666.ASCVD1TCAtherosclerotic Cardiovascular Disease 10-Year Risk Estimator Clinical Classification Test Code
(ASCVD1TC)
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C124666Atherosclerotic Cardiovascular Disease 10-Year Risk Estimator Clinical Classification Test CodeAtherosclerotic Cardiovascular Disease 10-Year Risk Estimator test code.CDISC Clinical Classification Atherosclerotic Cardiovascular Disease 10-Year Risk Estimator Test Code Terminology
ASCVD101C124720ASCVD1-ASCVD 10-Year Risk ScoreAtherosclerotic Cardiovascular Disease 10-Year Risk Estimator - Risk score.ASCVD 10-Year Risk Estimator - Risk Score
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CL.C124665.ASCVD1TNAtherosclerotic Cardiovascular Disease 10-Year Risk Estimator Clinical Classification Test Name
(ASCVD1TN)
text
Extensible: No
C124665Atherosclerotic Cardiovascular Disease 10-Year Risk Estimator Clinical Classification Test NameAtherosclerotic Cardiovascular Disease 10-Year Risk Estimator test name.CDISC Clinical Classification Atherosclerotic Cardiovascular Disease 10-Year Risk Estimator Test Name Terminology
ASCVD1-ASCVD 10-Year Risk ScoreC124720ASCVD1-ASCVD 10-Year Risk ScoreAtherosclerotic Cardiovascular Disease 10-Year Risk Estimator - Risk score.ASCVD 10-Year Risk Estimator - Risk Score
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CL.C182470.ATLAS101ORATLAS Clinical Classification ORRES for ATLAS101 TN/TC
(ATLAS101OR)
text
Extensible: No
C182470ATLAS Clinical Classification ORRES for ATLAS101 TN/TCATLAS original result for ATLAS101 test and test code.CDISC Clinical Classification ATLAS Score ATLAS101 Original Response Terminology
60-79C182739ATLAS101-60-79ATLAS original result for ATLAS101-60-79.ATLAS Score ATLAS101 Original Result - 60-79
<60C182738ATLAS101-<60ATLAS original result for ATLAS101-Less than 60.ATLAS Score ATLAS101 Original Result - <60
>=80C182740ATLAS101->=80ATLAS original result for ATLAS101-Greater than or equal to 80.ATLAS Score ATLAS101 Original Result - >=80
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CL.C182471.ATLAS102ORATLAS Clinical Classification ORRES for ATLAS102 TN/TC
(ATLAS102OR)
text
Extensible: No
C182471ATLAS Clinical Classification ORRES for ATLAS102 TN/TCATLAS original result for ATLAS102 test and test code.CDISC Clinical Classification ATLAS Score ATLAS102 Original Response Terminology
NoC182744ATLAS102-NoATLAS original result for ATLAS102-No.ATLAS Score ATLAS102 Original Result - No
YesC182745ATLAS102-YesATLAS original result for ATLAS102-Yes.ATLAS Score ATLAS102 Original Result - Yes
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CL.C182472.ATLAS103ORATLAS Clinical Classification ORRES for ATLAS103 TN/TC
(ATLAS103OR)
text
Extensible: No
C182472ATLAS Clinical Classification ORRES for ATLAS103 TN/TCATLAS original result for ATLAS103 test and test code.CDISC Clinical Classification ATLAS Score ATLAS103 Original Response Terminology
16,000-25,000C182749ATLAS103-16,000-25,000ATLAS original result for ATLAS103-16,000-25,000.ATLAS Score ATLAS103 Original Result - 16,000-25,000
<16,000C182748ATLAS103-<16,000ATLAS original result for ATLAS103-Less than16,000.ATLAS Score ATLAS103 Original Result - <16,000
>25,000C182750ATLAS103->25,000ATLAS original result for ATLAS103-Greater than 25,000.ATLAS Score ATLAS103 Original Result - >25,000
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CL.C182473.ATLAS104ORATLAS Clinical Classification ORRES for ATLAS104 TN/TC
(ATLAS104OR)
text
Extensible: No
C182473ATLAS Clinical Classification ORRES for ATLAS104 TN/TCATLAS original result for ATLAS104 test and test code.CDISC Clinical Classification ATLAS Score ATLAS104 Original Response Terminology
26-35C182755ATLAS104-26-35ATLAS original result for ATLAS104-26-35.ATLAS Score ATLAS104 Original Result - 26-35
<=25C182756ATLAS104-<=25ATLAS original result for ATLAS104-Less than or equal to 25.ATLAS Score ATLAS104 Original Result - <=25
>35C182754ATLAS104->35ATLAS original result for ATLAS104-Greater than 35.ATLAS Score ATLAS104 Original Result - >35
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CL.C182474.ATLAS105ORATLAS Clinical Classification ORRES for ATLAS105 TN/TC
(ATLAS105OR)
text
Extensible: No
C182474ATLAS Clinical Classification ORRES for ATLAS105 TN/TCATLAS original result for ATLAS105 test and test code.CDISC Clinical Classification ATLAS Score ATLAS105 Original Response Terminology
121-179C182761ATLAS105-121-179ATLAS original result for ATLAS105-121-179.ATLAS Score ATLAS105 Original Result - 121-179
<=120C182760ATLAS105-<=120ATLAS original result for ATLAS105-Less than or equal to 120.ATLAS Score ATLAS105 Original Result - <=120
>=180C182762ATLAS105->=180ATLAS original result for ATLAS105-Greater than or equal to 180.ATLAS Score ATLAS105 Original Result - >=180
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CL.C182508.ATLAS101STRATLAS Clinical Classification STRESC for ATLAS101 TN/TC
(ATLAS101STR)
text
Extensible: No
C182508ATLAS Clinical Classification STRESC for ATLAS101 TN/TCATLAS standardized character result for ATLAS101 test and test code.CDISC Clinical Classification ATLAS Score ATLAS101 Standardized Character Response Terminology
0C182741ATLAS101-0ATLAS standardized character result for ATLAS101-Less than 60.ATLAS Score ATLAS101 Standardized Character Result 0
1C182742ATLAS101-1ATLAS standardized character result for ATLAS101-60-79.ATLAS Score ATLAS101 Standardized Character Result 1
2C182743ATLAS101-2ATLAS standardized character result for ATLAS101-Greater than or equal to 80.ATLAS Score ATLAS101 Standardized Character Result 2
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CL.C182509.ATLAS102STRATLAS Clinical Classification STRESC for ATLAS102 TN/TC
(ATLAS102STR)
text
Extensible: No
C182509ATLAS Clinical Classification STRESC for ATLAS102 TN/TCATLAS standardized character result for ATLAS102 test and test code.CDISC Clinical Classification ATLAS Score ATLAS102 Standardized Character Response Terminology
0C182746ATLAS102-0ATLAS standardized character result for ATLAS102-No.ATLAS Score ATLAS102 Standardized Character Result 0
2C182747ATLAS102-2ATLAS standardized character result for ATLAS102-Yes.ATLAS Score ATLAS102 Standardized Character Result 2
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CL.C182510.ATLAS103STRATLAS Clinical Classification STRESC for ATLAS103 TN/TC
(ATLAS103STR)
text
Extensible: No
C182510ATLAS Clinical Classification STRESC for ATLAS103 TN/TCATLAS standardized character result for ATLAS103 test and test code.CDISC Clinical Classification ATLAS Score ATLAS103 Standardized Character Response Terminology
0C182751ATLAS103-0ATLAS standardized character result for ATLAS103-Less than 16,000.ATLAS Score ATLAS103 Standardized Character Result 0
1C182752ATLAS103-1ATLAS standardized character result for ATLAS103-16,000-25,000.ATLAS Score ATLAS103 Standardized Character Result 1
2C182753ATLAS103-2ATLAS standardized character result for ATLAS103-Greater than 25,000.ATLAS Score ATLAS103 Standardized Character Result 2
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CL.C182511.ATLAS104STRATLAS Clinical Classification STRESC for ATLAS104 TN/TC
(ATLAS104STR)
text
Extensible: No
C182511ATLAS Clinical Classification STRESC for ATLAS104 TN/TCATLAS standardized character result for ATLAS104 test and test code.CDISC Clinical Classification ATLAS Score ATLAS104 Standardized Character Response Terminology
0C182757ATLAS104-0ATLAS standardized character result for ATLAS104-Greater than 35.ATLAS Score ATLAS104 Standardized Character Result 0
1C182758ATLAS104-1ATLAS standardized character result for ATLAS104-26-35.ATLAS Score ATLAS104 Standardized Character Result 1
2C182759ATLAS104-2ATLAS standardized character result for ATLAS104-Less than or equal to 25.ATLAS Score ATLAS104 Standardized Character Result 2
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CL.C182512.ATLAS105STRATLAS Clinical Classification STRESC for ATLAS105 TN/TC
(ATLAS105STR)
text
Extensible: No
C182512ATLAS Clinical Classification STRESC for ATLAS105 TN/TCATLAS standardized character result for ATLAS105 test and test code.CDISC Clinical Classification ATLAS Score ATLAS105 Standardized Character Response Terminology
0C182763ATLAS105-0ATLAS standardized character result for ATLAS105-Less than or equal to 120.ATLAS Score ATLAS105 Standardized Character Result 0
1C182764ATLAS105-1ATLAS standardized character result for ATLAS105-121-179.ATLAS Score ATLAS105 Standardized Character Result 1
2C182765ATLAS105-2ATLAS standardized character result for ATLAS105-Greater than or equal to 180.ATLAS Score ATLAS105 Standardized Character Result 2
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CL.C147538.ATLAS1TCATLAS Clinical Classification Test Code
(ATLAS1TC)
text
Extensible: No
C147538ATLAS Clinical Classification Test CodeATLAS test code.CDISC Clinical Classification ATLAS Test Code Terminology
ATLAS101C147843ATLAS1-AgeAge, treatment with systemic antibiotics, leukocyte count, serum albumin, and serum creatinine as a measure of renal function - Age.ATLAS - Age
ATLAS102C147844ATLAS1-Treatment With AntibioticsAge, treatment with systemic antibiotics, leukocyte count, serum albumin, and serum creatinine as a measure of renal function - Treatment with systemic antibiotics during CDI therapy (>= 1 day).ATLAS - Treatment With Antibiotics
ATLAS103C147845ATLAS1-Leukocyte CountAge, treatment with systemic antibiotics, leukocyte count, serum albumin, and serum creatinine as a measure of renal function - Leukocyte count (total).ATLAS - Leukocyte Count
ATLAS104C147846ATLAS1-AlbuminAge, treatment with systemic antibiotics, leukocyte count, serum albumin, and serum creatinine as a measure of renal function - Albumin (serum).ATLAS - Albumin
ATLAS105C147847ATLAS1-Serum CreatinineAge, treatment with systemic antibiotics, leukocyte count, serum albumin, and serum creatinine as a measure of renal function - Serum creatinine (as a measure of renal function).ATLAS - Serum Creatinine
ATLAS106C147848ATLAS1-ScoreAge, treatment with systemic antibiotics, leukocyte count, serum albumin, and serum creatinine as a measure of renal function - Score.ATLAS - Score
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CL.C147537.ATLAS1TNATLAS Clinical Classification Test Name
(ATLAS1TN)
text
Extensible: No
C147537ATLAS Clinical Classification Test NameATLAS test name.CDISC Clinical Classification ATLAS Test Name Terminology
ATLAS1-AgeC147843ATLAS1-AgeAge, treatment with systemic antibiotics, leukocyte count, serum albumin, and serum creatinine as a measure of renal function - Age.ATLAS - Age
ATLAS1-AlbuminC147846ATLAS1-AlbuminAge, treatment with systemic antibiotics, leukocyte count, serum albumin, and serum creatinine as a measure of renal function - Albumin (serum).ATLAS - Albumin
ATLAS1-Leukocyte CountC147845ATLAS1-Leukocyte CountAge, treatment with systemic antibiotics, leukocyte count, serum albumin, and serum creatinine as a measure of renal function - Leukocyte count (total).ATLAS - Leukocyte Count
ATLAS1-ScoreC147848ATLAS1-ScoreAge, treatment with systemic antibiotics, leukocyte count, serum albumin, and serum creatinine as a measure of renal function - Score.ATLAS - Score
ATLAS1-Serum CreatinineC147847ATLAS1-Serum CreatinineAge, treatment with systemic antibiotics, leukocyte count, serum albumin, and serum creatinine as a measure of renal function - Serum creatinine (as a measure of renal function).ATLAS - Serum Creatinine
ATLAS1-Treatment With AntibioticsC147844ATLAS1-Treatment With AntibioticsAge, treatment with systemic antibiotics, leukocyte count, serum albumin, and serum creatinine as a measure of renal function - Treatment with systemic antibiotics during CDI therapy (>= 1 day).ATLAS - Treatment With Antibiotics
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CL.C135680.BEBQ01TCBaby Eating Behaviour Questionnaire Concurrent Version Questionnaire Test Code
(BEBQ01TC)
text
Extensible: No
C135680Baby Eating Behaviour Questionnaire Concurrent Version Questionnaire Test CodeBaby Eating Behaviour Questionnaire Concurrent Version test code.CDISC Questionnaire BEBQ Concurrent Version Test Code Terminology
BEBQ0101C135775BEBQ01-Baby Seems Contented FeedingBaby Eating Behaviour Questionnaire - Concurrent - My baby seems contented while feeding.BEBQ Concurrent Version - Baby Seems Contented Feeding
BEBQ0102C135776BEBQ01-Baby Frequently Wants More MilkBaby Eating Behaviour Questionnaire - Concurrent - My baby frequently wants more milk than I provide.BEBQ Concurrent Version - Baby Frequently Wants More Milk
BEBQ0103C135777BEBQ01-Baby Loves MilkBaby Eating Behaviour Questionnaire - Concurrent - My baby loves milk.BEBQ Concurrent Version - Baby Loves Milk
BEBQ0104C135778BEBQ01-Baby Has a Big AppetiteBaby Eating Behaviour Questionnaire - Concurrent - My baby has a big appetite.BEBQ Concurrent Version - Baby Has a Big Appetite
BEBQ0105C135779BEBQ01-Baby Finishes Feeding QuicklyBaby Eating Behaviour Questionnaire - Concurrent - My baby finishes feeding quickly.BEBQ Concurrent Version - Baby Finishes Feeding Quickly
BEBQ0106C135780BEBQ01-Baby Becomes Distressed FeedingBaby Eating Behaviour Questionnaire - Concurrent - My baby becomes distressed while feeding.BEBQ Concurrent Version - Baby Becomes Distressed Feeding
BEBQ0107C135781BEBQ01-Baby Gets Full Up EasilyBaby Eating Behaviour Questionnaire - Concurrent - My baby gets full up easily.BEBQ Concurrent Version - Baby Gets Full Up Easily
BEBQ0108C135782BEBQ01-Baby Would Take Too Much MilkBaby Eating Behaviour Questionnaire - Concurrent - If allowed to, my baby would take too much milk.BEBQ Concurrent Version - Baby Would Take Too Much Milk
BEBQ0109C135783BEBQ01-Baby Takes More Than 30 MinutesBaby Eating Behaviour Questionnaire - Concurrent - My baby takes more than 30 minutes to finish feeding.BEBQ Concurrent Version - Baby Takes More Than 30 Minutes
BEBQ0110C135784BEBQ01-Gets Full Before Taking All MilkBaby Eating Behaviour Questionnaire - Concurrent - My baby gets full before taking all the milk I think he/she should have.BEBQ Concurrent Version - Gets Full Before Taking All Milk
BEBQ0111C135785BEBQ01-Baby Feeds SlowlyBaby Eating Behaviour Questionnaire - Concurrent - My baby feeds slowly.BEBQ Concurrent Version - Baby Feeds Slowly
BEBQ0112C135786BEBQ01-Just Eaten Is Happy to Feed AgainBaby Eating Behaviour Questionnaire - Concurrent - Even when my baby has just eaten well he/she is happy to feed again if offered.BEBQ Concurrent Version - Just Eaten Is Happy to Feed Again
BEBQ0113C135787BEBQ01-Difficult Manage Complete FeedBaby Eating Behaviour Questionnaire - Concurrent - My baby finds it difficult to manage a complete feed.BEBQ Concurrent Version - Difficult Manage Complete Feed
BEBQ0114C135788BEBQ01-Baby Is Always Demanding a FeedBaby Eating Behaviour Questionnaire - Concurrent - My baby is always demanding a feed.BEBQ Concurrent Version - Baby Is Always Demanding a Feed
BEBQ0115C135789BEBQ01-Baby Sucks More and More SlowlyBaby Eating Behaviour Questionnaire - Concurrent - My baby sucks more and more slowly during the course of a feed.BEBQ Concurrent Version - Baby Sucks More and More Slowly
BEBQ0116C135790BEBQ01-Baby Would Always Be FeedingBaby Eating Behaviour Questionnaire - Concurrent - If given the chance, my baby would always be feeding.BEBQ Concurrent Version - Baby Would Always Be Feeding
BEBQ0117C135791BEBQ01-Baby Enjoys Feeding TimeBaby Eating Behaviour Questionnaire - Concurrent - My baby enjoys feeding time.BEBQ Concurrent Version - Baby Enjoys Feeding Time
BEBQ0118C135792BEBQ01-Take a Feed Within 30 MinutesBaby Eating Behaviour Questionnaire - Concurrent - My baby can easily take a feed within 30 minutes of the last one.BEBQ Concurrent Version - Take a Feed Within 30 Minutes
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CL.C135679.BEBQ01TNBaby Eating Behaviour Questionnaire Concurrent Version Questionnaire Test Name
(BEBQ01TN)
text
Extensible: No
C135679Baby Eating Behaviour Questionnaire Concurrent Version Questionnaire Test NameBaby Eating Behaviour Questionnaire Concurrent Version test name.CDISC Questionnaire BEBQ Concurrent Version Test Name Terminology
BEBQ01-Baby Becomes Distressed FeedingC135780BEBQ01-Baby Becomes Distressed FeedingBaby Eating Behaviour Questionnaire - Concurrent - My baby becomes distressed while feeding.BEBQ Concurrent Version - Baby Becomes Distressed Feeding
BEBQ01-Baby Enjoys Feeding TimeC135791BEBQ01-Baby Enjoys Feeding TimeBaby Eating Behaviour Questionnaire - Concurrent - My baby enjoys feeding time.BEBQ Concurrent Version - Baby Enjoys Feeding Time
BEBQ01-Baby Feeds SlowlyC135785BEBQ01-Baby Feeds SlowlyBaby Eating Behaviour Questionnaire - Concurrent - My baby feeds slowly.BEBQ Concurrent Version - Baby Feeds Slowly
BEBQ01-Baby Finishes Feeding QuicklyC135779BEBQ01-Baby Finishes Feeding QuicklyBaby Eating Behaviour Questionnaire - Concurrent - My baby finishes feeding quickly.BEBQ Concurrent Version - Baby Finishes Feeding Quickly
BEBQ01-Baby Frequently Wants More MilkC135776BEBQ01-Baby Frequently Wants More MilkBaby Eating Behaviour Questionnaire - Concurrent - My baby frequently wants more milk than I provide.BEBQ Concurrent Version - Baby Frequently Wants More Milk
BEBQ01-Baby Gets Full Up EasilyC135781BEBQ01-Baby Gets Full Up EasilyBaby Eating Behaviour Questionnaire - Concurrent - My baby gets full up easily.BEBQ Concurrent Version - Baby Gets Full Up Easily
BEBQ01-Baby Has a Big AppetiteC135778BEBQ01-Baby Has a Big AppetiteBaby Eating Behaviour Questionnaire - Concurrent - My baby has a big appetite.BEBQ Concurrent Version - Baby Has a Big Appetite
BEBQ01-Baby Is Always Demanding a FeedC135788BEBQ01-Baby Is Always Demanding a FeedBaby Eating Behaviour Questionnaire - Concurrent - My baby is always demanding a feed.BEBQ Concurrent Version - Baby Is Always Demanding a Feed
BEBQ01-Baby Loves MilkC135777BEBQ01-Baby Loves MilkBaby Eating Behaviour Questionnaire - Concurrent - My baby loves milk.BEBQ Concurrent Version - Baby Loves Milk
BEBQ01-Baby Seems Contented FeedingC135775BEBQ01-Baby Seems Contented FeedingBaby Eating Behaviour Questionnaire - Concurrent - My baby seems contented while feeding.BEBQ Concurrent Version - Baby Seems Contented Feeding
BEBQ01-Baby Sucks More and More SlowlyC135789BEBQ01-Baby Sucks More and More SlowlyBaby Eating Behaviour Questionnaire - Concurrent - My baby sucks more and more slowly during the course of a feed.BEBQ Concurrent Version - Baby Sucks More and More Slowly
BEBQ01-Baby Takes More Than 30 MinutesC135783BEBQ01-Baby Takes More Than 30 MinutesBaby Eating Behaviour Questionnaire - Concurrent - My baby takes more than 30 minutes to finish feeding.BEBQ Concurrent Version - Baby Takes More Than 30 Minutes
BEBQ01-Baby Would Always Be FeedingC135790BEBQ01-Baby Would Always Be FeedingBaby Eating Behaviour Questionnaire - Concurrent - If given the chance, my baby would always be feeding.BEBQ Concurrent Version - Baby Would Always Be Feeding
BEBQ01-Baby Would Take Too Much MilkC135782BEBQ01-Baby Would Take Too Much MilkBaby Eating Behaviour Questionnaire - Concurrent - If allowed to, my baby would take too much milk.BEBQ Concurrent Version - Baby Would Take Too Much Milk
BEBQ01-Difficult Manage Complete FeedC135787BEBQ01-Difficult Manage Complete FeedBaby Eating Behaviour Questionnaire - Concurrent - My baby finds it difficult to manage a complete feed.BEBQ Concurrent Version - Difficult Manage Complete Feed
BEBQ01-Gets Full Before Taking All MilkC135784BEBQ01-Gets Full Before Taking All MilkBaby Eating Behaviour Questionnaire - Concurrent - My baby gets full before taking all the milk I think he/she should have.BEBQ Concurrent Version - Gets Full Before Taking All Milk
BEBQ01-Just Eaten Is Happy to Feed AgainC135786BEBQ01-Just Eaten Is Happy to Feed AgainBaby Eating Behaviour Questionnaire - Concurrent - Even when my baby has just eaten well he/she is happy to feed again if offered.BEBQ Concurrent Version - Just Eaten Is Happy to Feed Again
BEBQ01-Take a Feed Within 30 MinutesC135792BEBQ01-Take a Feed Within 30 MinutesBaby Eating Behaviour Questionnaire - Concurrent - My baby can easily take a feed within 30 minutes of the last one.BEBQ Concurrent Version - Take a Feed Within 30 Minutes
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CL.C135682.BEBQ02TCBaby Eating Behaviour Questionnaire Retrospective Version Questionnaire Test Code
(BEBQ02TC)
text
Extensible: No
C135682Baby Eating Behaviour Questionnaire Retrospective Version Questionnaire Test CodeBaby Eating Behaviour Questionnaire Retrospective Version test code.CDISC Questionnaire BEBQ Retrospective Version Test Code Terminology
BEBQ0201C135793BEBQ02-Baby Seemed Contented FeedingBaby Eating Behaviour Questionnaire - Retrospective - My baby seemed contented while feeding.BEBQ Retrospective Version - Baby Seemed Contented Feeding
BEBQ0202C135794BEBQ02-Baby Frequently Wanted More MilkBaby Eating Behaviour Questionnaire - Retrospective - My baby frequently wanted more milk than I provided.BEBQ Retrospective Version - Baby Frequently Wanted More Milk
BEBQ0203C135795BEBQ02-Baby Loved MilkBaby Eating Behaviour Questionnaire - Retrospective - My baby loved milk.BEBQ Retrospective Version - Baby Loved Milk
BEBQ0204C135796BEBQ02-Baby Had a Big AppetiteBaby Eating Behaviour Questionnaire - Retrospective - My baby had a big appetite.BEBQ Retrospective Version - Baby Had a Big Appetite
BEBQ0205C135797BEBQ02-Baby Finished Feeding QuicklyBaby Eating Behaviour Questionnaire - Retrospective - My baby finished feeding quickly.BEBQ Retrospective Version - Baby Finished Feeding Quickly
BEBQ0206C135798BEBQ02-Baby Became Distressed FeedingBaby Eating Behaviour Questionnaire - Retrospective - My baby became distressed while feeding.BEBQ Retrospective Version - Baby Became Distressed Feeding
BEBQ0207C135799BEBQ02-Baby Got Full Up EasilyBaby Eating Behaviour Questionnaire - Retrospective - My baby got full up easily.BEBQ Retrospective Version - Baby Got Full Up Easily
BEBQ0208C135800BEBQ02-Baby Would Take Too Much MilkBaby Eating Behaviour Questionnaire - Retrospective - If allowed to, my baby would take too much milk.BEBQ Retrospective Version - Baby Would Take Too Much Milk
BEBQ0209C135801BEBQ02-Baby Took More Than 30 MinutesBaby Eating Behaviour Questionnaire - Retrospective - My baby took more than 30 minutes to finish feeding.BEBQ Retrospective Version - Baby Took More Than 30 Minutes
BEBQ0210C135802BEBQ02-Got Full Before Taking All MilkBaby Eating Behaviour Questionnaire - Retrospective - My baby got full before taking all the milk I think he/she should have.BEBQ Retrospective Version - Got Full Before Taking All Milk
BEBQ0211C135803BEBQ02-Baby Fed SlowlyBaby Eating Behaviour Questionnaire - Retrospective - My baby fed slowly.BEBQ Retrospective Version - Baby Fed Slowly
BEBQ0212C135804BEBQ02-Just Eaten Happy to Feed AgainBaby Eating Behaviour Questionnaire - Retrospective - Even when my baby had just eaten well he/she was happy to feed again if offered.BEBQ Retrospective Version - Just Eaten Happy to Feed Again
BEBQ0213C135805BEBQ02-Difficult Manage Complete FeedBaby Eating Behaviour Questionnaire - Retrospective - My baby found it difficult to manage a complete feed.BEBQ Retrospective Version - Difficult Manage Complete Feed
BEBQ0214C135806BEBQ02-Baby Was Always Demanding a FeedBaby Eating Behaviour Questionnaire - Retrospective - My baby was always demanding a feed.BEBQ Retrospective Version - Baby Was Always Demanding a Feed
BEBQ0215C135807BEBQ02-Baby Sucked More and More SlowlyBaby Eating Behaviour Questionnaire - Retrospective - My baby sucked more and more slowly during the course of a feed.BEBQ Retrospective Version - Baby Sucked More and More Slowly
BEBQ0216C135808BEBQ02-Baby Would Always Be FeedingBaby Eating Behaviour Questionnaire - Retrospective - If given the chance, my baby would always be feeding.BEBQ Retrospective Version - Baby Would Always Be Feeding
BEBQ0217C135809BEBQ02-Baby Enjoyed Feeding TimeBaby Eating Behaviour Questionnaire - Retrospective - My baby enjoyed feeding time.BEBQ Retrospective Version - Baby Enjoyed Feeding Time
BEBQ0218C135810BEBQ02-Take a Feed Within 30 MinutesBaby Eating Behaviour Questionnaire - Retrospective - My baby could easily take a feed within 30 minutes of the last one.BEBQ Retrospective Version - Take a Feed Within 30 Minutes
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CL.C135681.BEBQ02TNBaby Eating Behaviour Questionnaire Retrospective Version Questionnaire Test Name
(BEBQ02TN)
text
Extensible: No
C135681Baby Eating Behaviour Questionnaire Retrospective Version Questionnaire Test NameBaby Eating Behaviour Questionnaire Retrospective Version test name.CDISC Questionnaire BEBQ Retrospective Version Test Name Terminology
BEBQ02-Baby Became Distressed FeedingC135798BEBQ02-Baby Became Distressed FeedingBaby Eating Behaviour Questionnaire - Retrospective - My baby became distressed while feeding.BEBQ Retrospective Version - Baby Became Distressed Feeding
BEBQ02-Baby Enjoyed Feeding TimeC135809BEBQ02-Baby Enjoyed Feeding TimeBaby Eating Behaviour Questionnaire - Retrospective - My baby enjoyed feeding time.BEBQ Retrospective Version - Baby Enjoyed Feeding Time
BEBQ02-Baby Fed SlowlyC135803BEBQ02-Baby Fed SlowlyBaby Eating Behaviour Questionnaire - Retrospective - My baby fed slowly.BEBQ Retrospective Version - Baby Fed Slowly
BEBQ02-Baby Finished Feeding QuicklyC135797BEBQ02-Baby Finished Feeding QuicklyBaby Eating Behaviour Questionnaire - Retrospective - My baby finished feeding quickly.BEBQ Retrospective Version - Baby Finished Feeding Quickly
BEBQ02-Baby Frequently Wanted More MilkC135794BEBQ02-Baby Frequently Wanted More MilkBaby Eating Behaviour Questionnaire - Retrospective - My baby frequently wanted more milk than I provided.BEBQ Retrospective Version - Baby Frequently Wanted More Milk
BEBQ02-Baby Got Full Up EasilyC135799BEBQ02-Baby Got Full Up EasilyBaby Eating Behaviour Questionnaire - Retrospective - My baby got full up easily.BEBQ Retrospective Version - Baby Got Full Up Easily
BEBQ02-Baby Had a Big AppetiteC135796BEBQ02-Baby Had a Big AppetiteBaby Eating Behaviour Questionnaire - Retrospective - My baby had a big appetite.BEBQ Retrospective Version - Baby Had a Big Appetite
BEBQ02-Baby Loved MilkC135795BEBQ02-Baby Loved MilkBaby Eating Behaviour Questionnaire - Retrospective - My baby loved milk.BEBQ Retrospective Version - Baby Loved Milk
BEBQ02-Baby Seemed Contented FeedingC135793BEBQ02-Baby Seemed Contented FeedingBaby Eating Behaviour Questionnaire - Retrospective - My baby seemed contented while feeding.BEBQ Retrospective Version - Baby Seemed Contented Feeding
BEBQ02-Baby Sucked More and More SlowlyC135807BEBQ02-Baby Sucked More and More SlowlyBaby Eating Behaviour Questionnaire - Retrospective - My baby sucked more and more slowly during the course of a feed.BEBQ Retrospective Version - Baby Sucked More and More Slowly
BEBQ02-Baby Took More Than 30 MinutesC135801BEBQ02-Baby Took More Than 30 MinutesBaby Eating Behaviour Questionnaire - Retrospective - My baby took more than 30 minutes to finish feeding.BEBQ Retrospective Version - Baby Took More Than 30 Minutes
BEBQ02-Baby Was Always Demanding a FeedC135806BEBQ02-Baby Was Always Demanding a FeedBaby Eating Behaviour Questionnaire - Retrospective - My baby was always demanding a feed.BEBQ Retrospective Version - Baby Was Always Demanding a Feed
BEBQ02-Baby Would Always Be FeedingC135808BEBQ02-Baby Would Always Be FeedingBaby Eating Behaviour Questionnaire - Retrospective - If given the chance, my baby would always be feeding.BEBQ Retrospective Version - Baby Would Always Be Feeding
BEBQ02-Baby Would Take Too Much MilkC135800BEBQ02-Baby Would Take Too Much MilkBaby Eating Behaviour Questionnaire - Retrospective - If allowed to, my baby would take too much milk.BEBQ Retrospective Version - Baby Would Take Too Much Milk
BEBQ02-Difficult Manage Complete FeedC135805BEBQ02-Difficult Manage Complete FeedBaby Eating Behaviour Questionnaire - Retrospective - My baby found it difficult to manage a complete feed.BEBQ Retrospective Version - Difficult Manage Complete Feed
BEBQ02-Got Full Before Taking All MilkC135802BEBQ02-Got Full Before Taking All MilkBaby Eating Behaviour Questionnaire - Retrospective - My baby got full before taking all the milk I think he/she should have.BEBQ Retrospective Version - Got Full Before Taking All Milk
BEBQ02-Just Eaten Happy to Feed AgainC135804BEBQ02-Just Eaten Happy to Feed AgainBaby Eating Behaviour Questionnaire - Retrospective - Even when my baby had just eaten well he/she was happy to feed again if offered.BEBQ Retrospective Version - Just Eaten Happy to Feed Again
BEBQ02-Take a Feed Within 30 MinutesC135810BEBQ02-Take a Feed Within 30 MinutesBaby Eating Behaviour Questionnaire - Retrospective - My baby could easily take a feed within 30 minutes of the last one.BEBQ Retrospective Version - Take a Feed Within 30 Minutes
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CL.C101809.BARS01TCBarnes Akathisia Rating Scale Clinical Classification Test Code
(BARS01TC)
text
Extensible: No
C101809Barnes Akathisia Rating Scale Clinical Classification Test CodeBarnes Akathisia Rating Scale test code.CDISC Clinical Classification BARS Test Code Terminology
BARS0101C102046BARS01-ObjectiveBarnes Akathisia Rating Scale - Objective.BARS - Objective
BARS0102C102047BARS01-Subjective, AwarenessBarnes Akathisia Rating Scale - Subjective, awareness of restlessness.BARS - Subjective, Awareness
BARS0103C102048BARS01-Subjective, DistressBarnes Akathisia Rating Scale - Subjective, distress related to restlessness.BARS - Subjective, Distress
BARS0104C102049BARS01-Global Clinical AssessmentBarnes Akathisia Rating Scale - Global clinical assessment of akathisia.BARS - Global Clinical Assessment
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CL.C101810.BARS01TNBarnes Akathisia Rating Scale Clinical Classification Test Name
(BARS01TN)
text
Extensible: No
C101810Barnes Akathisia Rating Scale Clinical Classification Test NameBarnes Akathisia Rating Scale test name.CDISC Clinical Classification BARS Test Name Terminology
BARS01-Global Clinical AssessmentC102049BARS01-Global Clinical AssessmentBarnes Akathisia Rating Scale - Global clinical assessment of akathisia.BARS - Global Clinical Assessment
BARS01-ObjectiveC102046BARS01-ObjectiveBarnes Akathisia Rating Scale - Objective.BARS - Objective
BARS01-Subjective, AwarenessC102047BARS01-Subjective, AwarenessBarnes Akathisia Rating Scale - Subjective, awareness of restlessness.BARS - Subjective, Awareness
BARS01-Subjective, DistressC102048BARS01-Subjective, DistressBarnes Akathisia Rating Scale - Subjective, distress related to restlessness.BARS - Subjective, Distress
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CL.C106655.BDI01TCBaseline Dyspnea Index Clinical Classification Test Code
(BDI01TC)
text
Extensible: No
C106655Baseline Dyspnea Index Clinical Classification Test CodeBaseline Dyspnea Index test code.CDISC Clinical Classification BDI Test Code Terminology
BDI0101C106701BDI01-Functional ImpairmentBaseline Dyspnea Index - Functional impairment.BDI - Functional Impairment
BDI0102C106702BDI01-Magnitude of TaskBaseline Dyspnea Index - Magnitude of task.BDI - Magnitude of Task
BDI0103C106703BDI01-Magnitude of EffortBaseline Dyspnea Index - Magnitude of effort.BDI - Magnitude of Effort
BDI0104C161764BDI01-Baseline Focal ScoreBaseline Dyspnea Index - Baseline focal score.BDI - Baseline Focal Score
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CL.C106654.BDI01TNBaseline Dyspnea Index Clinical Classification Test Name
(BDI01TN)
text
Extensible: No
C106654Baseline Dyspnea Index Clinical Classification Test NameBaseline Dyspnea Index test name.CDISC Clinical Classification BDI Test Name Terminology
BDI01-Baseline Focal ScoreC161764BDI01-Baseline Focal ScoreBaseline Dyspnea Index - Baseline focal score.BDI - Baseline Focal Score
BDI01-Functional ImpairmentC106701BDI01-Functional ImpairmentBaseline Dyspnea Index - Functional impairment.BDI - Functional Impairment
BDI01-Magnitude of EffortC106703BDI01-Magnitude of EffortBaseline Dyspnea Index - Magnitude of effort.BDI - Magnitude of Effort
BDI01-Magnitude of TaskC106702BDI01-Magnitude of TaskBaseline Dyspnea Index - Magnitude of task.BDI - Magnitude of Task
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CL.C113852.BLCS01TCBladder Control Scale Questionnaire Test Code
(BLCS01TC)
text
Extensible: No
C113852Bladder Control Scale Questionnaire Test CodeBladder Control Scale test code.CDISC Questionnaire Bladder Control Scale Test Code Terminology
BLCS0101C113953BLCS01-Lost Control of BladderBladder Control Scale - During the past 4 weeks, how often have you lost control of your bladder or had an accident?BLCS - Lost Control of Your Bladder
BLCS0102C113954BLCS01-Almost Lost Control of BladderBladder Control Scale - During the past 4 weeks, how often have you almost lost control of your bladder or had an accident?BLCS - Almost Lost Control of Your Bladder
BLCS0103C113955BLCS01-Altered Activity Because BladderBladder Control Scale - During the past 4 weeks, how often have you altered your activities because of bladder problems?BLCS - Altered Activities Because Bladder Problems
BLCS0104C113956BLCS01-Bladder Restricted LifestyleBladder Control Scale - During the past 4 weeks, how much have bladder problems restricted your overall lifestyle?BLCS - Bladder Problems Restrict Overall Lifestyle
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CL.C113851.BLCS01TNBladder Control Scale Questionnaire Test Name
(BLCS01TN)
text
Extensible: No
C113851Bladder Control Scale Questionnaire Test NameBladder Control Scale test name.CDISC Questionnaire Bladder Control Scale Test Name Terminology
BLCS01-Almost Lost Control of BladderC113954BLCS01-Almost Lost Control of BladderBladder Control Scale - During the past 4 weeks, how often have you almost lost control of your bladder or had an accident?BLCS - Almost Lost Control of Your Bladder
BLCS01-Altered Activity Because BladderC113955BLCS01-Altered Activity Because BladderBladder Control Scale - During the past 4 weeks, how often have you altered your activities because of bladder problems?BLCS - Altered Activities Because Bladder Problems
BLCS01-Bladder Restricted LifestyleC113956BLCS01-Bladder Restricted LifestyleBladder Control Scale - During the past 4 weeks, how much have bladder problems restricted your overall lifestyle?BLCS - Bladder Problems Restrict Overall Lifestyle
BLCS01-Lost Control of BladderC113953BLCS01-Lost Control of BladderBladder Control Scale - During the past 4 weeks, how often have you lost control of your bladder or had an accident?BLCS - Lost Control of Your Bladder
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CL.C113846.BCR101TCBorg CR10 Scale Questionnaire Test Code
(BCR101TC)
text
Extensible: No
C113846Borg CR10 Scale Questionnaire Test CodeBorg CR10 scale test code.CDISC Questionnaire Borg CR10 Test Code Terminology
BCR10101C113888BCR101-RatingBorg CR10 Scale - Rating.Borg CR10 - Rating
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CL.C113845.BCR101TNBorg CR10 Scale Questionnaire Test Name
(BCR101TN)
text
Extensible: No
C113845Borg CR10 Scale Questionnaire Test NameBorg CR10 scale test name.CDISC Questionnaire Borg CR10 Test Name Terminology
BCR101-RatingC113888BCR101-RatingBorg CR10 Scale - Rating.Borg CR10 - Rating
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CL.C113854.BWCS01TCBowel Control Scale Questionnaire Test Code
(BWCS01TC)
text
Extensible: No
C113854Bowel Control Scale Questionnaire Test CodeBowel Control Scale test code.CDISC Questionnaire Bowel Control Scale Test Code Terminology
BWCS0101C113957BWCS01-Been ConstipatedBowel Control Scale - During the past 4 weeks, how often have you been constipated?BWCS - Been Constipated
BWCS0102C113958BWCS01-Lost Control of BowelsBowel Control Scale - During the past 4 weeks, how often have you lost control of your bowels or had an accident?BWCS - Lost Control of Your Bowels
BWCS0103C113959BWCS01-Almost Lost Control of BowelsBowel Control Scale - During the past 4 weeks, how often have you almost lost control of your bowels or almost had an accident?BWCS - Almost Lost Control of Your Bowels
BWCS0104C113960BWCS01-Altered Activity Because BowelsBowel Control Scale - During the past 4 weeks, how often have you altered your activities because of bowel control problems?BWCS - Altered Activities Because Bowel Control Problems
BWCS0105C113961BWCS01-Bowels Restricted LifestyleBowel Control Scale - During the past 4 weeks, how much have bowel problems restricted your overall lifestyle?BWCS - Bowel Problems Restrict Overall Lifestyle
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CL.C113853.BWCS01TNBowel Control Scale Questionnaire Test Name
(BWCS01TN)
text
Extensible: No
C113853Bowel Control Scale Questionnaire Test NameBowel Control Scale test name.CDISC Questionnaire Bowel Control Scale Test Name Terminology
BWCS01-Almost Lost Control of BowelsC113959BWCS01-Almost Lost Control of BowelsBowel Control Scale - During the past 4 weeks, how often have you almost lost control of your bowels or almost had an accident?BWCS - Almost Lost Control of Your Bowels
BWCS01-Altered Activity Because BowelsC113960BWCS01-Altered Activity Because BowelsBowel Control Scale - During the past 4 weeks, how often have you altered your activities because of bowel control problems?BWCS - Altered Activities Because Bowel Control Problems
BWCS01-Been ConstipatedC113957BWCS01-Been ConstipatedBowel Control Scale - During the past 4 weeks, how often have you been constipated?BWCS - Been Constipated
BWCS01-Bowels Restricted LifestyleC113961BWCS01-Bowels Restricted LifestyleBowel Control Scale - During the past 4 weeks, how much have bowel problems restricted your overall lifestyle?BWCS - Bowel Problems Restrict Overall Lifestyle
BWCS01-Lost Control of BowelsC113958BWCS01-Lost Control of BowelsBowel Control Scale - During the past 4 weeks, how often have you lost control of your bowels or had an accident?BWCS - Lost Control of Your Bowels
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CL.C120983.BACS1TCBrief Assessment of Cognition in Schizophrenia Functional Test Test Code
(BACS1TC)
text
Extensible: No
C120983Brief Assessment of Cognition in Schizophrenia Functional Test Test CodeBrief Assessment of Cognition in Schizophrenia test code.CDISC Functional Test BACS Test Code Terminology
BACS101C121050BACS1-Number of Items RecalledBrief Assessment of Cognition in Schizophrenia - Verbal Memory-Number of items recalled on each trial.BACS - Number of Items Recalled
BACS101AC121051BACS1-Number of Items Recalled TotalBrief Assessment of Cognition in Schizophrenia - Verbal Memory-Total number of items recalled.BACS - Number of Items Recalled Total
BACS102C121052BACS1-Number of Correct SequencesBrief Assessment of Cognition in Schizophrenia - Digit Sequencing-Number of correct sequences.BACS - Number of Correct Sequences
BACS103AC121053BACS1-Number of Tokens Left on the TableBrief Assessment of Cognition in Schizophrenia - Token Motor Task-Total number of tokens left on the table.BACS - Number of Tokens Left on the Table
BACS103BC121054BACS1-Total Number Tokens in ContainerBrief Assessment of Cognition in Schizophrenia - Token Motor Task-Total number of tokens placed in the container.BACS - Total Number Tokens in Container
BACS103CC121055BACS1-Number Tokens Incorrectly PlacedBrief Assessment of Cognition in Schizophrenia Questionnaire - Token Motor Task-Total number of tokens incorrectly placed in container.BACS - Number Tokens Incorrectly Placed
BACS103DC121056BACS1-Number of Tokens Correctly PlacedBrief Assessment of Cognition in Schizophrenia Questionnaire - Token Motor Task-Number of tokens correctly placed.BACS - Number of Tokens Correctly Placed
BACS104AC121057BACS1-Category InstancesBrief Assessment of Cognition in Schizophrenia Questionnaire - Verbal Fluency-Category instances.BACS - Category Instances
BACS104BC121058BACS1-Letter Fluency 1Brief Assessment of Cognition in Schizophrenia Questionnaire - Verbal Fluency-Letter fluency 1.BACS - Letter Fluency 1
BACS104CC121059BACS1-Letter Fluency 2Brief Assessment of Cognition in Schizophrenia Questionnaire - Verbal Fluency-Letter fluency 2.BACS - Letter Fluency 2
BACS104DC121060BACS1-Verbal Fluency TotalBrief Assessment of Cognition in Schizophrenia Questionnaire - Verbal Fluency-Total number of Verbal Fluency items.BACS - Verbal Fluency Total
BACS105C121061BACS1-Symbol Coding Raw ScoreBrief Assessment of Cognition in Schizophrenia Questionnaire - Symbol Coding-Raw score.BACS - Symbol Coding Raw Score
BACS106C121062BACS1-Tower of London Correct ResponsesBrief Assessment of Cognition in Schizophrenia Questionnaire - Tower of London-Number of correct responses.BACS - Tower of London Correct Responses
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CL.C120982.BACS1TNBrief Assessment of Cognition in Schizophrenia Functional Test Test Name
(BACS1TN)
text
Extensible: No
C120982Brief Assessment of Cognition in Schizophrenia Functional Test Test NameBrief Assessment of Cognition in Schizophrenia test name.CDISC Functional Test BACS Test Name Terminology
BACS1-Category InstancesC121057BACS1-Category InstancesBrief Assessment of Cognition in Schizophrenia Questionnaire - Verbal Fluency-Category instances.BACS - Category Instances
BACS1-Letter Fluency 1C121058BACS1-Letter Fluency 1Brief Assessment of Cognition in Schizophrenia Questionnaire - Verbal Fluency-Letter fluency 1.BACS - Letter Fluency 1
BACS1-Letter Fluency 2C121059BACS1-Letter Fluency 2Brief Assessment of Cognition in Schizophrenia Questionnaire - Verbal Fluency-Letter fluency 2.BACS - Letter Fluency 2
BACS1-Number of Correct SequencesC121052BACS1-Number of Correct SequencesBrief Assessment of Cognition in Schizophrenia - Digit Sequencing-Number of correct sequences.BACS - Number of Correct Sequences
BACS1-Number of Items Recalled TotalC121051BACS1-Number of Items Recalled TotalBrief Assessment of Cognition in Schizophrenia - Verbal Memory-Total number of items recalled.BACS - Number of Items Recalled Total
BACS1-Number of Items RecalledC121050BACS1-Number of Items RecalledBrief Assessment of Cognition in Schizophrenia - Verbal Memory-Number of items recalled on each trial.BACS - Number of Items Recalled
BACS1-Number of Tokens Correctly PlacedC121056BACS1-Number of Tokens Correctly PlacedBrief Assessment of Cognition in Schizophrenia Questionnaire - Token Motor Task-Number of tokens correctly placed.BACS - Number of Tokens Correctly Placed
BACS1-Number of Tokens Left on the TableC121053BACS1-Number of Tokens Left on the TableBrief Assessment of Cognition in Schizophrenia - Token Motor Task-Total number of tokens left on the table.BACS - Number of Tokens Left on the Table
BACS1-Number Tokens Incorrectly PlacedC121055BACS1-Number Tokens Incorrectly PlacedBrief Assessment of Cognition in Schizophrenia Questionnaire - Token Motor Task-Total number of tokens incorrectly placed in container.BACS - Number Tokens Incorrectly Placed
BACS1-Symbol Coding Raw ScoreC121061BACS1-Symbol Coding Raw ScoreBrief Assessment of Cognition in Schizophrenia Questionnaire - Symbol Coding-Raw score.BACS - Symbol Coding Raw Score
BACS1-Total Number Tokens in ContainerC121054BACS1-Total Number Tokens in ContainerBrief Assessment of Cognition in Schizophrenia - Token Motor Task-Total number of tokens placed in the container.BACS - Total Number Tokens in Container
BACS1-Tower of London Correct ResponsesC121062BACS1-Tower of London Correct ResponsesBrief Assessment of Cognition in Schizophrenia Questionnaire - Tower of London-Number of correct responses.BACS - Tower of London Correct Responses
BACS1-Verbal Fluency TotalC121060BACS1-Verbal Fluency TotalBrief Assessment of Cognition in Schizophrenia Questionnaire - Verbal Fluency-Total number of Verbal Fluency items.BACS - Verbal Fluency Total
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CL.C100162.BPI1TCBrief Pain Inventory Questionnaire Test Code
(BPI1TC)
text
Extensible: No
C100162Brief Pain Inventory Questionnaire Test CodeBrief Pain Inventory test code.CDISC Questionnaire BPI Test Code Terminology
BPI101C100287BPI1-Marital StatusBrief Pain Inventory - Marital status.BPI - Marital Status
BPI102C100288BPI1-EducationBrief Pain Inventory - Education.BPI - Education
BPI102AC100289BPI1-Professional DegreeBrief Pain Inventory - Education. Professional degree.BPI - Professional Degree
BPI103C100290BPI1-Current OccupationBrief Pain Inventory - Current occupation.BPI - Current Occupation
BPI104C100291BPI1-Spouse's OccupationBrief Pain Inventory - Spouse's occupation.BPI - Spouse's Occupation
BPI105C100292BPI1-Current Job StatusBrief Pain Inventory - Which of the following best describes your current job status?BPI - Current Job Status
BPI106C100293BPI1-How Long Since DiagnosisBrief Pain Inventory - How long has it been since you first learned your diagnosis?BPI - How Long Since Diagnosis
BPI107C100294BPI1-Pain Due to Present DiseaseBrief Pain Inventory - Have you ever had pain due to your present disease?BPI - Pain Due to Present Disease
BPI108C100295BPI1-Pain One of Your SymptomsBrief Pain Inventory - When you first received your diagnosis, was pain one of your symptoms?BPI - Pain as a Symptom
BPI109C100296BPI1-Surgery in Past MonthBrief Pain Inventory - Have you had surgery in the past month?BPI - Surgery in Past Month
BPI109AC100297BPI1-Kind of Surgery in Past MonthBrief Pain Inventory - What kind of surgery have you had in the past month?BPI - Kind of Surgery in Past Month
BPI110C100298BPI1-Pain Other than Everyday KindsBrief Pain Inventory - Have you had pain other than these everyday kinds of pain during the last week?BPI - Pain Other than Everyday Kinds
BPI110AC100299BPI1-Pain Medications in the Last 7 DaysBrief Pain Inventory - Did you take pain medications in the last 7 days?BPI - Pain Medications in the Last 7 Days
BPI110BC100300BPI1-Pain Requires Medication DailyBrief Pain Inventory - I feel I have some form of pain that requires medication each and every day.BPI - Pain Requires Medication Daily
BPI111AC100301BPI1-Areas of PainBrief Pain Inventory - On the diagram, shade in the areas where you feel pain.BPI - Areas of Pain
BPI111BC100302BPI1-Area Hurts MostBrief Pain Inventory - On the diagram, put an X on the area that hurts the most.BPI - Area Hurts Most
BPI112C100303BPI1-Pain at its Worst in Last WeekBrief Pain Inventory - Please rate your pain by circling the one number that best describes your pain at its worst in the last week.BPI - Pain at its Worst in Last Week
BPI113C100304BPI1-Pain at its Least in Last WeekBrief Pain Inventory - Please rate your pain by circling the one number that best describes your pain at its least in the last week.BPI - Pain at its Least in Last Week
BPI114C100305BPI1-Pain on the AverageBrief Pain Inventory - Please rate your pain by circling the one number that best describes your pain on the average.BPI - Pain on the Average
BPI115C100306BPI1-Pain Right NowBrief Pain Inventory - Please rate your pain by circling the one number that tells how much pain you have right now.BPI - Pain Right Now
BPI116C100307BPI1-Things that Make Pain Feel BetterBrief Pain Inventory - What kinds of things make your pain feel better?BPI - Things that Make Pain Feel Better
BPI117C100308BPI1-Things that Make your Pain WorseBrief Pain Inventory - What kinds of things make your pain feel worse?BPI - Things that Make your Pain Worse
BPI118C100309BPI1-Treatments Receiving for PainBrief Pain Inventory - What treatments or medications are you receiving for your pain?BPI - Treatments Receiving for Pain
BPI119C100310BPI1-Relief Pain Treatments ProvidedBrief Pain Inventory - In the last week, how much relief have pain treatments or medications provided? Please circle the one percentage that most shows how much relief you have received.BPI - Relief Pain Treatments Provided
BPI120C100311BPI1-Hours before Pain ReturnsBrief Pain Inventory - If you take pain medication, how many hours does it take before the pain returns?BPI - Hours before Pain Returns
BPI1211C100312BPI1-Pain Due to Effects of TreatmentBrief Pain Inventory - I believe my pain is due to the effects of treatment.BPI - Pain Due to Effects of Treatment
BPI1212C100313BPI1-Pain Due to Primary DiseaseBrief Pain Inventory - I believe my pain is due to my primary disease.BPI - Pain Due to Primary Disease
BPI1213C100314BPI1-Pain Due to Unrelated Med ConditionBrief Pain Inventory - I believe my pain is due to a medical condition unrelated to my primary disease.BPI - Pain Due to Unrelated Medical Condition
BPI1213AC100315BPI1-Describe Unrelated Med ConditionBrief Pain Inventory - I believe my pain is due to a medical condition unrelated to my primary disease. Please describe condition.BPI - Describe Unrelated Medical Condition
BPI122AC100316BPI1-AchingBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: aching.BPI - Aching
BPI122BC100317BPI1-ThrobbingBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: throbbing.BPI - Throbbing
BPI122CC100318BPI1-ShootingBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: shooting.BPI - Shooting
BPI122DC100319BPI1-StabbingBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: stabbing.BPI - Stabbing
BPI122EC100320BPI1-GnawingBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: gnawing.BPI - Gnawing
BPI122FC100321BPI1-SharpBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: sharp.BPI - Sharp
BPI122GC100322BPI1-TenderBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: tender.BPI - Tender
BPI122HC100323BPI1-BurningBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: burning.BPI - Burning
BPI122IC100324BPI1-ExhaustingBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: exhausting.BPI - Exhausting
BPI122JC100325BPI1-TiringBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: tiring.BPI - Tiring
BPI122KC100326BPI1-PenetratingBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: penetrating.BPI - Penetrating
BPI122LC100327BPI1-NaggingBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: nagging.BPI - Nagging
BPI122MC100328BPI1-NumbBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: numb.BPI - Numb
BPI122NC100329BPI1-MiserableBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: miserable.BPI - Miserable
BPI122OC100330BPI1-UnbearableBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: unbearable.BPI - Unbearable
BPI123AC100331BPI1-Pain Interfered General ActivityBrief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your general activity.BPI - Pain Interfered with General Activity
BPI123BC100332BPI1-Pain Interfered with MoodBrief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your mood.BPI - Pain Interfered with Mood
BPI123CC100333BPI1-Pain Interfered Walking AbilityBrief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your walking ability.BPI - Pain Interfered with Walking Ability
BPI123DC100334BPI1-Pain Interfered with Normal WorkBrief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your normal work.BPI - Pain Interfered with Normal Work
BPI123EC100335BPI1-Pain Interfered with RelationsBrief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your relations with other people.BPI - Pain Interfered with Relations
BPI123FC100336BPI1-Pain Interfered with SleepBrief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your sleep.BPI - Pain Interfered with Sleep
BPI123GC100337BPI1-Pain Interfered Enjoyment of LifeBrief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your enjoyment of life.BPI - Pain Interfered with Enjoyment of Life
BPI124C100338BPI1-Prefer to Take Pain MedicineBrief Pain Inventory - I prefer to take my pain medicine.BPI - Prefer to Take Pain Medicine
BPI125C100339BPI1-Take my Pain MedicineBrief Pain Inventory - I take my pain medicine (in a 24 hour period).BPI - Take my Pain Medicine
BPI126C100340BPI1-Need Stronger Type of Pain MedBrief Pain Inventory - Do you feel you need a stronger type of pain medication?BPI - Need Stronger Type of Pain Medication
BPI127C100341BPI1-Need more Pain Med than PrescribedBrief Pain Inventory - Do you feel you need to take more of the pain medication than your doctor has prescribed?BPI - Need more Pain Medication than Prescribed
BPI128C100342BPI1-Concerned Use Too Much Pain MedBrief Pain Inventory - Are you concerned that you use too much pain medication?BPI - Concerned with Too Much Pain Medication Use
BPI128AC100343BPI1-Why Concerned Use Too Much Pain MedBrief Pain Inventory - Are you concerned that you use too much pain medication? If Yes, why?BPI - Why Concerned with Too Much Pain Medication Use
BPI129C100344BPI1-Problems with Side Effects Pain MedBrief Pain Inventory - Are you having problems with side effects from your pain medication?BPI - Problems with Side Effects Pain Medication
BPI129AC100345BPI1-Which Side Effects from Pain MedBrief Pain Inventory - Are you having problems with side effects from your pain medication? Which side effects?BPI - What Side Effects from Pain Medication
BPI130C100346BPI1-Need Further Info about Pain MedBrief Pain Inventory - Do you feel you need to receive further information about your pain medication?BPI - Need Further Information about Pain Medication
BPI131AC100347BPI1-Warm Compresses to Relieve PainBrief Pain Inventory - Other methods I use to relieve pain include: warm compresses.BPI - Warm Compresses to Relieve Pain
BPI131BC100348BPI1-Cold Compresses to Relieve PainBrief Pain Inventory - Other methods I use to relieve pain include: cold compresses.BPI - Cold Compresses to Relieve Pain
BPI131CC100349BPI1-Relaxation Techniques Relieve PainBrief Pain Inventory - Other methods I use to relieve pain include: relaxation techniques.BPI - Relaxation Techniques Relieve Pain
BPI131DC100350BPI1-Distraction to Relieve PainBrief Pain Inventory - Other methods I use to relieve pain include: distraction.BPI - Distraction to Relieve Pain
BPI131EC100351BPI1-Biofeedback to Relieve PainBrief Pain Inventory - Other methods I use to relieve pain include: biofeedback.BPI - Biofeedback to Relieve Pain
BPI131FC100352BPI1-Hypnosis to Relieve PainBrief Pain Inventory - Other methods I use to relieve pain include: hypnosis.BPI - Hypnosis to Relieve Pain
BPI131GC100353BPI1-Other to Relieve PainBrief Pain Inventory - Other methods I use to relieve pain include: other.BPI - Other Methods to Relieve Pain
BPI131HC100354BPI1-Other specify to Relieve PainBrief Pain Inventory - Other methods I use to relieve pain include: other. Please specify.BPI - Specified Other Method to Relieve Pain
BPI132C100355BPI1-Meds not Prescribed Taken for PainBrief Pain Inventory - Medications not prescribed by my doctor that I take for pain are.BPI - Medications not Prescribed Taken for Pain
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CL.C100161.BPI1TNBrief Pain Inventory Questionnaire Test Name
(BPI1TN)
text
Extensible: No
C100161Brief Pain Inventory Questionnaire Test NameBrief Pain Inventory test name.CDISC Questionnaire BPI Test Name Terminology
BPI1-AchingC100316BPI1-AchingBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: aching.BPI - Aching
BPI1-Area Hurts MostC100302BPI1-Area Hurts MostBrief Pain Inventory - On the diagram, put an X on the area that hurts the most.BPI - Area Hurts Most
BPI1-Areas of PainC100301BPI1-Areas of PainBrief Pain Inventory - On the diagram, shade in the areas where you feel pain.BPI - Areas of Pain
BPI1-Biofeedback to Relieve PainC100351BPI1-Biofeedback to Relieve PainBrief Pain Inventory - Other methods I use to relieve pain include: biofeedback.BPI - Biofeedback to Relieve Pain
BPI1-BurningC100323BPI1-BurningBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: burning.BPI - Burning
BPI1-Cold Compresses to Relieve PainC100348BPI1-Cold Compresses to Relieve PainBrief Pain Inventory - Other methods I use to relieve pain include: cold compresses.BPI - Cold Compresses to Relieve Pain
BPI1-Concerned Use Too Much Pain MedC100342BPI1-Concerned Use Too Much Pain MedBrief Pain Inventory - Are you concerned that you use too much pain medication?BPI - Concerned with Too Much Pain Medication Use
BPI1-Current Job StatusC100292BPI1-Current Job StatusBrief Pain Inventory - Which of the following best describes your current job status?BPI - Current Job Status
BPI1-Current OccupationC100290BPI1-Current OccupationBrief Pain Inventory - Current occupation.BPI - Current Occupation
BPI1-Describe Unrelated Med ConditionC100315BPI1-Describe Unrelated Med ConditionBrief Pain Inventory - I believe my pain is due to a medical condition unrelated to my primary disease. Please describe condition.BPI - Describe Unrelated Medical Condition
BPI1-Distraction to Relieve PainC100350BPI1-Distraction to Relieve PainBrief Pain Inventory - Other methods I use to relieve pain include: distraction.BPI - Distraction to Relieve Pain
BPI1-EducationC100288BPI1-EducationBrief Pain Inventory - Education.BPI - Education
BPI1-ExhaustingC100324BPI1-ExhaustingBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: exhausting.BPI - Exhausting
BPI1-GnawingC100320BPI1-GnawingBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: gnawing.BPI - Gnawing
BPI1-Hours before Pain ReturnsC100311BPI1-Hours before Pain ReturnsBrief Pain Inventory - If you take pain medication, how many hours does it take before the pain returns?BPI - Hours before Pain Returns
BPI1-How Long Since DiagnosisC100293BPI1-How Long Since DiagnosisBrief Pain Inventory - How long has it been since you first learned your diagnosis?BPI - How Long Since Diagnosis
BPI1-Hypnosis to Relieve PainC100352BPI1-Hypnosis to Relieve PainBrief Pain Inventory - Other methods I use to relieve pain include: hypnosis.BPI - Hypnosis to Relieve Pain
BPI1-Kind of Surgery in Past MonthC100297BPI1-Kind of Surgery in Past MonthBrief Pain Inventory - What kind of surgery have you had in the past month?BPI - Kind of Surgery in Past Month
BPI1-Marital StatusC100287BPI1-Marital StatusBrief Pain Inventory - Marital status.BPI - Marital Status
BPI1-Meds not Prescribed Taken for PainC100355BPI1-Meds not Prescribed Taken for PainBrief Pain Inventory - Medications not prescribed by my doctor that I take for pain are.BPI - Medications not Prescribed Taken for Pain
BPI1-MiserableC100329BPI1-MiserableBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: miserable.BPI - Miserable
BPI1-NaggingC100327BPI1-NaggingBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: nagging.BPI - Nagging
BPI1-Need Further Info about Pain MedC100346BPI1-Need Further Info about Pain MedBrief Pain Inventory - Do you feel you need to receive further information about your pain medication?BPI - Need Further Information about Pain Medication
BPI1-Need more Pain Med than PrescribedC100341BPI1-Need more Pain Med than PrescribedBrief Pain Inventory - Do you feel you need to take more of the pain medication than your doctor has prescribed?BPI - Need more Pain Medication than Prescribed
BPI1-Need Stronger Type of Pain MedC100340BPI1-Need Stronger Type of Pain MedBrief Pain Inventory - Do you feel you need a stronger type of pain medication?BPI - Need Stronger Type of Pain Medication
BPI1-NumbC100328BPI1-NumbBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: numb.BPI - Numb
BPI1-Other specify to Relieve PainC100354BPI1-Other specify to Relieve PainBrief Pain Inventory - Other methods I use to relieve pain include: other. Please specify.BPI - Specified Other Method to Relieve Pain
BPI1-Other to Relieve PainC100353BPI1-Other to Relieve PainBrief Pain Inventory - Other methods I use to relieve pain include: other.BPI - Other Methods to Relieve Pain
BPI1-Pain at its Least in Last WeekC100304BPI1-Pain at its Least in Last WeekBrief Pain Inventory - Please rate your pain by circling the one number that best describes your pain at its least in the last week.BPI - Pain at its Least in Last Week
BPI1-Pain at its Worst in Last WeekC100303BPI1-Pain at its Worst in Last WeekBrief Pain Inventory - Please rate your pain by circling the one number that best describes your pain at its worst in the last week.BPI - Pain at its Worst in Last Week
BPI1-Pain Due to Effects of TreatmentC100312BPI1-Pain Due to Effects of TreatmentBrief Pain Inventory - I believe my pain is due to the effects of treatment.BPI - Pain Due to Effects of Treatment
BPI1-Pain Due to Present DiseaseC100294BPI1-Pain Due to Present DiseaseBrief Pain Inventory - Have you ever had pain due to your present disease?BPI - Pain Due to Present Disease
BPI1-Pain Due to Primary DiseaseC100313BPI1-Pain Due to Primary DiseaseBrief Pain Inventory - I believe my pain is due to my primary disease.BPI - Pain Due to Primary Disease
BPI1-Pain Due to Unrelated Med ConditionC100314BPI1-Pain Due to Unrelated Med ConditionBrief Pain Inventory - I believe my pain is due to a medical condition unrelated to my primary disease.BPI - Pain Due to Unrelated Medical Condition
BPI1-Pain Interfered Enjoyment of LifeC100337BPI1-Pain Interfered Enjoyment of LifeBrief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your enjoyment of life.BPI - Pain Interfered with Enjoyment of Life
BPI1-Pain Interfered General ActivityC100331BPI1-Pain Interfered General ActivityBrief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your general activity.BPI - Pain Interfered with General Activity
BPI1-Pain Interfered Walking AbilityC100333BPI1-Pain Interfered Walking AbilityBrief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your walking ability.BPI - Pain Interfered with Walking Ability
BPI1-Pain Interfered with MoodC100332BPI1-Pain Interfered with MoodBrief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your mood.BPI - Pain Interfered with Mood
BPI1-Pain Interfered with Normal WorkC100334BPI1-Pain Interfered with Normal WorkBrief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your normal work.BPI - Pain Interfered with Normal Work
BPI1-Pain Interfered with RelationsC100335BPI1-Pain Interfered with RelationsBrief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your relations with other people.BPI - Pain Interfered with Relations
BPI1-Pain Interfered with SleepC100336BPI1-Pain Interfered with SleepBrief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your sleep.BPI - Pain Interfered with Sleep
BPI1-Pain Medications in the Last 7 DaysC100299BPI1-Pain Medications in the Last 7 DaysBrief Pain Inventory - Did you take pain medications in the last 7 days?BPI - Pain Medications in the Last 7 Days
BPI1-Pain on the AverageC100305BPI1-Pain on the AverageBrief Pain Inventory - Please rate your pain by circling the one number that best describes your pain on the average.BPI - Pain on the Average
BPI1-Pain One of Your SymptomsC100295BPI1-Pain One of Your SymptomsBrief Pain Inventory - When you first received your diagnosis, was pain one of your symptoms?BPI - Pain as a Symptom
BPI1-Pain Other than Everyday KindsC100298BPI1-Pain Other than Everyday KindsBrief Pain Inventory - Have you had pain other than these everyday kinds of pain during the last week?BPI - Pain Other than Everyday Kinds
BPI1-Pain Requires Medication DailyC100300BPI1-Pain Requires Medication DailyBrief Pain Inventory - I feel I have some form of pain that requires medication each and every day.BPI - Pain Requires Medication Daily
BPI1-Pain Right NowC100306BPI1-Pain Right NowBrief Pain Inventory - Please rate your pain by circling the one number that tells how much pain you have right now.BPI - Pain Right Now
BPI1-PenetratingC100326BPI1-PenetratingBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: penetrating.BPI - Penetrating
BPI1-Prefer to Take Pain MedicineC100338BPI1-Prefer to Take Pain MedicineBrief Pain Inventory - I prefer to take my pain medicine.BPI - Prefer to Take Pain Medicine
BPI1-Problems with Side Effects Pain MedC100344BPI1-Problems with Side Effects Pain MedBrief Pain Inventory - Are you having problems with side effects from your pain medication?BPI - Problems with Side Effects Pain Medication
BPI1-Professional DegreeC100289BPI1-Professional DegreeBrief Pain Inventory - Education. Professional degree.BPI - Professional Degree
BPI1-Relaxation Techniques Relieve PainC100349BPI1-Relaxation Techniques Relieve PainBrief Pain Inventory - Other methods I use to relieve pain include: relaxation techniques.BPI - Relaxation Techniques Relieve Pain
BPI1-Relief Pain Treatments ProvidedC100310BPI1-Relief Pain Treatments ProvidedBrief Pain Inventory - In the last week, how much relief have pain treatments or medications provided? Please circle the one percentage that most shows how much relief you have received.BPI - Relief Pain Treatments Provided
BPI1-SharpC100321BPI1-SharpBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: sharp.BPI - Sharp
BPI1-ShootingC100318BPI1-ShootingBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: shooting.BPI - Shooting
BPI1-Spouse's OccupationC100291BPI1-Spouse's OccupationBrief Pain Inventory - Spouse's occupation.BPI - Spouse's Occupation
BPI1-StabbingC100319BPI1-StabbingBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: stabbing.BPI - Stabbing
BPI1-Surgery in Past MonthC100296BPI1-Surgery in Past MonthBrief Pain Inventory - Have you had surgery in the past month?BPI - Surgery in Past Month
BPI1-Take my Pain MedicineC100339BPI1-Take my Pain MedicineBrief Pain Inventory - I take my pain medicine (in a 24 hour period).BPI - Take my Pain Medicine
BPI1-TenderC100322BPI1-TenderBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: tender.BPI - Tender
BPI1-Things that Make Pain Feel BetterC100307BPI1-Things that Make Pain Feel BetterBrief Pain Inventory - What kinds of things make your pain feel better?BPI - Things that Make Pain Feel Better
BPI1-Things that Make your Pain WorseC100308BPI1-Things that Make your Pain WorseBrief Pain Inventory - What kinds of things make your pain feel worse?BPI - Things that Make your Pain Worse
BPI1-ThrobbingC100317BPI1-ThrobbingBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: throbbing.BPI - Throbbing
BPI1-TiringC100325BPI1-TiringBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: tiring.BPI - Tiring
BPI1-Treatments Receiving for PainC100309BPI1-Treatments Receiving for PainBrief Pain Inventory - What treatments or medications are you receiving for your pain?BPI - Treatments Receiving for Pain
BPI1-UnbearableC100330BPI1-UnbearableBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: unbearable.BPI - Unbearable
BPI1-Warm Compresses to Relieve PainC100347BPI1-Warm Compresses to Relieve PainBrief Pain Inventory - Other methods I use to relieve pain include: warm compresses.BPI - Warm Compresses to Relieve Pain
BPI1-Which Side Effects from Pain MedC100345BPI1-Which Side Effects from Pain MedBrief Pain Inventory - Are you having problems with side effects from your pain medication? Which side effects?BPI - What Side Effects from Pain Medication
BPI1-Why Concerned Use Too Much Pain MedC100343BPI1-Why Concerned Use Too Much Pain MedBrief Pain Inventory - Are you concerned that you use too much pain medication? If Yes, why?BPI - Why Concerned with Too Much Pain Medication Use
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CL.C100164.BPI2TCBrief Pain Inventory Short Form Questionnaire Test Code
(BPI2TC)
text
Extensible: No
C100164Brief Pain Inventory Short Form Questionnaire Test CodeBrief Pain Inventory Short Form test code.CDISC Questionnaire BPI Short Form Test Code Terminology
BPI201C100356BPI2-Pain Other Than Everyday KindsBrief Pain Inventory Short Form - Have you had pain other than these everyday kinds of pain today?BPI Short Form - Pain Other Than Everyday Kinds
BPI202AC100357BPI2-Areas of PainBrief Pain Inventory Short Form - On the diagram, shade in the areas where you feel pain.BPI Short Form - Areas of Pain
BPI202BC100358BPI2-Area Hurts MostBrief Pain Inventory Short Form - On the diagram, put an X on the area that hurts the most.BPI Short Form - Area that Hurts Most
BPI203C100359BPI2-Pain at its Worst in Last 24 HoursBrief Pain Inventory Short Form - Please rate your pain by circling the one number that best describes your pain at its worst in the last 24 hours.BPI Short Form - Pain at its Worst in Last 24 Hours
BPI204C100360BPI2-Pain at its Least in Last 24 HoursBrief Pain Inventory Short Form - Please rate your pain by circling the one number that best describes your pain at its least in the last 24 hours.BPI Short Form - Pain at its Least in Last 24 Hours
BPI205C100361BPI2-Pain on the AverageBrief Pain Inventory Short Form - Please rate your pain by circling the one number that best describes your pain on the average.BPI Short Form - Pain on the Average
BPI206C100362BPI2-Pain Right NowBrief Pain Inventory Short Form - Please rate your pain by circling the one number that tells how much pain you have right now.BPI Short Form - Pain Right Now
BPI207C100363BPI2-Treatments Receiving for PainBrief Pain Inventory Short Form - What treatments or medications are you receiving for your pain?BPI Short Form - Treatments or Medications Receiving for Pain
BPI208C100364BPI2-Relief Pain Treatments ProvidedBrief Pain Inventory Short Form - In the last 24 hours, how much relief have pain treatments or medications provided? Please circle the one percentage that most shows how much relief you have received.BPI Short Form - Relief from Pain Treatments Provided
BPI209AC100365BPI2-Pain Interfered General ActivityBrief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your general activity.BPI Short Form - Pain Interfered with General Activity
BPI209BC100366BPI2-Pain Interfered with MoodBrief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your mood.BPI Short Form - Pain Interfered with Mood
BPI209CC100367BPI2-Pain Interfered Walking AbilityBrief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your walking ability.BPI Short Form - Pain Interfered with Walking Ability
BPI209DC100368BPI2-Pain Interfered with Normal WorkBrief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your normal work.BPI Short Form - Pain Interfered with Normal Work
BPI209EC100369BPI2-Pain Interfered with RelationsBrief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your relations with other people.BPI Short Form - Pain Interfered with Relations
BPI209FC100370BPI2-Pain Interfered with SleepBrief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your sleep.BPI Short Form - Pain Interfered with Sleep
BPI209GC100371BPI2-Pain Interfered Enjoyment of LifeBrief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your enjoyment of life.BPI Short Form - Pain Interfered with Enjoyment of Life
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CL.C100163.BPI2TNBrief Pain Inventory Short Form Questionnaire Test Name
(BPI2TN)
text
Extensible: No
C100163Brief Pain Inventory Short Form Questionnaire Test NameBrief Pain Inventory Short Form test name.CDISC Questionnaire BPI Short Form Test Name Terminology
BPI2-Area Hurts MostC100358BPI2-Area Hurts MostBrief Pain Inventory Short Form - On the diagram, put an X on the area that hurts the most.BPI Short Form - Area that Hurts Most
BPI2-Areas of PainC100357BPI2-Areas of PainBrief Pain Inventory Short Form - On the diagram, shade in the areas where you feel pain.BPI Short Form - Areas of Pain
BPI2-Pain at its Least in Last 24 HoursC100360BPI2-Pain at its Least in Last 24 HoursBrief Pain Inventory Short Form - Please rate your pain by circling the one number that best describes your pain at its least in the last 24 hours.BPI Short Form - Pain at its Least in Last 24 Hours
BPI2-Pain at its Worst in Last 24 HoursC100359BPI2-Pain at its Worst in Last 24 HoursBrief Pain Inventory Short Form - Please rate your pain by circling the one number that best describes your pain at its worst in the last 24 hours.BPI Short Form - Pain at its Worst in Last 24 Hours
BPI2-Pain Interfered Enjoyment of LifeC100371BPI2-Pain Interfered Enjoyment of LifeBrief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your enjoyment of life.BPI Short Form - Pain Interfered with Enjoyment of Life
BPI2-Pain Interfered General ActivityC100365BPI2-Pain Interfered General ActivityBrief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your general activity.BPI Short Form - Pain Interfered with General Activity
BPI2-Pain Interfered Walking AbilityC100367BPI2-Pain Interfered Walking AbilityBrief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your walking ability.BPI Short Form - Pain Interfered with Walking Ability
BPI2-Pain Interfered with MoodC100366BPI2-Pain Interfered with MoodBrief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your mood.BPI Short Form - Pain Interfered with Mood
BPI2-Pain Interfered with Normal WorkC100368BPI2-Pain Interfered with Normal WorkBrief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your normal work.BPI Short Form - Pain Interfered with Normal Work
BPI2-Pain Interfered with RelationsC100369BPI2-Pain Interfered with RelationsBrief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your relations with other people.BPI Short Form - Pain Interfered with Relations
BPI2-Pain Interfered with SleepC100370BPI2-Pain Interfered with SleepBrief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your sleep.BPI Short Form - Pain Interfered with Sleep
BPI2-Pain on the AverageC100361BPI2-Pain on the AverageBrief Pain Inventory Short Form - Please rate your pain by circling the one number that best describes your pain on the average.BPI Short Form - Pain on the Average
BPI2-Pain Other Than Everyday KindsC100356BPI2-Pain Other Than Everyday KindsBrief Pain Inventory Short Form - Have you had pain other than these everyday kinds of pain today?BPI Short Form - Pain Other Than Everyday Kinds
BPI2-Pain Right NowC100362BPI2-Pain Right NowBrief Pain Inventory Short Form - Please rate your pain by circling the one number that tells how much pain you have right now.BPI Short Form - Pain Right Now
BPI2-Relief Pain Treatments ProvidedC100364BPI2-Relief Pain Treatments ProvidedBrief Pain Inventory Short Form - In the last 24 hours, how much relief have pain treatments or medications provided? Please circle the one percentage that most shows how much relief you have received.BPI Short Form - Relief from Pain Treatments Provided
BPI2-Treatments Receiving for PainC100363BPI2-Treatments Receiving for PainBrief Pain Inventory Short Form - What treatments or medications are you receiving for your pain?BPI Short Form - Treatments or Medications Receiving for Pain
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CL.C161625.BPRS01TCBrief Psychiatric Rating Scale 1988 Version Clinical Classification Test Code
(BPRS01TC)
text
Extensible: No
C161625Brief Psychiatric Rating Scale 1988 Version Clinical Classification Test CodeBrief Psychiatric Rating Scale 1988 Version test code.CDISC Clinical Classification BPRS 1988 Version Test Code Terminology
BPRS0101C161741BPRS01-Somatic ConcernBrief Psychiatric Rating Scale 1988 Version - Somatic concern.BPRS 1988 Version - Somatic Concern
BPRS0102C161742BPRS01-AnxietyBrief Psychiatric Rating Scale 1988 Version - Anxiety.BPRS 1988 Version - Anxiety
BPRS0103C161743BPRS01-Emotional WithdrawalBrief Psychiatric Rating Scale 1988 Version - Emotional withdrawal.BPRS 1988 Version - Emotional Withdrawal
BPRS0104C161744BPRS01-Conceptual DisorganizationBrief Psychiatric Rating Scale 1988 Version - Conceptual disorganization.BPRS 1988 Version - Conceptual Disorganization
BPRS0105C161745BPRS01-Guilt FeelingsBrief Psychiatric Rating Scale 1988 Version - Guilt feelings.BPRS 1988 Version - Guilt Feelings
BPRS0106C161746BPRS01-TensionBrief Psychiatric Rating Scale 1988 Version - Tension.BPRS 1988 Version - Tension
BPRS0107C161747BPRS01-Mannerisms and PosturingBrief Psychiatric Rating Scale 1988 Version - Mannerisms and posturing.BPRS 1988 Version - Mannerisms and Posturing
BPRS0108C161748BPRS01-GrandiosityBrief Psychiatric Rating Scale 1988 Version - Grandiosity.BPRS 1988 Version - Grandiosity
BPRS0109C161749BPRS01-Depressive MoodBrief Psychiatric Rating Scale 1988 Version - Depressive mood.BPRS 1988 Version - Depressive Mood
BPRS0110C161750BPRS01-HostilityBrief Psychiatric Rating Scale 1988 Version - Hostility.BPRS 1988 Version - Hostility
BPRS0111C161751BPRS01-SuspiciousnessBrief Psychiatric Rating Scale 1988 Version - Suspiciousness.BPRS 1988 Version - Suspiciousness
BPRS0112C161752BPRS01-Hallucinatory BehaviorBrief Psychiatric Rating Scale 1988 Version - Hallucinatory behavior.BPRS 1988 Version - Hallucinatory Behavior
BPRS0113C161753BPRS01-Motor RetardationBrief Psychiatric Rating Scale 1988 Version - Motor retardation.BPRS 1988 Version - Motor Retardation
BPRS0114C161754BPRS01-UncooperativenessBrief Psychiatric Rating Scale 1988 Version - Uncooperativeness.BPRS 1988 Version - Uncooperativeness
BPRS0115C161755BPRS01-Unusual Thought ContentBrief Psychiatric Rating Scale 1988 Version - Unusual thought content.BPRS 1988 Version - Unusual Thought Content
BPRS0116C161756BPRS01-Blunted AffectBrief Psychiatric Rating Scale 1988 Version - Blunted affect.BPRS 1988 Version - Blunted Affect
BPRS0117C161757BPRS01-ExcitementBrief Psychiatric Rating Scale 1988 Version - Excitement.BPRS 1988 Version - Excitement
BPRS0118C161758BPRS01-DisorientationBrief Psychiatric Rating Scale 1988 Version - Disorientation.BPRS 1988 Version - Disorientation
BPRS0119C161759BPRS01-Total ScoreBrief Psychiatric Rating Scale 1988 Version - Total score.BPRS 1988 Version - Total Score
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CL.C161624.BPRS01TNBrief Psychiatric Rating Scale 1988 Version Clinical Classification Test Name
(BPRS01TN)
text
Extensible: No
C161624Brief Psychiatric Rating Scale 1988 Version Clinical Classification Test NameBrief Psychiatric Rating Scale 1988 Version test name.CDISC Clinical Classification BPRS 1988 Version Test Name Terminology
BPRS01-AnxietyC161742BPRS01-AnxietyBrief Psychiatric Rating Scale 1988 Version - Anxiety.BPRS 1988 Version - Anxiety
BPRS01-Blunted AffectC161756BPRS01-Blunted AffectBrief Psychiatric Rating Scale 1988 Version - Blunted affect.BPRS 1988 Version - Blunted Affect
BPRS01-Conceptual DisorganizationC161744BPRS01-Conceptual DisorganizationBrief Psychiatric Rating Scale 1988 Version - Conceptual disorganization.BPRS 1988 Version - Conceptual Disorganization
BPRS01-Depressive MoodC161749BPRS01-Depressive MoodBrief Psychiatric Rating Scale 1988 Version - Depressive mood.BPRS 1988 Version - Depressive Mood
BPRS01-DisorientationC161758BPRS01-DisorientationBrief Psychiatric Rating Scale 1988 Version - Disorientation.BPRS 1988 Version - Disorientation
BPRS01-Emotional WithdrawalC161743BPRS01-Emotional WithdrawalBrief Psychiatric Rating Scale 1988 Version - Emotional withdrawal.BPRS 1988 Version - Emotional Withdrawal
BPRS01-ExcitementC161757BPRS01-ExcitementBrief Psychiatric Rating Scale 1988 Version - Excitement.BPRS 1988 Version - Excitement
BPRS01-GrandiosityC161748BPRS01-GrandiosityBrief Psychiatric Rating Scale 1988 Version - Grandiosity.BPRS 1988 Version - Grandiosity
BPRS01-Guilt FeelingsC161745BPRS01-Guilt FeelingsBrief Psychiatric Rating Scale 1988 Version - Guilt feelings.BPRS 1988 Version - Guilt Feelings
BPRS01-Hallucinatory BehaviorC161752BPRS01-Hallucinatory BehaviorBrief Psychiatric Rating Scale 1988 Version - Hallucinatory behavior.BPRS 1988 Version - Hallucinatory Behavior
BPRS01-HostilityC161750BPRS01-HostilityBrief Psychiatric Rating Scale 1988 Version - Hostility.BPRS 1988 Version - Hostility
BPRS01-Mannerisms and PosturingC161747BPRS01-Mannerisms and PosturingBrief Psychiatric Rating Scale 1988 Version - Mannerisms and posturing.BPRS 1988 Version - Mannerisms and Posturing
BPRS01-Motor RetardationC161753BPRS01-Motor RetardationBrief Psychiatric Rating Scale 1988 Version - Motor retardation.BPRS 1988 Version - Motor Retardation
BPRS01-Somatic ConcernC161741BPRS01-Somatic ConcernBrief Psychiatric Rating Scale 1988 Version - Somatic concern.BPRS 1988 Version - Somatic Concern
BPRS01-SuspiciousnessC161751BPRS01-SuspiciousnessBrief Psychiatric Rating Scale 1988 Version - Suspiciousness.BPRS 1988 Version - Suspiciousness
BPRS01-TensionC161746BPRS01-TensionBrief Psychiatric Rating Scale 1988 Version - Tension.BPRS 1988 Version - Tension
BPRS01-Total ScoreC161759BPRS01-Total ScoreBrief Psychiatric Rating Scale 1988 Version - Total score.BPRS 1988 Version - Total Score
BPRS01-UncooperativenessC161754BPRS01-UncooperativenessBrief Psychiatric Rating Scale 1988 Version - Uncooperativeness.BPRS 1988 Version - Uncooperativeness
BPRS01-Unusual Thought ContentC161755BPRS01-Unusual Thought ContentBrief Psychiatric Rating Scale 1988 Version - Unusual thought content.BPRS 1988 Version - Unusual Thought Content
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CL.C100134.BPRSA1TCBrief Psychiatric Rating Scale-A Clinical Classification Test Code
(BPRSA1TC)
text
Extensible: No
C100134Brief Psychiatric Rating Scale-A Clinical Classification Test CodeThe Brief Psychiatric Rating Scale-A test code.CDISC Clinical Classification BPRS-A Test Code Terminology
BPRSA101C100372BPRSA1-Somatic ConcernBrief Psychiatric Rating Scale-A - Somatic Concern.BPRS-A - Somatic Concern
BPRSA102C100373BPRSA1-AnxietyBrief Psychiatric Rating Scale-A - Anxiety.BPRS-A - Anxiety
BPRSA103C100374BPRSA1-Emotional WithdrawalBrief Psychiatric Rating Scale-A - Emotional Withdrawal.BPRS-A - Emotional Withdrawal
BPRSA104C100375BPRSA1-Conceptual DisorganizationBrief Psychiatric Rating Scale-A - Conceptual Disorganization.BPRS-A - Conceptual Disorganization
BPRSA105C100376BPRSA1-Guilt FeelingsBrief Psychiatric Rating Scale-A - Guilt Feelings.BPRS-A - Guilt Feelings
BPRSA106C100377BPRSA1-TensionBrief Psychiatric Rating Scale-A - Tension.BPRS-A - Tension
BPRSA107C100378BPRSA1-Mannerisms and PosturingBrief Psychiatric Rating Scale-A - Mannerisms and Posturing.BPRS-A - Mannerisms and Posturing
BPRSA108C100379BPRSA1-GrandiosityBrief Psychiatric Rating Scale-A - Grandiosity.BPRS-A - Grandiosity
BPRSA109C100380BPRSA1-Depressive MoodBrief Psychiatric Rating Scale-A - Depressive Mood.BPRS-A - Depressive Mood
BPRSA110C100381BPRSA1-HostilityBrief Psychiatric Rating Scale-A - Hostility.BPRS-A - Hostility
BPRSA111C100382BPRSA1-SuspiciousnessBrief Psychiatric Rating Scale-A - Suspiciousness.BPRS-A - Suspiciousness
BPRSA112C100383BPRSA1-Hallucinatory BehaviorBrief Psychiatric Rating Scale-A - Hallucinatory Behavior.BPRS-A - Hallucinatory Behavior
BPRSA113C100384BPRSA1-Motor RetardationBrief Psychiatric Rating Scale-A - Motor Retardation.BPRS-A - Motor Retardation
BPRSA114C100385BPRSA1-UncooperativenessBrief Psychiatric Rating Scale-A - Uncooperativeness.BPRS-A - Uncooperativeness
BPRSA115C100386BPRSA1-Unusual Thought ContentBrief Psychiatric Rating Scale-A - Unusual Thought Content.BPRS-A - Unusual Thought Content
BPRSA116C100387BPRSA1-Blunted AffectBrief Psychiatric Rating Scale-A - Blunted Affect.BPRS-A - Blunted Affect
BPRSA117C100388BPRSA1-ExcitementBrief Psychiatric Rating Scale-A - Excitement.BPRS-A - Excitement
BPRSA118C100389BPRSA1-DisorientationBrief Psychiatric Rating Scale-A - Disorientation.BPRS-A - Disorientation
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CL.C100133.BPRSA1TNBrief Psychiatric Rating Scale-A Clinical Classification Test Name
(BPRSA1TN)
text
Extensible: No
C100133Brief Psychiatric Rating Scale-A Clinical Classification Test NameThe Brief Psychiatric Rating Scale-A test name.CDISC Clinical Classification BPRS-A Test Name Terminology
BPRSA1-AnxietyC100373BPRSA1-AnxietyBrief Psychiatric Rating Scale-A - Anxiety.BPRS-A - Anxiety
BPRSA1-Blunted AffectC100387BPRSA1-Blunted AffectBrief Psychiatric Rating Scale-A - Blunted Affect.BPRS-A - Blunted Affect
BPRSA1-Conceptual DisorganizationC100375BPRSA1-Conceptual DisorganizationBrief Psychiatric Rating Scale-A - Conceptual Disorganization.BPRS-A - Conceptual Disorganization
BPRSA1-Depressive MoodC100380BPRSA1-Depressive MoodBrief Psychiatric Rating Scale-A - Depressive Mood.BPRS-A - Depressive Mood
BPRSA1-DisorientationC100389BPRSA1-DisorientationBrief Psychiatric Rating Scale-A - Disorientation.BPRS-A - Disorientation
BPRSA1-Emotional WithdrawalC100374BPRSA1-Emotional WithdrawalBrief Psychiatric Rating Scale-A - Emotional Withdrawal.BPRS-A - Emotional Withdrawal
BPRSA1-ExcitementC100388BPRSA1-ExcitementBrief Psychiatric Rating Scale-A - Excitement.BPRS-A - Excitement
BPRSA1-GrandiosityC100379BPRSA1-GrandiosityBrief Psychiatric Rating Scale-A - Grandiosity.BPRS-A - Grandiosity
BPRSA1-Guilt FeelingsC100376BPRSA1-Guilt FeelingsBrief Psychiatric Rating Scale-A - Guilt Feelings.BPRS-A - Guilt Feelings
BPRSA1-Hallucinatory BehaviorC100383BPRSA1-Hallucinatory BehaviorBrief Psychiatric Rating Scale-A - Hallucinatory Behavior.BPRS-A - Hallucinatory Behavior
BPRSA1-HostilityC100381BPRSA1-HostilityBrief Psychiatric Rating Scale-A - Hostility.BPRS-A - Hostility
BPRSA1-Mannerisms and PosturingC100378BPRSA1-Mannerisms and PosturingBrief Psychiatric Rating Scale-A - Mannerisms and Posturing.BPRS-A - Mannerisms and Posturing
BPRSA1-Motor RetardationC100384BPRSA1-Motor RetardationBrief Psychiatric Rating Scale-A - Motor Retardation.BPRS-A - Motor Retardation
BPRSA1-Somatic ConcernC100372BPRSA1-Somatic ConcernBrief Psychiatric Rating Scale-A - Somatic Concern.BPRS-A - Somatic Concern
BPRSA1-SuspiciousnessC100382BPRSA1-SuspiciousnessBrief Psychiatric Rating Scale-A - Suspiciousness.BPRS-A - Suspiciousness
BPRSA1-TensionC100377BPRSA1-TensionBrief Psychiatric Rating Scale-A - Tension.BPRS-A - Tension
BPRSA1-UncooperativenessC100385BPRSA1-UncooperativenessBrief Psychiatric Rating Scale-A - Uncooperativeness.BPRS-A - Uncooperativeness
BPRSA1-Unusual Thought ContentC100386BPRSA1-Unusual Thought ContentBrief Psychiatric Rating Scale-A - Unusual Thought Content.BPRS-A - Unusual Thought Content
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CL.C130239.BUERS1TCBrooke Upper Extremity Rating Scale Clinical Classification Test Code
(BUERS1TC)
text
Extensible: No
C130239Brooke Upper Extremity Rating Scale Clinical Classification Test CodeBrooke Upper Extremity Rating Scale test code.CDISC Clinical Classification BUERS Test Code Terminology
BUERS101C130326BUERS1-Brooke Upper Extremity RatingBrooke Upper Extremity Rating Scale - Brooke upper extremity rating scale.BUERS - Brooke Upper Extremity Rating Scale
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CL.C130238.BUERS1TNBrooke Upper Extremity Rating Scale Clinical Classification Test Name
(BUERS1TN)
text
Extensible: No
C130238Brooke Upper Extremity Rating Scale Clinical Classification Test NameBrooke Upper Extremity Rating Scale test name.CDISC Clinical Classification BUERS Test Name Terminology
BUERS1-Brooke Upper Extremity RatingC130326BUERS1-Brooke Upper Extremity RatingBrooke Upper Extremity Rating Scale - Brooke upper extremity rating scale.BUERS - Brooke Upper Extremity Rating Scale
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CL.C118971.CCCATCategory of Clinical Classification
(CCCAT)
text
Extensible: Yes
C118971Category of Clinical ClassificationA grouping of observations within the Disease Response and Clin Classification domain.CDISC Clinical Classification Category Terminology
AIMSC102111AIMS01Abnormal Involuntary Movement Scale (AIMS) (Guy W. Ed. ECDEU Assessment Manual for Psychopharmacology. Rockville MD: US Dept of Health, Education and Welfare. 1976, Publication No. (ADM) 76-338). CDISC believes this instrument to be in the public domain, but you should perform your own assessment.Abnormal Involuntary Movement Scale Clinical Classification
AJCC V7C125755AJCC1AJCC TNM Staging System 7th Edition (AJCC V7) (Edge SB, Byrd DR, Compton CC, Fritz AG, Greene FL, Trotti A, editors. AJCC cancer staging manual (7th ed). New York, NY: Springer; 2010). No part of the AJCC V7 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Springer and payment of any applicable fees. Copyright Springer 2010. All rights reserved.AJCC Cancer Staging Manual 7th Edition
AJCC V8C146985AJCC2AJCC TNM Staging System 8th Edition (AJCC V8) (Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017. AJCC Cancer Staging Manual, Eighth Edition. Copyright 2017 American College of Surgeons. All rights reserved). No part of the AJCC V8 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Springer and payment of any applicable fees. Copyright American College of Surgeons 2017. All rights reserved.AJCC Cancer Staging Manual 8th Edition
APACHE IIC121005APCH1Acute Physiology and Chronic Health Evaluation II (APACHE II) (Knaus WA, Draper EA, Wagner DP, Zimmerman JE. APACHE II: a severity of disease classification system. Critical Care Medicine 1985; 13(10):818-29). CDISC believes this instrument to be in the public domain, but you should perform your own assessment.Acute Physiology and Chronic Health Evaluation II Clinical Classification
APGAR SCORE V1C176057APGR01Apgar Score V1 (APGAR SCORE V1) (Apgar, Virginia 1953. A Proposal for a New Method of Evaluation of the Newborn Infant. Cur Res in Anesth Analg. 1953 Jul-Aug;32(4):260-7. Butterfield J, Covey MJ. Practical Epigram of the Apgar Score. JAMA. 1962; 181(4):353). CDISC believes this instrument to be in the public domain, but you should perform your own assessment.Apgar Score Version 1 Clinical Classification
ARC STC GRADEC119107STCG01Stent Thrombosis Coronary ARC Grade (Cutlip DE, Windecker S, Mehran R, et al. Clinical End Points in Coronary Stent Trials : A Case for Standardized Definitions. Circulation. 2007;115:2344-2351). CDISC believes this instrument to be in the public domain, but you should perform your own assessment.Stent Thrombosis Coronary ARC Grade Clinical Classification
ASCVD 10-YEAR RISKC124705ASCVD1Atherosclerotic Cardiovascular Disease 10-Year Risk Estimator (Goff Jr DC et al. 2013 ACC/AHA Guideline on the Assessment of Cardiovascular Risk: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation 2014; 129: S49-S73). CDISC believes this instrument to be in the public domain, but you should perform your own assessment.Atherosclerotic Cardiovascular Disease 10-Year Risk Estimator Clinical Classification
ASSIGN CVD 10-YEAR RISKC124706ASSG01ASSIGN Cardiovascular Disease 10-Year Risk Score (Woodward M, Brindle P, Tunstall-Pedoe H, for the SIGN group on risk estimation. Adding social deprivation and family history to cardiovascular risk assessment: the ASSIGN score from the Scottish Heart Health Extended Cohort (SHHEC). Heart 2007; 93: 172-176). CDISC believes this instrument to be in the public domain, but you should perform your own assessment.ASSIGN Cardiovascular Disease 10-Year Risk Score Clinical Classification
ATLASC147589ATLAS1Age, treatment with systemic antibiotics, leukocyte count, serum albumin, and serum creatinine as a measure of renal function (ATLAS) (Miller, M.A., Louie,T., Mullane, K., Weiss, K., Lentnek, A., Golan, Y., et al. (2013). Derivation and validation of a simple clinical bedside score (ATLAS) for Clostridium difficile infection which predicts response to therapy. BMC Infectious Diseases, 13: 148). CDISC believes this instrument to be in the public domain, but you should perform your own assessment.ATLAS Score Clinical Classification
AVPUC161656AVPU01Alert Verbal Painful Unresponsive (AVPU) Scale (American College of Surgeons Committee on Trauma. Advanced trauma life support course for physicians. Chicago, IL: American College of Surgeons; 1989. Kelly CA, Upex A, Bateman DN. Comparison of consciousness level assessment in the poisoned patient using the alert/verbal/painful/unresponsive scale and the Glasgow Coma Scale. Annals of Emergency Medicine 2004 Aug;44(2):108-13). CDISC believes this instrument to be in the public domain, but you should perform your own assessment.Alert Verbal Painful Unresponsive Scale Clinical Classification
BARSC102113BARS01Barnes Akathisia Rating Scale (BARS) (Barnes TR: A Rating Scale for Drug-Induced Akathisia. British Journal of Psychiatry 154:672-676, 1989).Barnes Akathisia Rating Scale Clinical Classification
BDIC106693BDI01Baseline Dyspnea Index (BDI) (Mahler DA, Weinberg DH, Wells CK, Feinstein AR. The measurement of dyspnea. Contents, interobserver agreement, and physiologic correlates of two new clinical indexes. Chest 1984, 85: 751-758). No part of the BDI may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Donald A. Mahler, MD and payment of any applicable fees. Copyright Donald A. Mahler. All rights reserved.Baseline Dyspnea Index Clinical Classification
BODE INDEXC121006BODE01The Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index (BODE Index) (Bartolome R. Celli, M.D., Claudia G. Cote, M.D., Jose M. Marin, M.D., Ciro Casanova, M.D., Maria Montes de Oca, M.D., Reina A. Mendez, M.D., Victor Pinto Plata, M.D., and Howard J. Cabral, Ph.D.; N Engl J Med 2004;350:1005-12). CDISC believes this instrument to be in the public domain, but you should perform your own assessment.The Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index Clinical Classification
BPRS 1988 VERSIONC161657BPRS01Brief Psychiatric Rating Scale 1988 Version (BPRS 1988 VERSION) (Overall, JE, Gorham DR: The Brief Psychiatric Rating Scale (BPRS): recent developments in ascertainment and scaling. Psychopharmacology Bulletin 24:97-99, 1988). CDISC believes this instrument to be in the public domain, but you should perform your own assessment.Brief Psychiatric Rating Scale 1988 Version Clinical Classification
BPRS-AC100761BPRSA1Brief Psychiatric Rating Scale - Anchored (BPRS-A) (Woerner MB, Mannuzza S, and Kane JM. Anchoring the BPRS: An Aid to Improved Reliability. Psychopharmacology Bulletin 1988; 24(1):112-117). CDISC believes this instrument to be in the public domain, but you should perform your own assessment.Brief Psychiatric Rating Scale A Clinical Classification
BUERSC130304BUERS1Brooke Upper Extremity Rating Scale (BUERS) (Brooke MG, Griggs RC, Mendell JR, Fenichel, GM, Shumate JB and Peggegrino RJ (1981). Clinical trial in duchenne dystrophy. I The Design of the Protocol. Muscle and Nerve: 4:186-197). CDISC believes this instrument to be in the public domain, but you should perform your own assessment.Brooke Upper Extremity Rating Scale Clinical Classification
CDAI V1C176059CDAI01Crohn's Disease Activity Index Version 1 (CDAI V1) (Best WR, Becktel JM, Singleton JW, Kern F Jr. Development of a Crohn's disease activity index. National Cooperative Crohn's Disease Study. Gastroenterology. 1976 Mar;70(3):439-44). CDISC believes this instrument to be in the public domain, but you should perform your own assessment.Crohn's Disease Activity Index Version 1 Clinical Classification
CDC HIV CLASSIFICATION FOR ADULTS AND ADOLESCENTSC124715CHIVC1CDC Classification System for HIV-Infected Adults and Adolescents (Centers for Disease Control and Prevention. 1993 Revised Classification System for HIV Infection and Expanded Surveillance Case Definition for AIDS Among Adolescents and Adults. MMWR Recomm Rep. 1992 Dec 18;41(RR-17):1-19). CDISC believes this instrument to be in the public domain, but you should perform your own assessment.Center for Disease Control and Prevention Classification System for HIV-Infected Adults and Adolescents Clinical Classification
CDRS-RC155323CDRS1Children's Depression Rating Scale, Revised (CDRS-R) (Copyright 1995 by WESTERN PSYCHOLOGICAL SERVICES. Not to be reproduced in whole or in part without written permission. All rights reserved). No part of the CDRS-R may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of WESTERN PSYCHOLOGICAL SERVICES and payment of any applicable fees. Copyright WESTERN PSYCHOLOGICAL SERVICES. All rights reserved.Children's Depression Rating Scale, Revised Clinical Classification
CHILD-PUGH CLASSIFICATIONC121007CPS01Child-Pugh Classification (Guidance for Industry Pharmacokinetics in Patients with Impaired Hepatic Function: Study Design, Data Analysis, and Impact on Dosing and Labeling. U.S. Department of Health and Human Services; Food and Drug Administration; Center for Drug Evaluation and Research (CDER); Center for Biologics Evaluation and Research (CBER). May 2003, Clinical Pharmacology. http://www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/UCM072123.pdf; http://www.halaven.com/sites/default/files/ChildPugh_FlashCard.pdf). CDISC believes this instrument to be in the public domain, but you should perform your own assessment.Child-Pugh Clinical Classification
COVIC156675COVI01Covi Anxiety Scale (COVI) (Lipman RS. Differentiating anxiety and depression in anxiety disorders: use of rating scales. Psychopharmacol Bull 1982; 18(4):69-77). CDISC believes this instrument to be in the public domain, but you should perform your own assessment.Covi Anxiety Scale Clinical Classification
CRS-RC124711CRSR01JFK Coma Recovery Scale-Revised (CRS-R) (Joseph T. Giacino, Kathleen Kalmar, John Whyte. The JFK Coma Recovery Scale-Revised: Measurement Characteristics and Diagnostic Utility. Arch Phys Med Rehabil Vol 85, December 2004). CDISC believes this instrument to be in the public domain, but you should perform your own assessment.JFK Coma Recovery Scale-Revised Clinical Classification
DISEASE STEPSC112519DS01Disease Steps (DS) (Hohol MJ, Orav EJ, Weiner HL. Disease steps in multiple sclerosis: a simple approach to evaluate disease progression. Neurology. 1995 Feb;45(2):251-5). CDISC believes this instrument to be in the public domain, but you should perform your own assessment.Disease Steps Clinical Classification
DRSC115796DRS01Disability Rating Scale (DRS) (Rappaport et al. (1982) Disability Rating Scale for Severe Head Trauma Patients: Coma to Community. Archives of Physical Medicine and Rehabilitation, 63:118-123).Disability Rating Scale Clinical Classification
E-TRIPC161658ETRP01Emory Treatment Resistance Interview for PTSD (E-TRIP) (Dunlop BW, Kaye JL, Youngner C, Rothbaum B. Assessing Treatment-Resistant Posttraumatic Stress Disorder: The Emory Treatment Resistance Interview for PTSD (E-TRIP). Behav Sci (Basel) 2014; Dec 8; 4(4):511-527). No part of the E-TRIP may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Boadie W. Dunlop, MD and payment of any applicable fees. Copyright Boadie W. Dunlop, MD, 2018. All rights reserved.Emory Treatment Resistance Interview for PTSD Clinical Classification
ECOGC102116ECOG1Eastern Cooperative Oncology Group (ECOG) Performance Status (Oken MM, Creech RH, Tormey DC, Horton J, Davis TE, McFadden ET, Carbone PP. Toxicity and response criteria of the Eastern Cooperative Oncology Group. Am J Clin Oncol. 1982 Dec;5(6):649-55). CDISC believes this instrument to be in the public domain, but you should perform your own assessment.Eastern Cooperative Oncology Group Performance Status Clinical Classification
EDSSC112520EDSS01Kurtzke Expanded Disability Status Scale (EDSS) (Kurtzke JF. Rating neurologic impairment in multiple sclerosis: an expanded disability status scale (EDSS). Neurology. 1983 Nov;33(11):1444-52).Kurtzke Expanded Disability Status Scale Clinical Classification
ESRSAC117997ESRSA1Extrapyramidal Symptom Rating Scale-Abbreviated (ESRS-A) (Copyright 2006 Larry Alphs, MD, PhD, Guy Chouinard, MD, All Rights Reserved).Extrapyramidal Symptom Rating Scale-Abbreviated Clinical Classification
FAQC111381FAQ01Functional Activities Questionnaire (FAQ) (Pfeiffer, RI.; Kurosaki, TT.; Harrah, CH. Jr.; Chance, JM.; and Filos, S. (1982). Measurement of functional activities in older adults in the community. Journal of Gerontology, 37(3), 323-329.). No part of the FAQ may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Robert I Pfeffer and payment of any applicable fees. Copyright Robert I Pfeffer 1987. All rights reserved.Functional Activities Questionnaire Clinical Classification
FAQ-NACC UDS V2.0C111382FAQNA1Functional Assessment Questionnaire-NACC UDS V2.0 (FAQ-NACC UDS V2.0) (Pfeffer, RI.; Kurosaki, TT.; Harrah, CH. Jr.; Chance, JM.; and Filos, S. (1982). Measurement of functional activities in older adults in the community. Journal of Gerontology, 37(3), 323-329.). (Reproduced with permission. Copyright 2011 University of Washington. Created and published by the ADC Clinical Task Force. John C. Morris, MD, Chair, and the National Alzheimer's Coordinating Center. U01 AG016976 - Walter A. Kukull, PhD, Director). No part of the FAQ-NACC UDS V2.0 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the University of Washington and payment of any applicable fees. Copyright University of Washington 2011. All rights reserved.Functional Assessment Questionnaire-NACC UDS Version 2.0 Clinical Classification
FAS-NACC UDS V3.0C170643FASNA1Functional Assessment Scale-NACC UDS v3.0 (FAS-NACC UDS V3.0) (These materials discuss and/or include NACC Functional Assessment Scale (FAS) v3.0 which is owned exclusively by the University of Washington. Copyright Reproduced with permission. Copyright 2006, 2008, 2015, 2017 University of Washington. Created and published by the ADC Clinical Task Force (John C. Morris, MD, Chair) and the National Alzheimer's Coordinating Center (U01 AG016976 - Walter A. Kukull, PhD, Director). All rights reserved). No part of the FAS-NACC UDS V3.0 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without prior written permission of the University of Washington and payment of any applicable fees. Copyright 2006, 2008, 2015, 2017 University of Washington. All rights reserved.Functional Assessment Scale-NACC UDS Version 3.0 Clinical Classification
FHS CVD 10-YEAR RISKC124707FCVD1Framingham Heart Study Cardiovascular Disease 10-Year Risk Score (D'Agostino Sr RB, Vasan RS, Pencina MJ, Wolf PA, Cobain M, Massaro JM, and Kannel WB. General Cardiovascular Risk Profile for Use in Primary Care: The Framingham Heart Study. Circulation 2008; 117: 743-753).Framingham Heart Study Cardiovascular Disease 10-Year Risk Score Clinical Classification
GCS NINDS VERSIONC124710GCS01Glasgow Coma Scale (GCS) The National Institute of Neurological Disorders and Stroke (NINDS) Version (Graham Teasdale and Bryan Jennett. Assessment of coma and impaired consciousness. A practical scale. Lancet. 1974 Jul 13; 2(7872):81-4).Glasgow Coma Scale-NINDS Version Clinical Classification
HAM-AC102118HAMA1The Hamilton Anxiety Rating Scale (HAM-A) (Hamilton M. The assessment of anxiety states by rating. Br J Med Psychol 1959; 32:50-55).Hamilton Anxiety Rating Scale Clinical Classification
HAMD 17C100767HAMD1The Hamilton Depression Rating Scale 17-Item (HAMD 17) (Hamilton M. A rating scale for depression. J Neurol Neurosurg Psychiatry 1960; 23:56-62. Hamilton M. Development of a rating scale for primary depressive illness. Br J Soc Clin Psychol 1967; 6(4):278-96. Assessment Scales in Depression, Mania and Anxiety, Raymond W Lam, Erin E. Michalak, Richard P Swinson, Copyright 2005 Taylor & Francis, an imprint of the Taylor & Francis Group. Guy W, ECDEU Assessment Manual for Psychopharmacology. Rockville, MD: US Department of Health, Education, and Welfare, 1976. The Hamilton Rating Scale for Depression: The making of a ''gold standard'' and the unmaking of a chronic illness, 1960-1980).Hamilton Depression Rating Scale 17 Item Clinical Classification
HAMD 21C102119HAMD2The Hamilton Depression Rating Scale 21-Item (HAMD 21) (Hedlund and Vieweg, The Hamilton rating scale for depression. Journal of Operational Psychiatry, 1979;10(2):149-165).Hamilton Depression Rating Scale 21-Item Clinical Classification
HAMD 24C130307HAMD3The Hamilton Depression Rating Scale 24-Item (HAM-D24) (Clinical Psychometrics: Per Bech, MD; John Wiley & Sons, Ltd. 2012).Hamilton Depression Rating Scale-24 Item Clinical Classification
HAMD 6 CLINICIAN VERSIONC130306HAMD4The Hamilton Depression Rating Scale 6 - Clinician Version (HAM-D6 - Clinician Version) (Clinical Research: Rating scales in depression: limitations and pitfalls; Per Bech, MD; Copyright 2006 LLS SAS. All rights reserved).Hamilton Depression Rating Scale 6 Clinician Version Clinical Classification
HAS-BLEDC138332HSB01HAS-BLED Bleeding Risk Score (HAS-BLED) (This image was published in Chest, 138 (5), Pisters R, Lane DA, Nieuwlaat R, de Vos CB, Crijns HJ, Lip GY, A Novel User-Friendly Score (HAS-BLED) To Assess 1-Year Risk of Major Bleeding in Patients With Atrial Fibrillation: The Euro Heart Survey, Copyright Elsevier (2010). http://www.sciencedirect.com/science/journal/00123692).HAS-BLED Bleeding Risk Score Clinical Classification
IDS-CC130308IDSC1Inventory of Depressive Symptomatology - Clinician-Rated (IDS-C) (Copyright UT Southwestern Medical Center at Dallas. Rush, A.J., Giles, D.E., Schlesser, M.A., Fulton, C.L.,Weissenburger, J.E. and Burns, C.T. The Inventory of Depressive Symptomatology (IDS): Preliminary findings. Psychiatry Research, 18:65-87, 1986).Inventory of Depressive Symptomatology Clinician-Rated Version Clinical Classification
KDIGO AKIC170645KDIGO1Kidney Disease: Improving Global Outcomes Staging For Acute Kidney Injury (KDIGO AKI) (Kidney Disease: Improving Global Outcomes (KDIGO) Acute Kidney Injury Work Group. KDIGO Clinical Practice Guideline for Acute Kidney Injury. Kidney inter., Suppl. 2012; 2:1-138). CDISC believes this instrument to be in the public domain, but you should perform your own assessment.Kidney Disease Improving Global Outcomes Staging For Acute Kidney Injury Clinical Classification
KDPIC130310KDPI01Kidney Donor Profile Index (KDPI) (OPTN/UNOS. A guide to calculating and interpreting the Kidney Donor Profile Index (KDPI). [Accessed April 18, 2016]. Available at: https://optn.transplant.hrsa.gov/media/1512/guide_to_calculating_interpreting_kdpi.pdf. Rao PS, Schaubel DE, Guidinger MK, et al. A comprehensive risk quantification score for deceased donor kidneys: the kidney donor risk index. Transplantation 2009 Jul 27;88(2):231-6).Kidney Donor Profile Index Clinical Classification
KFSSC112522KFSS1Kurtzke Functional Systems Scores (FSS) (Kurtzke JF. Rating neurologic impairment in multiple sclerosis: an expanded disability status scale (EDSS). Neurology. 1983 Nov;33(11):1444-52).Kurtzke Functional Systems Scores Clinical Classification
KPS SCALEC100768KPSS01The Karnofsky Performance Status Scale (KPSS) (Karnofsky DA, Burchenal JH. (1949). "The Clinical Evaluation of Chemotherapeutic Agents in Cancer." In: MacLeod CM (Ed), Evaluation of Chemotherapeutic Agents. Columbia Univ Press. Page 196).Karnofsky Performance Status Scale Clinical Classification
LPPS SCALEC138333LPPSS1The Lansky Play-Performance Status Scale (LPSS) (Lansky SB, List MA, Lansky LL, Ritter-Sterr C, Miller DR. The measurement of performance in childhood cancer patients. Cancer. 1987 Oct 1;60(7):1651-6).The Lansky Play-Performance Status Scale Clinical Classification
MELDC121008MELD01Model for End Stage Liver Disease (MELD) (Malinchoc M, Kamath PS, Gordon FD, Peine CJ, Rank J, ter Borg PC (April 2000). A model to predict poor survival in patients undergoing transjugular intrahepatic portosystemic shunts. Hepatology 31 (4): 864-71).Model for End Stage Liver Disease Clinical Classification
NEWS2C171357NEWS1National Early Warning Score 2 (NEWS2) (Royal College of Physicians. National Early Warning Score (NEWS) 2: Standardising the assessment of acute-illness severity in the NHS. Updated report of a working party. London: RCP, 2017).National Early Warning Score 2 Clinical Classification
NHLBI CAD GRADEC119105CADG01Coronary Artery Dissection NHLBI Grade (Coronary Artery angiographic changes after PTCA: Manual of Operations NHBLI PTCA Registry 1985-6:9).Coronary Artery Dissection NHLBI Grade Clinical Classification
NSA-16C121009NSA01Negative Symptom Assessment-16 (NSA-16) (Version 2.0, Copyright 2006, Larry Alphs, MD, PhD, All Right Reserved).Negative Symptom Assessment-16 Clinical Classification
NSAAC132531NSAA1North Star Ambulatory Assessment (NSAA) (Copyright the North Star Clinical Network UK. Scott E, Eagle M, Mayhew A, Freeman J, Main M, Sheehan J, Manzur A, Muntoni F; North Star Clinical Network for Paediatric Neuromuscular Disease. Development of a functional assessment scale for ambulatory boys with Duchenne muscular dystrophy. Physiother Res Int. 2012 Jun;17(2):101-9. The support of Muscular Dystrophy United Kingdom in developing the North Star Ambulatory Assessment is gratefully acknowledged).North Star Ambulatory Assessment Clinical Classification
PANSSC124712PANSS1Positive and Negative Syndrome Scale (PANSS) (Copyright 1992 Multi-Health Systems Inc. All rights reserved).Positive and Negative Syndrome Scale Clinical Classification
PASI V2C179972PASI02Psoriasis Area and Severity Index Version 2 (PASI V2) (Feldman SR, Krueger GG. Psoriasis assessment tools in clinical trials. Ann Rheum Dis. 2005;64(Suppl 2):ii65-ii73). CDISC believes this instrument to be in the public domain, but you should perform your own assessment.Psoriasis Area and Severity Index Version 2 Clinical Classification
PASIC135734PASI01Psoriasis Area and Severity Index (PASI) (Fredriksson T, Pettersson U. Severe psoriasis--Oral Therapy with a New Retinoid. Dermatologica. 1978;157(4):238-244. Feldman SR, Krueger GG. Psoriasis assessment tools in clinical trials. Ann Rheum Dis. 2005;64(Suppl 2):ii65-ii73).Psoriasis Area and Severity Index Clinical Classification
QIDS-CC130309QIDSC1Quick Inventory of Depressive Symptomatology - Clinician-Rated (QIDS-C) (Copyright UT Southwestern Medical Center at Dallas. Rush AJ, Trivedi MH, Ibrahim HM, Carmody TJ, Arnow B, Klein DN, Markowitz JC, Ninan PT, Kornstein S, Manber R, Thase ME, Kocsis JH, Keller MB. The 16-item Quick Inventory of Depressive Symptomatology (QIDS) Clinician Rating (QIDS-C) and Self-Report (QIDS-SR): A psychometric evaluation in patients with chronic major depression. Biological Psychiatry, 54:573-583, 2003).Quick Inventory of Depressive Symptomatology Clinician-Rated Version Clinical Classification
RASSC171417RASS01Richmond Agitation-Sedation Scale (RASS) (Sessler CN, Gosnell M, Grap MJ, Brophy GT, O'Neal PV, Keane KA et al. The Richmond Agitation-Sedation Scale: validity and reliability in adult intensive care patients. Am J Respir Crit Care Med. 2002 Nov 15;166:1338-1344. Copyright Virginia Commonwealth University 2000. All Rights Reserved).Richmond Agitation-Sedation Scale Clinical Classification
REYNOLDS CVD 10-YEAR RISKC124708RCVD01Reynolds Cardiovascular Disease 10-Year Risk Score (Ridker PM, Buring JE, Rifai N, Cook NR. Development and Validation of Improved Algorithms for the Assessment of Global Cardiovascular Risk in Women: The Reynolds Risk Score. Jama 2007; 297: 611-619), (Ridker PM, Paynter NP, Rifai N, Gaziano JM, Cook NR. C-Reactive Protein and Parental History Improve Global Cardiovascular Risk Prediction: The Reynolds Risk Score for Men. Circulation2008; 118(22): 2243-2251).Reynolds Cardiovascular Disease 10-Year Risk Score Clinical Classification
RSSSC174061RSSS01Rett Syndrome Severity Scale (RSSS) (Kalkwarf HJ, Zemel BS, Gilsanz V, Lappe JM, Horlick M, Oberfield S, Mahboubi S, Fan B, Frederick MM, Winer K, Shepherd JA. The bone mineral density in childhood study: bone mineral content and density according to age, sex, and race. J Clin Endocrinol Metab. 2007 Jun;92(6):2087-99).Rett Syndrome Severity Scale Clinical Classification
SASC171418SAS01Riker Sedation-Agitation Scale (SAS) (Riker, Richard R. MD, FCCP; Picard, Jean T. BSN, CCRN; Fraser, Gilles L. PharmD. Prospective evaluation of the Sedation-Agitation Scale for adult critically ill patients. Critical Care Medicine. July 1999; 27:7:1325-1329. Copyright Lippincott Williams & Wilkins, Inc. 1999. All Rights Reserved).Riker Sedation-Agitation Scale Clinical Classification
SES-CD V1C176060SES01Simple Endoscopic Score for Crohn's Disease Version 1 (SES-CD V1) (Daperno M, D'Haens G, Van Assche G, Baert F, Bulois P, Maunoury V, Sostegni R, Rocca R, Pera A, Gevers A, Mary JY, Colombel JF, Rutgeerts P. Development and validation of a new, simplified endoscopic activity score for Crohn's disease: the SES-CD. Gastrointest Endosc 2004; 60 (4): 505-512). CDISC believes this instrument to be in the public domain, but you should perform your own assessment.Simple Endoscopic Score for Crohn's Disease Version 1 Clinical Classification
TANNER SCALE BOYC124703TANN02Tanner Scale Boy (Marshall WA, Tanner JM. Variations in pattern of pubertal changes in boys. Arch Dis Child 1970 Feb;45(239):13-23).Tanner Scale Boy Version
TANNER SCALE GIRLC124704TANN01Tanner Scale Girl (Marshall WA, Tanner JM. Variations in pattern of pubertal changes in girls. Arch Dis Child 1969 Jun; 44(235): 291-303).Tanner Scale Girl Version
TDIC106694TDI01Transition Dyspnea Index (TDI) (Mahler DA, Weinberg DH, Wells CK, Feinstein AR. The measurement of dyspnea. Contents, interobserver agreement, and physiologic correlates of two new clinical indexes. Chest 1984, 85: 751-758).Transition Dyspnea Index Clinical Classification
TIMI THROMBUS GRADEC119104TIMG01Coronary Thrombus TIMI Grade (TIMI Definitions for Commonly Used Terms in Clinical Trials. Available at http://www.timi.org/wp-content/uploads/2010/10/TIMI-Definitions.pdf. Accessed November 30, 2013).Coronary Thrombus TIMI Grade Clinical Classification
UHDRS 1999C155324UHDR1Unified Huntington's Disease Rating Scale '99 (UHDRS 1999) (Huntington Study Group. (1996). Unified Huntington's Disease Rating Scale: Reliability and Consistency. Movement Disorders, 11(2), 136-142).Unified Huntington's Disease Rating Scale 1999 Version Clinical Classification
UPDRSC100778UPD1Unified Parkinson's Disease Rating Scale (UPDRS) (Fahn S, Marsden CD, Calne DB, Goldstein M, eds. Recent Developments in Parkinson's Disease, Vol 2. Florham Park, NJ. Macmillan Health Care Information 1987, pp 153-163, 293-304).Unified Parkinson's Disease Rating Scale Clinical Classification
VALGC141685VALG01Veterans Administration Lung Study Group (VALG) (Staging small cell lung cancer: Veterans Administration Lung Study Group versus International Association for the Study of Lung Cancer--what limits limited disease? Micke P, Faldum A, Metz T, Beeh K.-M, Bittinger F, Hengstler J.-G, Buhl R, Lung Cancer 2002;37:271-276).Veterans Administration Lung Study Group Clinical Classification
VLERSC130305VLERS1Vignos Lower Extremity Rating Scale (VLERS) (Vignos PJ, Spencer CE, Archibald KC. (1963) Management of progressive muscular dystrophy in childhood.JAMA 184:389-96. Brooke MG, Griggs RC, Mendell JR, Fenichel, GM, Shumate JB and Peggegrino RJ (1981). Clinical trial in duchenne dystrophy. I The Design of the Protocol. Muscle and Nerve: 4:186-197).Vignos Lower Extremity Rating Scale Clinical Classification
WEST HAVEN HEPATIC ENCEPHALOPATHY GRADEC124709WHEG01West Haven Hepatic Encephalopathy Grade (Blei AT, Cordoba J. Hepatic Encephalopathy. Am J Gastroenterol. 2001 Jul. 96(7):1968-76).West Haven Hepatic Encephalopathy Grade Clinical Classification
WHO HIV STAGING FOR ADULTS AND ADOLESCENTSC124713WHIVS1WHO Clinical Staging of HIV/AIDS for Adults and Adolescents (Copyright World Health Organization 2007, World Health Organization. WHO case definitions of HIV for surveillance and revised clinical staging and immunological classification of HIV-related disease in adults and children; 2007. Retrieved from http://www.who.int/hiv/pub/vct/hivstaging/en/).World Health Organization Clinical Staging of HIV/AIDS for Adults and Adolescents Clinical Classification
WHO HIV STAGING FOR CHILDRENC124714WHIVS2WHO Clinical Staging of HIV/AIDS for Children (Copyright World Health Organization 2007, World Health Organization. WHO case definitions of HIV for surveillance and revised clinical staging and immunological classification of HIV-related disease in adults and children; 2007. Retrieved from http://www.who.int/hiv/pub/vct/hivstaging/en/).World Health Organization Clinical Staging of HIV/AIDS for Children Clinical Classification
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CL.C115304.FTCATCategory of Functional Test
(FTCAT)
text
Extensible: Yes
C115304Category of Functional TestA grouping of observations within the Functional Tests domain.CDISC Functional Test Category Terminology
10-METER WALK/RUNC141686TENMW1;Ten Meter Walk/Run10-Meter Walk/Run (McDonald CM, Henricson EK, Abresch RT, et al. The 6-minute walk test and other clinical endpoints in duchenne muscular dystrophy: reliability, concurrent validity, and minimal clinically important differences from a multicenter study. Muscle Nerve. 2013;48(3):357-68.). CDISC believes this instrument to be in the public domain, but you should perform your own assessment.10-Meter Walk/Run Test Functional Test
4-STAIR ASCENDC141689A4STR14 Stair Ascend (McDonald CM, Henricson EK, Abresch RT, et al. The 6-minute walk test and other clinical endpoints in duchenne muscular dystrophy: reliability, concurrent validity, and minimal clinically important differences from a multicenter study. Muscle Nerve. 2013;48(3):357-68.). CDISC believes this instrument to be in the public domain, but you should perform your own assessment.Four Stair Ascend Test Functional Test
4-STAIR DESCENDC141688D4STR14-Stair Descend (McDonald CM, Henricson EK, Abresch RT, et al. The 6-minute walk test and other clinical endpoints in duchenne muscular dystrophy: reliability, concurrent validity, and minimal clinically important differences from a multicenter study. Muscle Nerve. 2013;48(3):357-68.). CDISC believes this instrument to be in the public domain, but you should perform your own assessment.Four Stair Descend Test Functional Test
AVLTC102112AVL01The Alzheimer's Disease Neuroimaging Initiative's (ADNI) version of the Auditory Verbal Learning Test (AVLT Version A) modified from Rey A. L'examen clinique en psychologie [Clinical tests in psychology]. Paris: Presses Universitaires de France; 1964.Alzheimer's Disease Neuroimaging Initiative Auditory Verbal Learning Test Functional Test
AVLT-REYC123668AVL02Auditory Verbal Learning Test (AVLT-Rey) (Modified from Rey A. L'examen clinique en psychologie [Clinical tests in psychology]. Paris: Presses Universitaires de France; 1964. Test-Retest Reliability of a New Form of Auditory Verbal Learning Test (AVLT); Archives of Clinical Neuropsycology, Vol. 9, No. 4, pp. 303-316, 1994. Performance of Healthy Subjects and Patients with Resection from the Anterior Temporal Lobe on Matched Tests of Verbal and Visuoperceptual Learning; Journal of Clinical and Experimental Neuropsychology 1996, Vol. 18, No. 3, pp. 416-430).Rey Auditory Verbal Learning Functional Test
BACSC121004BACS1Brief Assessment of Cognition in Schizophrenia (BACS) (Richard Keefe, PhD, Copyright 1999 Duke University Medical Center, Licenses available through Neurocog Trials, Inc.).Brief Assessment of Cognition in Schizophrenia Functional Test
COWATC114144COWAT1Controlled Oral Word Association Test (COWAT) (Benton, A.L., Hamsher, K., & Sivan, A.B. (1994). Multilingual Aphasia Examination (3rd ed.). Iowa City, IA: AJA Associates).Controlled Oral Word Association Test
EMOTION RECOGNITIONC150909EMO1Emotion Recognition (Ekman P, Friesen WV. Measuring facial movement. Environmental Psychology and Nonverbal Behavior. 1976;1(1):56-75).Emotion Recognition Test Functional Test
HAUSER AMBULATION INDEXC115790HAI01Hauser Ambulation Index (AI) (Hauser SL, Dawson DM, Lehrich JR, Beal MF, Kevy SV, Propper RD, Mills JA, Weiner HL. Intensive immunosuppression in progressive multiple sclerosis. A randomized, three-arm study of high-dose intravenous cyclophosphamide, plasma exchange, and ACTH. N Engl J Med. 1983 Jan 27;308(4):173-80).Hauser Ambulation Index Functional Test
HD-CABC166278HDCAB1Huntington's Disease Cognitive Assessment Battery (HD-CAB) (Copyright 2014 Monash University. All Rights Reserved. Stout, J.C. et al. HD-CAB: A cognitive assessment battery for clinical trials in Huntington's disease. Movement Disorders. 2014;29(10):1281-1288).Huntington's Disease Cognitive Assessment Battery Functional Test
MMSEC74982MMS1Mini-Mental State Examination (MMSE) (MMSE Copyright 1975, 1998, 2001 by MiniMental, LLC All rights reserved. Published 2001 by Psychological Assessment Resources, Inc. May not be reproduced in whole or in part in any form or by any means without written permission of Psychological Assessment Resources, Inc.).Mini-Mental Status Exam
MMSE-2 STANDARD VERSIONC150910MMS2Mini-Mental State Examination 2 Standard Version (MMSE-2 STANDARD VERSION) (MMSE-2 Copyright 2010 by Mini Mental, LLC. All rights reserved. Published 2010 by Psychological Assessment Resources, Inc (PAR). May not be reproduced in whole or in part in any form or by any means without written permission of Psychological Assessment Resources, Inc.).Mini-Mental State Examination 2 Standard Version Functional Test
MOCAC123667MOCA01Montreal Cognitive Assessment (MoCA) (Copyright Z. Nasreddine MD. Ziad S. Nasreddine, Natalie A. Phillips, Valerie Bedirian, Simon Charbonneau, Victor Whitehead, Isabelle Collin, Jeffrey L. Cummings and Howard Chertkow. The Montreal Cognitive Assessment, MoCA: A Brief Screening Tool For Mild Cognitive Impairment. J Am Geriatr Soc. 2005 Apr;53(4):695-9).Montreal Cognitive Assessment Functional Test
NHPTC115791NHPT01Nine-Hole Peg Test (NHPT) (Copyright 2001, National Multiple Sclerosis Society).Nine-Hole Peg Functional Test
PACED TAPPINGC150911PTAP1Paced Tapping (Rowe KC, Paulsen JS, Langbehn DR, et al. Self-paced timing detects and tracks change in prodromal Huntington disease. Neuropsychology. 2010;24(4):435-442).Paced Tapping Test Functional Test
PASATC115792PASAT1Paced Auditory Serial Addition Test (PASAT) (Copyright 2001, National Multiple Sclerosis Society).Paced Auditory Serial Addition Functional Test
PUL V1.2C138334PUL01Performance of the Upper Limb Module for DMD Version 1.2 (PUL V1.2) (Mayhew A, Mazzone ES, Eagle M, et al. (2013). Development of the Performance of the Upper Limb module for Duchenne muscular dystrophy. Dev Med Child Neurol; 55:1038-45).Performance of the Upper Limb Module for DMD 1.2 Functional Test
PUL V2.0C138335PUL02Performance of the Upper Limb Module for DMD Version 2.0 (PUL V2.0) (Mayhew A, Mazzone ES, Eagle M, et al. (2013). Development of the Performance of the Upper Limb module for Duchenne muscular dystrophy. Dev Med Child Neurol; 55:1038-45).Performance of the Upper Limb Module for DMD 2.0 Functional Test
RISING FROM FLOORC141687RISEF1;Stand From SupineRising From Floor (McDonald CM, Henricson EK, Abresch RT, et al. The 6-minute walk test and other clinical endpoints in duchenne muscular dystrophy: reliability, concurrent validity, and minimal clinically important differences from a multicenter study. Muscle Nerve. 2013;48(3):357-68.). CDISC believes this instrument to be in the public domain, but you should perform your own assessment.Rising From Floor Test Functional Test
ROCKPORT ONE MILE WALK TEST V1.0C166279ROCK01Rockport One Mile Walk Test Version 1.0 (ROCKPORT ONE MILE WALK TEST V1.0) (Kline GM, Porcari JP, Hintermeister R, et. al. 1987. Estimation of VO2 Max from a one mile track walk, gender, age, and body weight. Medicine and Science in sports and Exercise. 19:253-59).Rockport One Mile Walk Test Version 1.0 Functional Test
SDMTC115793SDMT01Symbol Digit Modalities Test (SDMT) (Copyright 1973 by Western Psychological Services).Symbol Digit Modalities Functional Test
SIX MINUTE WALKC115789SIXMW16 Minute Walk Test (6MWT) (Goldman MD, Marrie RA, Cohen JA. Evaluation of the six-minute walk in multiple sclerosis subjects and healthy controls. Multiple Sclerosis 2008; 14: 383-390).6 Minute Walk Functional Test
SPPB V1.2C170646SPPB1Short Physical Performance Battery V1.2 (SPPB V1.2) (Guralnik JM, Ferrucci L, Pieper CF, Leveille SG, Markides KS, Ostir GV, Studenski S, Berkman LF, Wallace RB. Lower extremity function and subsequent disability: consistency across studies, predictive models, and value of gait speed alone compared with the short physical performance battery. J Gerontol A Biol Sci Med Sci 2000 April;55(4):M221-M231).Short Physical Performance Battery Version 1.2 Functional Test
T25FWC115794T25FW1Timed 25-Foot Walk (T25FW) (Copyright 2001, National Multiple Sclerosis Society).Timed 25-Foot Walk Functional Test
TMTC92205TMT01Trail Making Test (TMT) [(Copyright Owner: Dr. Jim Hom, The Neuropsychology Center, 500 N. Central Expressway, Suite 272, Plano TX 75074-6877. Ph: 469-429-8890, www.neuropsych.com.)(Manual: Army Individual Test. War Department, The Adjutant General's Office, 1944.)(Reitan RM. The Relation of the Trail Making Test to Organic Brain Damage; Journal of Consulting Psychology 1955 Oct 19(5):393-4.)(Reitan R.M. (1958). The validity of the Trail Making Test as an indicator of organic brain damage; Perceptual and Motor Skills, 8, 271-276.)].Trail Making Test
TUGC115795TUG01Timed Up and Go (TUG) (Podsiadlo D, Richardson S. The Timed 'Up & Go': a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991; 39:142-148).Timed Up and Go Functional Test
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CL.C100129.QSCATCategory of Questionnaire
(QSCAT)
text
Extensible: Yes
C100129Category of QuestionnaireA grouping of observations within the Questionnaires domain.CDISC Questionnaire Category Terminology
ACQC122370ACQ01Asthma Control Questionnaire (ACQ) (The Asthma Control Questionnaire is copyrighted. It may not be changed, translated or sold [paper or software] without the permission of Elizabeth Juniper. Juniper EF, O'Byrne PM, Guyatt GH, Ferrie PJ, King DR. Development and validation of a questionnaire to measure asthma control. Eur Respir J 1999;14:902-907).Asthma Control Questionnaire
ACTC123658ACT01Asthma Control Test (ACT) (Asthma Control Test copyright, QualityMetric Incorporated 2002, 2004. All Rights Reserved. Asthma Control Test is a trademark of QualityMetric Incorporated. Nathan RA, Sorkness CA, Kosinski M, Schatz M, Li JT, Marcus P, Murray JJ, Pendergraft TB. Development of the asthma control test: a survey for assessing asthma control. J Allergy Clin Immunol. 2004 Jan;113(1):59-65).Asthma Control Test Questionnaire
ADAS-COGC100762ADCThe CDISC version of the Alzheimer's Disease Assessment Scale-Cognitive (ADAS-Cog CDISC Version) containing 15 summary-level tests. This version is based on combining the total pool of ADAS-Cog tests that were observed during a review of multiple case report forms administered in clinical trials of Alzheimer's disease, as well as the CRF administered in the Alzheimer's Disease Neuroimaging Initiative (ADNI) observational study. (Modified from Mohs RC, Rosen WG, Davis KL. The Alzheimer's disease assessment scale: an instrument for assessing treatment efficacy. Psychopharmacol Bull 1983;19(3):448-450. Rosen WG, Mohs RC, Davis KL. A new rating scale for Alzheimer's disease. Am J Psychiatry 1984;141(11):1356-1364. Mohs RC, Knopman D, Petersen RC et al. Development of cognitive instruments for use in clinical trials of antidementia drugs: additions to the Alzheimer's Disease Assessment Scale that broaden its scope. The Alzheimer's Disease Cooperative Study. Alzheimer Dis Assoc Disord 1997;11 Suppl 2:S13-S21. Wouters H, van Gool WA, Schmand B, Lindeboom R. Revising the ADAS-cog for a more accurate assessment of cognitive impairment. Alzheimer Dis Assoc Disord 2008;22(3):236-244.).Alzheimer's Disease Assessment Scale-Cognitive CDISC Version Questionnaire
ADCS-ADL MCIC106888ADL03Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory (ADCS-ADL), MCI Version (Galasko, D., Bennett, D., Sano, M., Ernesto, C., Thomas, R., Grundman, M., Ferris, S., and the ADCS. An Inventory to Assess Activities of Daily Living for Clinical Trials in Alzheimer's Disease. Alzheimer's Disease and Associated Disorders, 1997. Volume 11(2): S33-S39).Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Mild Cognitive Impairment Questionnaire
ADCS-ADL SEVERE DEMENTIAC106889ADL02Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory (ADCS-ADL), Severe Dementia Version (Galasko, D., Bennett, D., Sano, M., Ernesto, C., Thomas, R., Grundman, M., Ferris, S., and the ADCS. An Inventory to Assess Activities of Daily Living for Clinical Trials in Alzheimer's Disease. Alzheimer's Disease and Associated Disorders, 1997. Volume 11(2): S33-S39).Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Severe Dementia Questionnaire
ADCS-ADLC105166ADL01Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory (ADCS-ADL) (Galasko, D., Bennett, D., Sano, M., Ernesto, C., Thomas, R., Grundman, M., Ferris, S., and the ADCS. "An Inventory to Assess Activities of Daily Living for Clinical Trials in Alzheimer's Disease." Alzheimer's Disease and Associated Disorders, 1997. Volume 11(2): S33-S39).Alzheimer's Disease Cooperative Study Activities of Daily Living Inventory Questionnaire
ADCS-CGICC103515ACGC01Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change (ADCS-CGIC) (Schneider LS, Olin JT, Doody RS, Clark CM, Morris JC, Reisberg B, Schmitt FA, Grundman M, Thomas RG, Ferris SH, and the Alzheimer's Disease Cooperative Study. Validity and Reliability of the Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change. Alzheimer Disease and Associated Disorders. 1997; 11(2):S22-S32).Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change Questionnaire
ADHD-RS-IV HOME VERSIONC122371ADHD01ADHD Rating Scale-IV (ADHD-RS-IV) Home Version (Copyright 1998. DuPaul GJ, Power TJ, Anastopoulos AD, Reid R. ADHD Rating Scale-IV: Checklists, Norms, and Clinical Interpretation. New York: The Guilford Press; 1998).ADHD Rating Scale-IV Home Version Questionnaire
ADSD V1.0C163811ADSD01Asthma Daytime Symptom Diary v1.0 (ADSD V1.0) (Version 1.0 Copyright 2018 Critical Path Institute. All Rights Reserved. Gater A, Nelsen L, Fleming S, Lundy J.J, Bonner N, Hall R, Marshall C, Staunton H, Krishnan JA, Stoloff S, Schatz M, Haughney J on behalf of the Patient-Reported Outcome Consortium's Asthma Working Group. Assessing asthma symptoms in adolescents and adults: qualitative research supporting development of the Asthma Daily Symptom Diary. Value in Health 2016; 19:440-450. Patient-Reported Outcome (PRO) Consortium - Asthma Daytime Symptom Diary (ADSD) and Asthma Nighttime Symptom Diary (ANSD) User Manual, Version 1: March 30, 2019). No part of the ADSD V1.0 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the Critical Path Institute and payment of any applicable fees. Copyright Critical Path Institute, 2018. All rights reserved.Asthma Daytime Symptom Diary V1.0 Questionnaire
ANSD V1.0C163812ANSD01Asthma Nighttime Symptom Diary v1.0 (ANSD V1.0) (Version 1.0 Copyright 2018 Critical Path Institute. All Rights Reserved. Gater A, Nelsen L, Fleming S, Lundy J.J, Bonner N, Hall R, Marshall C, Staunton H, Krishnan JA, Stoloff S, Schatz M, Haughney J on behalf of the Patient-Reported Outcome Consortium's Asthma Working Group. Assessing asthma symptoms in adolescents and adults: qualitative research supporting development of the Asthma Daily Symptom Diary. Value in Health 2016; 19:440-450. Patient-Reported Outcome (PRO) Consortium - Asthma Daytime Symptom Diary (ADSD) and Asthma Nighttime Symptom Diary (ANSD) User Manual, Version 1: March 30, 2019). No part of the ANSD V1.0 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the Critical Path Institute and payment of any applicable fees. Copyright Critical Path Institute, 2018. All rights reserved.Asthma Nighttime Symptom Diary V1.0 Questionnaire
AQ20C112518AQ01Airway Questionnaire 20 (AQ20) (Barley EA, Quirk FH, Jones PW. Asthma health status in clinical practice: validity of a new short and simple instrument. Respir Med 1998; 92:1207-14. Copyright Reserved P.W. Jones, PhD FRCP).Airway Questionnaire 20
AQLQC122372AQLQ01Asthma Quality of Life Questionnaire (AQLQ) (The AQLQ is copyrighted. It may not be altered, sold [paper or electronic], translated or adapted for another medium without the permission of Elizabeth Juniper. Juniper EF, Guyatt GH, Epstein RS, Ferrie PJ, Jaeschke R, Hiller TK. Evaluation of impairment of health-related quality of life in asthma: development of a questionnaire for use in clinical trials. Thorax 1992; 47:76-83).Asthma Quality of Life Questionnaire
ASEX-FEMALEC125757ASEX01Arizona Sexual Experiences Scale (ASEX)-Female (Copyright 1997 by Arizona Board of Regents, University of Arizona. All rights reserved).Arizona Sexual Experiences Scale-Female Version Questionnaire
ASEX-MALEC125758ASEX02Arizona Sexual Experiences Scale (ASEX)-Male (Copyright 1997 by Arizona Board of Regents, University of Arizona. All rights reserved).Arizona Sexual Experiences Scale-Male Version Questionnaire
AUDIT-CC119098ADTC01Alcohol Use Disorder Identification Test-Consumption Questions (AUDIT-C) (Bush K, Kivlahan DR, McDonell MB, Fihn SD, Bradley KA; for the Ambulatory Care Quality Improvement Project (ACQUIP). The AUDIT Alcohol Consumption Questions (AUDIT-C) An Effective Brief Screening Test for Problem Drinking. Arch Intern Med. Sep 14 1998;158:1789-1795).Alcohol Use Disorder Identification Test Alcohol Consumption Questions Questionnaire
AUDIT-SRC119097ADT01Alcohol Use Disorder Identification Test: Self-Report Version (AUDIT) (Saunders JB, Aasland, OG, Babor, TF, De La Fuente JR, Grant M. Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on Early Detection of Persons with harmful Alcohol Consumption-II. Addiction (1993) 88:791-804).Alcohol Use Disorder Identification Test Self-Report Version Questionnaire
BEBQ CONCURRENTC135735BEBQ01Baby Eating Behaviour Questionnaire - Concurrent (BEBQ CONCURRENT) (Llewellyn, C. H., van Jaarsveld, C. H., Johnson, L., Carnell, S., & Wardle, J. Development and factor structure of the Baby Eating Behaviour Questionnaire in the Gemini birth cohort. Appetite 57.2, 2011, 388-396).Baby Eating Behaviour Questionnaire Concurrent Version
BEBQ RETROSPECTIVEC135736BEBQ02Baby Eating Behaviour Questionnaire - Retrospective (BEBQ RETROSPECTIVE) (Llewellyn, C. H., van Jaarsveld, C. H., Johnson, L., Carnell, S., & Wardle, J. Development and factor structure of the Baby Eating Behaviour Questionnaire in the Gemini birth cohort. Appetite 57.2, 2011, 388-396).Baby Eating Behaviour Questionnaire Retrospective Version
BIS-11C172402BIS01Barratt Impulsiveness Scale 1995 Version (BIS-11) (Patton JH, Stanford MS, and Barratt ES (1995). Factor structure of the Barratt impulsiveness scale. Journal of Clinical Psychology, 51, 768-774. Copyright International Society for Research on Impulsivity and it's licensor's. All Rights Reserved).Barratt Impulsiveness Scale 1995 Version Questionnaire
BLCSC113874BLCS01Bladder Control Scale (BLCS) (1997 by the National Multiple Sclerosis Society. All rights reserved).Bladder Control Scale Questionnaire
BORG CR10C113872BCR101Borg CR10 Scale (BORG CR10) (Borg CR10 Scale. Copyright Gunnar Borg, 1981, 1982, 1998).Borg Category-Ratio 10 Scale Questionnaire
BPI SHORT FORMC100760BPI2Brief Pain Inventory Short Form (BPI2) (copyright 1991 Charles S. Cleeland, PhD, Pain Research Group, All Right Reserved).Brief Pain Inventory Short Form Questionnaire
BPIC100759BPI1Brief Pain Inventory (BPI) (copyright 1991 Charles S. Cleeland, PhD, Pain Research Group, All Right Reserved).Brief Pain Inventory Questionnaire
BSFSC125393BSFS01Bristol Stool Form Scale (BSFS) (Lewis SJ, Heaton KW. Stool form scale as a useful guide to intestinal transit time. Scand J Gastroenterol. 1997 Sep;32(9):920-4. Copyright by ROME Foundation. All rights reserved).Bristol Stool Scale
BSI-18C43524BSI181Brief Symptom Inventory-18 (BSI-18) (Leonard R. Derogatis. Brief Symptom Inventory (BSI)-18: Administration, scoring and procedures manual. Minneapolis 2001: NCS Pearson, Inc).Brief Symptom Inventory 18
BWCSC113875BWCS01Bowel Control Scale (BWCS) (1997 by the National Multiple Sclerosis Society. All rights reserved).Bowel Control Scale Questionnaire
C-SSRS ALREADY ENROLLED SUBJECTSC106695CSS05Columbia-Suicide Severity Rating Scale (C-SSRS) Already Enrolled Subjects Version 1/14/2009 (Posner, K.; Brent, D.; Lucas, C.; Gould, M.; Stanley, B.; Brown, G.; Fisher, P.; Zelazny, J.; Burke, A.; Oquendo, M.; Mann, J.; copyright 2008 The Research Foundation for Mental Hygiene, Inc.).Columbia-Suicide Severity Rating Scale Already Enrolled Subjects Questionnaire
C-SSRS BASELINEC100765CSS01Columbia-Suicide Severity Rating Scale (C-SSRS) Baseline Version 2009-01-14 (Posner, K.; Brent, D.; Lucas, C.; Gould, M.; Stanley, B.; Brown, G.; Fisher, P.; Zelazny, J.; Burke, A.; Oquendo, M.; Mann, J.; copyright 2008 The Research Foundation for Mental Hygiene, Inc.).Columbia-Suicide Severity Rating Scale Baseline Questionnaire
C-SSRS BASELINE/SCREENING VERSION PHASE 1 STUDYC105164CSS03Columbia-Suicide Severity Rating Scale (C-SSRS) Baseline/Screening Version Phase 1 Study Version 1/14/2009 (Posner, K.; Brent, D.; Lucas, C.; Gould, M.; Stanley, B.; Brown, G.; Fisher, P.; Zelazny, J.; Burke, A.; Oquendo, M.; Mann, J.; copyright 2008 The Research Foundation for Mental Hygiene, Inc.).Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study 1/14/09 Questionnaire
C-SSRS BASELINE/SCREENING VERSIONC106696CSS04Columbia-Suicide Severity Rating Scale (C-SSRS) Baseline/Screening Version 1/14/2009 (Posner, K.; Brent, D.; Lucas, C.; Gould, M.; Stanley, B.; Brown, G.; Fisher, P.; Zelazny, J.; Burke, A.; Oquendo, M.; Mann, J.; copyright 2008 The Research Foundation for Mental Hygiene, Inc.).Columbia-Suicide Severity Rating Scale Baseline/Screening Version Questionnaire
C-SSRS CHILDREN'S BASELINEC111377CSS06Columbia-Suicide Severity Rating Scale (C-SSRS) Children's Baseline Version 6/23/2010 (Posner, K.; Brent, D.; Lucas, C.; Gould, M.; Stanley, B.; Brown, G.; Fisher, P.; Zelazny, J.; Burke, A.; Oquendo, M.; Mann, J.; copyright 2008 The Research Foundation for Mental Hygiene, Inc.).Columbia-Suicide Severity Rating Scale Children's Baseline Questionnaire
C-SSRS CHILDREN'S BASELINE/SCREENINGC111378CSS07Columbia-Suicide Severity Rating Scale (C-SSRS) Children's Baseline/Screening Version 6/23/2010 (Posner, K.; Brent, D.; Lucas, C.; Gould, M.; Stanley, B.; Brown, G.; Fisher, P.; Zelazny, J.; Burke, A.; Oquendo, M.; Mann, J.; copyright 2008 The Research Foundation for Mental Hygiene, Inc.).Columbia-Suicide Severity Rating Scale Children's Baseline/Screening Questionnaire
C-SSRS CHILDREN'S SINCE LAST VISITC111379CSS08Columbia-Suicide Severity Rating Scale (C-SSRS) Children's Since Last Visit Version 6/23/2010 (Posner, K.; Brent, D.; Lucas, C.; Gould, M.; Stanley, B.; Brown, G.; Fisher, P.; Zelazny, J.; Burke, A.; Oquendo, M.; Mann, J.; copyright 2008 The Research Foundation for Mental Hygiene, Inc.).Columbia-Suicide Severity Rating Scale Children's Since Last Visit Questionnaire
C-SSRS LIFETIME/RECENT VERSIONC117996CSS11Columbia-Suicide Severity Rating Scale (C-SSRS) Lifetime/Recent Version 1/14/2009 (Posner, K.; Brent, D.; Lucas, C.; Gould, M.; Stanley, B.; Brown, G.; Fisher, P.; Zelazny, J.; Burke, A.; Oquendo, M.; Mann, J.; copyright 2008 The Research Foundation for Mental Hygiene, Inc.).Columbia-Suicide Severity Rating Scale Lifetime/Recent Version Questionnaire
C-SSRS PEDIATRIC/COGNITIVELY IMPAIRED LIFETIME/RECENTC113873CSS10Columbia-Suicide Severity Rating Scale (C-SSRS) Pediatric/Cognitively Impaired Lifetime/Recent Version 6/23/2010 (Posner, K.; Brent, D.; Lucas, C.; Gould, M.; Stanley, B.; Brown, G.; Fisher, P.; Zelazny, J.; Burke, A.; Oquendo, M.; Mann, J.; copyright 2008 The Research Foundation for Mental Hygiene, Inc.).Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent Questionnaire
C-SSRS PEDIATRIC/COGNITIVELY IMPAIRED-LIFETIME RECENT-CLINICALC123661CSS12Columbia-Suicide Severity Rating Scale (C-SSRS) Pediatric/Cognitively Impaired - Lifetime Recent - Clinical Version 6/23/2010 (Posner, K.; Brent, D.; Lucas, C.; Gould, M.; Stanley, B.; Brown, G.; Fisher, P.; Zelazny, J.; Burke, A.; Oquendo, M.; Mann, J.; copyright 2008 The Research Foundation for Mental Hygiene, Inc).Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired - Lifetime Recent - Clinical Questionnaire
C-SSRS PEDIATRIC/COGNITIVELY IMPAIRED-SINCE LAST VISIT-CLINICALC123662CSS13Columbia-Suicide Severity Rating Scale (C-SSRS) Pediatric/Cognitively Impaired - Since Last Visit - Clinical Version 6/23/2010 (Posner, K.; Brent, D.; Lucas, C.; Gould, M.; Stanley, B.; Brown, G.; Fisher, P.; Zelazny, J.; Burke, A.; Oquendo, M.; Mann, J.; copyright 2008 The Research Foundation for Mental Hygiene, Inc).Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired - Since Last Visit - Clinical Questionnaire
C-SSRS SCREENINGC111380CSS09Columbia-Suicide Severity Rating Scale (C-SSRS) Screening Version 1/14/2009 (Posner, K.; Brent, D.; Lucas, C.; Gould, M.; Stanley, B.; Brown, G.; Fisher, P.; Zelazny, J.; Burke, A.; Oquendo, M.; Mann, J.; copyright 2008 The Research Foundation for Mental Hygiene, Inc.).Columbia-Suicide Severity Rating Scale Screening Questionnaire
C-SSRS SINCE LAST VISITC103516CSS02Columbia-Suicide Severity Rating Scale (C-SSRS) Since Last Visit Version 1/14/2009 (Posner, K.; Brent, D.; Lucas, C.; Gould, M.; Stanley, B.; Brown, G.; Fisher, P.; Zelazny, J.; Burke, A.; Oquendo, M.; Mann, J.; copyright 2008 The Research Foundation for Mental Hygiene, Inc.).Columbia-Suicide Severity Rating Scale Since Last Visit Questionnaire
CCQ 1 WEEK VERSIONC119100CCQ02Clinical COPD Questionnaire (CCQ) 1 Week Version (The CCQ is copyrighted 1999. It may not be altered, sold (paper or electronic), translated or adapted for another medium without the permission of T. van der Molen, Dept. of General Practice, University Medical Center Groningen, Postbus 196, 9700 AD Groningen, The Netherlands.).Clinical COPD Questionnaire 1 Week Version
CCQ 24 HOUR VERSIONC119099CCQ01Clinical COPD Questionnaire (CCQ) 24 Hour Version (The CCQ is copyrighted 1999. It may not be altered, sold (paper or electronic), translated or adapted for another medium without the permission of T. van der Molen, Dept. of General Practice, University Medical Center Groningen, Postbus 196, 9700 AD Groningen, The Netherlands.).Clinical COPD Questionnaire 24 Hour Version
CDLQC119092CDLQ1Children's Dermatology Life Quality Index (CDLQI) (Copyright of M.S. Lewis-Jones, A.Y. Finlay, May 1993, this must not be copied without the permission of the authors).Children's Dermatology Life Quality Index Questionnaire
CDRC102114CDR01Clinical Dementia Rating (CDR) (Morris, JC. Clinical Dementia Rating: A reliable and valid diagnostic and staging measure for dementia of the Alzheimer type. International Psychogeriatrics 1997: 9, Suppl. 1, 173-176).Clinical Dementia Rating Questionnaire
CESC132532CES01Combat Exposure Scale (CES) (Keane, T.M., Fairbank, J.A., Caddell, J.M., Zimering, R.T., Taylor, K.L., & Mora, C. (1989). Clinical evaluation of a measure to assess combat exposure (PDF). Psychological Assessment, 1, 53-55).Combat Exposure Scale Questionnaire
CGIC135738CGI02Clinical Global Impression (CGI) generic modification for any disease/condition concept use case (Modified from Guy W: ECDEU Assessment Manual for Psychopharmacology. Rockville, MD: U.S. Department of Health, Education, and Welfare; 1976).Clinical Global Impression Generic Modification Version Questionnaire
CHART-SF INTERVIEW VERSIONC117995CHSF1Craig Handicap Assessment and Reporting Technique - Short Form Interview Version (CHART-SF INTERVIEW VERSION) (Whiteneck GG, Charlifue SW, Gerhart KA, Overholser JD, Richardson GN. Quantifying handicap: a new measure of long-term rehabilitation outcomes. Arch Phys Med Rehabil. 1992;73:519-526).Craig Handicap Assessment and Reporting Technique-Short Form Interview Version Questionnaire
CHART-SF PAPER VERSIONC119101CHSF2Craig Handicap Assessment and Reporting Technique - Short Form Paper Version (CHART-SF PAPER VERSION) (Whiteneck GG, Charlifue SW, Gerhart KA, Overholser JD, Richardson GN. Quantifying handicap: a new measure of long-term rehabilitation outcomes. Arch Phys Med Rehabil. 1992;73:519-526).Craig Handicap Assessment and Reporting Technique - Short Form Paper Version Questionnaire
COMMC100764COMM1Current Opioid Misuse Measure (COMM) (copyright 2010 Inflexxion, Inc., All rights reserved).Current Opioid Misuse Measure Questionnaire
COPD ASSESSMENT TESTC125756CAT01COPD Assessment Test (CAT) (COPD Assessment Test and the CAT logo is a trade mark of the GlaxoSmithKline group of companie. Copyright 2009 GlaxoSmithKline group of companies. All rights reserved).COPD Assessment Test Questionnaire
COWSC102115COWS1The Clinical Opiate Withdrawal Scale (COWS) (Wesson DR and Ling W. The Clinical Opiate Withdrawal Scale (COWS). J Psychoactive Drugs 2003;35(2):253-259).Clinical Opiate Withdrawal Scale Questionnaire
CRQ-SAS FIRST ADMINISTRATION VERSIONC121002CRQ01Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version (Copyright 2001 McMaster University, Hamilton, Ontario, Canada. The Chronic Respiratory Questionnaire Self-Administered including the standardized Dyspnea Domain (CRQSAS), Principal authors G.H. Guyatt and Dr. H.J. Schunemann, is the copyright of McMaster University (Copyright 2001, McMaster University).Chronic Respiratory Questionnaire Self-Administered Standardized Format First Administration Version Questionnaire
CRQ-SAS FOLLOW-UP ADMINISTRATION VERSIONC121003CRQ02Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version (Copyright 2001 McMaster University, Hamilton, Ontario, Canada. The Chronic Respiratory Questionnaire Self-Administered including the standardized Dyspnea Domain (CRQSAS), Principal authors G.H. Guyatt and Dr. H.J. Schunemann, is the copyright of McMaster University (Copyright 2001, McMaster University).Chronic Respiratory Questionnaire Self-Administered Standardized Format Follow-Up Administration Version Questionnaire
DADC105165DAD01Disability Assessment for Dementia (DAD) (copyright 1994 by L. Gauthier I. Gelinas. All rights reserved.).Disability Assessment for Dementia Questionnaire
DIBSS-C V1.0C183575DIBC01Diary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 (DIBSS-C V1.0) (Copyright 2018 by the Critical Path Institute. All rights reserved. Fehnel S, Ervin C, McLeod L, Carson RT, Reasner DS, Hanlon J, Eremenco S, Coons SJ. Psychometric Evaluation of the Diary for Irritable Bowel Syndrome Symptoms-Constipation (DIBSS-C). Poster presented at ISPOR Europe 2018; November 10-14, 2018. Barcelona, Spain. Fehnel SE, Ervin CM, Carson RT, Rigoni G, Lackner JM, Coons SJ. Development of the Diary for Irritable Bowel Syndrome Symptoms to Assess Treatment Benefit in Clinical Trials: Foundational Qualitative Research. Value in Health 2017;20(4):618-626. Patient-Reported Outcome (PRO) Consortium Diary for Irritable Bowel Syndrome Symptoms-Constipation (DIBSS-C) v1.0 User Manual). No part of the DIBSS-C V1.0 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the Critical Path Institute and payment of any applicable fees. Copyright Critical Path Institute, 2018. All rights reserved.Diary for Irritable Bowel Syndrome Symptoms-Constipation Version 1.0 Questionnaire
DLQIC119102DLQI1Dermatology Life Quality Index (DLQI) (Copyright Dermatology Life Quality Index. A Y Finlay, G K Khan, April 1992. www.dermatology.org.uk. This must not be copied without the permission of the authors).Dermatology Life Quality Index Questionnaire
DRRI-2C141694DRRI1Deployment Risk and Resilience Inventory-2 (DRRI-2) (Vogt, D., Smith, B. N., King, D. W., & King, L. A. (2012). The Deployment Risk and Resilience Inventory-2 (DRRI-2) [Measurement instrument]. Available from http.ptsd.va.gov).Deployment Risk and Resilience Inventory-2 Questionnaire
EORTC QLQ-ANL27C183596EOR30European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Anal Cancer (EORTC QLQ-ANL27) (QLQ-ANL27 Copyright 2016 EORTC Quality of Life Group. All rights reserved). No part of the EORTC QLQ-ANL27 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 2016. All rights reserved.European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire - Anal Cancer
EORTC QLQ-BIL21C183592EOR24European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Cholangiocarcinoma and Gallbladder Cancer (EORTC QLQ-BIL21) (QLQ-BIL21 Copyright 2011 EORTC Quality of Life Group. All rights reserved. (Validated module)). No part of the EORTC QLQ-BIL21 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 2011. All rights reserved.European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire - Cholangiocarcinoma and Gallbladder Cancer
EORTC QLQ-BM22C183577EOR03European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Bone Metastases (EORTC QLQ-BM22) (QLQ-BM22 Copyright 2008 EORTC Quality of Life Group. All rights reserved. (Validated module)). No part of the EORTC QLQ-BM22 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 2008. All rights reserved.European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire - Bone Metastases
EORTC QLQ-BN20C121794EOR04European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Brain (EORTC QLQ-BN20) (QLQ-BN20 Copyright 1994 EORTC Quality of Life Group. All rights reserved. (Validated module)). No part of the EORTC QLQ-BN20 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 1994. All rights reserved.Quality of Life Questionnaire-Brain Neoplasm 20
EORTC QLQ-BR23 V1.0C148236EOR05European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Breast Version 1.0 (EORTC QLQ-BR23 V1.0) (QLQ-BR23 Copyright 1994 EORTC Quality of Life Group. All rights reserved. (Validated module). Version 1.0). No part of the EORTC QLQ-BR23 V1.0 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 1994. All rights reserved.Quality of Life Questionnaire BR-23
EORTC QLQ-BR45 PHASE IV MODULEC183597EOR31European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Breast Cancer Phase IV Module (EORTC QLQ-BR45 PHASE IV MODULE) (QLQ-BR45 Copyright 2018 EORTC Quality of Life Group. All rights reserved. (Phase IV module)). No part of the EORTC QLQ-BR45 PHASE IV MODULE may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 2018. All rights reserved.European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire - Breast Cancer Phase IV Module Version
EORTC QLQ-BRECON23C183598EOR32European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Breast Reconstruction (EORTC QLQ-BRECON23) (QLQ-BRECON23 Copyright 2017 EORTC Quality of Life Group. All rights reserved. (Validated module)). No part of the EORTC QLQ-BRECON23 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 2017. All rights reserved.European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire - Breast Reconstruction
EORTC QLQ-C15-PAL V1.0C161653EOR02European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Paliative Care Version 1.0 (EORTC QLQ-C15-PAL V1.0) (Copyright 1995 and 2005 EORTC Quality of Life Group. All rights reserved. Version 1.0. (Validated module)). No part of the EORTC QLQ-C15-PAL V1.0 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 1995 and 2005. All rights reserved.European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire - Paliative Care Version 1.0
EORTC QLQ-C30 V3.0C161654EOR01European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 (EORTC QLQ-C30 V3.0) (Copyright 1995 EORTC Quality of Life Group. All rights reserved. Version 3.0. (Validated module)). No part of the EORTC QLQ-C30 V3.0 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 1995. All rights reserved.European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0
EORTC QLQ-CIPN20C125719EOR25European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Chemotherapy-Induced Peripheral Neuropathy (EORTC QLQ-CIPN20) (QLQ-CIPN20 Copyright 2003 EORTC Quality of Life Group. All rights reserved). No part of the EORTC QLQ-CIPN20 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 2003. All rights reserved.Quality of Life Questionnaire - Chemotherapy-Induced Peripheral Neuropathy 20
EORTC QLQ-CLL17C183595EOR29European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Chronic Lymphocytic Leukaemia (EORTC QLQ-CLL17) (QLQ-CLL17 Copyright 2015 EORTC Quality of Life Group. All rights reserved). No part of the EORTC QLQ-CLL17 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 2015. All rights reserved.European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire - Chronic lymphocytic leukemia
EORTC QLQ-CR29 V2.1C170644EOR06European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 (EORTC QLQ-CR29 V2.1) (QLQ-CR29 Copyright 2006 EORTC Quality of Life Group. All rights reserved. Version 2.1. (Validated module)). No part of the EORTC QLQ-CR29 V2.1 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 2006. All rights reserved.European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Cancer Module Version 2.1
EORTC QLQ-CX24C183578EOR07European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Cervical (EORTC QLQ-CX24) (QLQ-CX24 Copyright 2003 EORTC Quality of Life Group. All rights reserved. (Validated module)). No part of the EORTC QLQ-CX24 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 2003. All rights reserved.European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire - Cervical
EORTC QLQ-ELD14C183579EOR08European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Elderly Cancer Patients (EORTC QLQ-ELD14) (QLQ-ELD14 Copyright 2001 EORTC Quality of Life Group. All rights reserved. (Validated module)). No part of the EORTC QLQ-ELD14 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 2001. All rights reserved.European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire - Elderly Cancer Patients
EORTC QLQ-EN24C183580EOR09European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Endometrial (EORTC QLQ-EN24) (QLQ-EN24 Copyright 2010 EORTC Quality of Life Group. All rights reserved. (Validated module)). No part of the EORTC QLQ-EN24 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 2010. All rights reserved.European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire - Endometrial
EORTC QLQ-FA12C183581EOR10European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Cancer Related Fatigue (EORTC QLQ-FA12) (QLQ-FA12 Copyright 2016 EORTC Quality of Life Group. All rights reserved. (Validated module)). No part of the EORTC QLQ-FA12 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 2016. All rights reserved.European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire - Cancer Related Fatigue
EORTC QLQ-GINET21 DATE 20TH FEBRUARY 2006C183585EOR15European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Neuroendocrine Carcinoid, Date 20th February 2006 Version (EORTC QLQ-GINET21 DATE 20TH FEBRUARY 2006) (QLQ-G.I.NET21 Copyright 2004 EORTC Quality of Life Group. All rights reserved. Date: 20th February 2006. (Validated module)). No part of the EORTC QLQ-GINET21 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 2004. All rights reserved.European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire - Neuroendocrine Carcinoid, Date 20th February 2006 Version
EORTC QLQ-H&N35 V1C136497EOR11European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Head & Neck Version 1 (EORTC QLQ-H&N35 V1) (Copyright QLQ-H&N35 1994 EORTC Quality of Life Group, version 1. All rights reserved. (Validated module)). No part of the EORTC QLQ-H&N35 V1 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 1994. All rights reserved.Quality of Life Questionnaire - Head & Neck 35
EORTC QLQ-HCC18C183586EOR16European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Hepatocellular Carcinoma (EORTC QLQ-HCC18) (QLQ-HCC18 Copyright 2002 EORTC Quality of Life Group. All rights reserved. (Validated module)). No part of the EORTC QLQ-HCC18 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 2002. All rights reserved.European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire - Hepatocellular Carcinoma
EORTC QLQ-INFO25C183587EOR17European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Information (EORTC QLQ-INFO25) (QLQ-C30-INFO25 Copyright 2004 EORTC Quality of Life Group. All rights reserved. (Validated module)). No part of the EORTC QLQ-INFO25 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 2004. All rights reserved.European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire - Information
EORTC QLQ-LC13C168555EOR18European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module (EORTC QLQ-LC13) (QLQ-C30-LC13 Copyright 1994 EORTC Quality of life Group. All rights reserved. (Validated module)). No part of the EORTC QLQ-LC13 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 1994. All rights reserved.EORTC Quality of Life Questionnaire - Lung Cancer Module
EORTC QLQ-LMC21C183582EOR12European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Liver Metastases (EORTC QLQ-LMC21) (QLQ-LMC21 Copyright 2002 EORTC Quality of Life Group. All rights reserved. (Validated module)). No part of the EORTC QLQ-LMC21 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 2002. All rights reserved.European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Liver Metastases
EORTC QLQ-MY20C122694EOR19European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Multiple Myeloma (EORTC QLQ-MY20) (QLQ-MY20 Copyright 1999 EORTC Quality of Life Group. All rights reserved. (Validated module)). No part of the EORTC QLQ-MY20 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 1999. All rights reserved.Quality of Life Questionnaire-Multiple Myeloma 20
EORTC QLQ-NMIBC24C183594EOR28European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Non-Muscle-Invasive Bladder Cancer (EORTC QLQ-NMIBC24) (QLQ-NMIBC24 Copyright 1994 EORTC Quality of Life Group. All rights reserved). No part of the EORTC QLQ-NMIBC24 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 1994. All rights reserved.European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire - Non-Muscle-Invasive Bladder Cancer
EORTC QLQ-OES18C183588EOR20European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Oesophageal (EORTC QLQ-OES18) (QLQ-OES18 Copyright 1999 EORTC Quality of Life Group. All rights reserved. (Validated module)). No part of the EORTC QLQ-OES18 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 1999. All rights reserved.European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire - Esophageal
EORTC QLQ-OG25 PHASE IV MODULEC183589EOR21European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Oesophago-Gastric Phase IV Module (EORTC QLQ-OG25 PHASE IV MODULE) (QLQ-OG25 Copyright 2007 EORTC Quality of Life Group. All rights reserved. (Phase IV module)). No part of the EORTC QLQ-OG25 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 2007. All rights reserved.European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire - Esophago-Gastric Phase IV Module Version
EORTC QLQ-OH15C183583EOR13European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Oral Health (EORTC QLQ-OH15) (QLQ-OH15 Copyright 2016 EORTC Quality of Life Group. All rights reserved. (Validated module)). No part of the EORTC QLQ-OH15 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 2016. All rights reserved.European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire - Oral Health
EORTC QLQ-OV28C183590EOR22European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Ovarian (EORTC QLQ-OV28) (QLQ-OV28 Copyright 1997 EORTC Quality of Life Group. All rights reserved. (Validated module)). No part of the EORTC QLQ-OV28 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 1997. All rights reserved.European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire - Ovarian
EORTC QLQ-PAN26 PHASE III MODULEC183593EOR26European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Pancreatic Cancer Phase III Module (EORTC QLQ-PAN26 PHASE III MODULE) (QLQ-C30-PAN26 Copyright 1999 EORTC Quality of Life Group. All rights reserved. (Phase III module)). No part of the EORTC QLQ-PAN26 PHASE III MODULE may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 1999. All rights reserved.European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire - Pancreatic Cancer Phase III Module Version
EORTC QLQ-PR25C183591EOR23European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Prostate (EORTC QLQ-PR25) (QLQ-PR25 Copyright 1999 EORTC Quality of Life Group. All rights reserved. (Validated module)). No part of the EORTC QLQ-PR25 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 1999. All rights reserved.European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire - Prostate
EORTC QLQ-STO22C183584EOR14European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Gastric (EORTC QLQ-STO22) (QLQ-STO22 Copyright 1999 EORTC Quality of Life Group. All rights reserved. (Validated module)). No part of the EORTC QLQ-STO22 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the EORTC Quality of Life Group and payment of any applicable fees. Copyright EORTC Quality of Life Group 1999. All rights reserved.European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire - Gastric
EPDSC132533EPDS01Edinburgh Postnatal Depression Scale (EPDS) (Copyright by Cox, J.L., Holden, J.M., and Sagovsky, R. 1987. Detection of postnatal depression: Development of the 10-item Edinburgh Postnatal Depression Scale. British Journal of Psychiatry 150:782-786).Edinburgh Postnatal Depression Scale Questionnaire
EPIC-26C127367EPIC1The Expanded Prostate Cancer Index Composite Short Form (EPIC-26) (Copyright 2002. The University of Michigan. All rights reserved).The Expanded Prostate Cancer Index Composite Short Form Questionnaire
EPIC-CPC127368EPIC2Expanded Prostate Cancer Index Composite for Clinical Practice (EPIC-CP) (Copyright 2016 Beth Israel Deaconess Medical Center 330 Brookline Avenue, Boston, MA 02215).Expanded Prostate Cancer Index Composite for Clinical Practice Questionnaire
EQ-5D-3LC66957EQ5D01European Quality of Life Five Dimension Three Level Scale (EQ-5D-3L) (Copyright 1990 EuroQol Group. EQ-5D is a trade mark of the EuroQol Group).European Quality of Life Five Dimension Three Level Questionnaire
EQ-5D-5LC102117EQ5D02European Quality of Life Five Dimension Five Level Scale (EQ-5D-5L) (Copyright 2009 EuroQol Group. EQ-5D is a trade mark of the EuroQol Group).European Quality of Life Five Dimension Five Level Scale Questionnaire
ESSC103517ESS01Epworth Sleepiness Scale (ESS) (copyright Murray W. Johns, 1990-1997. All rights reserved.).Epworth Sleepiness Scale Questionnaire
EXACTC123666EXACT1Exacerbations of Chronic Pulmonary Disease Tool (EXACT) Patient-Reported Outcome (PRO) (Nancy K. Leidy, EXACT-PRO Initiative, Evidera, 7101 Wisconsin Avenue, Suite 1400, Bethesda, MD; EXACT copyright 2013, Evidera, Inc. All rights reserved). This also includes the subset EXACT-Respiratory Symptoms (E-RS) questions. http://www.exactproinitiative.comExacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome Questionnaire
EXPANDED DRS-PI CAREGIVER VERSIONC125759ED1Expanded Disability Rating Scale - Postacute Interview Caregiver Version (EXPANDED DRS-PI CAREGIVER VERSION) (Malec JF, Hammond FM, Giacino JT, Whyte J, Wright J. Structured Interview to Improve the Reliability and Psychometric Integrity of the Disability Rating Scale. Arch Phys Med Rehabil Sept 2012;93:1603-1608).Expanded Disability Rating Scale - Postacute Interview Caregiver Version Questionnaire
EXPANDED DRS-PI SURVIVOR VERSIONC125760ED2Expanded Disability Rating Scale - Postacute Interview Survivor Version (EXPANDED DRS-PI SURVIVOR VERSION) (Malec JF, Hammond FM, Giacino JT, Whyte J, Wright J. Structured Interview to Improve the Reliability and Psychometric Integrity of the Disability Rating Scale. Arch Phys Med Rehabil Sept 2012;93:1603-1608).Expanded Disability Rating Scale - Postacute Interview Survivor Version Questionnaire
FAACT V4C179973FAC065Functional Assessment of Anorexia/Cachexia Treatment Version 4 (FAACT V4) (Copyright 1987, 1997 David Cella, Ph.D. All Rights Reserved; Questionnaires and all related subscales, translations, and adaptations ('FACIT System') are owned and copyrighted by David Cella, Ph.D. The ownership and copyright of the FACIT System resides strictly with Dr. Cella. Dr. Cella has granted FACIT.org the right to license usage of the FACIT System to other parties).Functional Assessment of Anorexia/Cachexia Treatment Version 4 Questionnaire
FACIT-DYSPNEA 33 ITEM BANKC155325FAC100Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank (FACIT-DYSPNEA 33 ITEM BANK) (These materials discuss and/or include FACIT Measurement System, which is owned exclusively by Dr. David Cella. No part of the FACIT Measurement System may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Dr. David Cella and payment of any applicable fees. Copyright Dr. David Cella. All rights reserved.)Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank Questionnaire
FACIT-DYSPNEA SFC121853FAC084Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form (FACIT-DYSPNEA SF) (These materials discuss and/or include FACIT Measurement System, which is owned exclusively by Dr. David Cella. No part of the FACIT Measurement System may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Dr. David Cella and payment of any applicable fees. Copyright Dr. David Cella. All rights reserved.)FACIT-Dyspnea 10 Item Short Form
FACIT-F V4C129105FAC071Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 (FACIT-F V4) (These materials discuss and/or include FACIT Measurement System, which is owned exclusively by Dr. David Cella. No part of the FACIT Measurement System may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Dr. David Cella and payment of any applicable fees. Copyright Dr. David Cella. All rights reserved.)Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 Questionnaire
FACIT-FATIGUE 13-ITEM V4C147585FAC070Functional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 (FACIT-FATIGUE 13-Item V4) (These materials discuss and/or include FACIT Measurement System, which is owned exclusively by Dr. David Cella. No part of the FACIT Measurement System may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Dr. David Cella and payment of any applicable fees. Copyright Dr. David Cella. All rights reserved.)Functional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 Questionnaire
FACIT-SEARCHABLE ITEM LIBRARY ADULTC183576FSILFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult (FACIT-SEARCHABLE ITEM LIBRARY ADULT) (These materials discuss and/or include the FACIT Measurement System, which is owned exclusively by Dr. David Cella. No part of the FACIT Measurement System may be reproduced, distributed, or transmitted in any form or by any means, including photocopying recording, or other electronic or mechanical methods, without the prior written permission of Dr. David Cella and payment of any applicable fees. Copyright Dr. David Cella. All rights reserved).Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult Version Questionnaire
FACT-B V4C129108FAC005Functional Assessment of Cancer Therapy-Breast Version 4 (FACT-B V4) (These materials discuss and/or include FACIT Measurement System, which is owned exclusively by Dr. David Cella. No part of the FACIT Measurement System may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Dr. David Cella and payment of any applicable fees. Copyright Dr. David Cella. All rights reserved.)Functional Assessment of Cancer Therapy-Breast Version 4 Questionnaire
FACT-BL V4C155326FAC006Functional Assessment of Cancer Therapy-Bladder Version 4 (FACT-BL V4) (These materials discuss and/or include FACIT Measurement System, which is owned exclusively by Dr. David Cella. No part of the FACIT Measurement System may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Dr. David Cella and payment of any applicable fees. Copyright Dr. David Cella. All rights reserved.)Functional Assessment of Cancer Therapy-Bladder Version 4 Questionnaire
FACT-BMT V4C147583FAC061Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 (FACT-BMT V4) (These materials discuss and/or include FACIT Measurement System, which is owned exclusively by Dr. David Cella. No part of the FACIT Measurement System may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Dr. David Cella and payment of any applicable fees. Copyright Dr. David Cella. All rights reserved.)Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 Questionnaire
FACT-BP V4C179974FAC074Functional Assessment of Cancer Therapy-Bone Pain Version 4 (FACT-BP V4) (Copyright 1987, 1997 David Cella, Ph.D. All Rights Reserved; Questionnaires and all related subscales, translations, and adaptations ('FACIT System') are owned and copyrighted by David Cella, Ph.D. The ownership and copyright of the FACIT System resides strictly with Dr. Cella. Dr. Cella has granted FACIT.org the right to license usage of the FACIT System to other parties). These materials discuss and/or include the Functional Assessment of Cancer Therapy-Bone Pain Version 4 (FACT-BP V4), which is owned exclusively by David Cella, Ph.D. No part of the FACT-BP V4 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying recording, or other electronic or mechanical methods, without the prior written permission of David Cella, Ph.D. and payment of any applicable fees. Copyright David Cella 1987, 1997. All rights reserved.Functional Assessment of Cancer Therapy-Bone Pain Version 4 Questionnaire
FACT-BRM V4C150914FAC062Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 (FACT-BRM V4) (These materials discuss and/or include FACIT Measurement System, which is owned exclusively by Dr. David Cella. No part of the FACIT Measurement System may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Dr. David Cella and payment of any applicable fees. Copyright Dr. David Cella. All rights reserved.)Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 Questionnaire
FACT-C V4C150912FAC008Functional Assessment of Cancer Therapy-Colorectal Version 4 (FACT-C V4) (These materials discuss and/or include FACIT Measurement System, which is owned exclusively by Dr. David Cella. No part of the FACIT Measurement System may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Dr. David Cella and payment of any applicable fees. Copyright Dr. David Cella. All rights reserved.)Functional Assessment of Cancer Therapy-Colorectal Version 4 Questionnaire
FACT-COG V3C103850FAC075Functional Assessment of Cancer Therapy-Cognitive Function Version 3 (FACT-COG V3) (These materials discuss and/or include FACIT Measurement System, which is owned exclusively by Dr. David Cella. No part of the FACIT Measurement System may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Dr. David Cella and payment of any applicable fees. Copyright Dr. David Cella. All rights reserved.)FACT-Cognitive Function
FACT-G V4C127369FAC001Functional Assessment of Cancer Therapy-General Version 4 (FACT-G V4) (These materials discuss and/or include FACIT Measurement System, which is owned exclusively by Dr. David Cella. No part of the FACIT Measurement System may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Dr. David Cella and payment of any applicable fees. Copyright Dr. David Cella. All rights reserved.)Functional Assessment of Cancer Therapy-General Version 4 Questionnaire
FACT-HEP V4C130312FAC015Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 (FACT-HEP V4) (These materials discuss and/or include FACIT Measurement System, which is owned exclusively by Dr. David Cella. No part of the FACIT Measurement System may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Dr. David Cella and payment of any applicable fees. Copyright Dr. David Cella. All rights reserved.)Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 Questionnaire
FACT-L V4C150916FAC016Functional Assessment of Cancer Therapy-Lung Version 4 (FACT-L V4) (These materials discuss and/or include FACIT Measurement System, which is owned exclusively by Dr. David Cella. No part of the FACIT Measurement System may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Dr. David Cella and payment of any applicable fees. Copyright Dr. David Cella. All rights reserved.)Functional Assessment of Cancer Therapy-Lung Version 4 Questionnaire
FACT-LEU V4C130311FAC017Functional Assessment of Cancer Therapy-Leukemia Version 4 (FACT-LEU V4) (These materials discuss and/or include FACIT Measurement System, which is owned exclusively by Dr. David Cella. No part of the FACIT Measurement System may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Dr. David Cella and payment of any applicable fees. Copyright Dr. David Cella. All rights reserved.)Functional Assessment of Cancer Therapy-Leukemia Version 4 Questionnaire
FACT-LYM V4C130313FAC018Functional Assessment of Cancer Therapy-Lymphoma Version 4 (FACT-LYM V4) (These materials discuss and/or include FACIT Measurement System, which is owned exclusively by Dr. David Cella. No part of the FACIT Measurement System may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Dr. David Cella and payment of any applicable fees. Copyright Dr. David Cella. All rights reserved.)Functional Assessment of Cancer Therapy-Lymphoma Version 4 Questionnaire
FACT-P V4C127371FAC023Functional Assessment of Cancer Therapy-Prostate Version 4 (FACT-P V4) (These materials discuss and/or include FACIT Measurement System, which is owned exclusively by Dr. David Cella. No part of the FACIT Measurement System may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Dr. David Cella and payment of any applicable fees. Copyright Dr. David Cella. All rights reserved.)Functional Assessment of Cancer Therapy-Prostate Version 4 Questionnaire
FACT-TAXANE V4C150913FAC063Functional Assessment of Cancer Therapy-Taxane Version 4 (FACT-Taxane V4) (These materials discuss and/or include FACIT Measurement System, which is owned exclusively by Dr. David Cella. No part of the FACIT Measurement System may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Dr. David Cella and payment of any applicable fees. Copyright Dr. David Cella. All rights reserved.)Functional Assessment of Cancer Therapy-Taxane Version 4 Questionnaire
FACT/GOG-NTX V4C150915FAC057Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 (FACT/GOG-NTX V4) (These materials discuss and/or include FACIT Measurement System, which is owned exclusively by Dr. David Cella. No part of the FACIT Measurement System may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Dr. David Cella and payment of any applicable fees. Copyright Dr. David Cella. All rights reserved.)Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 Questionnaire
FAMSC112521FAMS01Functional Assessment of Multiple Sclerosis Version 4 (FAMS) (These materials discuss and/or include FACIT Measurement System, which is owned exclusively by Dr. David Cella. No part of the FACIT Measurement System may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Dr. David Cella and payment of any applicable fees. Copyright Dr. David Cella. All rights reserved.)Functional Assessment of Multiple Sclerosis Questionnaire
FBRSIC138336FAC029Functional Assessment of Cancer Therapy-Brain Symptom Index (FBRSI) (These materials discuss and/or include FACIT Measurement System, which is owned exclusively by Dr. David Cella. No part of the FACIT Measurement System may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Dr. David Cella and payment of any applicable fees. Copyright Dr. David Cella. All rights reserved.)Functional Assessment of Cancer Therapy-Brain Symptom Index Questionnaire
FIQRC103518FIQR01Revised Fibromyalgia Impact Questionnaire (FIQR) (copyright 2009 Bennett RM and Friend. All Rights Reserved.). No part of the FIQR may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Bennett RM and Friend and payment of any applicable fees. Copyright Bennett RM and Friend, 2009. All rights reserved.Revised Fibromyalgia Impact Questionnaire
FKSI-15C118498FAC039Functional Assessment of Cancer Therapy-Kidney Symptom Index-15 (FKSI-15) (These materials discuss and/or include FACIT Measurement System, which is owned exclusively by Dr. David Cella. No part of the FACIT Measurement System may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Dr. David Cella and payment of any applicable fees. Copyright Dr. David Cella. All rights reserved.)FKSI-15 Questionnaire
FKSI-DRS V4C150917FAC041Functional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 (FKSI-DRS V4) (These materials discuss and/or include FACIT Measurement System, which is owned exclusively by Dr. David Cella. No part of the FACIT Measurement System may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Dr. David Cella and payment of any applicable fees. Copyright Dr. David Cella. All rights reserved.)Functional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 Questionnaire
FLSIC138338FAC043Functional Assessment of Cancer Therapy-Lung Symptom Index (FLSI) (These materials discuss and/or include FACIT Measurement System, which is owned exclusively by Dr. David Cella. No part of the FACIT Measurement System may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Dr. David Cella and payment of any applicable fees. Copyright Dr. David Cella. All rights reserved.)Functional Assessment of Cancer Therapy-Lung Symptom Index Questionnaire
FLU-IIQ ONCE DAILYC119093FLUIQ1Influenza Intensity and Impact Questionnaire (Flu-iiQ) Once Daily (FLU-IIQ ONCE DAILY) (Copyright RH Osborne 2006. No part of the FLU-IIQ ONCE DAILY may be copied or reproduced in any form without written permission from the author: measuredsolutions (at) bigpond (dot) com). No part of the Flu-iiQ may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of RH Osborne and payment of any applicable fees. Copyright RH Osborne, 2006. All rights reserved.Influenza Intensity and Impact Questionnaire Once Daily Version
FLU-IIQ TWICE DAILYC119094FLUIQ2Influenza Intensity and Impact Questionnaire (Flu-iiQ) Twice Daily (FLU-IIQ TWICE DAILY) (Copyright RH Osborne 2006. No part of the Flu-iiQ may be copied or reproduced in any form without written permission from the author: measuredsolutions (at) bigpond (dot) com). No part of the FLU-IIQ TWICE DAILY may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of RH Osborne and payment of any applicable fees. Copyright RH Osborne, 2006. All rights reserved.Influenza Intensity and Impact Questionnaire Twice Daily Version
FOSIC129109FAC049Functional Assessment of Cancer Therapy-Ovarian Symptom Index (FOSI) (These materials discuss and/or include FACIT Measurement System, which is owned exclusively by Dr. David Cella. No part of the FACIT Measurement System may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Dr. David Cella and payment of any applicable fees. Copyright Dr. David Cella. All rights reserved.)Functional Assessment of Cancer Therapy-Ovarian Symptom Index Questionnaire
FPSRC100766FPSR1Faces Pain Scale - Revised (FPS-R) (Hicks CL, von Baeyer CL, van Korlaar I, Goodenough B. Faces Pain Scale-Revised: Toward a Common Metric in Pediatric Pain Measurement. Pain 2001; 93:173-183).Faces Pain Scale Revised Questionnaire
FSSC106621FSS01Fatigue Severity Scale (FSS) (Copyright Lauren B. Krupp).Fatigue Severity Scale
GAD-7 V2C163813GAD02Generalized Anxiety Disorder - 7 Version 2 (GAD-7 V2) (Spitzer RL, Kroenke K, Williams JBW, Lowe B. A brief measure for assessing generalized anxiety disorder: The GAD-7. Arch Intern Med 2006; 166:1092-1097).Generalized Anxiety Disorder - 7 Version 2 Questionnaire
GAD-7C103519GAD01Generalized Anxiety Disorder - 7 (GAD-7) (Spitzer RL, Kroenke K, Williams JBW, Lowe B. A brief measure for assessing generalized anxiety disorder: The GAD-7. Arch Intern Med 2006; 166:1092-1097).Generalized Anxiety Disorder - 7 Questionnaire
GCGIC105169GCGI01The General Clinical Global Impressions (GCGI v1) questions were created by STANDARDS (Standardized Analgesic Database for Research, Discovery, and Submissions) and sponsored by ACTTION (Analgesic Clinical Trial Translations, Innovations, Opportunities, and Networks) www.acttion.org; 2012-08-07 v1.STANDARDS General Clinical Global Impressions Questionnaire
GDS SHORT FORMC106698GDS02Geriatric Depression Scale Short Form (GDS Short Form) (Sheikh JI, Yesavage JA. Geriatric Depression Scale (GDS): recent evidence and development of a shorter version. Clin Gerontol. 1986 June;5(1/2):165-173).Geriatric Depression Scale Short Form Questionnaire
GDSC106697GDS01Geriatric Depression Scale (GDS) (Yesavage JA, Brink TL, Rose TL, et al. Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatry Res. 1983;17(1):37-49).Geriatric Depression Scale Questionnaire
GMSS VERSION TYPE 1 DIABETESC163814GMSS01The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes (GMSS VERSION TYPE 1 DIABETES) (Polonsky WH, Fisher L, Hessler D, Edelman SV. Development of a New Measure for Assessing Glucose Monitoring Device-Related Treatment Satisfaction and Quality of Life. Diabetes Technol Ther 2015; 17(9): 657-663).The Glucose Monitoring Satisfaction Survey Version: Type 1 Diabetes Questionnaire
GOSEC115797GOSE1Extended Glasgow Outcome Scale (GOSE) (Wilson JT, Pettigrew LE, Teasdale GM. Structured interviews for the Glasgow Outcome Scale and the Extended Glasgow Outcome Scale: Guidelines for their use. Journal of Neurotrauma 1998;15:573-585).Extended Glasgow Outcome Scale Questionnaire
HADSC103520HADS01Hospital Anxiety and Depression Scale (HADS) (copyright 1983, 1992, 1994 by R.P. Snaith and A.S. Zigmond. All rights reserved.).Hospital Anxiety and Depression Scale Questionnaire
HAEM-A-QOLC122381HAEM09Hemophilia Quality of Life Questionnaire Adult Version (Haem-A-QoL) (The Haemo-QoL questionnaire-set is a joint property of the Haemo-QoL Study Centre at the University of Hamburg, Germany and Bayer Biological Products, Research Triangle Park, North Carolina, USA. Development of new translations, modified versions or any other derivatives - such as electronic versions - are not permitted without special permission and involvement of the Haemo-QoL Study Group; Von Mackensen S, Scalone L, Ravera S, Mantovani L, Gringeri A, The COCHE Study Group. Assessment of health-related quality of life in patients with Hemophilia with the newly developed Hemophilia-specific instrument (Haem-A-QoL). Value Health 2005; 8:A127).Hemophilia Quality of Life Questionnaire Adult Version
HAEMO-QOL CHILDREN'S LONG VERSION AGE GROUP IC122373HAEM01Hemophilia Quality of Life (HAEMO-QOL) Questionnaire Children's Long Version Age Group I (The Haemo-QoL questionnaire-set is a joint property of the Haemo-QoL Study Centre at the University of Hamburg, Germany and Bayer Biological Products, Research Triangle Park, North Carolina, USA. Development of new translations, modified versions or any other derivatives - such as electronic versions - are not permitted without special permission and involvement of the Haemo-QoL Study Group).Hemophilia Quality of Life Questionnaire Children's Long Version Age Group I
HAEMO-QOL CHILDREN'S LONG VERSION AGE GROUP IIC122374HAEM02Hemophilia Quality of Life (HAEMO-QOL) Questionnaire Children's Long Version Age Group II (The Haemo-QoL questionnaire-set is a joint property of the Haemo-QoL Study Centre at the University of Hamburg, Germany and Bayer Biological Products, Research Triangle Park, North Carolina, USA. Development of new translations, modified versions or any other derivatives - such as electronic versions - are not permitted without special permission and involvement of the Haemo-QoL Study Group).Hemophilia Quality of Life Questionnaire Children's Long Version Age Group II
HAEMO-QOL CHILDREN'S LONG VERSION AGE GROUP IIIC122375HAEM03Hemophilia Quality of Life (HAEMO-QOL) Questionnaire Children's Long Version Age Group III (The Haemo-QoL questionnaire-set is a joint property of the Haemo-QoL Study Centre at the University of Hamburg, Germany and Bayer Biological Products, Research Triangle Park, North Carolina, USA. Development of new translations, modified versions or any other derivatives - such as electronic versions - are not permitted without special permission and involvement of the Haemo-QoL Study Group).Hemophilia Quality of Life Questionnaire Children's Long Version Age Group III
HAEMO-QOL CHILDREN'S SHORT VERSION AGE GROUP IC122376HAEM04Hemophilia Quality of Life (HAEMO-QOL) Questionnaire Children's Short Version Age Group I (The Haemo-QoL questionnaire-set is a joint property of the Haemo-QoL Study Centre at the University of Hamburg, Germany and Bayer Biological Products, Research Triangle Park, North Carolina, USA. Development of new translations, modified versions or any other derivatives - such as electronic versions - are not permitted without special permission and involvement of the Haemo-QoL Study Group).Hemophilia Quality of Life Questionnaire Children's Short Version Age Group I
HAEMO-QOL CHILDREN'S SHORT VERSION AGE GROUP II/IIIC122377HAEM05Hemophilia Quality of Life (HAEMO-QOL) Questionnaire Children's Short Version Age Group II/III (The Haemo-QoL questionnaire-set is a joint property of the Haemo-QoL Study Centre at the University of Hamburg, Germany and Bayer Biological Products, Research Triangle Park, North Carolina, USA. Development of new translations, modified versions or any other derivatives - such as electronic versions - are not permitted without special permission and involvement of the Haemo-QoL Study Group).Hemophilia Quality of Life Questionnaire Children's Short Version Age Group II/III
HAEMO-QOL PARENT'S LONG VERSION AGE GROUP IC122378HAEM06Hemophilia Quality of Life (HAEMO-QOL) Questionnaire Parent's Long Version Age Group I (The Haemo-QoL questionnaire-set is a joint property of the Haemo-QoL Study Centre at the University of Hamburg, Germany and Bayer Biological Products, Research Triangle Park, North Carolina, USA. Development of new translations, modified versions or any other derivatives - such as electronic versions - are not permitted without special permission and involvement of the Haemo-QoL Study Group).Hemophilia Quality of Life Questionnaire Parent's Long Version Age Group I
HAEMO-QOL PARENT'S LONG VERSION AGE GROUP IIC122379HAEM07Hemophilia Quality of Life (HAEMO-QOL) Questionnaire Parent's Long Version Age Group II (The Haemo-QoL questionnaire-set is a joint property of the Haemo-QoL Study Centre at the University of Hamburg, Germany and Bayer Biological Products, Research Triangle Park, North Carolina, USA. Development of new translations, modified versions or any other derivatives - such as electronic versions - are not permitted without special permission and involvement of the Haemo-QoL Study Group).Hemophilia Quality of Life Questionnaire Parent's Long Version Age Group II
HAEMO-QOL PARENT'S LONG VERSION AGE GROUP IIIC122380HAEM08Hemophilia Quality of Life (HAEMO-QOL) Questionnaire Parent's Long Version Age Group III (The Haemo-QoL questionnaire-set is a joint property of the Haemo-QoL Study Centre at the University of Hamburg, Germany and Bayer Biological Products, Research Triangle Park, North Carolina, USA. Development of new translations, modified versions or any other derivatives - such as electronic versions - are not permitted without special permission and involvement of the Haemo-QoL Study Group).Hemophilia Quality of Life Questionnaire Parent's Long Version Age Group III
HAMD 6 SELF-REPORT VERSIONC130314HAMDS1The Hamilton Depression Rating Scale 6 Self-Report Version (HAM-D6 - Self-Report Version) (Clinical Research: Rating scales in depression: limitations and pitfalls; Per Bech, MD; Copyright 2006 LLS SAS. All rights reserved).Hamilton Depression Rating Scale 6 Self-Report Version Questionnaire
HAQ-DI WITH VASC106699HAQ01Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale (HAQ-DI WITH VAS) (Fries JF. The assessment of disability: from first to future principles. Br J Rheumatol. 1983 Aug; 22(3 Suppl):48-58).Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale Questionnaire
HAQ-DI WITHOUT VASC132534HAQ02Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale (HAQ-DI WITHOUT VAS) (Copyright 2003 Fries JF. Bruce B, Fries JF. The Stanford Health Assessment Questionnaire: Dimensions and Practical Applications. Health and Quality of Life Outcomes 2003. 9 June 2003; 1:20 1-6).Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale
HCSC163815HCS01Hypoglycemic Confidence Scale (HCS) (Polonsky WH, Fisher L, Hessler D, Edelman SV. Investigating Hypoglycemic Confidence in Type 1 and Type 2 Diabetes. Diabetes Technol Ther 2017; 19(2): 131-6).Hypoglycemic Confidence Scale Questionnaire
IBDQC174070IBDQ01Quality of Life in Inflammatory Bowel Disease Questionnaire (IBDQ) (Copyright 1989, McMaster University, Hamilton, Ontario, Canada. The Inflammatory Bowel Disease Questionnaire, authored by Dr. Jan Irvine et. al., was made under license from McMaster University, Hamilton, Canada (Copyright 1989, McMaster University). The IBDQ is provided under license from McMaster University and may not be copied, distributed or used in any way without the prior written consent of McMaster University. Contact the McMaster Industry Liaison Office at: milo at mcmaster.ca for licensing details).Quality of Life in Inflammatory Bowel Disease Questionnaire
IDS-SRC130315IDSR1Inventory of Depressive Symptomatology - Self-Report (IDS-SR) (Copyright UT Southwestern Medical Center at Dallas. Rush, A.J., Carmody, T. and Reimitz, P.E. The Inventory of Depressive Symptomatology (IDS): Clinician (IDS-C) and self-report (IDS-SR) ratings of depressive symptoms. International Journal of Methods in Psychiatric Research, 9:45-59, 2000).Inventory of Depressive Symptomatology Self-Report Version Questionnaire
IIEFC103521IIEF01International Index of Erectile Function (IIEF) (Rosen RC, Riley A, Wagner G, Osterloh IH, Kirkpatrick J, and Mishra A. The international index of erectile function (IIEF): a multidimensional scale for assessment of erectile dysfunction. Urology. 1997 49(6): 822-830).International Index of Erectile Function Questionnaire
IPAQ-LF PHONE VERSIONC141692IPAQ02International Physical Activity Questionnaire (November 2002) Long Last 7 Days Telephone Format (IPAQ-LF PHONE VERSION)(Booth, M.L. (2000). Assessment of Physical Activity: An International Perspective. Research Quarterly for Exercise and Sport, 71 (2): s114-20. Retrieved from the International Physical Activity Questionnaire website: http://www.ipaq.ki.se).International Physical Activity Questionnaire (November 2002) Long Last 7 Days Telephone Format
IPAQ-LF SELF-ADMINISTERED VERSIONC141691IPAQ03International Physical Activity Questionnaire (October 2002) Long Last 7 Days Self-Administered Format (IPAQ-LF SELF-ADMINISTERED VERSION) (Booth, M.L. (2000). Assessment of Physical Activity: An International Perspective. Research Quarterly for Exercise and Sport, 71 (2): s114-20. Retrieved from the International Physical Activity Questionnaire website: http://www.ipaq.ki.se).International Physical Activity Questionnaire (August 2002) Long Last 7 Days Self-Administered Format
IPAQ-SF PHONE VERSIONC141693IPAQ01International Physical Activity Questionnaire (August 2002) Short Last 7 Days Telephone Format (IPAQ-SF PHONE VERSION)(Booth, M.L. (2000). Assessment of Physical Activity: An International Perspective. Research Quarterly for Exercise and Sport, 71 (2): s114-20. Retrieved from the International Physical Activity Questionnaire website: http://www.ipaq.ki.se).International Physical Activity Questionnaire (August 2002) Short Last 7 Days Telephone Format
IPAQ-SF SELF-ADMINISTERED VERSIONC141690IPAQ04International Physical Activity Questionnaire (August 2002) Short Last 7 Days Self-Administered Format (IPAQ-SF SELF-ADMINISTERED VERSION)(Booth, M.L. (2000). Assessment of Physical Activity: An International Perspective. Research Quarterly for Exercise and Sport, 71 (2): s114-20. Retrieved from the International Physical Activity Questionnaire website: http://www.ipaq.ki.se).International Physical Activity Questionnaire (August 2002) Short Last 7 Days Self-Administered Format
IPSSC113446I-PSS;IPS01International Prostate Symptom Score (IPSS) (Barry MJ, et al. The American Urological Association symptom index for benign prostatic hyperplasia. The Measurement Committee of the American Urological Association. J Urol 1992; 148: 1549-1557). CDISC believes this instrument to be in the public domain, but you should perform your own assessment.International Prostate Symptom Score
IVISC113876IVIS01Impact of Visual Impairment Scale (IVIS) (1997 by the National Multiple Sclerosis Society. All rights reserved).Impact of Visual Impairment Scale Questionnaire
LEC-5 STANDARD VERSIONC135740LEC01Life Events Checklist for DSM-5, Standard Version (LEC-5 STANDARD VERSION) (Weathers, F.W., Blake, D.D., Schnurr, P.P., Kaloupek, D.G., Marx, B.P., & Keane, T.M. (2013). The Life Events Checklist for DSM-5 (LEC-5). Retrieved from the National Center for PTSD website: http://www.ptsd.va.gov).Life Events Checklist for DSM-5 Standard Version Questionnaire
MADRSC122382MADRS1Montgomery-Asberg Depression Rating Scale (MADRS) (Copyright Stuart Montgomery 1978, Measures of Depression, Fulcrum Press, London. Stuart A. Montgomery and Marie Asberg. A new depression scale designed to be sensitive to change. Br. J. Psychiat. (1979), 134:382-389).Montgomery-Asberg Depression Rating Scale Questionnaire
MDQ-TC123660MDQ01Menstrual Distress Questionnaire Form-T (Today) (MDQ-T) (Copyright 1968, 1989, 1991, 2000, 2010 by Rudolf H. Moos. All Rights Reserved. Published by Mind Garden, Inc. Moos RH. The development of a menstrual distress questionnaire. Psychosom Med. 1968 Nov-Dec;30(6):853-67).Menstrual Distress Questionnaire Form-T (Today)
MDS-UPDRSC100769UPD2The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale (MDS-UPDRS) (copyright 2008 Movement Disorder Society. All Rights Reserved).Movement Disorder Society Unified Parkinson's Disease Rating Scale Questionnaire
MFISC113877MFIS01Modified Fatigue Impact Scale (MFIS) (1997 by the National Multiple Sclerosis Society. All rights reserved).Modified Fatigue Impact Scale Questionnaire
MHIS-NACCC112523MHIS01Modified Hachinski Ischemic Scale-NACC Version (MHIS-NACC) Reproduced with permission. Copyright 2011 University of Washington. Created and published by the ADC Clinical Task Force (John C. Morris, MD, Chair) and the National Alzheimer's Coordinating Center (Walter A. Kukull, PhD, Director). This publication was funded by the National Institutes of Health through the National Institute on Aging (Cooperative Agreement U01 AG016976).Modified Hachinski Ischemic Scale-NACC Version Questionnaire
MMRCC106700MMRC01Modified Medical Research Council dyspnea scale (MMRC) (Mahler DA, Wells CK. Evaluation of Clinical Methods for Rating Dyspnea. Chest 1988; 93:580-586).Modified Medical Research Council Dyspnea Scale Questionnaire
MNSIC100771MNSI1Michigan Neuropathy Screening Instrument (MNSI) (copyright University of Michigan, 2000, All rights reserved).Michigan Neuropathy Screening Instrument Questionnaire
MPAI-4C115798MPAI1The Mayo-Portland Adaptability Inventory-4 (MPAI-4) (Malec, J. (2005). The Mayo-Portland Adaptability Inventory-4. The Center for Outcome Measurement in Brain Injury. http://www.tbims.org/combi/mpai).Mayo-Portland Adaptability Inventory-4 Questionnaire
MRSC111383MRS01Modified Rankin Scale (MRS) (Van Swieten J., Koudstaal P., Visser M., Schouten H., and Van Gijn J. Interobserver agreement for the assessment of handicap in stroke patients, 1988. Stroke 19: 604-607).Modified Rankin Scale Questionnaire
MSIS-29 V1C123664MSIS01Multiple Sclerosis Impact Scale version 1 (MSIS-29v1) (Copyright 2000 Neurological Outcome Measures Unit, Institute of Neurology, University College London, UK).Multiple Sclerosis Impact Scale Version 1 Questionnaire
MSIS-29 V2C123665MSIS02Multiple Sclerosis Impact Scale version 2 (MSIS-29v2) (Copyright 2005 Neurological Outcome Measures Unit, Peninsula Medical School, Plymouth, UK).Multiple Sclerosis Impact Scale Version 2 Questionnaire
MSQOL-54C113878MSQL1Multiple Sclerosis Quality of Life-54 Instrument (MSQOL-54) (Copyright 1995, University of California, Los Angeles).Multiple Sclerosis Quality of Life-54 Instrument Questionnaire
MSWS-12C123663MSWS0112-Item Multiple Sclerosis Walking Scale (MSWS-12) (Copyright 2000 Neurological Outcome Measures Unit).12-Item Multiple Sclerosis Walking Scale Questionnaire
NCCN-FACT FBLSI-18 V2C129107FAC028National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 (NCCN-FACT FBlSI-18 V2) (Copyright 2001 David Cella, Ph.D. All Rights Reserved;Questionnaires and all related subscales, translations, and adaptations ('FACIT System') are owned and copyrighted by David Cella, Ph.D. The ownership and copyright of the FACIT System resides strictly with Dr. Cella. Dr. Cella has granted FACIT.org the right to license usage of the FACIT System to other parties).National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 Questionnaire
NCCN-FACT FBRSI-24 V2C150918FAC030National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 (NCCN-FACT FBRSI-24 V2) (Copyright 1987, 1997 David Cella, Ph.D. All Rights Reserved; Questionnaires and all related subscales, translations, and adaptations ('FACIT System') are owned and copyrighted by David Cella, Ph.D. The ownership and copyright of the FACIT System resides strictly with Dr. Cella. Dr. Cella has granted FACIT.org the right to license usage of the FACIT System to other parties).National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 Questionnaire
NCCN-FACT FHNSI-22 V2C150919FAC036National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 (NCCN-FACT FHNSI-22 V2) (Copyright 1987, 1997 David Cella, Ph.D. All Rights Reserved; Questionnaires and all related subscales, translations, and adaptations ('FACIT System') are owned and copyrighted by David Cella, Ph.D. The ownership and copyright of the FACIT System resides strictly with Dr. Cella. Dr. Cella has granted FACIT.org the right to license usage of the FACIT System to other parties).National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 Questionnaire
NCCN-FACT FKSI-19 V2C129106FAC042National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 (NCCN-FACT FKSI-19 V2) (Copyright 2001 David Cella, Ph.D. All Rights Reserved;Questionnaires and all related subscales, translations, and adaptations ('FACIT System') are owned and copyrighted by David Cella, Ph.D. The ownership and copyright of the FACIT System resides strictly with Dr. Cella. Dr. Cella has granted FACIT.org the right to license usage of the FACIT System to other parties).National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 Questionnaire
NCCN-FACT FOSI-18 V2C129110FAC050National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 (NCCN-FACT FOSI-18 V2) (Copyright 1987, 1997 David Cella, Ph.D. All Rights Reserved; Questionnaires and all related subscales, translations, and adaptations ('FACIT System') are owned and copyrighted by David Cella, Ph.D. The ownership and copyright of the FACIT System resides strictly with Dr. Cella. Dr. Cella has granted FACIT.org the right to license usage of the FACIT System to other parties).National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 Questionnaire
NCCN-FACT FPSI-17 V2C127370FAC052National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 (NCCN-FACT-FPSI 17 V2) (Copyright 2001 David Cella, Ph.D. All Rights Reserved; Questionnaires and all related subscales, translations, and adaptations ('FACIT System') are owned and copyrighted by David Cella, Ph.D. The ownership and copyright of the FACIT System resides strictly with Dr. Cella. Dr. Cella has granted FACIT.org the right to license usage of the FACIT System to other parties).National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 Questionnaire
NPIC100772NPI-12;NPI1Neuropsychiatric Inventory (NPI) (copyright JL Cummings, 1994, all rights reserved; permission for commercial use required; npiTEST.net). No part of the NPI may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the JL Cummings and payment of any applicable fees. Copyright JL Cummings, 1994, all rights reserved.Neuropsychiatric Inventory - 12 Item Version Questionnaire
NPSC103522NPS01Neuropathic Pain Scale (NPS) (copyright Brad Galer and Mark Jensen. All rights reserved.).Neuropathic Pain Scale Questionnaire
NSCLC-SAQ V1.0C155327NSCLC1Non-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 (NSCLC-SAQ V1.0) (Version 1.0 Copyright 2015 Critical Path Institute. All Rights Reserved. McCarrier KP, Atkinson TM, DeBusk KP, Liepa AM, Scanlon M, Coons SJ and on behalf of the Patient-Reported Outcome Consortium. Qualitative Development and Content Validity of the Non-small Cell Lung Cancer Symptom Assessment Questionnaire (NSCLC-SAQ), A Patient-reported Outcome Instrument. Clinical Therapeutics 2016; 38(4):794-810. Patient-Reported Outcome (PRO) Consortium - Non-Small Cell Lung Cancer Symptom Assessment Questionnaire (NSCLC-SAQ) Provisional User Manual, Version 6: March 24, 2017). No part of the NSCLC-SAQ V1.0 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the Critical Path Institute and payment of any applicable fees. Copyright Critical Path Institute, 2018. All rights reserved).Non-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0
OAB-Q SHORT FORMC103524OABQ02The Overactive Bladder Questionnaire Short Form (OAB-q Short Form) (Karin S. Coyne, Christine L. Thompson, Jin-Shei Lai, and Chris C. Sexton. An Overactive Bladder Symptom and Health-Related Quality of Life Short-Form: Validation of the OAB-q SF. Neurourology and Urodynamics 34:255-263, 2015).The Overactive Bladder Questionnaire Short Form
OAB-QC103523OABQ01The Overactive Bladder Questionnaire (OAB-q) (Coyne K, Revicki D, Hunt T, et al. Psychometric validation of an overactive bladder symptom and health-related quality of life questionnaire: the OAB-q. Qual Life Res. Sep 2002; 11(6):563-574).The Overactive Bladder Questionnaire
OCIC119095OCI01Ocular Comfort Index (OCI) (The copyright owner of the Ocular Comfort Index is Dr. Michael Edward Johnson. Michael E. Johnson and Paul J. Murphy. Measurement of Ocular Surface Irritation on a Linear Interval Scale with the Ocular Comfort Index. Investigative Ophthalmology and Visual Science, October 2007, Vol. 48, No.10).Ocular Comfort Index Questionnaire
ODI V2.1AC103525ODI01The Oswestry Disability Index Version 2.1a (ODI v2.1A) (copyright 1980 Jeremy Fairbank. All Rights Reserved.).The Oswestry Disability Index Version 2.1a Questionnaire
PARENT-DDSC163816DDS02Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes (PARENT-DDS) (Hessler D, Fisher L, Polonsky W, Johnson N. Understanding the Areas and Correlates of Diabetes-Related Distress in Parent of Teens With Type 1 Diabetes. Journal of Pediatric Psychology 2016; 41(7): 750-758).Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes Questionnaire
PARTNER-DDSC163817DDS03Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes (PARTNER-DDS) (Polonsky WH, Fisher L, Hessler D, Johnson N. Emotional Distress in the Partners of Type 1 Diabetes Adults: Worries About Hypoglycemia and Other Key Concerns. Diabetes Technology & Therapeutics May 2016; 18(5): 292-297).Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes Questionnaire
PCL-5C135741PCL01The PTSD Checklist for DSM-5 (PCL-5) (Weathers, F.W., Litz, B. T., Keane, T. M., Palmieri, P. A., Marx, B. P., & Schnurr, P. P. (2013). The PTSD Checklist for DSM-5 (PCL-5). Retrieved from the National Center for PTSD website: http://www.ptsd.va.gov).The PTSD Checklist for DSM-5 Questionnaire
PDDSC112524PDDS01Patient Determined Disease Steps (PDDS) (Hohol MJ, Orav EJ, Weiner HL. Disease Steps in multiple sclerosis: A simple approach to evaluate disease progression. Neurology 1995; 45: 251-55). (Hohol MJ, Orav EJ, Weiner HL. Disease Steps in multiple sclerosis: a longitudinal study comparing disease steps and EDSS to evaluate disease progression. Multiple Sclerosis 1999; 5: 349-54). (Marrie RA and Goldman M. Validity of performance scales for disability assessment in multiple sclerosis. Multiple Sclerosis 2007; 13: 1176-1182). (The PDDS and/or PS are provided for use by the NARCOMS Registry: www.narcoms.org/pdds. NARCOMS is supported in part by the Consortium of Multiple Sclerosis Centers (CMSC) and the CMSC Foundation).Patient Determined Disease Steps Questionnaire
PDQUALIFC100773PDQ01Parkinson's Disease Quality of Life Scale (PDQUALIF) (Welsh M, McDermott MP, Holloway RG, Plumb S, Pfeiffer R, Hubble J, and The Parkinson Study Group. Development and Testing of the Parkinson's Disease Quality of Life Scale. Movement Disorders, 2003, Vol. 18; 637-645).Parkinson's Disease Quality of Life Scale Questionnaire
PEDS-FACIT-FC147586FAC099Pediatric Functional Assessment of Chronic Illness Therapy-Fatigue (PEDS-FACIT-F) (Copyright 1987, 1997 David Cella, Ph.D. All Rights Reserved; Questionnaires and all related subscales, translations, and adaptations ('FACIT System') are owned and copyrighted by David Cella, Ph.D. The ownership and copyright of the FACIT System resides strictly with Dr. Cella. Dr. Cella has granted FACIT.org the right to license usage of the FACIT System to other parties).Pediatric Functional Assessment of Chronic Illness Therapy-Fatigue Questionnaire
PEDSQL NEUROMUSCULAR MODULE ACUTE V3 CHILD PARENT REPORTC138341PQL15Pediatric Quality of Life (PedsQL) Neuromuscular Module Acute Version 3 Child Parent Report (Copyright 1998 JW Varni, Ph.D. Iannaccone, S.T., Hynan, L.S., Morton, A., Buchanan, R., Limbers, C.A., Varni, J.W., the AmSMART Group (2009). The PedsQL in pediatric patients with Spinal Muscular Atrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Generic Core Scales and Neuromuscular Module. Neuromuscular Disorders, 19, 805-812. Davis, S.E., Hynan, L.S., Limbers, C.A., Andersen, C.M., Greene, M.C., Varni, J.W., Iannaccone, S.T. (2010). The PedsQL in pediatric patients with Duchenne Muscular Dystrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Neuromuscular Module and Generic Core Scales. Journal of Clinical Neuromuscular Disease, 11, 97-109).Pediatric Quality of Life Neuromuscular Module Acute Version 3.0 Parent Report for Child Questionnaire
PEDSQL NEUROMUSCULAR MODULE ACUTE V3 CHILDC138339PQL14Pediatric Quality of Life (PedsQL) Neuromuscular Module Acute Version 3 Child (Copyright 1998 JW Varni, Ph.D. Iannaccone, S.T., Hynan, L.S., Morton, A., Buchanan, R., Limbers, C.A., Varni, J.W., the AmSMART Group (2009). The PedsQL in pediatric patients with Spinal Muscular Atrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Generic Core Scales and Neuromuscular Module. Neuromuscular Disorders, 19, 805-812. Davis, S.E., Hynan, L.S., Limbers, C.A., Andersen, C.M., Greene, M.C., Varni, J.W., Iannaccone, S.T. (2010). The PedsQL in pediatric patients with Duchenne Muscular Dystrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Neuromuscular Module and Generic Core Scales. Journal of Clinical Neuromuscular Disease, 11, 97-109).Pediatric Quality of Life Neuromuscular Module Acute Version 3.0 Child Report Questionnaire
PEDSQL NEUROMUSCULAR MODULE ACUTE V3 TEEN PARENT REPORTC138342PQL13Pediatric Quality of Life (PedsQL) Neuromuscular Module Acute Version 3 Teen Parent Report (Copyright 1998 JW Varni, Ph.D. Iannaccone, S.T., Hynan, L.S., Morton, A., Buchanan, R., Limbers, C.A., Varni, J.W., the AmSMART Group (2009). The PedsQL in pediatric patients with Spinal Muscular Atrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Generic Core Scales and Neuromuscular Module. Neuromuscular Disorders, 19, 805-812. Davis, S.E., Hynan, L.S., Limbers, C.A., Andersen, C.M., Greene, M.C., Varni, J.W., Iannaccone, S.T. (2010). The PedsQL in pediatric patients with Duchenne Muscular Dystrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Neuromuscular Module and Generic Core Scales. Journal of Clinical Neuromuscular Disease, 11, 97-109).Pediatric Quality of Life Neuromuscular Module Acute Version 3.0 Parent Report for Teen Questionnaire
PEDSQL NEUROMUSCULAR MODULE ACUTE V3 TEENC138345PQL12Pediatric Quality of Life (PedsQL) Neuromuscular Module Acute Version 3 Teen (Copyright 1998 JW Varni, Ph.D. Iannaccone, S.T., Hynan, L.S., Morton, A., Buchanan, R., Limbers, C.A., Varni, J.W., the AmSMART Group (2009). The PedsQL in pediatric patients with Spinal Muscular Atrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Generic Core Scales and Neuromuscular Module. Neuromuscular Disorders, 19, 805-812. Davis, S.E., Hynan, L.S., Limbers, C.A., Andersen, C.M., Greene, M.C., Varni, J.W., Iannaccone, S.T. (2010). The PedsQL in pediatric patients with Duchenne Muscular Dystrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Neuromuscular Module and Generic Core Scales. Journal of Clinical Neuromuscular Disease, 11, 97-109).Pediatric Quality of Life Neuromuscular Module Acute Version 3.0 Teen Report Questionnaire
PEDSQL NEUROMUSCULAR MODULE ACUTE V3 TODDLER PARENT REPORTC138340PQL18Pediatric Quality of Life (PedsQL) Neuromuscular Module Acute Version 3 Toddler Parent Report (Copyright 1998 JW Varni, Ph.D. Iannaccone, S.T., Hynan, L.S., Morton, A., Buchanan, R., Limbers, C.A., Varni, J.W., the AmSMART Group (2009). The PedsQL in pediatric patients with Spinal Muscular Atrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Generic Core Scales and Neuromuscular Module. Neuromuscular Disorders, 19, 805-812. Davis, S.E., Hynan, L.S., Limbers, C.A., Andersen, C.M., Greene, M.C., Varni, J.W., Iannaccone, S.T. (2010). The PedsQL in pediatric patients with Duchenne Muscular Dystrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Neuromuscular Module and Generic Core Scales. Journal of Clinical Neuromuscular Disease, 11, 97-109).Pediatric Quality of Life Neuromuscular Module Acute Version 3.0 Parent of Toddler Questionnaire
PEDSQL NEUROMUSCULAR MODULE ACUTE V3 YOUNG ADULT PARENT REPORTC138343PQL11Pediatric Quality of Life (PedsQL) Neuromuscular Module Acute Version 3 Young Adult Parent Report (Copyright 1998 JW Varni, Ph.D. Iannaccone, S.T., Hynan, L.S., Morton, A., Buchanan, R., Limbers, C.A., Varni, J.W., the AmSMART Group (2009). The PedsQL in pediatric patients with Spinal Muscular Atrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Generic Core Scales and Neuromuscular Module. Neuromuscular Disorders, 19, 805-812. Davis, S.E., Hynan, L.S., Limbers, C.A., Andersen, C.M., Greene, M.C., Varni, J.W., Iannaccone, S.T. (2010). The PedsQL in pediatric patients with Duchenne Muscular Dystrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Neuromuscular Module and Generic Core Scales. Journal of Clinical Neuromuscular Disease, 11, 97-109).Pediatric Quality of Life Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults Questionnaire
PEDSQL NEUROMUSCULAR MODULE ACUTE V3 YOUNG ADULTC138346PQL10Pediatric Quality of Life (PedsQL) Neuromuscular Module Acute Version 3 Young Adult (Copyright 1998 JW Varni, Ph.D. Iannaccone, S.T., Hynan, L.S., Morton, A., Buchanan, R., Limbers, C.A., Varni, J.W., the AmSMART Group (2009). The PedsQL in pediatric patients with Spinal Muscular Atrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Generic Core Scales and Neuromuscular Module. Neuromuscular Disorders, 19, 805-812. Davis, S.E., Hynan, L.S., Limbers, C.A., Andersen, C.M., Greene, M.C., Varni, J.W., Iannaccone, S.T. (2010). The PedsQL in pediatric patients with Duchenne Muscular Dystrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Neuromuscular Module and Generic Core Scales. Journal of Clinical Neuromuscular Disease, 11, 97-109).Pediatric Quality of Life Neuromuscular Module Acute Version 3.0 Young Adult Report Questionnaire
PEDSQL NEUROMUSCULAR MODULE ACUTE V3 YOUNG CHILD PARENT REPORTC138344PQL17Pediatric Quality of Life (PedsQL) Neuromuscular Module Acute Version 3 Young Child Parent Report (Copyright 1998 JW Varni, Ph.D. Iannaccone, S.T., Hynan, L.S., Morton, A., Buchanan, R., Limbers, C.A., Varni, J.W., the AmSMART Group (2009). The PedsQL in pediatric patients with Spinal Muscular Atrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Generic Core Scales and Neuromuscular Module. Neuromuscular Disorders, 19, 805-812. Davis, S.E., Hynan, L.S., Limbers, C.A., Andersen, C.M., Greene, M.C., Varni, J.W., Iannaccone, S.T. (2010). The PedsQL in pediatric patients with Duchenne Muscular Dystrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Neuromuscular Module and Generic Core Scales. Journal of Clinical Neuromuscular Disease, 11, 97-109).Pediatric Quality of Life Neuromuscular Module Acute Version 3.0 Parent Report for Young Child Questionnaire
PEDSQL NEUROMUSCULAR MODULE ACUTE V3 YOUNG CHILDC138347PQL16Pediatric Quality of Life (PedsQL) Neuromuscular Module Acute Version 3 Young Child (Copyright 1998 JW Varni, Ph.D. Iannaccone, S.T., Hynan, L.S., Morton, A., Buchanan, R., Limbers, C.A., Varni, J.W., the AmSMART Group (2009). The PedsQL in pediatric patients with Spinal Muscular Atrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Generic Core Scales and Neuromuscular Module. Neuromuscular Disorders, 19, 805-812. Davis, S.E., Hynan, L.S., Limbers, C.A., Andersen, C.M., Greene, M.C., Varni, J.W., Iannaccone, S.T. (2010). The PedsQL in pediatric patients with Duchenne Muscular Dystrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Neuromuscular Module and Generic Core Scales. Journal of Clinical Neuromuscular Disease, 11, 97-109).Pediatric Quality of Life Neuromuscular Module Acute Version 3.0 Young Child Report Questionnaire
PEDSQL NEUROMUSCULAR MODULE V3 CHILD PARENT REPORTC138350PQL06Pediatric Quality of Life (PedsQL) Neuromuscular Module Version 3 Child Parent Report (Copyright 1998 JW Varni, Ph.D. Iannaccone, S.T., Hynan, L.S., Morton, A., Buchanan, R., Limbers, C.A., Varni, J.W., the AmSMART Group (2009). The PedsQL in pediatric patients with Spinal Muscular Atrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Generic Core Scales and Neuromuscular Module. Neuromuscular Disorders, 19, 805-812. Davis, S.E., Hynan, L.S., Limbers, C.A., Andersen, C.M., Greene, M.C., Varni, J.W., Iannaccone, S.T. (2010). The PedsQL in pediatric patients with Duchenne Muscular Dystrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Neuromuscular Module and Generic Core Scales. Journal of Clinical Neuromuscular Disease, 11, 97-109).Pediatric Quality of Life Neuromuscular Module Version 3.0 Parent Report for Child Questionnaire
PEDSQL NEUROMUSCULAR MODULE V3 CHILDC138348PQL05Pediatric Quality of Life (PedsQL) Neuromuscular Module Version 3 Child (Copyright 1998 JW Varni, Ph.D. Iannaccone, S.T., Hynan, L.S., Morton, A., Buchanan, R., Limbers, C.A., Varni, J.W., the AmSMART Group (2009). The PedsQL in pediatric patients with Spinal Muscular Atrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Generic Core Scales and Neuromuscular Module. Neuromuscular Disorders, 19, 805-812. Davis, S.E., Hynan, L.S., Limbers, C.A., Andersen, C.M., Greene, M.C., Varni, J.W., Iannaccone, S.T. (2010). The PedsQL in pediatric patients with Duchenne Muscular Dystrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Neuromuscular Module and Generic Core Scales. Journal of Clinical Neuromuscular Disease, 11, 97-109).Pediatric Quality of Life Neuromuscular Module Version 3.0 Child Report Questionnaire
PEDSQL NEUROMUSCULAR MODULE V3 TEEN PARENT REPORTC138351PQL04Pediatric Quality of Life (PedsQL) Neuromuscular Module Version 3 Teen Parent Report (Copyright 1998 JW Varni, Ph.D. Iannaccone, S.T., Hynan, L.S., Morton, A., Buchanan, R., Limbers, C.A., Varni, J.W., the AmSMART Group (2009). The PedsQL in pediatric patients with Spinal Muscular Atrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Generic Core Scales and Neuromuscular Module. Neuromuscular Disorders, 19, 805-812. Davis, S.E., Hynan, L.S., Limbers, C.A., Andersen, C.M., Greene, M.C., Varni, J.W., Iannaccone, S.T. (2010). The PedsQL in pediatric patients with Duchenne Muscular Dystrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Neuromuscular Module and Generic Core Scales. Journal of Clinical Neuromuscular Disease, 11, 97-109).Pediatric Quality of Life Neuromuscular Module Version 3.0 Parent Report for Teen Questionnaire
PEDSQL NEUROMUSCULAR MODULE V3 TEENC138354PQL03Pediatric Quality of Life (PedsQL) Neuromuscular Module Version 3 Teen (Copyright 1998 JW Varni, Ph.D. Iannaccone, S.T., Hynan, L.S., Morton, A., Buchanan, R., Limbers, C.A., Varni, J.W., the AmSMART Group (2009). The PedsQL in pediatric patients with Spinal Muscular Atrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Generic Core Scales and Neuromuscular Module. Neuromuscular Disorders, 19, 805-812. Davis, S.E., Hynan, L.S., Limbers, C.A., Andersen, C.M., Greene, M.C., Varni, J.W., Iannaccone, S.T. (2010). The PedsQL in pediatric patients with Duchenne Muscular Dystrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Neuromuscular Module and Generic Core Scales. Journal of Clinical Neuromuscular Disease, 11, 97-109).Pediatric Quality of Life Neuromuscular Module Version 3.0 Teen Report Questionnaire
PEDSQL NEUROMUSCULAR MODULE V3 TODDLER PARENT REPORTC138349PQL09Pediatric Quality of Life (PedsQL) Neuromuscular Module Version 3 Toddler Parent Report (Copyright 1998 JW Varni, Ph.D. Iannaccone, S.T., Hynan, L.S., Morton, A., Buchanan, R., Limbers, C.A., Varni, J.W., the AmSMART Group (2009). The PedsQL in pediatric patients with Spinal Muscular Atrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Generic Core Scales and Neuromuscular Module. Neuromuscular Disorders, 19, 805-812. Davis, S.E., Hynan, L.S., Limbers, C.A., Andersen, C.M., Greene, M.C., Varni, J.W., Iannaccone, S.T. (2010). The PedsQL in pediatric patients with Duchenne Muscular Dystrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Neuromuscular Module and Generic Core Scales. Journal of Clinical Neuromuscular Disease, 11, 97-109).Pediatric Quality of Life Neuromuscular Module Version 3.0 Parent of Toddler Questionnaire
PEDSQL NEUROMUSCULAR MODULE V3 YOUNG ADULT PARENT REPORTC138352PQL02Pediatric Quality of Life (PedsQL) Neuromuscular Module Version 3 Young Adult Parent Report (Copyright 1998 JW Varni, Ph.D. Iannaccone, S.T., Hynan, L.S., Morton, A., Buchanan, R., Limbers, C.A., Varni, J.W., the AmSMART Group (2009). The PedsQL in pediatric patients with Spinal Muscular Atrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Generic Core Scales and Neuromuscular Module. Neuromuscular Disorders, 19, 805-812. Davis, S.E., Hynan, L.S., Limbers, C.A., Andersen, C.M., Greene, M.C., Varni, J.W., Iannaccone, S.T. (2010). The PedsQL in pediatric patients with Duchenne Muscular Dystrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Neuromuscular Module and Generic Core Scales. Journal of Clinical Neuromuscular Disease, 11, 97-109).Pediatric Quality of Life Neuromuscular Module Version 3.0 Parent Report for Young Adults Report Questionnaire
PEDSQL NEUROMUSCULAR MODULE V3 YOUNG ADULTC138355PQL01Pediatric Quality of Life (PedsQL) Neuromuscular Module Version 3 Young Adult (Copyright 1998 JW Varni, Ph.D. Iannaccone, S.T., Hynan, L.S., Morton, A., Buchanan, R., Limbers, C.A., Varni, J.W., the AmSMART Group (2009). The PedsQL in pediatric patients with Spinal Muscular Atrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Generic Core Scales and Neuromuscular Module. Neuromuscular Disorders, 19, 805-812. Davis, S.E., Hynan, L.S., Limbers, C.A., Andersen, C.M., Greene, M.C., Varni, J.W., Iannaccone, S.T. (2010). The PedsQL in pediatric patients with Duchenne Muscular Dystrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Neuromuscular Module and Generic Core Scales. Journal of Clinical Neuromuscular Disease, 11, 97-109).Pediatric Quality of Life Neuromuscular Module Version 3.0 Young Adult Report Questionnaire
PEDSQL NEUROMUSCULAR MODULE V3 YOUNG CHILD PARENT REPORTC138353PQL08Pediatric Quality of Life (PedsQL) Neuromuscular Module Version 3 Young Child Parent Report (Copyright 1998 JW Varni, Ph.D. Iannaccone, S.T., Hynan, L.S., Morton, A., Buchanan, R., Limbers, C.A., Varni, J.W., the AmSMART Group (2009). The PedsQL in pediatric patients with Spinal Muscular Atrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Generic Core Scales and Neuromuscular Module. Neuromuscular Disorders, 19, 805-812. Davis, S.E., Hynan, L.S., Limbers, C.A., Andersen, C.M., Greene, M.C., Varni, J.W., Iannaccone, S.T. (2010). The PedsQL in pediatric patients with Duchenne Muscular Dystrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Neuromuscular Module and Generic Core Scales. Journal of Clinical Neuromuscular Disease, 11, 97-109).Pediatric Quality of Life Neuromuscular Module Version 3.0 Parent Report for Young Child Questionnaire
PEDSQL NEUROMUSCULAR MODULE V3 YOUNG CHILDC138356PQL07Pediatric Quality of Life (PedsQL) Neuromuscular Module Version 3 Young Child (Copyright 1998 JW Varni, Ph.D. Iannaccone, S.T., Hynan, L.S., Morton, A., Buchanan, R., Limbers, C.A., Varni, J.W., the AmSMART Group (2009). The PedsQL in pediatric patients with Spinal Muscular Atrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Generic Core Scales and Neuromuscular Module. Neuromuscular Disorders, 19, 805-812. Davis, S.E., Hynan, L.S., Limbers, C.A., Andersen, C.M., Greene, M.C., Varni, J.W., Iannaccone, S.T. (2010). The PedsQL in pediatric patients with Duchenne Muscular Dystrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Neuromuscular Module and Generic Core Scales. Journal of Clinical Neuromuscular Disease, 11, 97-109).Pediatric Quality of Life Neuromuscular Module Version 3.0 Young Child Report Questionnaire
PGIC135739PGI01Patient Global Impression (PGI) generic modification for any disease/condition concept use case (Modified from Guy W: ECDEU Assessment Manual for Psychopharmacology. Rockville, MD: U.S. Department of Health, Education, and Welfare; 1976).Patient Global Impression Generic Modification Version Questionnaire
PHQ SCREENER VERSIONC125761PHQ03Patient Health Questionnaire Screener Version (PHQ Screener) (Spitzer RL, Kroenke K, Williams JBW, for the Patient Health Questionnaire Primary Care Study Group. Validation and utility of a self-report version of PRIME-MD: the PHQ Primary Care Study. JAMA 1999;282:1737-1744. http://www.phqscreeners.com/instructions/instructions.pdf).Patient Health Questionnaire Screener Version
PHQ-15C103527PHQ02Patient Health Questionnaire - 15 (PHQ-15) (Kroenke K, Spitzer RL, Williams JBW. The PHQ-15: Validity of a new measure for evaluating the severity of somatic symptoms. Psychosom Med 2002; 64:258-266).Patient Health Questionnaire - 15 Item
PHQ-2C123386PHQ04Patient Health Questionnaire-2 (PHQ-2) (Kroenke K, Spitzer RL, Williams JB. The Patient Health Questionnaire-2: Validity of a Two-Item Depression Screener. Medical Care. 2003;41:1284-92).Patient Health Questionnaire-2
PHQ-9C103526PHQ01Patient Health Questionnaire - 9 (PHQ-9) (Kroenke K, Spitzer RL, Williams JBW. The PHQ-9: Validity of a brief depression severity measure. J Gen Intern Med 2001; 16:606-613).Patient Health Questionnaire - 9 Item
PIC105167PI01The Pain Intensity (PI) questions were created by STANDARDS (Standardized Analgesic Database for Research, Discovery, and Submissions) and sponsored by ACTTION (Analgesic Clinical Trial Translations, Innovations, Opportunities, and Networks) www.acttion.org; 2012-08-07 v1.STANDARDS Pain Intensity Questionnaire
PODCI - ADOLESCENT PARENT REPORTEDC135743PODCI2Pediatric Outcomes Data Collection Instrument (PODCI), Adolescent Parent-Reported (Daltroy LH, Liang MH, Fossel AH, Goldberg MJ, and The Outcomes Instrument Development Work Group. The POSNA Pediatric Musculoskeletal Functional Health Questionnaire:report on reliability, validity, and sensitivity to change. J Pediatr Orthop 1998; 18: 561-71).Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported Version Questionnaire
PODCI - ADOLESCENT SELF REPORTEDC135744PODCI3Pediatric Outcomes Data Collection Instrument (PODCI), Adolescent Self-Reported (Daltroy LH, Liang MH, Fossel AH, Goldberg MJ, and The Outcomes Instrument Development Work Group. The POSNA Pediatric Musculoskeletal Functional Health Questionnaire:report on reliability, validity, and sensitivity to change. J Pediatr Orthop 1998; 18: 561-71).Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported Version Questionnaire
PODCI - PEDIATRIC PARENT REPORTEDC135742PODCI1Pediatric Outcomes Data Collection Instrument (PODCI), Pediatric Parent-Reported (Daltroy LH, Liang MH, Fossel AH, Goldberg MJ, and The Outcomes Instrument Development Work Group. The POSNA Pediatric Musculoskeletal Functional Health Questionnaire: report on reliability, validity, and sensitivity to change. J Pediatr Orthop 1998; 18: 561-71).Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported Version Questionnaire
PRC105168PR01The Pain Relief (PR) questions were created by STANDARDS (Standardized Analgesic Database for Research, Discovery, and Submissions) and sponsored by ACTTION (Analgesic Clinical Trial Translations, Innovations, Opportunities, and Networks) www.acttion.org; 2012-08-07 v1.STANDARDS Pain Relief Questionnaire
PRO-CTCAE V1.0 VERSION DATE 4/26/2020C179975PT01Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 (PRO-CTCAE V1.0 VERSION DATE 4/26/2020). The PRO-CTCAE trademark items and information herein were developed by the Division of Cancer Control and Population Sciences in the NATIONAL CANCER INSTITUTE at the NATIONAL INSTITUTES OF HEALTH, in Bethesda, Maryland, U.S.A. Use of the PRO-CTCAE is subject to NCI's "Terms of Use". PRO-CTCAE Measurement System content should be downloaded using the "Instrument & Form Builder". https://healthcaredelivery.cancer.gov/prot-ctcae/. (Basch E, Reeve BB, Mitchell SA, Clauser SB, Minasian LM, Dueck AC, Mendoza TR, Hay J, Atkinson TM, Abernethy AP, Bruner DW, Cleeland CS, Sloan JA, Chilukuri R, Baumgartner P, Denicoff A, St Germain D, O'Mara AM, Chen A, Kelaghan J, Bennett AV, Sit L, Rogak L, Barz A, Paul DB, Schrag D. Development of the National Cancer Institute's patient-reported outcomes version of the common terminology criteria for adverse events (PRO-CTCAE). J Natl Cancer Inst 2014 Sept 29;106(9)).Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 Questionnaire
PROSQOLIC127372PROS01Prostate Cancer Specific Quality of Life Instrument (PROSQOLI) (Stockler MR, Osoba D, Corey P, Goodwin PJ, Tannock IF. Convergent discriminitive, and predictive validity of the Prostate Cancer Specific Quality of Life Instrument (PROSQOLI) assessment and comparison with analogous scales from the EORTC QLQ-C30 and a trial-specific module. European Organisation for Research and Treatment of Cancer. Core Quality of Life Questionnaire. JClinEpidemiol 1999;52:653-66)Prostate Cancer Specific Quality of Life Instrument Questionnaire
PSQIC103849PSQI1Pittsburgh Sleep Quality Index (PSQI) (Copyright 1989, University of Pittsburgh. Buysse,D.J., Reynolds,C.F., Monk,T.H., Berman,S.R., & Kupfer, D.J. The Pittsburgh Sleep Quality Index (PSQI): A new instrument for psychiatric practice and research. Psychiatry Research, 1989, 28(2):193-213).Pittsburgh Sleep Quality Index
Q-LES-QC130317QLES1Quality Of Life Enjoyment And Satisfaction Questionnaire (Q-LES-Q) (Copyright Jean Endicott, PhD; Unit 123, 1051 Riverside Drive, New York, NY 10032. 212-543-5536; Endicott J, Nee J, Harrison W, Blumenthal R. Quality of Life Enjoyment and Satisfaction Questionnaire: a new measure. Psychopharmacol Bull. 1993;29(2):321-6).Quality Of Life Enjoyment And Satisfaction Questionnaire
Q-LES-Q-SFC130318QLES2Quality Of Life Enjoyment And Satisfaction Questionnaire - Short Form (Q-LES-Q-SF) (Copyright Jean Endicott, PhD; Unit 123, 1051 Riverside Drive, New York, NY 10032. 212-543-5536; Endicott J, Nee J, Harrison W, Blumenthal R. Quality of Life Enjoyment and Satisfaction Questionnaire: a new measure. Psychopharmacol Bull. 1993;29(2):321-6).Quality of Life Enjoyment and Satisfaction Questionnaire-Short Form
QIDS-SRC130316QIDSR1Quick Inventory of Depressive Symptomatology - Self-Report (QIDS-SR) (Copyright UT Southwestern Medical Center at Dallas. Rush AJ, Trivedi MH, Ibrahim HM, Carmody TJ, Arnow B, Klein DN, Markowitz JC, Ninan PT, Kornstein S, Manber R, Thase ME, Kocsis JH, Keller MB. The 16-item Quick Inventory of Depressive Symptomatology (QIDS) Clinician Rating (QIDS-C) and Self-Report (QIDS-SR): A psychometric evaluation in patients with chronic major depression. Biological Psychiatry, 54:573-583, 2003).Quick Inventory of Depressive Symptomatology Self-Report Version Questionnaire
RAND SOCIAL SUPPORT SURVEY INSTRUMENTC135745RSSS01RAND Social Support Survey Instrument (Copyright the RAND Corporation. Developed at RAND as part of the Medical Outcomes Study).RAND Social Support Survey Instrument Questionnaire
RAND-36 V1.0C113879R3601RAND 36-Item Health Survey 1.0 (RAND-36) (Copyright the RAND Corporation. Developed at RAND as part of the Medical Outcomes Study).RAND 36-Item Health Survey 1.0 Questionnaire
RDQC100774RDQ01Roland Morris Disability Questionnaire (RDQ) (Roland MO, Morris RW. A study of the natural history of back pain. Part 1: Development of a reliable and sensitive measure of disability in low back pain. Spine 1983;8:141-144).Roland Morris Disability Questionnaire
RPQC119103RPQ01Rivermead Post Concussion Symptoms Questionnaire (RPQ) (King NS, Crawford S, Wenden FJ, Moss NEG, Wade DT. The Rivermead Post Concussion Symptoms Questionnaire: a measure of symptoms commonly experienced after head injury and its reliability. J Neurol. 1995;242:587-592).Rivermead Post-Concussion Symptoms Questionnaire
SDSC111384SDS01Sheehan Disability Scale (Copyright 1983, 2010, 2011 David V. Sheehan. All rights reserved.).Sheehan Disability Scale Questionnaire
SF10 V1.0 CHILDREN ACUTEC174065SF102The Short Form 10 Health Survey for Children, Acute, US Version 1.0 (SF10 v1.0 CHILDREN ACUTE) (copyright 2001, 2005, 2011 QualityMetric Incorporated. All rights reserved). These materials discuss and/or include one or more of the SF Health Surveys, which are owned exclusively by QualityMetric Incorporated. No part of the SF Health Surveys may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of QualityMetric Incorporated and payment of any applicable fees. Copyright QualityMetric Incorporated. All rights reserved.Short Form 10 Health Survey for Children Acute, US Version 1.0 Questionnaire
SF10 V1.0 CHILDREN STANDARDC174064SF101The Short Form 10 Health Survey for Children, Standard, US Version 1.0 (SF10 v1.0 CHILDREN STANDARD) (copyright 2001, 2005 QualityMetric Incorporated. All rights reserved). These materials discuss and/or include one or more of the SF Health Surveys, which are owned exclusively by QualityMetric Incorporated. No part of the SF Health Surveys may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of QualityMetric Incorporated and payment of any applicable fees. Copyright QualityMetric Incorporated. All rights reserved.Short Form 10 Health Survey for Children Standard, US Version 1.0 Questionnaire
SF12 V1.0 ACUTEC174067SF122The Short Form 12 Health Survey, Acute, US Version 1.0 (SF12 v1.0 ACUTE) (copyright 1994, 2002 by Medical Outcomes Trust and QualityMetric Incorporated. All rights reserved). These materials discuss and/or include one or more of the SF Health Surveys, which are owned exclusively by QualityMetric Incorporated. No part of the SF Health Surveys may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of QualityMetric Incorporated and payment of any applicable fees. Copyright QualityMetric Incorporated. All rights reserved.Short Form 12 Health Survey Acute, US Version 1.0 Questionnaire
SF12 V1.0 STANDARDC174066SF121The Short Form 12 Health Survey, Standard, US Version 1.0 (SF12 v1.0 STANDARD) (copyright 1994, 2002 by Medical Outcomes Trust and QualityMetric Incorporated. All rights reserved). These materials discuss and/or include one or more of the SF Health Surveys, which are owned exclusively by QualityMetric Incorporated. No part of the SF Health Surveys may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of QualityMetric Incorporated and payment of any applicable fees. Copyright QualityMetric Incorporated. All rights reserved.Short Form 12 Health Survey Standard, US Version 1.0 Questionnaire
SF12 V2.0 ACUTEC174069SF124The Short Form 12 Health Survey, Acute, US Version 2.0 (SF12 v2.0 ACUTE) (copyright 1994, 2002 Medical Outcomes Trust and QualityMetric Incorporated. All rights reserved). These materials discuss and/or include one or more of the SF Health Surveys, which are owned exclusively by QualityMetric Incorporated. No part of the SF Health Surveys may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of QualityMetric Incorporated and payment of any applicable fees. Copyright QualityMetric Incorporated. All rights reserved.Short Form 12 Health Survey Acute, US Version 2.0 Questionnaire
SF12 V2.0 STANDARDC174068SF123The Short Form 12 Health Survey, Standard, US Version 2.0 (SF12 v2.0 STANDARD) (copyright 1994, 2002 Medical Outcomes Trust and QualityMetric Incorporated. All rights reserved). These materials discuss and/or include one or more of the SF Health Surveys, which are owned exclusively by QualityMetric Incorporated. No part of the SF Health Surveys may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of QualityMetric Incorporated and payment of any applicable fees. Copyright QualityMetric Incorporated. All rights reserved.Short Form 12 Health Survey Standard, US Version 2.0 Questionnaire
SF36 V1.0 ACUTEC102120SF362The Short Form 36 Health Survey Acute, US Version 1.0 (SF36 V1.0 ACUTE) (copyright 1988, 2002 by Medical Outcomes Trust and QualityMetric Incorporated. All rights reserved). These materials discuss and/or include one or more of the SF Health Surveys, which are owned exclusively by QualityMetric Incorporated. No part of the SF Health Surveys may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of QualityMetric Incorporated and payment of any applicable fees. Copyright QualityMetric Incorporated. All rights reserved.Short Form 36 Health Survey Acute, US Version 1.0 Questionnaire
SF36 V1.0 STANDARDC100775SF361The Short Form 36 Health Survey Standard, US Version 1.0 (SF36 V1.0 STANDARD) (copyright 1988, 2002 by Medical Outcomes Trust and QualityMetric Incorporated. All rights reserved). These materials discuss and/or include one or more of the SF Health Surveys, which are owned exclusively by QualityMetric Incorporated. No part of the SF Health Surveys may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of QualityMetric Incorporated and payment of any applicable fees. Copyright QualityMetric Incorporated. All rights reserved.Short Form 36 Health Survey Standard, US Version 1.0 Questionnaire
SF36 V2.0 ACUTEC102121SF364The Short Form 36 Health Survey Acute, US Version 2.0 (SF36 V2.0 ACUTE) (copyright 1992, 1996, 2000 Medical Outcomes Trust and QualityMetric Incorporated. All rights reserved). These materials discuss and/or include one or more of the SF Health Surveys, which are owned exclusively by QualityMetric Incorporated. No part of the SF Health Surveys may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of QualityMetric Incorporated and payment of any applicable fees. Copyright QualityMetric Incorporated. All rights reserved.Short Form 36 Health Survey Acute, US Version 2.0 Questionnaire
SF36 V2.0 STANDARDC102122SF363The Short Form 36 Health Survey Standard, US Version 2.0 (SF36 V2.0 STANDARD) (copyright 1992, 1996, 2000 Medical Outcomes Trust and QualityMetric Incorporated. All rights reserved). These materials discuss and/or include one or more of the SF Health Surveys, which are owned exclusively by QualityMetric Incorporated. No part of the SF Health Surveys may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of QualityMetric Incorporated and payment of any applicable fees. Copyright QualityMetric Incorporated. All rights reserved.Short Form 36 Health Survey Standard, US Version 2.0 Questionnaire
SF6D V2.0 ACUTEC185761SF6D2SF-6Dv2 Health Utility Survey Acute, English Version 2.0 (SF6D V2.0 ACUTE) (copyright 2021 QualityMetric Incorporated, LLC. All rights reserved). These materials discuss and/or include one or more of the SF Health Surveys, which are owned exclusively by QualityMetric Incorporated, LLC. No part of the SF Health Surveys may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of QualityMetric and payment of any applicable fees. Copyright QualityMetric Incorporated, LLC. All rights reserved.SF-6Dv2 Health Utility Survey Acute, English Version 2.0 Questionnaire
SF6D V2.0 STANDARDC185762SF6D1SF-6Dv2 Health Utility Survey Standard, English Version 2.0 (SF6D V2.0 STANDARD) (copyright 2021 QualityMetric Incorporated, LLC. All rights reserved). These materials discuss and/or include one or more of the SF Health Surveys, which are owned exclusively by QualityMetric Incorporated, LLC. No part of the SF Health Surveys may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of QualityMetric and payment of any applicable fees. Copyright QualityMetric Incorporated, LLC. All rights reserved.SF-6Dv2 Health Utility Survey Standard, English Version 2.0 Questionnaire
SF8 V1.0 ACUTEC174063SF82The Short Form 8 Health Survey, Acute, US Version 1.0 (SF8 v1.0 ACUTE) (copyright 1999, 2001 QualityMetric Incorporated. All rights reserved). These materials discuss and/or include one or more of the SF Health Surveys, which are owned exclusively by QualityMetric Incorporated. No part of the SF Health Surveys may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of QualityMetric Incorporated and payment of any applicable fees. Copyright QualityMetric Incorporated. All rights reserved.Short Form 8 Health Survey Acute, US Version 1.0 Questionnaire
SF8 V1.0 STANDARDC174062SF81The Short Form 8 Health Survey, Standard, US Version 1.0 (SF8 v1.0 STANDARD) (copyright 1998, 1999 QualityMetric Incorporated. All rights reserved). These materials discuss and/or include one or more of the SF Health Surveys, which are owned exclusively by QualityMetric Incorporated. No part of the SF Health Surveys may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of QualityMetric Incorporated and payment of any applicable fees. Copyright QualityMetric Incorporated. All rights reserved.Short Form 8 Health Survey Standard, US Version 1.0 Questionnaire
SGRQ PAST 3 MONTHS VERSIONC112525SGRQ01St. George's Respiratory Questionnaire (SGRQ) Past 3 Months Version (copyright P.W. Jones, St. George's University of London).St. George's Respiratory Questionnaire Past 3 Months Version
SGRQ PAST 4 WEEKS VERSIONC112526SGRQ02St. George's Respiratory Questionnaire (SGRQ) Past 4 Weeks Version (copyright P.W. Jones, St. George's University of London).St. George's Respiratory Questionnaire Past 4 Weeks Version
SGRQ-CC106890SGRQC1St. George's Respiratory Questionnaire for COPD Patients (SGRQ-C) (Jones PW, Quirk FH, Baveystock CM, and Littlejohns PA. Self-complete measure of health status for chronic airflow limitation. The St. George's Respiratory Questionnaire. Am Rev Respir Dis. 1992 Jun; 145(6):1321-7).St. George's Respiratory Questionnaire for Chronic Obstructive Pulmonary Disease Patients
SHORT-FORM MPQ-2C100776SFMP2Short-Form McGill Pain Questionnaire-2 (SF-MPQ-2) (Copyright R. Melzack and the Initiative on Methods, Measurement, and Pain Assessment in Clinical Trials (IMMPACT), 2009, All Rights Reserved).Short-Form McGill Pain Questionnaire-2
SIQC150920SIQ01Suicidal Ideation Questionnaire (SIQ) (Copyright 1987 Psychological Assessment Resources, Inc. (PAR). All rights reserved. May not be reproduced in whole or in part in any form or by any means without written permission of Psychological Assessment Resources, Inc.).Suicidal Ideation Questionnaire
SIQ-JRC150921SIQ02Suicidal Ideation Questionnaire-JR (SIQ-JR) (Copyright 1987 Psychological Assessment Resources, Inc. (PAR). All rights reserved. May not be reproduced in whole or in part in any form or by any means without written permission of Psychological Assessment Resources, Inc.).Suicidal Ideation Questionnaire-Junior
SIQRC103528SIQR01Symptom Impact Questionnaire (SIQR) (copyright 2009 Bennett RM and Friend. All Rights Reserved.).Symptom Impact Questionnaire
SMDDS V1.0C155328SMDDS1Symptoms of Major Depressive Disorder Scale v1.0 (SMDDS V1.0) (Version 1.0 Copyright 2015 Critical Path Institute. All Rights Reserved. McCarrier KP, Deal LS, Abraham L, Blum SI, Bush EN, Martin M, Thase ME, Coons SJ on behalf of the Patient-Reported Outcome Consortium's Depression Working Group. Patient-centered research to support the development of the Symptoms of Major Depressive Disorder Scale (SMDDS): initial qualitative research. The Patient-Patient-Centered Outcomes Research 2016;9:117-134. Patient-Reported Outcome (PRO) Consortium - Symptoms of Major Depressive Disorder Scale (SMDDS) User Manual, Version 1: October 31, 2017). No part of the SMDDS V1.0 may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the Critical Path Institute and payment of any applicable fees. Copyright Critical Path Institute, 2018. All rights reserved).Symptoms of Major Depressive Disorder Scale v1.0 Questionnaire
SOAPP-RC100777SOAPR1Screener and Opioid Assessment for Patients with Pain Revised (SOAPP-R) (copyright 2007 Inflexxion, Inc., All rights reserved).Screener and Opioid Assessment for Patients with Pain Revised Questionnaire
SOBDAC123659SOBDA1Shortness of Breath with Daily Activities Questionnaire (SOBDA) (Wilcox TK, Chen WH, Howard KA, Wiklund I, Brooks J, Watkins ML, Cates CE, Tabberer MM, Crim C. Item selection, reliability and validity of the Shortness of Breath with Daily Activities (SOBDA) questionnaire: a new outcome measure for evaluating dyspnea in chronic obstructive pulmonary disease. Health and Quality of Life Outcomes 2013 11:196).Shortness of Breath with Daily Activities Questionnaire
SOWS SHORTC103529SOWSB1Short Opiate Withdrawal Scale (SOWS SHORT) (Gossop, M. The development of a short opiate withdrawal scale. Addictive Behaviors 1990; 15:487-490).Short Opiate Withdrawal Scale Questionnaire
SOWS SUBJECTIVEC102123SOWSA1The Subjective Opiate Withdrawal Scale (SOWS) (Handelsman, L., Cochrane, K. J., Aronson, M. J. Ness, R., Rubinstein K.J., Kanof, P.D. (1987) Two New Rating Scales for Opiate Withdrawal. American Journal of Alcohol Abuse, 13, 293-308).Subjective Opiate Withdrawal Scale Questionnaire
SWLSC115799SWLS01The Satisfaction With Life Scale (SWLS) (Diener, E., Emmons, R., Larsen, J., and Griffin, S. (1985). The Satisfaction With Life Scale. J Personality Assessment, 49(1): 71-75).Satisfaction With Life Scale Questionnaire
T1-DDSC161655DDS01Diabetes Distress Scale for Adults with Type 1 Diabetes (T1-DDS) (Fisher L, Polonsky WH, Hessler DM, Masharani U, Blumer I, Peters AL, Strycker LA, Bowyer V. Understanding the sources of diabetes distress in adults with type 1 diabetes. J Diabetes Complications 2015; 29(4): 572-7).Diabetes Distress Scale for Adults with Type 1 Diabetes Questionnaire
TSCCC147587TSCC01Trauma Symptom Checklist for Children (TSCC) (Copyright 1989, 1996 by PAR. All rights reserved. May not be reproduced in whole or in part in any form or by any means without written permission of PAR).Trauma Symptom Checklist for Children Questionnaire
TSCYCC147588TSCYC1Trauma Symptom Checklist for Young Children (TSCYC) (Copyright 1999, 2005 by Psychological Assessment Resources, Inc. (PAR). All rights reserved. May not be reproduced in whole or in part in any form or by any means without written permission of Psychological Assessment Resources, Inc).Trauma Symptom Checklist for Young Children Questionnaire
TSQM V1.4C132535TSQM01Treatment Satisfaction Questionnaire for Medication - Version 1.4 (TSQM V1.4) (Copyright 2004, Quintiles. All Rights Reserved).Treatment Satisfaction Questionnaire for Medication Version 1.4
UPSC103530UPS01Urgency Perception Scale (UPS) (copyright Pfizer. All rights reserved.).Urgency Perception Scale Questionnaire
VFQ-25 INTERVIEWER ADMINISTEREDC112527VFQ1National Eye Institute Visual Functioning Questionnaire - 25 (VFQ-25) Version 2000 Interviewer-Administered Format (Mangione, C. M., Lee, P. P., Gutierrez, P. R., Spritzer, K., Berry, S., & Hays, R. D. Development of the 25-item National Eye Institute Visual Function Questionnaire (VFQ-25). Archives of Ophthalmology. 2001; 119:1050-1058). (This instrument was developed at RAND under the sponsorship of the National Eye Institute).Visual Functioning Questionnaire 25-Interviewer Administered Format Version 2000
VFQ-25 SELF ADMINISTEREDC112528VFQ2National Eye Institute Visual Functioning Questionnaire - 25 (VFQ-25) Version 2000 Self-Administered Format (Mangione, C. M., Lee, P. P., Gutierrez, P. R., Spritzer, K., Berry, S., & Hays, R. D. Development of the 25-item National Eye Institute Visual Function Questionnaire (VFQ-25). Archives of Ophthalmology. 2001; 119:1050-1058). (This instrument was developed at RAND under the sponsorship of the National Eye Institute).Visual Functioning Questionnaire 25-Self Administered Format Version 2000
WHODAS 2.0 - 12 + 24-ITEM INTERVIEWERC130325WD4World Health Organization Disability Assessment Schedule 2.0 - 12+24-item Version, Interviewer-administered (WHODAS 2.0 - 12+24-item Version Interviewer-administered) (Reproduced, with permission of WHO, from Measuring Health and Disability: Manual for WHO Disability Assessment Schedule (WHODAS 2.0). Geneva,World Health Organization, 2010 (WHODAS 2.0 12+24-Item Version, Interviewer-Administered www.who.int/classifications/icf/whodasii/en)).World Health Organization Disability Assessment Schedule 2.0 12+24-item Version Interviewer-administered Questionnaire
WHODAS 2.0 - 12-ITEM INTERVIEWERC130322WD1World Health Organization Disability Assessment Schedule 2.0 - 12-item Version, Interviewer-administered (WHODAS 2.0 - 12-item Version Interviewer-administered) (Reproduced, with permission of WHO, from Measuring Health and Disability: Manual for WHO Disability Assessment Schedule (WHODAS 2.0). Geneva,World Health Organization, 2010 (WHODAS 2.0 12-Item Version, Interviewer-Administered www.who.int/classifications/icf/whodasii/en)).World Health Organization Disability Assessment Schedule 2.0 12-item Version Interviewer-administered Questionnaire
WHODAS 2.0 - 12-ITEM PROXYC130323WD2World Health Organization Disability Assessment Schedule 2.0 - 12-item Version, Proxy-administered (WHODAS 2.0 - 12-item Version Proxy-administered) (Reproduced, with permission of WHO, from Measuring Health and Disability: Manual for WHO Disability Assessment Schedule (WHODAS 2.0). Geneva,World Health Organization, 2010 (WHODAS 2.0 12-Item Version, Proxy-Administered www.who.int/classifications/icf/whodasii/en)).World Health Organization Disability Assessment Schedule 2.0 12-item Version Proxy-administered Questionnaire
WHODAS 2.0 - 12-ITEM SELFC130324WD3World Health Organization Disability Assessment Schedule 2.0 - 12-item Version, Self-administered (WHODAS 2.0 - 12-item Version Self-administered) (Reproduced, with permission of WHO, from Measuring Health and Disability: Manual for WHO Disability Assessment Schedule (WHODAS 2.0). Geneva,World Health Organization, 2010 (WHODAS 2.0 12-Item Version, Self-Administered www.who.int/classifications/icf/whodasii/en)).World Health Organization Disability Assessment Schedule 2.0 12-item Version Self-administered Questionnaire
WHODAS 2.0 - 36-ITEM INTERVIEWERC130319WD5World Health Organization Disability Assessment Schedule 2.0 - 36-item Version, Interviewer-administered (WHODAS 2.0 - 36-item Version Interviewer-administered) (Reproduced, with permission of WHO, from Measuring Health and Disability: Manual for WHO Disability Assessment Schedule (WHODAS 2.0). Geneva,World Health Organization, 2010 (WHODAS 2.0 36-Item Version, Interviewer-Administered www.who.int/classifications/icf/whodasii/en)).World Health Organization Disability Assessment Schedule 2.0 36-item Version Interviewer-administered Questionnaire
WHODAS 2.0 - 36-ITEM PROXYC130320WD6World Health Organization Disability Assessment Schedule 2.0 - 36-item Version, Proxy-administered (WHODAS 2.0 - 36-item Version Proxy-administered) (Reproduced, with permission of WHO, from Measuring Health and Disability: Manual for WHO Disability Assessment Schedule (WHODAS 2.0). Geneva,World Health Organization, 2010 (WHODAS 2.0 36-Item Version, Proxy-Administered www.who.int/classifications/icf/whodasii/en)).World Health Organization Disability Assessment Schedule 2.0 36-item Version Proxy-administered Questionnaire
WHODAS 2.0 - 36-ITEM SELFC130321WD7World Health Organization Disability Assessment Schedule 2.0 - 36-item Version, Self-administered (WHODAS 2.0 - 36-item Version Self-administered) (Reproduced, with permission of WHO, from Measuring Health and Disability: Manual for WHO Disability Assessment Schedule (WHODAS 2.0). Geneva,World Health Organization, 2010 (WHODAS 2.0 36-Item Version, Self-Administered www.who.int/classifications/icf/whodasii/en)).World Health Organization Disability Assessment Schedule 2.0 36-item Version Self-administered Questionnaire
WLQC119096WLQ01Work Limitations Questionnaire (WLQ) (copyright 1998. The Health Institute, Tufts Medical Center f/k/a New England Medical Center Hospitals, Inc.; Debra Lerner, Ph.D.; Benjamin Amick III, Ph.D.; and GlaxoWellcome, Inc. All Rights Reserved).Work Limitations Questionnaire
WOMAC LK 3.1 INDEXC122384WOMAC1Western Ontario and McMaster Universities Osteoarthritis Index Version 3.1 Likert Scale Format (WOMAC LK 3.1) (Bellamy N. WOMAC Osteoarthritis Index User Guide. Version V. Brisbane, Australia 2002; WOMAC 3.1 User Guide XI; WOMAC is a registered trade-mark. Copyright 2008. Prof Nicholas Bellamy. All Rights Reserved).Western Ontario and McMaster Universities Osteoarthritis Index Version 3.1 Likert Scale Format Questionnaire
WOMAC NRS 3.1 INDEXC122385WOMAC2Western Ontario and McMaster Universities Osteoarthritis Index Version 3.1 Numerical Rating Scale Format (WOMAC NRS 3.1) (Bellamy N. WOMAC Osteoarthritis Index User Guide. Version V. Brisbane, Australia 2002; WOMAC 3.1 User Guide XI; WOMAC is a registered trade-mark. Copyright 2008. Prof Nicholas Bellamy. All Rights Reserved).Western Ontario and McMaster Universities Osteoarthritis Index Version 3.1 Numerical Rating Scale Format Questionnaire
WOMAC VA 3.1 INDEXC122386WOMAC3Western Ontario and McMaster Universities Osteoarthritis Index Version 3.1 Visual Analog Scale Format (WOMAC VA 3.1) (Bellamy N. WOMAC Osteoarthritis Index User Guide. Version V. Brisbane, Australia 2002; WOMAC 3.1 User Guide XI; WOMAC is a registered trade-mark. Copyright 2008. Prof Nicholas Bellamy. All Rights Reserved).Western Ontario and McMaster Universities Osteoarthritis Index Version 3.1 Visual Analog Scale Format Questionnaire
WPAI-GH V2.0C123285WPAI02The Work Productivity and Activity Impairment - General Health Version 2.0 (WPAI-GH V2.0) (Reilly MC, Zbrozek AS, Dukes EM. The validity and reproducibility of a work productivity and activity impairment instrument. PharmacoEconomics 1993; 4(5):353-65. http://www.reillyassociates.net/WPAI_GH.html. http://www.reillyassociates.net/WPAI_General.html).Work Productivity and Activity Impairment General Health V2.0 Questionnaire
WPAI-SHP V2.0C100779WPAI01The Work Productivity and Activity Impairment - Specific Health Problems Questionnaire Version 2.0 (WPAI-SHP V2.0) (Reilly MC, Zbrozek AS, Dukes EM. The validity and reproducibility of a work productivity and activity impairment instrument. PharmacoEconomics 1993; 4(5):353-65. http://www.reillyassociates.net/WPAI_SHP.html. http://www.reillyassociates.net/WPAI_General.html).Work Productivity and Activity Impairment Specific Health Problems Version 2.0 Questionnaire
YMRSC102124YMRS01Young Mania Rating Scale (YMRS) (Young RC, Biggs JT, Ziegler VE et al: A rating scale for mania: reliability, validity and sensitivity. Br J Psychiatry 133: 429-435, 1978).Young Mania Rating Scale Questionnaire
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CL.C124678.CHIVC1TCCDC Classification System for HIV-Infected Adults and Adolescents Clinical Classification Test Code
(CHIVC1TC)
text
Extensible: No
C124678CDC Classification System for HIV-Infected Adults and Adolescents Clinical Classification Test CodeCDC Classification System for HIV-Infected Adults and Adolescents test code.CDISC Clinical Classification CDC Classification System for HIV-Infected Adults and Adolescents Test Code Terminology
CHIVC101C124779CHIVC1-CDC HIV Infection CategoryCDC Classification System for HIV-Infected Adults and Adolescents - CDC HIV infection category.CDC Classification System for HIV-Infected Adults and Adolescents - CDC HIV Infection Category
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CL.C124677.CHIVC1TNCDC Classification System for HIV-Infected Adults and Adolescents Clinical Classification Test Name
(CHIVC1TN)
text
Extensible: No
C124677CDC Classification System for HIV-Infected Adults and Adolescents Clinical Classification Test NameCDC Classification System for HIV-Infected Adults and Adolescents test name.CDISC Clinical Classification CDC Classification System for HIV-Infected Adults and Adolescents Test Name Terminology
CHIVC1-CDC HIV Infection CategoryC124779CHIVC1-CDC HIV Infection CategoryCDC Classification System for HIV-Infected Adults and Adolescents - CDC HIV infection category.CDC Classification System for HIV-Infected Adults and Adolescents - CDC HIV Infection Category
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CL.C120989.CPS01TCChild-Pugh Classification Clinical Classification Test Code
(CPS01TC)
text
Extensible: No
C120989Child-Pugh Classification Clinical Classification Test CodeChild-Pugh Classification test code.CDISC Clinical Classification Child-Pugh Test Code Terminology
CPS0101C121068CPS01-Encephalopathy GradeChild-Pugh Classification - Encephalopathy grade.Child-Pugh - Encephalopathy Grade
CPS0102C121069CPS01-AscitesChild-Pugh Classification - Ascites.Child-Pugh - Ascites
CPS0103C121070CPS01-Serum BilirubinChild-Pugh Classification - Serum bilirubin, mg/dL.Child-Pugh - Serum Bilirubin
CPS0104C121071CPS01-Serum AlbuminChild-Pugh Classification - Serum albumin, g/dL.Child-Pugh - Serum Albumin
CPS0105AC121072CPS01-PT, Sec ProlongedChild-Pugh Classification - Prothrombin time, sec prolonged.Child-Pugh - PT, Sec Prolonged
CPS0105BC121073CPS01-PT, INRChild-Pugh Classification - Prothrombin time, international normalized ratio (INR).Child-Pugh - PT, INR
CPS0106C121074CPS01-Total ScoreChild-Pugh Classification - Child-Pugh total score.Child-Pugh - Total Score
CPS0107C121075CPS01-GradeChild-Pugh Classification - Child-Pugh grade.Child-Pugh - Grade
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CL.C120988.CPS01TNChild-Pugh Classification Clinical Classification Test Name
(CPS01TN)
text
Extensible: No
C120988Child-Pugh Classification Clinical Classification Test NameChild-Pugh Classification test name.CDISC Clinical Classification Child-Pugh Test Name Terminology
CPS01-AscitesC121069CPS01-AscitesChild-Pugh Classification - Ascites.Child-Pugh - Ascites
CPS01-Encephalopathy GradeC121068CPS01-Encephalopathy GradeChild-Pugh Classification - Encephalopathy grade.Child-Pugh - Encephalopathy Grade
CPS01-GradeC121075CPS01-GradeChild-Pugh Classification - Child-Pugh grade.Child-Pugh - Grade
CPS01-PT, INRC121073CPS01-PT, INRChild-Pugh Classification - Prothrombin time, international normalized ratio (INR).Child-Pugh - PT, INR
CPS01-PT, Sec ProlongedC121072CPS01-PT, Sec ProlongedChild-Pugh Classification - Prothrombin time, sec prolonged.Child-Pugh - PT, Sec Prolonged
CPS01-Serum AlbuminC121071CPS01-Serum AlbuminChild-Pugh Classification - Serum albumin, g/dL.Child-Pugh - Serum Albumin
CPS01-Serum BilirubinC121070CPS01-Serum BilirubinChild-Pugh Classification - Serum bilirubin, mg/dL.Child-Pugh - Serum Bilirubin
CPS01-Total ScoreC121074CPS01-Total ScoreChild-Pugh Classification - Child-Pugh total score.Child-Pugh - Total Score
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CL.C154447.CDRS1TCChildren's Depression Rating Scale, Revised Clinical Classification Test Code
(CDRS1TC)
text
Extensible: No
C154447Children's Depression Rating Scale, Revised Clinical Classification Test CodeChildren's Depression Rating Scale, Revised test code.CDISC Clinical Classification CDRS-R Test Code Terminology
CDRS101C155329CDRS1-Impaired SchoolworkChildren's Depression Rating Scale, Revised - Impaired schoolwork.CDRS-R - Impaired Schoolwork
CDRS101AC155330CDRS1-Impaired Schoolwork CommentChildren's Depression Rating Scale, Revised - Impaired schoolwork comment.CDRS-R - Impaired Schoolwork Comment
CDRS102C155331CDRS1-Difficulty Having FunChildren's Depression Rating Scale, Revised - Difficulty having fun.CDRS-R - Difficulty Having Fun
CDRS102AC155332CDRS1-Difficulty Having Fun CommentChildren's Depression Rating Scale, Revised - Difficulty having fun comment.CDRS-R - Difficulty Having Fun Comment
CDRS103C155333CDRS1-Social WithdrawalChildren's Depression Rating Scale, Revised - Social withdrawal.CDRS-R - Social Withdrawal
CDRS103AC155334CDRS1-Social Withdrawal CommentChildren's Depression Rating Scale, Revised - Social withdrawal comment.CDRS-R - Social Withdrawal Comment
CDRS104C155335CDRS1-Sleep DisturbanceChildren's Depression Rating Scale, Revised - Sleep disturbance.CDRS-R - Sleep Disturbance
CDRS104AC155336CDRS1-Sleep Disturbance CommentChildren's Depression Rating Scale, Revised - Sleep disturbance comment.CDRS-R - Sleep Disturbance Comment
CDRS105C155337CDRS1-Appetite DisturbanceChildren's Depression Rating Scale, Revised - Appetite disturbance.CDRS-R - Appetite Disturbance
CDRS105AC155338CDRS1-Appetite Disturbance CommentChildren's Depression Rating Scale, Revised - Appetite disturbance comment.CDRS-R - Appetite Disturbance Comment
CDRS106C155339CDRS1-Excessive FatigueChildren's Depression Rating Scale, Revised - Excessive fatigue.CDRS-R - Excessive Fatigue
CDRS106AC155340CDRS1-Excessive Fatigue CommentChildren's Depression Rating Scale, Revised - Excessive fatigue comment.CDRS-R - Excessive Fatigue Comment
CDRS107C155341CDRS1-Physical ComplaintsChildren's Depression Rating Scale, Revised - Physical complaints.CDRS-R - Physical Complaints
CDRS107AC155342CDRS1-Physical Complaints CommentChildren's Depression Rating Scale, Revised - Physical complaints comment.CDRS-R - Physical Complaints Comment
CDRS108C155343CDRS1-IrritabilityChildren's Depression Rating Scale, Revised - Irritability.CDRS-R - Irritability
CDRS108AC155344CDRS1-Irritability CommentChildren's Depression Rating Scale, Revised - Irritability comment.CDRS-R - Irritability Comment
CDRS109C155345CDRS1-Excessive GuiltChildren's Depression Rating Scale, Revised - Excessive guilt.CDRS-R - Excessive Guilt
CDRS109AC155346CDRS1-Excessive Guilt CommentChildren's Depression Rating Scale, Revised - Excessive guilt comment.CDRS-R - Excessive Guilt Comment
CDRS110C155347CDRS1-Low Self-esteemChildren's Depression Rating Scale, Revised - Low self-esteem.CDRS-R - Low Self-esteem
CDRS110AC155348CDRS1-Low Self-esteem CommentChildren's Depression Rating Scale, Revised - Low self-esteem comment.CDRS-R - Low Self-esteem Comment
CDRS111C155349CDRS1-Depressed FeelingsChildren's Depression Rating Scale, Revised - Depressed feelings.CDRS-R - Depressed Feelings
CDRS111AC155350CDRS1-Depressed Feelings CommentChildren's Depression Rating Scale, Revised - Depressed feelings comment.CDRS-R - Depressed Feelings Comment
CDRS112C155351CDRS1-Morbid IdeationChildren's Depression Rating Scale, Revised - Morbid ideation.CDRS-R - Morbid Ideation
CDRS112AC155352CDRS1-Morbid Ideation CommentChildren's Depression Rating Scale, Revised - Morbid ideation comment.CDRS-R - Morbid Ideation Comment
CDRS113C155353CDRS1-Suicidal IdeationChildren's Depression Rating Scale, Revised - Suicidal ideation.CDRS-R - Suicidal Ideation
CDRS113AC155354CDRS1-Suicidal Ideation CommentChildren's Depression Rating Scale, Revised - Suicidal ideation comment.CDRS-R - Suicidal Ideation Comment
CDRS114C155355CDRS1-Excessive WeepingChildren's Depression Rating Scale, Revised - Excessive weeping.CDRS-R - Excessive Weeping
CDRS114AC155356CDRS1-Excessive Weeping CommentChildren's Depression Rating Scale, Revised - Excessive weeping comment.CDRS-R - Excessive Weeping Comment
CDRS115C155357CDRS1-Depressed Facial AffectChildren's Depression Rating Scale, Revised - Depressed facial affect.CDRS-R - Depressed Facial Affect
CDRS115AC155358CDRS1-Depressed Facial Affect CommentChildren's Depression Rating Scale, Revised - Depressed facial affect comment.CDRS-R - Depressed Facial Affect Comment
CDRS116C155359CDRS1-Listless SpeechChildren's Depression Rating Scale, Revised - Listless speech.CDRS-R - Listless Speech
CDRS116AC155360CDRS1-Listless Speech CommentChildren's Depression Rating Scale, Revised - Listless speech comment.CDRS-R - Listless Speech Comment
CDRS117C155361CDRS1-HypoactivityChildren's Depression Rating Scale, Revised - Hypoactivity.CDRS-R - Hypoactivity
CDRS117AC155362CDRS1-Hypoactivity CommentChildren's Depression Rating Scale, Revised - Hypoactivity comment.CDRS-R - Hypoactivity Comment
CDRS118C155363CDRS1-Subtotal 1Children's Depression Rating Scale, Revised - Subtotal 1 - sum of questions 1 to 6.CDRS-R - Subtotal 1
CDRS119C155364CDRS1-Subtotal 2Children's Depression Rating Scale, Revised - Subtotal 2 - sum of questions 7 to 14.CDRS-R - Subtotal 2
CDRS120C155365CDRS1-Subtotal 3Children's Depression Rating Scale, Revised - Subtotal 3 - sum of questions 15 to 17.CDRS-R - Subtotal 3
CDRS121C155366CDRS1-CDRS-R Raw Summary ScoreChildren's Depression Rating Scale, Revised - CDRS-R raw summary score.CDRS-R - CDRS-R Raw Summary Score
CDRS122C155367CDRS1-CDRS-R T-ScoreChildren's Depression Rating Scale, Revised - CDRS-R T-score.CDRS-R - CDRS-R T-Score
CDRS123C155368CDRS1-CDRS-R PercentileChildren's Depression Rating Scale, Revised - CDRS-R Percentile.CDRS-R - CDRS-R Percentile
CDRS124C155369CDRS1-CDRS-R T-Score RangeChildren's Depression Rating Scale, Revised - CDRS-R T-score range.CDRS-R - CDRS-R T-Score Range
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CL.C154446.CDRS1TNChildren's Depression Rating Scale, Revised Clinical Classification Test Name
(CDRS1TN)
text
Extensible: No
C154446Children's Depression Rating Scale, Revised Clinical Classification Test NameChildren's Depression Rating Scale, Revised test name.CDISC Clinical Classification CDRS-R Test Name Terminology
CDRS1-Appetite Disturbance CommentC155338CDRS1-Appetite Disturbance CommentChildren's Depression Rating Scale, Revised - Appetite disturbance comment.CDRS-R - Appetite Disturbance Comment
CDRS1-Appetite DisturbanceC155337CDRS1-Appetite DisturbanceChildren's Depression Rating Scale, Revised - Appetite disturbance.CDRS-R - Appetite Disturbance
CDRS1-CDRS-R PercentileC155368CDRS1-CDRS-R PercentileChildren's Depression Rating Scale, Revised - CDRS-R Percentile.CDRS-R - CDRS-R Percentile
CDRS1-CDRS-R Raw Summary ScoreC155366CDRS1-CDRS-R Raw Summary ScoreChildren's Depression Rating Scale, Revised - CDRS-R raw summary score.CDRS-R - CDRS-R Raw Summary Score
CDRS1-CDRS-R T-Score RangeC155369CDRS1-CDRS-R T-Score RangeChildren's Depression Rating Scale, Revised - CDRS-R T-score range.CDRS-R - CDRS-R T-Score Range
CDRS1-CDRS-R T-ScoreC155367CDRS1-CDRS-R T-ScoreChildren's Depression Rating Scale, Revised - CDRS-R T-score.CDRS-R - CDRS-R T-Score
CDRS1-Depressed Facial Affect CommentC155358CDRS1-Depressed Facial Affect CommentChildren's Depression Rating Scale, Revised - Depressed facial affect comment.CDRS-R - Depressed Facial Affect Comment
CDRS1-Depressed Facial AffectC155357CDRS1-Depressed Facial AffectChildren's Depression Rating Scale, Revised - Depressed facial affect.CDRS-R - Depressed Facial Affect
CDRS1-Depressed Feelings CommentC155350CDRS1-Depressed Feelings CommentChildren's Depression Rating Scale, Revised - Depressed feelings comment.CDRS-R - Depressed Feelings Comment
CDRS1-Depressed FeelingsC155349CDRS1-Depressed FeelingsChildren's Depression Rating Scale, Revised - Depressed feelings.CDRS-R - Depressed Feelings
CDRS1-Difficulty Having Fun CommentC155332CDRS1-Difficulty Having Fun CommentChildren's Depression Rating Scale, Revised - Difficulty having fun comment.CDRS-R - Difficulty Having Fun Comment
CDRS1-Difficulty Having FunC155331CDRS1-Difficulty Having FunChildren's Depression Rating Scale, Revised - Difficulty having fun.CDRS-R - Difficulty Having Fun
CDRS1-Excessive Fatigue CommentC155340CDRS1-Excessive Fatigue CommentChildren's Depression Rating Scale, Revised - Excessive fatigue comment.CDRS-R - Excessive Fatigue Comment
CDRS1-Excessive FatigueC155339CDRS1-Excessive FatigueChildren's Depression Rating Scale, Revised - Excessive fatigue.CDRS-R - Excessive Fatigue
CDRS1-Excessive Guilt CommentC155346CDRS1-Excessive Guilt CommentChildren's Depression Rating Scale, Revised - Excessive guilt comment.CDRS-R - Excessive Guilt Comment
CDRS1-Excessive GuiltC155345CDRS1-Excessive GuiltChildren's Depression Rating Scale, Revised - Excessive guilt.CDRS-R - Excessive Guilt
CDRS1-Excessive Weeping CommentC155356CDRS1-Excessive Weeping CommentChildren's Depression Rating Scale, Revised - Excessive weeping comment.CDRS-R - Excessive Weeping Comment
CDRS1-Excessive WeepingC155355CDRS1-Excessive WeepingChildren's Depression Rating Scale, Revised - Excessive weeping.CDRS-R - Excessive Weeping
CDRS1-Hypoactivity CommentC155362CDRS1-Hypoactivity CommentChildren's Depression Rating Scale, Revised - Hypoactivity comment.CDRS-R - Hypoactivity Comment
CDRS1-HypoactivityC155361CDRS1-HypoactivityChildren's Depression Rating Scale, Revised - Hypoactivity.CDRS-R - Hypoactivity
CDRS1-Impaired Schoolwork CommentC155330CDRS1-Impaired Schoolwork CommentChildren's Depression Rating Scale, Revised - Impaired schoolwork comment.CDRS-R - Impaired Schoolwork Comment
CDRS1-Impaired SchoolworkC155329CDRS1-Impaired SchoolworkChildren's Depression Rating Scale, Revised - Impaired schoolwork.CDRS-R - Impaired Schoolwork
CDRS1-Irritability CommentC155344CDRS1-Irritability CommentChildren's Depression Rating Scale, Revised - Irritability comment.CDRS-R - Irritability Comment
CDRS1-IrritabilityC155343CDRS1-IrritabilityChildren's Depression Rating Scale, Revised - Irritability.CDRS-R - Irritability
CDRS1-Listless Speech CommentC155360CDRS1-Listless Speech CommentChildren's Depression Rating Scale, Revised - Listless speech comment.CDRS-R - Listless Speech Comment
CDRS1-Listless SpeechC155359CDRS1-Listless SpeechChildren's Depression Rating Scale, Revised - Listless speech.CDRS-R - Listless Speech
CDRS1-Low Self-esteem CommentC155348CDRS1-Low Self-esteem CommentChildren's Depression Rating Scale, Revised - Low self-esteem comment.CDRS-R - Low Self-esteem Comment
CDRS1-Low Self-esteemC155347CDRS1-Low Self-esteemChildren's Depression Rating Scale, Revised - Low self-esteem.CDRS-R - Low Self-esteem
CDRS1-Morbid Ideation CommentC155352CDRS1-Morbid Ideation CommentChildren's Depression Rating Scale, Revised - Morbid ideation comment.CDRS-R - Morbid Ideation Comment
CDRS1-Morbid IdeationC155351CDRS1-Morbid IdeationChildren's Depression Rating Scale, Revised - Morbid ideation.CDRS-R - Morbid Ideation
CDRS1-Physical Complaints CommentC155342CDRS1-Physical Complaints CommentChildren's Depression Rating Scale, Revised - Physical complaints comment.CDRS-R - Physical Complaints Comment
CDRS1-Physical ComplaintsC155341CDRS1-Physical ComplaintsChildren's Depression Rating Scale, Revised - Physical complaints.CDRS-R - Physical Complaints
CDRS1-Sleep Disturbance CommentC155336CDRS1-Sleep Disturbance CommentChildren's Depression Rating Scale, Revised - Sleep disturbance comment.CDRS-R - Sleep Disturbance Comment
CDRS1-Sleep DisturbanceC155335CDRS1-Sleep DisturbanceChildren's Depression Rating Scale, Revised - Sleep disturbance.CDRS-R - Sleep Disturbance
CDRS1-Social Withdrawal CommentC155334CDRS1-Social Withdrawal CommentChildren's Depression Rating Scale, Revised - Social withdrawal comment.CDRS-R - Social Withdrawal Comment
CDRS1-Social WithdrawalC155333CDRS1-Social WithdrawalChildren's Depression Rating Scale, Revised - Social withdrawal.CDRS-R - Social Withdrawal
CDRS1-Subtotal 1C155363CDRS1-Subtotal 1Children's Depression Rating Scale, Revised - Subtotal 1 - sum of questions 1 to 6.CDRS-R - Subtotal 1
CDRS1-Subtotal 2C155364CDRS1-Subtotal 2Children's Depression Rating Scale, Revised - Subtotal 2 - sum of questions 7 to 14.CDRS-R - Subtotal 2
CDRS1-Subtotal 3C155365CDRS1-Subtotal 3Children's Depression Rating Scale, Revised - Subtotal 3 - sum of questions 15 to 17.CDRS-R - Subtotal 3
CDRS1-Suicidal Ideation CommentC155354CDRS1-Suicidal Ideation CommentChildren's Depression Rating Scale, Revised - Suicidal ideation comment.CDRS-R - Suicidal Ideation Comment
CDRS1-Suicidal IdeationC155353CDRS1-Suicidal IdeationChildren's Depression Rating Scale, Revised - Suicidal ideation.CDRS-R - Suicidal Ideation
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CL.C120979.CRQ01TCChronic Respiratory Questionnaire Self-Administered Standardized Format First Administration Version Questionnaire Test Code
(CRQ01TC)
text
Extensible: No
C120979Chronic Respiratory Questionnaire Self-Administered Standardized Format First Administration Version Questionnaire Test CodeChronic Respiratory Questionnaire Self-Administered Standardized Format First Administration Version test code.CDISC Questionnaire CRQ-SAS First Administration Version Test Code Terminology
CRQ0101C121010CRQ01-Feeling EmotionalChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - Feeling emotional such as angry or upset.CRQ-SAS First Administration Version - Feeling Emotional
CRQ0102C121011CRQ01-Take Care of Basic NeedsChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - Taking care of your basic needs.CRQ-SAS First Administration Version - Take Care of Basic Needs
CRQ0103C121012CRQ01-WalkingChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - Walking.CRQ-SAS First Administration Version - Walking
CRQ0104C121013CRQ01-Performing ChoresChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - Performing chores.CRQ-SAS First Administration Version - Performing Chores
CRQ0105C121014CRQ01-Participate in Social ActivitiesChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - Participating in social activities.CRQ-SAS First Administration Version - Participate in Social Activities
CRQ0106C121015CRQ01-Felt Frustrated or ImpatientChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - In general, how much of the time during the last 2 weeks have you felt frustrated or impatient?CRQ-SAS First Administration Version - Felt Frustrated or Impatient
CRQ0107C121016CRQ01-Feeling of Fear or PanicChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How often during the last 2 weeks did you have a feeling of fear or panic when you had difficulty getting your breath?CRQ-SAS First Administration Version - Feeling of Fear or Panic
CRQ0108C121017CRQ01-FatigueChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How about fatigue? How tired have you felt over the last 2 weeks?CRQ-SAS First Administration Version - Fatigue
CRQ0109C121018CRQ01-Embarrassed by CoughingChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How often during the last 2 weeks have you felt embarrassed by your coughing or heavy breathing?CRQ-SAS First Administration Version - Embarrassed by Coughing
CRQ0110C121019CRQ01-Confident to Deal With IllnessChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - In the last 2 weeks, how much of the time did you feel very confident and sure that you could deal with your illness?CRQ-SAS First Administration Version - Feel Confident to Deal With Illness
CRQ0111C121020CRQ01-EnergyChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How much energy have you had in the last 2 weeks?CRQ-SAS First Administration Version - Energy
CRQ0112C121021CRQ01-Feel Upset, Worried or DepressedChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - In general, how much of the time did you feel upset, worried, or depressed during the last 2 weeks?CRQ-SAS First Administration Version - Feel Upset, Worried or Depressed
CRQ0113C121022CRQ01-Control of Breathing ProblemsChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How often during the last 2 weeks did you feel you had complete control of your breathing problems?CRQ-SAS First Administration Version - Had Control of Breathing Problems
CRQ0114C121023CRQ01-Feel Relaxed and Free of TensionChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How much of the time during the last 2 weeks did you feel relaxed and free of tension?CRQ-SAS First Administration Version - Feel Relaxed and Free of Tension
CRQ0115C121024CRQ01-Felt Low in EnergyChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How often during the last 2 weeks have you felt low in energy?CRQ-SAS First Administration Version - Felt Low in Energy
CRQ0116C121025CRQ01-Felt Discouraged or DownChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - In general, how often during the last 2 weeks have you felt discouraged or down in the dumps?CRQ-SAS First Administration Version - Felt Discouraged or Down
CRQ0117C121026CRQ01-Felt Worn Out or SluggishChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How often during the last 2 weeks have you felt worn out or sluggish?CRQ-SAS First Administration Version - Felt Worn Out or Sluggish
CRQ0118C121027CRQ01-Happy, Satisfied or PleasedChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How happy, satisfied, or pleased have you been with your personal life during the last 2 weeks?CRQ-SAS First Administration Version - Happy, Satisfied or Pleased With Life
CRQ0119C121028CRQ01-Feel Upset Diff Getting BreathChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How often during the last 2 weeks did you feel upset or scared when you had difficulty getting your breath?CRQ-SAS First Administration Version - Feel Upset When Had Difficulty Getting Breath
CRQ0120C121029CRQ01-Felt Restless, Tense or UptightChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - In general, how often during the last 2 weeks have you felt restless, tense, or uptight?CRQ-SAS First Administration Version - Felt Restless, Tense or Uptight
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CL.C120978.CRQ01TNChronic Respiratory Questionnaire Self-Administered Standardized Format First Administration Version Questionnaire Test Name
(CRQ01TN)
text
Extensible: No
C120978Chronic Respiratory Questionnaire Self-Administered Standardized Format First Administration Version Questionnaire Test NameChronic Respiratory Questionnaire Self-Administered Standardized Format First Administration Version test name.CDISC Questionnaire CRQ-SAS First Administration Version Test Name Terminology
CRQ01-Confident to Deal With IllnessC121019CRQ01-Confident to Deal With IllnessChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - In the last 2 weeks, how much of the time did you feel very confident and sure that you could deal with your illness?CRQ-SAS First Administration Version - Feel Confident to Deal With Illness
CRQ01-Control of Breathing ProblemsC121022CRQ01-Control of Breathing ProblemsChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How often during the last 2 weeks did you feel you had complete control of your breathing problems?CRQ-SAS First Administration Version - Had Control of Breathing Problems
CRQ01-Embarrassed by CoughingC121018CRQ01-Embarrassed by CoughingChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How often during the last 2 weeks have you felt embarrassed by your coughing or heavy breathing?CRQ-SAS First Administration Version - Embarrassed by Coughing
CRQ01-EnergyC121020CRQ01-EnergyChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How much energy have you had in the last 2 weeks?CRQ-SAS First Administration Version - Energy
CRQ01-FatigueC121017CRQ01-FatigueChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How about fatigue? How tired have you felt over the last 2 weeks?CRQ-SAS First Administration Version - Fatigue
CRQ01-Feel Relaxed and Free of TensionC121023CRQ01-Feel Relaxed and Free of TensionChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How much of the time during the last 2 weeks did you feel relaxed and free of tension?CRQ-SAS First Administration Version - Feel Relaxed and Free of Tension
CRQ01-Feel Upset Diff Getting BreathC121028CRQ01-Feel Upset Diff Getting BreathChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How often during the last 2 weeks did you feel upset or scared when you had difficulty getting your breath?CRQ-SAS First Administration Version - Feel Upset When Had Difficulty Getting Breath
CRQ01-Feel Upset, Worried or DepressedC121021CRQ01-Feel Upset, Worried or DepressedChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - In general, how much of the time did you feel upset, worried, or depressed during the last 2 weeks?CRQ-SAS First Administration Version - Feel Upset, Worried or Depressed
CRQ01-Feeling EmotionalC121010CRQ01-Feeling EmotionalChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - Feeling emotional such as angry or upset.CRQ-SAS First Administration Version - Feeling Emotional
CRQ01-Feeling of Fear or PanicC121016CRQ01-Feeling of Fear or PanicChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How often during the last 2 weeks did you have a feeling of fear or panic when you had difficulty getting your breath?CRQ-SAS First Administration Version - Feeling of Fear or Panic
CRQ01-Felt Discouraged or DownC121025CRQ01-Felt Discouraged or DownChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - In general, how often during the last 2 weeks have you felt discouraged or down in the dumps?CRQ-SAS First Administration Version - Felt Discouraged or Down
CRQ01-Felt Frustrated or ImpatientC121015CRQ01-Felt Frustrated or ImpatientChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - In general, how much of the time during the last 2 weeks have you felt frustrated or impatient?CRQ-SAS First Administration Version - Felt Frustrated or Impatient
CRQ01-Felt Low in EnergyC121024CRQ01-Felt Low in EnergyChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How often during the last 2 weeks have you felt low in energy?CRQ-SAS First Administration Version - Felt Low in Energy
CRQ01-Felt Restless, Tense or UptightC121029CRQ01-Felt Restless, Tense or UptightChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - In general, how often during the last 2 weeks have you felt restless, tense, or uptight?CRQ-SAS First Administration Version - Felt Restless, Tense or Uptight
CRQ01-Felt Worn Out or SluggishC121026CRQ01-Felt Worn Out or SluggishChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How often during the last 2 weeks have you felt worn out or sluggish?CRQ-SAS First Administration Version - Felt Worn Out or Sluggish
CRQ01-Happy, Satisfied or PleasedC121027CRQ01-Happy, Satisfied or PleasedChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How happy, satisfied, or pleased have you been with your personal life during the last 2 weeks?CRQ-SAS First Administration Version - Happy, Satisfied or Pleased With Life
CRQ01-Participate in Social ActivitiesC121014CRQ01-Participate in Social ActivitiesChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - Participating in social activities.CRQ-SAS First Administration Version - Participate in Social Activities
CRQ01-Performing ChoresC121013CRQ01-Performing ChoresChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - Performing chores.CRQ-SAS First Administration Version - Performing Chores
CRQ01-Take Care of Basic NeedsC121011CRQ01-Take Care of Basic NeedsChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - Taking care of your basic needs.CRQ-SAS First Administration Version - Take Care of Basic Needs
CRQ01-WalkingC121012CRQ01-WalkingChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - Walking.CRQ-SAS First Administration Version - Walking
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CL.C120981.CRQ02TCChronic Respiratory Questionnaire Self-Administered Standardized Format Follow-Up Administration Version Questionnaire Test Code
(CRQ02TC)
text
Extensible: No
C120981Chronic Respiratory Questionnaire Self-Administered Standardized Format Follow-Up Administration Version Questionnaire Test CodeChronic Respiratory Questionnaire Self-Administered Standardized Format Follow-Up Administration Version test code.CDISC Questionnaire CRQ-SAS Follow-Up Administration Version Test Code Terminology
CRQ0201C121030CRQ02-Feeling EmotionalChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - Feeling emotional such as angry or upset.CRQ-SAS Follow-Up Administration Version - Feeling Emotional
CRQ0202C121031CRQ02-Take Care of Basic NeedsChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - Taking care of your basic needs.CRQ-SAS Follow-Up Administration Version - Take Care of Basic Needs
CRQ0203C121032CRQ02-WalkingChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - Walking.CRQ-SAS Follow-Up Administration Version - Walking
CRQ0204C121033CRQ02-Performing ChoresChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - Performing chores.CRQ-SAS Follow-Up Administration Version - Performing Chores
CRQ0205C121034CRQ02-Participate in Social ActivitiesChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - Participating in social activities.CRQ-SAS Follow-Up Administration Version - Participate in Social Activities
CRQ0206C121035CRQ02-Felt Frustrated or ImpatientChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - In general, how much of the time during the last 2 weeks have you felt frustrated or impatient?CRQ-SAS Follow-Up Administration Version - Felt Frustrated or Impatient
CRQ0207C121036CRQ02-Feeling of Fear or PanicChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How often during the last 2 weeks did you have a feeling of fear or panic when you had difficulty getting your breath?CRQ-SAS Follow-Up Administration Version - Feeling of Fear or Panic
CRQ0208C121037CRQ02-FatigueChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How about fatigue? How tired have you felt over the last 2 weeks?CRQ-SAS Follow-Up Administration Version - Fatigue
CRQ0209C121038CRQ02-Embarrassed by CoughingChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How often during the last 2 weeks have you felt embarrassed by your coughing or heavy breathing?CRQ-SAS Follow-Up Administration Version - Embarrassed by Coughing
CRQ0210C121039CRQ02-Confident to Deal With IllnessChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - In the last 2 weeks, how much of the time did you feel very confident and sure that you could deal with your illness?CRQ-SAS Follow-Up Administration Version - Feel Confident to Deal With Illness
CRQ0211C121040CRQ02-EnergyChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How much energy have you had in the last 2 weeks?CRQ-SAS Follow-Up Administration Version - Energy
CRQ0212C121041CRQ02-Feel Upset, Worried or DepressedChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - In general, how much of the time did you feel upset, worried, or depressed during the last 2 weeks?CRQ-SAS Follow-Up Administration Version - Feel Upset, Worried or Depressed
CRQ0213C121042CRQ02-Control of Breathing ProblemsChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How often during the last 2 weeks did you feel you had complete control of your breathing problems?CRQ-SAS Follow-Up Administration Version - Had Control of Breathing Problems
CRQ0214C121043CRQ02-Feel Relaxed and Free of TensionChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How much of the time during the last 2 weeks did you feel relaxed and free of tension?CRQ-SAS Follow-Up Administration Version - Feel Relaxed and Free of Tension
CRQ0215C121044CRQ02-Felt Low in EnergyChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How often during the last 2 weeks have you felt low in energy?CRQ-SAS Follow-Up Administration Version - Felt Low in Energy
CRQ0216C121045CRQ02-Felt Discouraged or DownChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - In general, how often during the last 2 weeks have you felt discouraged or down in the dumps?CRQ-SAS Follow-Up Administration Version - Felt Discouraged or Down
CRQ0217C121046CRQ02-Felt Worn Out or SluggishChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How often during the last 2 weeks have you felt worn out or sluggish?CRQ-SAS Follow-Up Administration Version - Felt Worn Out or Sluggish
CRQ0218C121047CRQ02-Happy, Satisfied or PleasedChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How happy, satisfied, or pleased have you been with your personal life during the last 2 weeks?CRQ-SAS Follow-Up Administration Version - Happy, Satisfied or Pleased With Life
CRQ0219C121048CRQ02-Feel Upset Diff Getting BreathChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How often during the last 2 weeks did you feel upset or scared when you had difficulty getting your breath?CRQ-SAS Follow-Up Administration Version - Feel Upset When Had Difficulty Getting Breath
CRQ0220C121049CRQ02-Felt Restless, Tense or UptightChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - In general, how often during the last 2 weeks have you felt restless, tense, or uptight?CRQ-SAS Follow-Up Administration Version - Felt Restless, Tense or Uptight
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CL.C120980.CRQ02TNChronic Respiratory Questionnaire Self-Administered Standardized Format Follow-Up Administration Version Questionnaire Test Name
(CRQ02TN)
text
Extensible: No
C120980Chronic Respiratory Questionnaire Self-Administered Standardized Format Follow-Up Administration Version Questionnaire Test NameChronic Respiratory Questionnaire Self-Administered Standardized Format Follow-Up Administration Version test name.CDISC Questionnaire CRQ-SAS Follow-Up Administration Version Test Name Terminology
CRQ02-Confident to Deal With IllnessC121039CRQ02-Confident to Deal With IllnessChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - In the last 2 weeks, how much of the time did you feel very confident and sure that you could deal with your illness?CRQ-SAS Follow-Up Administration Version - Feel Confident to Deal With Illness
CRQ02-Control of Breathing ProblemsC121042CRQ02-Control of Breathing ProblemsChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How often during the last 2 weeks did you feel you had complete control of your breathing problems?CRQ-SAS Follow-Up Administration Version - Had Control of Breathing Problems
CRQ02-Embarrassed by CoughingC121038CRQ02-Embarrassed by CoughingChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How often during the last 2 weeks have you felt embarrassed by your coughing or heavy breathing?CRQ-SAS Follow-Up Administration Version - Embarrassed by Coughing
CRQ02-EnergyC121040CRQ02-EnergyChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How much energy have you had in the last 2 weeks?CRQ-SAS Follow-Up Administration Version - Energy
CRQ02-FatigueC121037CRQ02-FatigueChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How about fatigue? How tired have you felt over the last 2 weeks?CRQ-SAS Follow-Up Administration Version - Fatigue
CRQ02-Feel Relaxed and Free of TensionC121043CRQ02-Feel Relaxed and Free of TensionChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How much of the time during the last 2 weeks did you feel relaxed and free of tension?CRQ-SAS Follow-Up Administration Version - Feel Relaxed and Free of Tension
CRQ02-Feel Upset Diff Getting BreathC121048CRQ02-Feel Upset Diff Getting BreathChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How often during the last 2 weeks did you feel upset or scared when you had difficulty getting your breath?CRQ-SAS Follow-Up Administration Version - Feel Upset When Had Difficulty Getting Breath
CRQ02-Feel Upset, Worried or DepressedC121041CRQ02-Feel Upset, Worried or DepressedChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - In general, how much of the time did you feel upset, worried, or depressed during the last 2 weeks?CRQ-SAS Follow-Up Administration Version - Feel Upset, Worried or Depressed
CRQ02-Feeling EmotionalC121030CRQ02-Feeling EmotionalChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - Feeling emotional such as angry or upset.CRQ-SAS Follow-Up Administration Version - Feeling Emotional
CRQ02-Feeling of Fear or PanicC121036CRQ02-Feeling of Fear or PanicChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How often during the last 2 weeks did you have a feeling of fear or panic when you had difficulty getting your breath?CRQ-SAS Follow-Up Administration Version - Feeling of Fear or Panic
CRQ02-Felt Discouraged or DownC121045CRQ02-Felt Discouraged or DownChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - In general, how often during the last 2 weeks have you felt discouraged or down in the dumps?CRQ-SAS Follow-Up Administration Version - Felt Discouraged or Down
CRQ02-Felt Frustrated or ImpatientC121035CRQ02-Felt Frustrated or ImpatientChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - In general, how much of the time during the last 2 weeks have you felt frustrated or impatient?CRQ-SAS Follow-Up Administration Version - Felt Frustrated or Impatient
CRQ02-Felt Low in EnergyC121044CRQ02-Felt Low in EnergyChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How often during the last 2 weeks have you felt low in energy?CRQ-SAS Follow-Up Administration Version - Felt Low in Energy
CRQ02-Felt Restless, Tense or UptightC121049CRQ02-Felt Restless, Tense or UptightChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - In general, how often during the last 2 weeks have you felt restless, tense, or uptight?CRQ-SAS Follow-Up Administration Version - Felt Restless, Tense or Uptight
CRQ02-Felt Worn Out or SluggishC121046CRQ02-Felt Worn Out or SluggishChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How often during the last 2 weeks have you felt worn out or sluggish?CRQ-SAS Follow-Up Administration Version - Felt Worn Out or Sluggish
CRQ02-Happy, Satisfied or PleasedC121047CRQ02-Happy, Satisfied or PleasedChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How happy, satisfied, or pleased have you been with your personal life during the last 2 weeks?CRQ-SAS Follow-Up Administration Version - Happy, Satisfied or Pleased With Life
CRQ02-Participate in Social ActivitiesC121034CRQ02-Participate in Social ActivitiesChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - Participating in social activities.CRQ-SAS Follow-Up Administration Version - Participate in Social Activities
CRQ02-Performing ChoresC121033CRQ02-Performing ChoresChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - Performing chores.CRQ-SAS Follow-Up Administration Version - Performing Chores
CRQ02-Take Care of Basic NeedsC121031CRQ02-Take Care of Basic NeedsChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - Taking care of your basic needs.CRQ-SAS Follow-Up Administration Version - Take Care of Basic Needs
CRQ02-WalkingC121032CRQ02-WalkingChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - Walking.CRQ-SAS Follow-Up Administration Version - Walking
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CL.C119066.CCQ02TCClinical COPD Questionnaire 1 Week Version Questionnaire Test Code
(CCQ02TC)
text
Extensible: No
C119066Clinical COPD Questionnaire 1 Week Version Questionnaire Test CodeClinical COPD Questionnaire 1 Week Version test code.CDISC Questionnaire CCQ 1 Week Version Test Code Terminology
CCQ0201C119132CCQ02-Short of Breath at RestClinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how often did you feel: Short of breath while at rest?CCQ 1 Week Version - Short of Breath at Rest
CCQ0202C119133CCQ02-Short of Breath Physical ActivityClinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how often did you feel: Short of breath while doing physical activities?CCQ 1 Week Version - Short of Breath Doing Physical Activity
CCQ0203C119134CCQ02-Concern About Breathing Get WorseClinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how often did you feel: Concerned about getting a cold or your breathing getting worse?CCQ 1 Week Version - Concern About Breathing Get Worse
CCQ0204C119135CCQ02-Depressed for Breathing ProblemClinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how often did you feel: Depressed because of your breathing problems?CCQ 1 Week Version - Depressed Because of Breathing Problem
CCQ0205C119136CCQ02-CoughClinical COPD Questionnaire 1 Week Version - In general, during the past 7 days, how much of the time: Did you cough?CCQ 1 Week Version - Did You Cough
CCQ0206C119137CCQ02-Produce Sputum or PhlegmClinical COPD Questionnaire 1 Week Version - In general, during the past 7 days, how much of the time: Did you produce sputum or phlegm?CCQ 1 Week Version - Produce Sputum or Phlegm
CCQ0207C119138CCQ02-Breathing Limit Strenuous ActivityClinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how limited were you in these activities because of your breathing problems: Strenuous physical activities?CCQ 1 Week Version - Breathing Problems Limit Strenuous Activity
CCQ0208C119139CCQ02-Breathing Limit Moderate ActivityClinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how limited were you in these activities because of your breathing problems: Moderate physical activities?CCQ 1 Week Version - Breathing Problems Limit Moderate Activity
CCQ0209C119140CCQ02-Breathing Limit Daily ActivityClinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how limited were you in these activities because of your breathing problems: Daily activities at home?CCQ 1 Week Version - Breathing Problems Limit Daily Activity
CCQ0210C119141CCQ02-Breathing Limit Social ActivityClinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how limited were you in these activities because of your breathing problems: Social activities?CCQ 1 Week Version - Breathing Problems Limit Social Activity
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CL.C119065.CCQ02TNClinical COPD Questionnaire 1 Week Version Questionnaire Test Name
(CCQ02TN)
text
Extensible: No
C119065Clinical COPD Questionnaire 1 Week Version Questionnaire Test NameClinical COPD Questionnaire 1 Week Version test name.CDISC Questionnaire CCQ 1 Week Version Test Name Terminology
CCQ02-Breathing Limit Daily ActivityC119140CCQ02-Breathing Limit Daily ActivityClinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how limited were you in these activities because of your breathing problems: Daily activities at home?CCQ 1 Week Version - Breathing Problems Limit Daily Activity
CCQ02-Breathing Limit Moderate ActivityC119139CCQ02-Breathing Limit Moderate ActivityClinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how limited were you in these activities because of your breathing problems: Moderate physical activities?CCQ 1 Week Version - Breathing Problems Limit Moderate Activity
CCQ02-Breathing Limit Social ActivityC119141CCQ02-Breathing Limit Social ActivityClinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how limited were you in these activities because of your breathing problems: Social activities?CCQ 1 Week Version - Breathing Problems Limit Social Activity
CCQ02-Breathing Limit Strenuous ActivityC119138CCQ02-Breathing Limit Strenuous ActivityClinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how limited were you in these activities because of your breathing problems: Strenuous physical activities?CCQ 1 Week Version - Breathing Problems Limit Strenuous Activity
CCQ02-Concern About Breathing Get WorseC119134CCQ02-Concern About Breathing Get WorseClinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how often did you feel: Concerned about getting a cold or your breathing getting worse?CCQ 1 Week Version - Concern About Breathing Get Worse
CCQ02-CoughC119136CCQ02-CoughClinical COPD Questionnaire 1 Week Version - In general, during the past 7 days, how much of the time: Did you cough?CCQ 1 Week Version - Did You Cough
CCQ02-Depressed for Breathing ProblemC119135CCQ02-Depressed for Breathing ProblemClinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how often did you feel: Depressed because of your breathing problems?CCQ 1 Week Version - Depressed Because of Breathing Problem
CCQ02-Produce Sputum or PhlegmC119137CCQ02-Produce Sputum or PhlegmClinical COPD Questionnaire 1 Week Version - In general, during the past 7 days, how much of the time: Did you produce sputum or phlegm?CCQ 1 Week Version - Produce Sputum or Phlegm
CCQ02-Short of Breath at RestC119132CCQ02-Short of Breath at RestClinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how often did you feel: Short of breath while at rest?CCQ 1 Week Version - Short of Breath at Rest
CCQ02-Short of Breath Physical ActivityC119133CCQ02-Short of Breath Physical ActivityClinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how often did you feel: Short of breath while doing physical activities?CCQ 1 Week Version - Short of Breath Doing Physical Activity
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CL.C119064.CCQ01TCClinical COPD Questionnaire 24 Hour Version Questionnaire Test Code
(CCQ01TC)
text
Extensible: No
C119064Clinical COPD Questionnaire 24 Hour Version Questionnaire Test CodeClinical COPD Questionnaire 24 Hour Version test code.CDISC Questionnaire CCQ 24 Hour Version Test Code Terminology
CCQ0101C119122CCQ01-Short of Breath at RestClinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how often did you feel: Short of breath while at rest?CCQ 24 Hour Version - Short of Breath at Rest
CCQ0102C119123CCQ01-Short of Breath Physical ActivityClinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how often did you feel: Short of breath while doing physical activities?CCQ 24 Hour Version - Short of Breath Doing Physical Activity
CCQ0103C119124CCQ01-Concern About Breathing Get WorseClinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how often did you feel: Concerned about getting a cold or your breathing getting worse?CCQ 24 Hour Version - Concern About Breathing Get Worse
CCQ0104C119125CCQ01-Depressed for Breathing ProblemClinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how often did you feel: Depressed because of your breathing problems?CCQ 24 Hour Version - Depressed Because of Breathing Problem
CCQ0105C119126CCQ01-CoughClinical COPD Questionnaire 24 Hour Version - In general, during the past 24 hours, how much of the time: Did you cough?CCQ 24 Hour Version - Did You Cough
CCQ0106C119127CCQ01-Produce Sputum or PhlegmClinical COPD Questionnaire 24 Hour Version - In general, during the past 24 hours, how much of the time: Did you produce sputum or phlegm?CCQ 24 Hour Version - Produce Sputum or Phlegm
CCQ0107C119128CCQ01-Breathing Limit Strenuous ActivityClinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how limited were you in these activities because of your breathing problems: Strenuous physical activities?CCQ 24 Hour Version - Breathing Problems Limit Strenuous Activity
CCQ0108C119129CCQ01-Breathing Limit Moderate ActivityClinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how limited were you in these activities because of your breathing problems: Moderate physical activities?CCQ 24 Hour Version - Breathing Problems Limit Moderate Activity
CCQ0109C119130CCQ01-Breathing Limit Daily ActivityClinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how limited were you in these activities because of your breathing problems: Daily activities at home?CCQ 24 Hour Version - Breathing Problems Limit Daily Activity
CCQ0110C119131CCQ01-Breathing Limit Social ActivityClinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how limited were you in these activities because of your breathing problems: Social activities?CCQ 24 Hour Version - Breathing Problems Limit Social Activity
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CL.C119063.CCQ01TNClinical COPD Questionnaire 24 Hour Version Questionnaire Test Name
(CCQ01TN)
text
Extensible: No
C119063Clinical COPD Questionnaire 24 Hour Version Questionnaire Test NameClinical COPD Questionnaire 24 Hour Version test name.CDISC Questionnaire CCQ 24 Hour Version Test Name Terminology
CCQ01-Breathing Limit Daily ActivityC119130CCQ01-Breathing Limit Daily ActivityClinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how limited were you in these activities because of your breathing problems: Daily activities at home?CCQ 24 Hour Version - Breathing Problems Limit Daily Activity
CCQ01-Breathing Limit Moderate ActivityC119129CCQ01-Breathing Limit Moderate ActivityClinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how limited were you in these activities because of your breathing problems: Moderate physical activities?CCQ 24 Hour Version - Breathing Problems Limit Moderate Activity
CCQ01-Breathing Limit Social ActivityC119131CCQ01-Breathing Limit Social ActivityClinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how limited were you in these activities because of your breathing problems: Social activities?CCQ 24 Hour Version - Breathing Problems Limit Social Activity
CCQ01-Breathing Limit Strenuous ActivityC119128CCQ01-Breathing Limit Strenuous ActivityClinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how limited were you in these activities because of your breathing problems: Strenuous physical activities?CCQ 24 Hour Version - Breathing Problems Limit Strenuous Activity
CCQ01-Concern About Breathing Get WorseC119124CCQ01-Concern About Breathing Get WorseClinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how often did you feel: Concerned about getting a cold or your breathing getting worse?CCQ 24 Hour Version - Concern About Breathing Get Worse
CCQ01-CoughC119126CCQ01-CoughClinical COPD Questionnaire 24 Hour Version - In general, during the past 24 hours, how much of the time: Did you cough?CCQ 24 Hour Version - Did You Cough
CCQ01-Depressed for Breathing ProblemC119125CCQ01-Depressed for Breathing ProblemClinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how often did you feel: Depressed because of your breathing problems?CCQ 24 Hour Version - Depressed Because of Breathing Problem
CCQ01-Produce Sputum or PhlegmC119127CCQ01-Produce Sputum or PhlegmClinical COPD Questionnaire 24 Hour Version - In general, during the past 24 hours, how much of the time: Did you produce sputum or phlegm?CCQ 24 Hour Version - Produce Sputum or Phlegm
CCQ01-Short of Breath at RestC119122CCQ01-Short of Breath at RestClinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how often did you feel: Short of breath while at rest?CCQ 24 Hour Version - Short of Breath at Rest
CCQ01-Short of Breath Physical ActivityC119123CCQ01-Short of Breath Physical ActivityClinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how often did you feel: Short of breath while doing physical activities?CCQ 24 Hour Version - Short of Breath Doing Physical Activity
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CL.C101811.CDR01TCClinical Dementia Rating Questionnaire Test Code
(CDR01TC)
text
Extensible: No
C101811Clinical Dementia Rating Questionnaire Test CodeClinical Dementia Rating test code.CDISC Questionnaire CDR Test Code Terminology
CDR0101C102050CDR01-MemoryClinical Dementia Rating - Memory.CDR - Memory
CDR0102C102051CDR01-OrientationClinical Dementia Rating - Orientation.CDR - Orientation
CDR0103C102052CDR01-Judgment and Problem SolvingClinical Dementia Rating - Judgment and problem solving.CDR - Judgment and Problem Solving
CDR0104C102053CDR01-Community AffairsClinical Dementia Rating - Community affairs.CDR - Community Affairs
CDR0105C102054CDR01-Home and HobbiesClinical Dementia Rating - Home and hobbies.CDR - Home and Hobbies
CDR0106C102055CDR01-Personal CareClinical Dementia Rating - Personal care.CDR - Personal Care
CDR0107C113880CDR01-Sum of BoxesClinical Dementia Rating - Sum of Boxes.CDR - Sum of Boxes
CDR0108C113881CDR01-Global CDRClinical Dementia Rating - Global CDR.CDR - Global CDR
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CL.C101812.CDR01TNClinical Dementia Rating Questionnaire Test Name
(CDR01TN)
text
Extensible: No
C101812Clinical Dementia Rating Questionnaire Test NameClinical Dementia Rating test name.CDISC Questionnaire CDR Test Name Terminology
CDR01-Community AffairsC102053CDR01-Community AffairsClinical Dementia Rating - Community affairs.CDR - Community Affairs
CDR01-Global CDRC113881CDR01-Global CDRClinical Dementia Rating - Global CDR.CDR - Global CDR
CDR01-Home and HobbiesC102054CDR01-Home and HobbiesClinical Dementia Rating - Home and hobbies.CDR - Home and Hobbies
CDR01-Judgment and Problem SolvingC102052CDR01-Judgment and Problem SolvingClinical Dementia Rating - Judgment and problem solving.CDR - Judgment and Problem Solving
CDR01-MemoryC102050CDR01-MemoryClinical Dementia Rating - Memory.CDR - Memory
CDR01-OrientationC102051CDR01-OrientationClinical Dementia Rating - Orientation.CDR - Orientation
CDR01-Personal CareC102055CDR01-Personal CareClinical Dementia Rating - Personal care.CDR - Personal Care
CDR01-Sum of BoxesC113880CDR01-Sum of BoxesClinical Dementia Rating - Sum of Boxes.CDR - Sum of Boxes
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CL.C135686.CGI02TCClinical Global Impression Generic Modification Version Questionnaire Test Code
(CGI02TC)
text
Extensible: No
C135686Clinical Global Impression Generic Modification Version Questionnaire Test CodeClinical Global Impression Generic Modification Version test code.CDISC Questionnaire CGI Generic Modification Version Test Code Terminology
CGI0201C135814CGI02-SeverityClinical Global Impression - Considering your total clinical experience with this particular population, how severe is the subject's condition at this time?CGI Generic Modification Version - Severity
CGI0202C135815CGI02-ChangeClinical Global Impression - Rate total change whether or not, in your judgement, it is due entirely to drug treatment. Compared to the subject's condition <at previously assessed protocol specified time point>, how much has the subject changed?CGI Generic Modification Version - Change
CGI0203C135816CGI02-ImprovementClinical Global Impression - Rate total improvement whether or not, in your judgement, it is due entirely to drug treatment. Compared to the subject's condition <at previously assessed protocol specified time point>, how much has the subject improved?CGI Generic Modification Version - Improvement
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CL.C135685.CGI02TNClinical Global Impression Generic Modification Version Questionnaire Test Name
(CGI02TN)
text
Extensible: No
C135685Clinical Global Impression Generic Modification Version Questionnaire Test NameClinical Global Impression Generic Modification Version test name.CDISC Questionnaire CGI Generic Modification Version Test Name Terminology
CGI02-ChangeC135815CGI02-ChangeClinical Global Impression - Rate total change whether or not, in your judgement, it is due entirely to drug treatment. Compared to the subject's condition <at previously assessed protocol specified time point>, how much has the subject changed?CGI Generic Modification Version - Change
CGI02-ImprovementC135816CGI02-ImprovementClinical Global Impression - Rate total improvement whether or not, in your judgement, it is due entirely to drug treatment. Compared to the subject's condition <at previously assessed protocol specified time point>, how much has the subject improved?CGI Generic Modification Version - Improvement
CGI02-SeverityC135814CGI02-SeverityClinical Global Impression - Considering your total clinical experience with this particular population, how severe is the subject's condition at this time?CGI Generic Modification Version - Severity
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CL.C101813.COWS1TCClinical Opiate Withdrawal Scale Questionnaire Test Code
(COWS1TC)
text
Extensible: No
C101813Clinical Opiate Withdrawal Scale Questionnaire Test CodeClinical Opiate Withdrawal Scale test code.CDISC Questionnaire COWS Test Code Terminology
COWS101C102056COWS1-Resting Pulse RateClinical Opiate Withdrawal Scale - Resting pulse rate.COWS - Resting Pulse Rate
COWS101AC112467COWS1-Resting Pulse Rate Beats/MinuteClinical Opiate Withdrawal Scale - Resting pulse rate: beats/minute.COWS - Resting Pulse Rate: Beats/Minute
COWS102C102057COWS1-SweatingClinical Opiate Withdrawal Scale - Sweating.COWS - Sweating
COWS103C102058COWS1-RestlessnessClinical Opiate Withdrawal Scale - Restlessness.COWS - Restlessness
COWS104C102059COWS1-Pupil SizeClinical Opiate Withdrawal Scale - Pupil size.COWS - Pupil Size
COWS105C102060COWS1-Bone or Joint AchesClinical Opiate Withdrawal Scale - Bone or joint aches.COWS - Bone or Joint Aches
COWS106C102061COWS1-Runny Nose or TearingClinical Opiate Withdrawal Scale - Runny nose or tearing.COWS - Runny Nose or Tearing
COWS107C102062COWS1-GI UpsetClinical Opiate Withdrawal Scale - GI upset.COWS - GI Upset
COWS108C102063COWS1-TremorClinical Opiate Withdrawal Scale - Tremor.COWS - Tremor
COWS109C102064COWS1-YawningClinical Opiate Withdrawal Scale - Yawning.COWS - Yawning
COWS110C102065COWS1-Anxiety or IrritabilityClinical Opiate Withdrawal Scale - Anxiety or irritability.COWS - Anxiety or Irritability
COWS111C102066COWS1-Gooseflesh SkinClinical Opiate Withdrawal Scale - Gooseflesh skin.COWS - Gooseflesh Skin
COWS112C112468COWS1-Total ScoreClinical Opiate Withdrawal Scale - Total score.COWS - Total Score
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CL.C101814.COWS1TNClinical Opiate Withdrawal Scale Questionnaire Test Name
(COWS1TN)
text
Extensible: No
C101814Clinical Opiate Withdrawal Scale Questionnaire Test NameClinical Opiate Withdrawal Scale test name.CDISC Questionnaire COWS Test Name Terminology
COWS1-Anxiety or IrritabilityC102065COWS1-Anxiety or IrritabilityClinical Opiate Withdrawal Scale - Anxiety or irritability.COWS - Anxiety or Irritability
COWS1-Bone or Joint AchesC102060COWS1-Bone or Joint AchesClinical Opiate Withdrawal Scale - Bone or joint aches.COWS - Bone or Joint Aches
COWS1-GI UpsetC102062COWS1-GI UpsetClinical Opiate Withdrawal Scale - GI upset.COWS - GI Upset
COWS1-Gooseflesh SkinC102066COWS1-Gooseflesh SkinClinical Opiate Withdrawal Scale - Gooseflesh skin.COWS - Gooseflesh Skin
COWS1-Pupil SizeC102059COWS1-Pupil SizeClinical Opiate Withdrawal Scale - Pupil size.COWS - Pupil Size
COWS1-Resting Pulse Rate Beats/MinuteC112467COWS1-Resting Pulse Rate Beats/MinuteClinical Opiate Withdrawal Scale - Resting pulse rate: beats/minute.COWS - Resting Pulse Rate: Beats/Minute
COWS1-Resting Pulse RateC102056COWS1-Resting Pulse RateClinical Opiate Withdrawal Scale - Resting pulse rate.COWS - Resting Pulse Rate
COWS1-RestlessnessC102058COWS1-RestlessnessClinical Opiate Withdrawal Scale - Restlessness.COWS - Restlessness
COWS1-Runny Nose or TearingC102061COWS1-Runny Nose or TearingClinical Opiate Withdrawal Scale - Runny nose or tearing.COWS - Runny Nose or Tearing
COWS1-SweatingC102057COWS1-SweatingClinical Opiate Withdrawal Scale - Sweating.COWS - Sweating
COWS1-Total ScoreC112468COWS1-Total ScoreClinical Opiate Withdrawal Scale - Total score.COWS - Total Score
COWS1-TremorC102063COWS1-TremorClinical Opiate Withdrawal Scale - Tremor.COWS - Tremor
COWS1-YawningC102064COWS1-YawningClinical Opiate Withdrawal Scale - Yawning.COWS - Yawning
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CL.C106659.CSS05TCColumbia-Suicide Severity Rating Scale Already Enrolled Subjects Questionnaire Test Code
(CSS05TC)
text
Extensible: No
C106659Columbia-Suicide Severity Rating Scale Already Enrolled Subjects Questionnaire Test CodeColumbia-Suicide Severity Rating Scale Already Enrolled Subject test code.CDISC Questionnaire C-SSRS Already Enrolled Subjects Test Code Terminology
CSS0501AC107027CSS05-Wish to be Dead-PriorColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you wished you were dead or wished you could go to sleep and not wake up? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Wish to Be Dead (Prior to Study Entry)
CSS0501BC107028CSS05-Wish to be Dead-SinceColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you wished you were dead or wished you could go to sleep and not wake up? (Since Study Start).C-SSRS Already Enrolled Subjects - Wish to Be Dead (Since Study Start)
CSS0501CC107029CSS05-Wish to be Dead, DescribeColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of wishing to be dead.C-SSRS Already Enrolled Subjects - Description of Wish to Be Dead
CSS0502AC107030CSS05-Non-Spec Suicid Thought-PriorColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you actually had any thoughts of killing yourself? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Non-Specific Active Suicidal Thoughts (Prior to Study Entry)
CSS0502BC107031CSS05-Non-Spec Suicid Thought-SinceColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you actually had any thoughts of killing yourself? (Since Study Start).C-SSRS Already Enrolled Subjects - Non-Specific Active Suicidal Thoughts (Since Study Start)
CSS0502CC107032CSS05-Non-Spec Suicid Thought, DescribeColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of non-specific active suicidal thoughts.C-SSRS Already Enrolled Subjects - Description of Non-Specific Active Suicidal Thoughts
CSS0503AC107033CSS05-Idea, No Intent, No Plan-PriorColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you been thinking about how you might do this? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act (Prior to Study Entry)
CSS0503BC107034CSS05-Idea, No Intent, No Plan-SinceColumbia-Suicide Suicide Rating Scale Already Enrolled Subjects - Have you been thinking about how you might do this? (Since Study Start).C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act (Since Study Start)
CSS0503CC107035CSS05-Idea, No Intent, No Plan, DescribeColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Already Enrolled Subjects - Description of Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act
CSS0504AC107036CSS05-Idea, Intent, No Plan-PriorColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you had these thoughts and had some intention of acting on them? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Some Intent to Act, Without Specific Plan (Prior to Study Entry)
CSS0504BC107037CSS05-Idea, Intent, No Plan-SinceColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you had these thoughts and had some intention of acting on them? (Since Study Start).C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Some Intent to Act, Without Specific Plan (Since Study Start)
CSS0504CC107038CSS05-Idea, Intent, No Plan, DescribeColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Already Enrolled Subjects - Description of Active Suicidal Ideation With Some Intent to Act, Without Specific Plan
CSS0505AC107039CSS05-Idea, Plan, Intent-PriorColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Specific Plan and Intent (Prior to Study Entry)
CSS0505BC107040CSS05-Idea, Plan, Intent-SinceColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Since Study Start).C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Specific Plan and Intent (Since Study Start)
CSS0505CC107041CSS05-Idea, Plan, Intent, DescribeColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of active suicidal ideation with specific plan and intent.C-SSRS Already Enrolled Subjects - Description of Active Suicidal Ideation With Specific Plan and Intent
CSS0506AC107042CSS05-Most Severe Idea-PriorColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Most severe ideation. (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Most Severe Ideation (Prior to Study Entry)
CSS0506BC107043CSS05-Most Severe Idea, Desc-PriorColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of most severe ideation. (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Describe Most Severe Ideation (Prior to Study Entry)
CSS0506CC107044CSS05-Most Severe Idea-SinceColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Most severe ideation. (Since Study Start).C-SSRS Already Enrolled Subjects - Most Severe Ideation (Since Study Start)
CSS0506DC107045CSS05-Most Severe Idea, Desc-SinceColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of most severe ideation. (Since Study Start).C-SSRS Already Enrolled Subjects - Describe Most Severe Ideation (Since Study Start)
CSS0507AC107046CSS05-Most Severe Idea, Frequency-PriorColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - How many times have you had these thoughts? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Frequency of Most Severe Ideation (Prior to Study Entry)
CSS0507BC107047CSS05-Most Severe Idea, Frequency-SinceColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - How many times have you had these thoughts? (Since Study Start).C-SSRS Already Enrolled Subjects - Frequency of Most Severe Ideation (Since Study Start)
CSS0508AC107048CSS05-Most Severe Idea, Duration-PriorColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - When you have the thoughts how long do they last? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Duration of Most Severe Ideation (Prior to Study Entry)
CSS0508BC107049CSS05-Most Severe Idea, Duration-SinceColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - When you have the thoughts how long do they last? (Since Study Start).C-SSRS Already Enrolled Subjects - Duration of Most Severe Ideation (Since Study Start)
CSS0509AC107050CSS05-Most Severe Idea, Control-PriorColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Controllability of Most Severe Ideation (Prior to Study Entry)
CSS0509BC107051CSS05-Most Severe Idea, Control-SinceColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Since Study Start).C-SSRS Already Enrolled Subjects - Controllability of Most Severe Ideation (Since Study Start)
CSS0510AC107052CSS05-Most Severe Idea, Deterrents-PriorColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Deterrents to Most Severe Ideation (Prior to Study Entry)
CSS0510BC107053CSS05-Most Severe Idea, Deterrents-SinceColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Since Study Start).C-SSRS Already Enrolled Subjects - Deterrents to Most Severe Ideation (Since Study Start)
CSS0511AC107054CSS05-Most Severe Idea, Reasons-PriorColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Reasons For Most Severe Ideation (Prior to Study Entry)
CSS0511BC107055CSS05-Most Severe Idea, Reasons-SinceColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Since Study Start).C-SSRS Already Enrolled Subjects - Reasons For Most Severe Ideation (Since Study Start)
CSS0512AC107056CSS05-Actual Attempt-PriorColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Actual Suicide Attempt (Prior to Study Entry)
CSS0512BC107057CSS05-Actual Attempt-SinceColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Since Study Start).C-SSRS Already Enrolled Subjects - Actual Suicide Attempt (Since Study Start)
CSS0513AC107058CSS05-Number of Actual Attempts-PriorColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Total number of actual attempts. (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Number of Actual Suicide Attempts (Prior to Study Entry)
CSS0513BC107059CSS05-Number of Actual Attempts-SinceColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Total number of actual attempts. (Since Study Start).C-SSRS Already Enrolled Subjects - Number of Actual Suicide Attempts (Since Study Start)
CSS0513CC107060CSS05-Actual Attempt, DescribeColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of actual attempt.C-SSRS Already Enrolled Subjects - Description of Actual Suicide Attempt
CSS0514AC107061CSS05-Non-suicid Self-injur Behav-PriorColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Has the subject engaged in non-suicidal self-injurious behavior? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Non-suicidal Self-injurious Behavior (Prior to Study Entry)
CSS0514BC107062CSS05-Non-suicid Self-injur Behav-SinceColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Has the subject engaged in non-suicidal self-injurious behavior? (Since Study Start).C-SSRS Already Enrolled Subjects - Non-suicidal Self-injurious Behavior (Since Study Start)
CSS0515AC107063CSS05-Interrupted Attempt-PriorColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Interrupted Suicide Attempt (Prior to Study Entry)
CSS0515BC107064CSS05-Interrupted Attempt-SinceColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything? (Since Study Start).C-SSRS Already Enrolled Subjects - Interrupted Suicide Attempt (Since Study Start)
CSS0516AC107065CSS05-Num of Interrupted Attempts-PriorColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Total number of interrupted attempts. (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Number of Interrupted Suicide Attempts (Prior to Study Entry)
CSS0516BC107066CSS05-Num of Interrupted Attempts-SinceColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Total number of interrupted attempts. (Since Study Start).C-SSRS Already Enrolled Subjects - Number of Interrupted Suicide Attempts (Since Study Start)
CSS0516CC107067CSS05-Interrupted Attempt, DescribeColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of interrupted attempt.C-SSRS Already Enrolled Subjects - Description of Interrupted Suicide Attempt
CSS0517AC107068CSS05-Aborted Attempt-PriorColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Aborted Suicide Attempt (Prior to Study Entry)
CSS0517BC107069CSS05-Aborted Attempt-SinceColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Since Study Start).C-SSRS Already Enrolled Subjects - Aborted Suicide Attempt (Since Study Start)
CSS0518AC107070CSS05-Number of Aborted Attempts-PriorColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Total number of aborted attempts. (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Number of Aborted Suicide Attempts (Prior to Study Entry)
CSS0518BC107071CSS05-Number of Aborted Attempts-SinceColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Total number of aborted attempts. (Since Study Start).C-SSRS Already Enrolled Subjects - Number of Aborted Suicide Attempts (Since Study Start)
CSS0518CC107072CSS05-Aborted Attempt, DescribeColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of aborted attempt.C-SSRS Already Enrolled Subjects - Description of Aborted Suicide Attempt
CSS0519AC107073CSS05-Preparatory Acts/Behavior-PriorColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Preparatory Acts or Behaviors Toward Suicide Attempt (Prior to Study Entry)
CSS0519BC107074CSS05-Preparatory Acts/Behavior-SinceColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? (Since Study Start).C-SSRS Already Enrolled Subjects - Preparatory Acts or Behaviors Toward Suicide Attempt (Since Study Start)
CSS0519CC107075CSS05-Preparatory Acts/Behavior, DescrColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of preparatory acts or behavior.C-SSRS Already Enrolled Subjects - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS0520AC107076CSS05-Suicidal Behavior-PriorColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Suicidal behavior was present during the assessment period? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Suicidal Behavior (Prior to Study Entry)
CSS0520BC107077CSS05-Suicidal Behavior-SinceColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Suicidal behavior was present during the assessment period? (Since Study Start).C-SSRS Already Enrolled Subjects - Suicidal Behavior (Since Study Start)
CSS0521AC107078CSS05-Completed Suicide-PriorColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Completed suicide? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Completed Suicide (Prior to Study Entry)
CSS0521BC107079CSS05-Completed Suicide-SinceColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Completed suicide? (Since Study Start).C-SSRS Already Enrolled Subjects - Completed Suicide (Since Study Start)
CSS0522AC107080CSS05-Most Recent Attempt DateColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Most recent attempt date.C-SSRS Already Enrolled Subjects - Most Recent Suicide Attempt Date
CSS0522BC107081CSS05-Most Recent Attempt DamageColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Most recent attempt actual lethality/medical damage.C-SSRS Already Enrolled Subjects - Most Recent Suicide Attempt Actual Lethality/Medical Damage
CSS0522CC107082CSS05-Most Recent Attempt PotentialColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Most recent attempt potential lethality.C-SSRS Already Enrolled Subjects - Most Recent Suicide Attempt Potential Lethality
CSS0523AC107083CSS05-Most Lethal Attempt DateColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Most lethal attempt date.C-SSRS Already Enrolled Subjects - Most Lethal Suicide Attempt Date
CSS0523BC107084CSS05-Most Lethal Attempt DamageColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Most lethal attempt actual lethality/medical damage.C-SSRS Already Enrolled Subjects - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
CSS0523CC107085CSS05-Most Lethal Attempt PotentialColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Most lethal attempt potential lethality.C-SSRS Already Enrolled Subjects - Most Lethal Suicide Attempt Potential Lethality
CSS0524AC107086CSS05-First Attempt DateColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Initial/first attempt date.C-SSRS Already Enrolled Subjects - First Suicide Attempt Date
CSS0524BC107087CSS05-First Attempt DamageColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Initial/first attempt actual lethality/medical damage.C-SSRS Already Enrolled Subjects - First Suicide Attempt Actual Lethality/Medical Damage
CSS0524CC107088CSS05-First Attempt PotentialColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Initial/first attempt potential lethality.C-SSRS Already Enrolled Subjects - First Suicide Attempt Potential Lethality
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CL.C106658.CSS05TNColumbia-Suicide Severity Rating Scale Already Enrolled Subjects Questionnaire Test Name
(CSS05TN)
text
Extensible: No
C106658Columbia-Suicide Severity Rating Scale Already Enrolled Subjects Questionnaire Test NameColumbia-Suicide Severity Rating Scale Already Enrolled Subject test name.CDISC Questionnaire C-SSRS Already Enrolled Subjects Test Name Terminology
CSS05-Aborted Attempt, DescribeC107072CSS05-Aborted Attempt, DescribeColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of aborted attempt.C-SSRS Already Enrolled Subjects - Description of Aborted Suicide Attempt
CSS05-Aborted Attempt-PriorC107068CSS05-Aborted Attempt-PriorColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Aborted Suicide Attempt (Prior to Study Entry)
CSS05-Aborted Attempt-SinceC107069CSS05-Aborted Attempt-SinceColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Since Study Start).C-SSRS Already Enrolled Subjects - Aborted Suicide Attempt (Since Study Start)
CSS05-Actual Attempt, DescribeC107060CSS05-Actual Attempt, DescribeColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of actual attempt.C-SSRS Already Enrolled Subjects - Description of Actual Suicide Attempt
CSS05-Actual Attempt-PriorC107056CSS05-Actual Attempt-PriorColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Actual Suicide Attempt (Prior to Study Entry)
CSS05-Actual Attempt-SinceC107057CSS05-Actual Attempt-SinceColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Since Study Start).C-SSRS Already Enrolled Subjects - Actual Suicide Attempt (Since Study Start)
CSS05-Completed Suicide-PriorC107078CSS05-Completed Suicide-PriorColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Completed suicide? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Completed Suicide (Prior to Study Entry)
CSS05-Completed Suicide-SinceC107079CSS05-Completed Suicide-SinceColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Completed suicide? (Since Study Start).C-SSRS Already Enrolled Subjects - Completed Suicide (Since Study Start)
CSS05-First Attempt DamageC107087CSS05-First Attempt DamageColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Initial/first attempt actual lethality/medical damage.C-SSRS Already Enrolled Subjects - First Suicide Attempt Actual Lethality/Medical Damage
CSS05-First Attempt DateC107086CSS05-First Attempt DateColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Initial/first attempt date.C-SSRS Already Enrolled Subjects - First Suicide Attempt Date
CSS05-First Attempt PotentialC107088CSS05-First Attempt PotentialColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Initial/first attempt potential lethality.C-SSRS Already Enrolled Subjects - First Suicide Attempt Potential Lethality
CSS05-Idea, Intent, No Plan, DescribeC107038CSS05-Idea, Intent, No Plan, DescribeColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Already Enrolled Subjects - Description of Active Suicidal Ideation With Some Intent to Act, Without Specific Plan
CSS05-Idea, Intent, No Plan-PriorC107036CSS05-Idea, Intent, No Plan-PriorColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you had these thoughts and had some intention of acting on them? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Some Intent to Act, Without Specific Plan (Prior to Study Entry)
CSS05-Idea, Intent, No Plan-SinceC107037CSS05-Idea, Intent, No Plan-SinceColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you had these thoughts and had some intention of acting on them? (Since Study Start).C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Some Intent to Act, Without Specific Plan (Since Study Start)
CSS05-Idea, No Intent, No Plan, DescribeC107035CSS05-Idea, No Intent, No Plan, DescribeColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Already Enrolled Subjects - Description of Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act
CSS05-Idea, No Intent, No Plan-PriorC107033CSS05-Idea, No Intent, No Plan-PriorColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you been thinking about how you might do this? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act (Prior to Study Entry)
CSS05-Idea, No Intent, No Plan-SinceC107034CSS05-Idea, No Intent, No Plan-SinceColumbia-Suicide Suicide Rating Scale Already Enrolled Subjects - Have you been thinking about how you might do this? (Since Study Start).C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act (Since Study Start)
CSS05-Idea, Plan, Intent, DescribeC107041CSS05-Idea, Plan, Intent, DescribeColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of active suicidal ideation with specific plan and intent.C-SSRS Already Enrolled Subjects - Description of Active Suicidal Ideation With Specific Plan and Intent
CSS05-Idea, Plan, Intent-PriorC107039CSS05-Idea, Plan, Intent-PriorColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Specific Plan and Intent (Prior to Study Entry)
CSS05-Idea, Plan, Intent-SinceC107040CSS05-Idea, Plan, Intent-SinceColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Since Study Start).C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Specific Plan and Intent (Since Study Start)
CSS05-Interrupted Attempt, DescribeC107067CSS05-Interrupted Attempt, DescribeColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of interrupted attempt.C-SSRS Already Enrolled Subjects - Description of Interrupted Suicide Attempt
CSS05-Interrupted Attempt-PriorC107063CSS05-Interrupted Attempt-PriorColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Interrupted Suicide Attempt (Prior to Study Entry)
CSS05-Interrupted Attempt-SinceC107064CSS05-Interrupted Attempt-SinceColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything? (Since Study Start).C-SSRS Already Enrolled Subjects - Interrupted Suicide Attempt (Since Study Start)
CSS05-Most Lethal Attempt DamageC107084CSS05-Most Lethal Attempt DamageColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Most lethal attempt actual lethality/medical damage.C-SSRS Already Enrolled Subjects - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
CSS05-Most Lethal Attempt DateC107083CSS05-Most Lethal Attempt DateColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Most lethal attempt date.C-SSRS Already Enrolled Subjects - Most Lethal Suicide Attempt Date
CSS05-Most Lethal Attempt PotentialC107085CSS05-Most Lethal Attempt PotentialColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Most lethal attempt potential lethality.C-SSRS Already Enrolled Subjects - Most Lethal Suicide Attempt Potential Lethality
CSS05-Most Recent Attempt DamageC107081CSS05-Most Recent Attempt DamageColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Most recent attempt actual lethality/medical damage.C-SSRS Already Enrolled Subjects - Most Recent Suicide Attempt Actual Lethality/Medical Damage
CSS05-Most Recent Attempt DateC107080CSS05-Most Recent Attempt DateColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Most recent attempt date.C-SSRS Already Enrolled Subjects - Most Recent Suicide Attempt Date
CSS05-Most Recent Attempt PotentialC107082CSS05-Most Recent Attempt PotentialColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Most recent attempt potential lethality.C-SSRS Already Enrolled Subjects - Most Recent Suicide Attempt Potential Lethality
CSS05-Most Severe Idea, Control-PriorC107050CSS05-Most Severe Idea, Control-PriorColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Controllability of Most Severe Ideation (Prior to Study Entry)
CSS05-Most Severe Idea, Control-SinceC107051CSS05-Most Severe Idea, Control-SinceColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Since Study Start).C-SSRS Already Enrolled Subjects - Controllability of Most Severe Ideation (Since Study Start)
CSS05-Most Severe Idea, Desc-PriorC107043CSS05-Most Severe Idea, Desc-PriorColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of most severe ideation. (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Describe Most Severe Ideation (Prior to Study Entry)
CSS05-Most Severe Idea, Desc-SinceC107045CSS05-Most Severe Idea, Desc-SinceColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of most severe ideation. (Since Study Start).C-SSRS Already Enrolled Subjects - Describe Most Severe Ideation (Since Study Start)
CSS05-Most Severe Idea, Deterrents-PriorC107052CSS05-Most Severe Idea, Deterrents-PriorColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Deterrents to Most Severe Ideation (Prior to Study Entry)
CSS05-Most Severe Idea, Deterrents-SinceC107053CSS05-Most Severe Idea, Deterrents-SinceColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Since Study Start).C-SSRS Already Enrolled Subjects - Deterrents to Most Severe Ideation (Since Study Start)
CSS05-Most Severe Idea, Duration-PriorC107048CSS05-Most Severe Idea, Duration-PriorColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - When you have the thoughts how long do they last? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Duration of Most Severe Ideation (Prior to Study Entry)
CSS05-Most Severe Idea, Duration-SinceC107049CSS05-Most Severe Idea, Duration-SinceColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - When you have the thoughts how long do they last? (Since Study Start).C-SSRS Already Enrolled Subjects - Duration of Most Severe Ideation (Since Study Start)
CSS05-Most Severe Idea, Frequency-PriorC107046CSS05-Most Severe Idea, Frequency-PriorColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - How many times have you had these thoughts? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Frequency of Most Severe Ideation (Prior to Study Entry)
CSS05-Most Severe Idea, Frequency-SinceC107047CSS05-Most Severe Idea, Frequency-SinceColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - How many times have you had these thoughts? (Since Study Start).C-SSRS Already Enrolled Subjects - Frequency of Most Severe Ideation (Since Study Start)
CSS05-Most Severe Idea, Reasons-PriorC107054CSS05-Most Severe Idea, Reasons-PriorColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Reasons For Most Severe Ideation (Prior to Study Entry)
CSS05-Most Severe Idea, Reasons-SinceC107055CSS05-Most Severe Idea, Reasons-SinceColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Since Study Start).C-SSRS Already Enrolled Subjects - Reasons For Most Severe Ideation (Since Study Start)
CSS05-Most Severe Idea-PriorC107042CSS05-Most Severe Idea-PriorColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Most severe ideation. (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Most Severe Ideation (Prior to Study Entry)
CSS05-Most Severe Idea-SinceC107044CSS05-Most Severe Idea-SinceColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Most severe ideation. (Since Study Start).C-SSRS Already Enrolled Subjects - Most Severe Ideation (Since Study Start)
CSS05-Non-Spec Suicid Thought, DescribeC107032CSS05-Non-Spec Suicid Thought, DescribeColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of non-specific active suicidal thoughts.C-SSRS Already Enrolled Subjects - Description of Non-Specific Active Suicidal Thoughts
CSS05-Non-Spec Suicid Thought-PriorC107030CSS05-Non-Spec Suicid Thought-PriorColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you actually had any thoughts of killing yourself? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Non-Specific Active Suicidal Thoughts (Prior to Study Entry)
CSS05-Non-Spec Suicid Thought-SinceC107031CSS05-Non-Spec Suicid Thought-SinceColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you actually had any thoughts of killing yourself? (Since Study Start).C-SSRS Already Enrolled Subjects - Non-Specific Active Suicidal Thoughts (Since Study Start)
CSS05-Non-suicid Self-injur Behav-PriorC107061CSS05-Non-suicid Self-injur Behav-PriorColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Has the subject engaged in non-suicidal self-injurious behavior? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Non-suicidal Self-injurious Behavior (Prior to Study Entry)
CSS05-Non-suicid Self-injur Behav-SinceC107062CSS05-Non-suicid Self-injur Behav-SinceColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Has the subject engaged in non-suicidal self-injurious behavior? (Since Study Start).C-SSRS Already Enrolled Subjects - Non-suicidal Self-injurious Behavior (Since Study Start)
CSS05-Num of Interrupted Attempts-PriorC107065CSS05-Num of Interrupted Attempts-PriorColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Total number of interrupted attempts. (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Number of Interrupted Suicide Attempts (Prior to Study Entry)
CSS05-Num of Interrupted Attempts-SinceC107066CSS05-Num of Interrupted Attempts-SinceColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Total number of interrupted attempts. (Since Study Start).C-SSRS Already Enrolled Subjects - Number of Interrupted Suicide Attempts (Since Study Start)
CSS05-Number of Aborted Attempts-PriorC107070CSS05-Number of Aborted Attempts-PriorColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Total number of aborted attempts. (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Number of Aborted Suicide Attempts (Prior to Study Entry)
CSS05-Number of Aborted Attempts-SinceC107071CSS05-Number of Aborted Attempts-SinceColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Total number of aborted attempts. (Since Study Start).C-SSRS Already Enrolled Subjects - Number of Aborted Suicide Attempts (Since Study Start)
CSS05-Number of Actual Attempts-PriorC107058CSS05-Number of Actual Attempts-PriorColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Total number of actual attempts. (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Number of Actual Suicide Attempts (Prior to Study Entry)
CSS05-Number of Actual Attempts-SinceC107059CSS05-Number of Actual Attempts-SinceColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Total number of actual attempts. (Since Study Start).C-SSRS Already Enrolled Subjects - Number of Actual Suicide Attempts (Since Study Start)
CSS05-Preparatory Acts/Behavior, DescrC107075CSS05-Preparatory Acts/Behavior, DescrColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of preparatory acts or behavior.C-SSRS Already Enrolled Subjects - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS05-Preparatory Acts/Behavior-PriorC107073CSS05-Preparatory Acts/Behavior-PriorColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Preparatory Acts or Behaviors Toward Suicide Attempt (Prior to Study Entry)
CSS05-Preparatory Acts/Behavior-SinceC107074CSS05-Preparatory Acts/Behavior-SinceColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? (Since Study Start).C-SSRS Already Enrolled Subjects - Preparatory Acts or Behaviors Toward Suicide Attempt (Since Study Start)
CSS05-Suicidal Behavior-PriorC107076CSS05-Suicidal Behavior-PriorColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Suicidal behavior was present during the assessment period? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Suicidal Behavior (Prior to Study Entry)
CSS05-Suicidal Behavior-SinceC107077CSS05-Suicidal Behavior-SinceColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Suicidal behavior was present during the assessment period? (Since Study Start).C-SSRS Already Enrolled Subjects - Suicidal Behavior (Since Study Start)
CSS05-Wish to be Dead, DescribeC107029CSS05-Wish to be Dead, DescribeColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Description of wishing to be dead.C-SSRS Already Enrolled Subjects - Description of Wish to Be Dead
CSS05-Wish to be Dead-PriorC107027CSS05-Wish to be Dead-PriorColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you wished you were dead or wished you could go to sleep and not wake up? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Wish to Be Dead (Prior to Study Entry)
CSS05-Wish to be Dead-SinceC107028CSS05-Wish to be Dead-SinceColumbia-Suicide Severity Rating Scale Already Enrolled Subjects - Have you wished you were dead or wished you could go to sleep and not wake up? (Since Study Start).C-SSRS Already Enrolled Subjects - Wish to Be Dead (Since Study Start)
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CL.C100168.CSS01TCColumbia-Suicide Severity Rating Scale Baseline Questionnaire Test Code
(CSS01TC)
text
Extensible: No
C100168Columbia-Suicide Severity Rating Scale Baseline Questionnaire Test CodeColumbia-Suicide Severity Rating Scale Baseline test code.CDISC Questionnaire C-SSRS Baseline Test Code Terminology
CSS0101C100976CSS01-Wish to be DeadColumbia-Suicide Severity Rating Scale Baseline - Have you wished you were dead or wished you could go to sleep and not wake up?C-SSRS Baseline - Wish to be Dead or go to Sleep and not Wake Up
CSS0101AC100977CSS01-Wish to be Dead, DescribeColumbia-Suicide Severity Rating Scale Baseline - Description of wishing to be dead.C-SSRS Baseline - Description of Wish to be Dead
CSS0102C100978CSS01-Non-Specific Suicidal ThoughtColumbia-Suicide Severity Rating Scale Baseline - Have you actually had any thoughts of killing yourself?C-SSRS Baseline - Non-Specific Suicidal Thought
CSS0102AC100979CSS01-Non-Specific Suicid Thought, DescrColumbia-Suicide Severity Rating Scale Baseline - Description of non-specific active suicidal thoughts.C-SSRS Baseline - Description of Non-Specific Suicide Thought
CSS0103C100980CSS01-Suicidal Ideation-No IntentColumbia-Suicide Severity Rating Scale Baseline - Have you been thinking about how you might do this?C-SSRS Baseline - Suicidal Ideation-No Intent
CSS0103AC100981CSS01-Suicidal Ideation-No Intent, DescrColumbia-Suicide Severity Rating Scale Baseline - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Baseline - Description of Suicidal Ideation-No Intent
CSS0104C101014CSS01-Ideation With Intent, No PlanColumbia-Suicide Severity Rating Scale Baseline - Have you have these thoughts and had some intention of acting on them?C-SSRS Baseline - Ideation With Intent, No Plan
CSS0104AC101015CSS01-Ideation With Intent No Plan DescrColumbia-Suicide Severity Rating Scale Baseline - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Baseline - Description of Ideation With Intent, No Plan
CSS0105C100982CSS01-Ideation With Plan/IntentColumbia-Suicide Severity Rating Scale Baseline - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan?C-SSRS Baseline - Ideation With Plan/Intent
CSS0105AC100983CSS01-Ideation With Plan/Intent, DescrColumbia-Suicide Severity Rating Scale Baseline - Description of active suicidal ideation with specific plan and intent.C-SSRS Baseline - Description of Ideation With Plan and Intent
CSS0106C100984CSS01-Most Severe IdeationColumbia-Suicide Severity Rating Scale Baseline - Most severe ideation.C-SSRS Baseline - Most Severe Ideation
CSS0106AC100985CSS01-Most Severe Ideation, DescriptionColumbia-Suicide Severity Rating Scale Baseline - Description of most severe ideation.C-SSRS Baseline - Describe Most Severe Ideation
CSS0107C100986CSS01-Most Severe Ideation, FrequencyColumbia-Suicide Severity Rating Scale Baseline - How many times have you had these thoughts?C-SSRS Baseline - Frequency of Most Severe Ideation
CSS0108C100987CSS01-Most Severe Ideation, DurationColumbia-Suicide Severity Rating Scale Baseline - When you have the thoughts, how long do they last?C-SSRS Baseline - Duration of Most Severe Ideation
CSS0109C100988CSS01-Most Severe Ideation, ControlColumbia-Suicide Severity Rating Scale Baseline - Could/can you stop thinking about killing yourself or wanting to die if you want to?C-SSRS Baseline - Control over Most Severe Ideation
CSS0110C100989CSS01-Most Severe Ideation, DeterrentsColumbia-Suicide Severity Rating Scale Baseline - Are there things - anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide?C-SSRS Baseline - Deterrents to Most Severe Ideation
CSS0111C100990CSS01-Most Severe Ideation, ReasonsColumbia-Suicide Severity Rating Scale Baseline - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both?C-SSRS Baseline - Reasons for Most Severe Ideation
CSS0112C100991CSS01-Actual AttemptColumbia-Suicide Severity Rating Scale Baseline - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died?C-SSRS Baseline - Actual Suicide Attempt
CSS0113C100992CSS01-Number of Actual AttemptsColumbia-Suicide Severity Rating Scale Baseline - Total number of actual attempts.C-SSRS Baseline - Number of Actual Suicide Attempts
CSS0113AC100993CSS01-Actual Attempt, DescribeColumbia-Suicide Severity Rating Scale Baseline - Description of actual attempt.C-SSRS Baseline - Description of Actual Suicide Attempts
CSS0114C100994CSS01-Non-suicidal Self-injurious BehavColumbia-Suicide Severity Rating Scale Baseline - Has the subject engaged in non-suicidal self-injurious behavior.C-SSRS Baseline - Non-suicidal Self-injurious Behavior
CSS0115C100995CSS01-Interrupted AttemptColumbia-Suicide Severity Rating Scale Baseline - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything?C-SSRS Baseline - Interrupted Suicide Attempt
CSS0116C100996CSS01-Number of Interrupted AttemptsColumbia-Suicide Severity Rating Scale Baseline - Total number of interrupted attempts.C-SSRS Baseline - Number of Interrupted Suicide Attempts
CSS0116AC100997CSS01-Interrupted Attempt, DescribeColumbia-Suicide Severity Rating Scale Baseline - Description of interrupted attempt.C-SSRS Baseline - Description of Interrupted Suicide Attempt
CSS0117C100998CSS01-Aborted AttemptColumbia-Suicide Severity Rating Scale Baseline - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything?C-SSRS Baseline - Aborted Suicide Attempt
CSS0118C100999CSS01-Number of Aborted AttemptsColumbia-Suicide Severity Rating Scale Baseline - Total number of aborted attempts.C-SSRS Baseline - Number of Aborted Suicide Attempts
CSS0118AC101000CSS01-Aborted Attempt, DescribeColumbia-Suicide Severity Rating Scale Baseline - Description of aborted attempt.C-SSRS Baseline - Description of Aborted Suicide Attempt
CSS0119C101001CSS01-Preparatory Acts/BehaviorColumbia-Suicide Severity Rating Scale Baseline - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)?C-SSRS Baseline - Preparatory Acts or Behaviors Toward Suicide Attempt
CSS0119AC101002CSS01-Preparatory Acts/Behavior, DescrColumbia-Suicide Severity Rating Scale Baseline - Description of preparatory acts or behavior.C-SSRS Baseline - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS0120C101003CSS01-Suicidal BehaviorColumbia-Suicide Severity Rating Scale Baseline - Suicidal behavior was present during the assessment period?C-SSRS Baseline - Suicidal Behavior
CSS0121AC101004CSS01-Most Recent Attempt DateColumbia-Suicide Severity Rating Scale Baseline - Most recent attempt date.C-SSRS Baseline - Most Recent Suicide Attempt Date
CSS0121BC101005CSS01-Most Recent Attempt DamageColumbia-Suicide Severity Rating Scale Baseline - Most recent attempt actual lethality/medical damage.C-SSRS Baseline - Most Recent Suicide Attempt Damage
CSS0121CC101006CSS01-Most Recent Attempt PotentialColumbia-Suicide Severity Rating Scale Baseline - Most recent attempt potential lethality.C-SSRS Baseline - Most Recent Suicide Attempt Potential
CSS0122AC101007CSS01-Most Lethal Attempt DateColumbia-Suicide Severity Rating Scale Baseline - Most lethal attempt date.C-SSRS Baseline - Most Lethal Suicide Attempt Date
CSS0122BC101008CSS01-Most Lethal Attempt DamageColumbia-Suicide Severity Rating Scale Baseline - Most lethal attempt actual lethality/medical damage.C-SSRS Baseline - Most Lethal Suicide Attempt Damage
CSS0122CC101009CSS01-Most Lethal Attempt PotentialColumbia-Suicide Severity Rating Scale Baseline - Most lethal attempt potential lethality.C-SSRS Baseline - Most Lethal Suicide Attempt Potential
CSS0123AC101010CSS01-First Attempt DateColumbia-Suicide Severity Rating Scale Baseline - Initial/first attempt date.C-SSRS Baseline - First Suicide Attempt Date
CSS0123BC101011CSS01-First Attempt DamageColumbia-Suicide Severity Rating Scale Baseline - Initial/first attempt actual lethality/medical damage.C-SSRS Baseline - First Suicide Attempt Damage
CSS0123CC101012CSS01-First Attempt PotentialColumbia-Suicide Severity Rating Scale Baseline - Initial/first attempt potential lethality.C-SSRS Baseline - First Suicide Attempt Potential
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CL.C100167.CSS01TNColumbia-Suicide Severity Rating Scale Baseline Questionnaire Test Name
(CSS01TN)
text
Extensible: No
C100167Columbia-Suicide Severity Rating Scale Baseline Questionnaire Test NameColumbia-Suicide Severity Rating Scale Baseline test name.CDISC Questionnaire C-SSRS Baseline Test Name Terminology
CSS01-Aborted AttemptC100998CSS01-Aborted AttemptColumbia-Suicide Severity Rating Scale Baseline - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything?C-SSRS Baseline - Aborted Suicide Attempt
CSS01-Aborted Attempt, DescribeC101000CSS01-Aborted Attempt, DescribeColumbia-Suicide Severity Rating Scale Baseline - Description of aborted attempt.C-SSRS Baseline - Description of Aborted Suicide Attempt
CSS01-Actual AttemptC100991CSS01-Actual AttemptColumbia-Suicide Severity Rating Scale Baseline - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died?C-SSRS Baseline - Actual Suicide Attempt
CSS01-Actual Attempt, DescribeC100993CSS01-Actual Attempt, DescribeColumbia-Suicide Severity Rating Scale Baseline - Description of actual attempt.C-SSRS Baseline - Description of Actual Suicide Attempts
CSS01-First Attempt DamageC101011CSS01-First Attempt DamageColumbia-Suicide Severity Rating Scale Baseline - Initial/first attempt actual lethality/medical damage.C-SSRS Baseline - First Suicide Attempt Damage
CSS01-First Attempt DateC101010CSS01-First Attempt DateColumbia-Suicide Severity Rating Scale Baseline - Initial/first attempt date.C-SSRS Baseline - First Suicide Attempt Date
CSS01-First Attempt PotentialC101012CSS01-First Attempt PotentialColumbia-Suicide Severity Rating Scale Baseline - Initial/first attempt potential lethality.C-SSRS Baseline - First Suicide Attempt Potential
CSS01-Ideation With Intent No Plan DescrC101015CSS01-Ideation With Intent No Plan DescrColumbia-Suicide Severity Rating Scale Baseline - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Baseline - Description of Ideation With Intent, No Plan
CSS01-Ideation With Intent, No PlanC101014CSS01-Ideation With Intent, No PlanColumbia-Suicide Severity Rating Scale Baseline - Have you have these thoughts and had some intention of acting on them?C-SSRS Baseline - Ideation With Intent, No Plan
CSS01-Ideation With Plan/IntentC100982CSS01-Ideation With Plan/IntentColumbia-Suicide Severity Rating Scale Baseline - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan?C-SSRS Baseline - Ideation With Plan/Intent
CSS01-Ideation With Plan/Intent, DescrC100983CSS01-Ideation With Plan/Intent, DescrColumbia-Suicide Severity Rating Scale Baseline - Description of active suicidal ideation with specific plan and intent.C-SSRS Baseline - Description of Ideation With Plan and Intent
CSS01-Interrupted AttemptC100995CSS01-Interrupted AttemptColumbia-Suicide Severity Rating Scale Baseline - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything?C-SSRS Baseline - Interrupted Suicide Attempt
CSS01-Interrupted Attempt, DescribeC100997CSS01-Interrupted Attempt, DescribeColumbia-Suicide Severity Rating Scale Baseline - Description of interrupted attempt.C-SSRS Baseline - Description of Interrupted Suicide Attempt
CSS01-Most Lethal Attempt DamageC101008CSS01-Most Lethal Attempt DamageColumbia-Suicide Severity Rating Scale Baseline - Most lethal attempt actual lethality/medical damage.C-SSRS Baseline - Most Lethal Suicide Attempt Damage
CSS01-Most Lethal Attempt DateC101007CSS01-Most Lethal Attempt DateColumbia-Suicide Severity Rating Scale Baseline - Most lethal attempt date.C-SSRS Baseline - Most Lethal Suicide Attempt Date
CSS01-Most Lethal Attempt PotentialC101009CSS01-Most Lethal Attempt PotentialColumbia-Suicide Severity Rating Scale Baseline - Most lethal attempt potential lethality.C-SSRS Baseline - Most Lethal Suicide Attempt Potential
CSS01-Most Recent Attempt DamageC101005CSS01-Most Recent Attempt DamageColumbia-Suicide Severity Rating Scale Baseline - Most recent attempt actual lethality/medical damage.C-SSRS Baseline - Most Recent Suicide Attempt Damage
CSS01-Most Recent Attempt DateC101004CSS01-Most Recent Attempt DateColumbia-Suicide Severity Rating Scale Baseline - Most recent attempt date.C-SSRS Baseline - Most Recent Suicide Attempt Date
CSS01-Most Recent Attempt PotentialC101006CSS01-Most Recent Attempt PotentialColumbia-Suicide Severity Rating Scale Baseline - Most recent attempt potential lethality.C-SSRS Baseline - Most Recent Suicide Attempt Potential
CSS01-Most Severe IdeationC100984CSS01-Most Severe IdeationColumbia-Suicide Severity Rating Scale Baseline - Most severe ideation.C-SSRS Baseline - Most Severe Ideation
CSS01-Most Severe Ideation, ControlC100988CSS01-Most Severe Ideation, ControlColumbia-Suicide Severity Rating Scale Baseline - Could/can you stop thinking about killing yourself or wanting to die if you want to?C-SSRS Baseline - Control over Most Severe Ideation
CSS01-Most Severe Ideation, DescriptionC100985CSS01-Most Severe Ideation, DescriptionColumbia-Suicide Severity Rating Scale Baseline - Description of most severe ideation.C-SSRS Baseline - Describe Most Severe Ideation
CSS01-Most Severe Ideation, DeterrentsC100989CSS01-Most Severe Ideation, DeterrentsColumbia-Suicide Severity Rating Scale Baseline - Are there things - anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide?C-SSRS Baseline - Deterrents to Most Severe Ideation
CSS01-Most Severe Ideation, DurationC100987CSS01-Most Severe Ideation, DurationColumbia-Suicide Severity Rating Scale Baseline - When you have the thoughts, how long do they last?C-SSRS Baseline - Duration of Most Severe Ideation
CSS01-Most Severe Ideation, FrequencyC100986CSS01-Most Severe Ideation, FrequencyColumbia-Suicide Severity Rating Scale Baseline - How many times have you had these thoughts?C-SSRS Baseline - Frequency of Most Severe Ideation
CSS01-Most Severe Ideation, ReasonsC100990CSS01-Most Severe Ideation, ReasonsColumbia-Suicide Severity Rating Scale Baseline - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both?C-SSRS Baseline - Reasons for Most Severe Ideation
CSS01-Non-Specific Suicid Thought, DescrC100979CSS01-Non-Specific Suicid Thought, DescrColumbia-Suicide Severity Rating Scale Baseline - Description of non-specific active suicidal thoughts.C-SSRS Baseline - Description of Non-Specific Suicide Thought
CSS01-Non-Specific Suicidal ThoughtC100978CSS01-Non-Specific Suicidal ThoughtColumbia-Suicide Severity Rating Scale Baseline - Have you actually had any thoughts of killing yourself?C-SSRS Baseline - Non-Specific Suicidal Thought
CSS01-Non-suicidal Self-injurious BehavC100994CSS01-Non-suicidal Self-injurious BehavColumbia-Suicide Severity Rating Scale Baseline - Has the subject engaged in non-suicidal self-injurious behavior.C-SSRS Baseline - Non-suicidal Self-injurious Behavior
CSS01-Number of Aborted AttemptsC100999CSS01-Number of Aborted AttemptsColumbia-Suicide Severity Rating Scale Baseline - Total number of aborted attempts.C-SSRS Baseline - Number of Aborted Suicide Attempts
CSS01-Number of Actual AttemptsC100992CSS01-Number of Actual AttemptsColumbia-Suicide Severity Rating Scale Baseline - Total number of actual attempts.C-SSRS Baseline - Number of Actual Suicide Attempts
CSS01-Number of Interrupted AttemptsC100996CSS01-Number of Interrupted AttemptsColumbia-Suicide Severity Rating Scale Baseline - Total number of interrupted attempts.C-SSRS Baseline - Number of Interrupted Suicide Attempts
CSS01-Preparatory Acts/BehaviorC101001CSS01-Preparatory Acts/BehaviorColumbia-Suicide Severity Rating Scale Baseline - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)?C-SSRS Baseline - Preparatory Acts or Behaviors Toward Suicide Attempt
CSS01-Preparatory Acts/Behavior, DescrC101002CSS01-Preparatory Acts/Behavior, DescrColumbia-Suicide Severity Rating Scale Baseline - Description of preparatory acts or behavior.C-SSRS Baseline - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS01-Suicidal BehaviorC101003CSS01-Suicidal BehaviorColumbia-Suicide Severity Rating Scale Baseline - Suicidal behavior was present during the assessment period?C-SSRS Baseline - Suicidal Behavior
CSS01-Suicidal Ideation-No IntentC100980CSS01-Suicidal Ideation-No IntentColumbia-Suicide Severity Rating Scale Baseline - Have you been thinking about how you might do this?C-SSRS Baseline - Suicidal Ideation-No Intent
CSS01-Suicidal Ideation-No Intent, DescrC100981CSS01-Suicidal Ideation-No Intent, DescrColumbia-Suicide Severity Rating Scale Baseline - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Baseline - Description of Suicidal Ideation-No Intent
CSS01-Wish to be DeadC100976CSS01-Wish to be DeadColumbia-Suicide Severity Rating Scale Baseline - Have you wished you were dead or wished you could go to sleep and not wake up?C-SSRS Baseline - Wish to be Dead or go to Sleep and not Wake Up
CSS01-Wish to be Dead, DescribeC100977CSS01-Wish to be Dead, DescribeColumbia-Suicide Severity Rating Scale Baseline - Description of wishing to be dead.C-SSRS Baseline - Description of Wish to be Dead
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CL.C105132.CSS03TCColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study Questionnaire Test Code
(CSS03TC)
text
Extensible: No
C105132Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study Questionnaire Test CodeColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study Version 1/14/2009 Questionnaire test code.CDISC Questionnaire C-SSRS Baseline/Screening Version Phase 1 Study Version 1/14/09 Test Code Terminology
CSS0301AC105210CSS03-Wish to be Dead-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you wished you were dead or wished you could go to sleep and not wake up? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Wish to be Dead (Lifetime)
CSS0301BC105211CSS03-Wish to be Dead-P6MColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you wished you were dead or wished you could go to sleep and not wake up? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Wish to be Dead (Past 6 Months)
CSS0301CC105212CSS03-Wish to be Dead, DescribeColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of wishing to be dead.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Wish to be Dead (Lifetime)
CSS0302AC105213CSS03-Non-Spec Suicid Thought-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you actually had any thoughts of killing yourself? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Non-Specific Active Suicidal Thoughts (Lifetime)
CSS0302BC105214CSS03-Non-Spec Suicid Thought-P6MColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you actually had any thoughts of killing yourself? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Non-Specific Active Suicidal Thoughts (Past 6 Months)
CSS0302CC105215CSS03-Non-Spec Suicid Thought, DescribeColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of non-specific active suicidal thoughts.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Non-Specific Active Suicidal Thoughts (Lifetime)
CSS0303AC105216CSS03-Idea, No Intent, No Plan-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you been thinking about how you might do this? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Lifetime)
CSS0303BC105217CSS03-Idea, No Intent, No Plan-P6MColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you been thinking about how you might do this? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Past 6 Months)
CSS0303CC105218CSS03-Idea, No Intent, No Plan, DescribeColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Lifetime)
CSS0304AC105219CSS03-Idea, Intent, No Plan-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you had these thoughts and had some intention of acting on them? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Lifetime)
CSS0304BC105220CSS03-Idea, Intent, No Plan-P6MColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you had these thoughts and had some intention of acting on them? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Past 6 Months)
CSS0304CC105221CSS03-Idea, Intent, No Plan, DescribeColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Lifetime)
CSS0305AC105222CSS03-Idea, Plan, Intent-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Specific Plan and Intent (Lifetime)
CSS0305BC105223CSS03-Idea, Plan, Intent-P6MColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Specific Plan and Intent (Past 6 Months)
CSS0305CC105224CSS03-Idea, Plan, Intent, DescribeColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of active suicidal ideation with specific plan and intent.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Active Suicidal Ideation with Specific Plan and Intent (Lifetime)
CSS0306AC105225CSS03-Most Severe Idea-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most severe ideation. (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Most Severe Ideation (Lifetime)
CSS0306BC105226CSS03-Most Severe Idea, Desc-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of most severe ideation. (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Describe Most Severe Ideation (Lifetime)
CSS0306CC105227CSS03-Most Severe Idea-P6MColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most severe ideation. (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Most Severe Ideation (Past 6 Months)
CSS0306DC105228CSS03-Most Severe Idea, Desc-P6MColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of most severe ideation. (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Describe Most Severe Ideation (Past 6 Months)
CSS0307AC105229CSS03-Most Severe Idea, Frequency-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - How many times have you had these thoughts? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Frequency of Most Severe Ideation (Lifetime)
CSS0307BC105230CSS03-Most Severe Idea, Frequency-P6MColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - How many times have you had these thoughts? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Frequency of Most Severe Ideation (Past 6 Months)
CSS0308AC105231CSS03-Most Severe Idea, Duration-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - When you have the thoughts how long do they last? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Duration of Most Severe Ideation (Lifetime)
CSS0308BC105232CSS03-Most Severe Idea, Duration-P6MColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - When you have the thoughts how long do they last? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Duration of Most Severe Ideation (Past 6 Months)
CSS0309AC105233CSS03-Most Severe Idea, Control-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Controllability of Most Severe Ideation (Lifetime)
CSS0309BC105234CSS03-Most Severe Idea, Control-P6MColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Controllability of Most Severe Ideation (Past 6 Months)
CSS0310AC105235CSS03-Most Severe Idea, Deterrents-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Deterrents to Most Severe Ideation (Lifetime)
CSS0310BC105236CSS03-Most Severe Idea, Deterrents-P6MColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Deterrents to Most Severe Ideation (Past 6 Months)
CSS0311AC105237CSS03-Most Severe Idea, Reasons-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Reasons for Most Severe Ideation (Lifetime)
CSS0311BC105238CSS03-Most Severe Idea, Reasons-P6MColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Reasons for Most Severe Ideation (Past 6 Months)
CSS0312C105239CSS03-Actual AttemptColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died?C-SSRS Baseline/Screening Version Phase 1 Study - Actual Suicide Attempt
CSS0313C105240CSS03-Number of Actual AttemptsColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Total number of actual attempts.C-SSRS Baseline/Screening Version Phase 1 Study - Number of Actual Suicide Attempts
CSS0313AC105241CSS03-Actual Attempt, DescribeColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of actual attempt.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Actual Suicide Attempt
CSS0314C105242CSS03-Non-suicidal Self-injurious BehavColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Has the subject engaged in non-suicidal self-injurious behavior.C-SSRS Baseline/Screening Version Phase 1 Study - Non-suicidal Self-injurious Behavior
CSS0315C105243CSS03-Interrupted AttemptColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything?C-SSRS Baseline/Screening Version Phase 1 Study - Interrupted Suicide Attempt
CSS0316C105244CSS03-Number of Interrupted AttemptsColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Total number of interrupted attempts.C-SSRS Baseline/Screening Version Phase 1 Study - Number of Interrupted Suicide Attempts
CSS0316AC105245CSS03-Interrupted Attempt, DescribeColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of interrupted attempt.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Interrupted Suicide Attempt
CSS0317C105246CSS03-Aborted AttemptColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything?C-SSRS Baseline/Screening Version Phase 1 Study - Aborted Suicide Attempt
CSS0318C105247CSS03-Number of Aborted AttemptsColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Total number of aborted attempts.C-SSRS Baseline/Screening Version Phase 1 Study - Number of Aborted Suicide Attempts
CSS0318AC105248CSS03-Aborted Attempt, DescribeColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of aborted attempt.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Aborted Suicide Attempt
CSS0319C105249CSS03-Preparatory Acts/BehaviorColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)?C-SSRS Baseline/Screening Version Phase 1 Study - Preparatory Acts or Behaviors Toward Suicide Attempt
CSS0319AC105250CSS03-Preparatory Acts/Behavior, DescrColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of preparatory acts or behavior.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS0320C105251CSS03-Suicidal BehaviorColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Suicidal behavior was present during the assessment period?C-SSRS Baseline/Screening Version Phase 1 Study - Suicidal Behavior
CSS0321AC105252CSS03-Most Recent Attempt DateColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most recent attempt date.C-SSRS Baseline/Screening Version Phase 1 Study - Most Recent Suicide Attempt Date
CSS0321BC105253CSS03-Most Recent Attempt DamageColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most recent attempt actual lethality/medical damage.C-SSRS Baseline/Screening Version Phase 1 Study - Most Recent Suicide Attempt Actual Lethality/Medical Damage
CSS0321CC105254CSS03-Most Recent Attempt PotentialColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most recent attempt potential lethality.C-SSRS Baseline/Screening Version Phase 1 Study - Most Recent Suicide Attempt Potential Lethality
CSS0322AC105255CSS03-Most Lethal Attempt DateColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most lethal attempt date.C-SSRS Baseline/Screening Version Phase 1 Study - Most Lethal Suicide Attempt Date
CSS0322BC105256CSS03-Most Lethal Attempt DamageColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most lethal attempt actual lethality/medical damage.C-SSRS Baseline/Screening Version Phase 1 Study - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
CSS0322CC105257CSS03-Most Lethal Attempt PotentialColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most lethal attempt potential lethality.C-SSRS Baseline/Screening Version Phase 1 Study - Most Lethal Suicide Attempt Potential Lethality
CSS0323AC105258CSS03-First Attempt DateColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Initial/first attempt date.C-SSRS Baseline/Screening Version Phase 1 Study - First Suicide Attempt Date
CSS0323BC105259CSS03-First Attempt DamageColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Initial/first attempt actual lethality/medical damage.C-SSRS Baseline/Screening Version Phase 1 Study - First Suicide Attempt Actual Lethality/Medical Damage
CSS0323CC105260CSS03-First Attempt PotentialColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Initial/first attempt potential lethality.C-SSRS Baseline/Screening Version Phase 1 Study - First Suicide Attempt Potential Lethality
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CL.C105131.CSS03TNColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study Questionnaire Test Name
(CSS03TN)
text
Extensible: No
C105131Columbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study Questionnaire Test NameColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study Version 1/14/2009 test name.CDISC Questionnaire C-SSRS Baseline/Screening Version Phase 1 Study Version 1/14/09 Test Name Terminology
CSS03-Aborted AttemptC105246CSS03-Aborted AttemptColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything?C-SSRS Baseline/Screening Version Phase 1 Study - Aborted Suicide Attempt
CSS03-Aborted Attempt, DescribeC105248CSS03-Aborted Attempt, DescribeColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of aborted attempt.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Aborted Suicide Attempt
CSS03-Actual AttemptC105239CSS03-Actual AttemptColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died?C-SSRS Baseline/Screening Version Phase 1 Study - Actual Suicide Attempt
CSS03-Actual Attempt, DescribeC105241CSS03-Actual Attempt, DescribeColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of actual attempt.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Actual Suicide Attempt
CSS03-First Attempt DamageC105259CSS03-First Attempt DamageColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Initial/first attempt actual lethality/medical damage.C-SSRS Baseline/Screening Version Phase 1 Study - First Suicide Attempt Actual Lethality/Medical Damage
CSS03-First Attempt DateC105258CSS03-First Attempt DateColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Initial/first attempt date.C-SSRS Baseline/Screening Version Phase 1 Study - First Suicide Attempt Date
CSS03-First Attempt PotentialC105260CSS03-First Attempt PotentialColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Initial/first attempt potential lethality.C-SSRS Baseline/Screening Version Phase 1 Study - First Suicide Attempt Potential Lethality
CSS03-Idea, Intent, No Plan, DescribeC105221CSS03-Idea, Intent, No Plan, DescribeColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Lifetime)
CSS03-Idea, Intent, No Plan-LifeC105219CSS03-Idea, Intent, No Plan-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you had these thoughts and had some intention of acting on them? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Lifetime)
CSS03-Idea, Intent, No Plan-P6MC105220CSS03-Idea, Intent, No Plan-P6MColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you had these thoughts and had some intention of acting on them? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Past 6 Months)
CSS03-Idea, No Intent, No Plan, DescribeC105218CSS03-Idea, No Intent, No Plan, DescribeColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Lifetime)
CSS03-Idea, No Intent, No Plan-LifeC105216CSS03-Idea, No Intent, No Plan-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you been thinking about how you might do this? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Lifetime)
CSS03-Idea, No Intent, No Plan-P6MC105217CSS03-Idea, No Intent, No Plan-P6MColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you been thinking about how you might do this? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Past 6 Months)
CSS03-Idea, Plan, Intent, DescribeC105224CSS03-Idea, Plan, Intent, DescribeColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of active suicidal ideation with specific plan and intent.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Active Suicidal Ideation with Specific Plan and Intent (Lifetime)
CSS03-Idea, Plan, Intent-LifeC105222CSS03-Idea, Plan, Intent-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Specific Plan and Intent (Lifetime)
CSS03-Idea, Plan, Intent-P6MC105223CSS03-Idea, Plan, Intent-P6MColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Specific Plan and Intent (Past 6 Months)
CSS03-Interrupted AttemptC105243CSS03-Interrupted AttemptColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything?C-SSRS Baseline/Screening Version Phase 1 Study - Interrupted Suicide Attempt
CSS03-Interrupted Attempt, DescribeC105245CSS03-Interrupted Attempt, DescribeColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of interrupted attempt.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Interrupted Suicide Attempt
CSS03-Most Lethal Attempt DamageC105256CSS03-Most Lethal Attempt DamageColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most lethal attempt actual lethality/medical damage.C-SSRS Baseline/Screening Version Phase 1 Study - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
CSS03-Most Lethal Attempt DateC105255CSS03-Most Lethal Attempt DateColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most lethal attempt date.C-SSRS Baseline/Screening Version Phase 1 Study - Most Lethal Suicide Attempt Date
CSS03-Most Lethal Attempt PotentialC105257CSS03-Most Lethal Attempt PotentialColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most lethal attempt potential lethality.C-SSRS Baseline/Screening Version Phase 1 Study - Most Lethal Suicide Attempt Potential Lethality
CSS03-Most Recent Attempt DamageC105253CSS03-Most Recent Attempt DamageColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most recent attempt actual lethality/medical damage.C-SSRS Baseline/Screening Version Phase 1 Study - Most Recent Suicide Attempt Actual Lethality/Medical Damage
CSS03-Most Recent Attempt DateC105252CSS03-Most Recent Attempt DateColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most recent attempt date.C-SSRS Baseline/Screening Version Phase 1 Study - Most Recent Suicide Attempt Date
CSS03-Most Recent Attempt PotentialC105254CSS03-Most Recent Attempt PotentialColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most recent attempt potential lethality.C-SSRS Baseline/Screening Version Phase 1 Study - Most Recent Suicide Attempt Potential Lethality
CSS03-Most Severe Idea, Control-LifeC105233CSS03-Most Severe Idea, Control-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Controllability of Most Severe Ideation (Lifetime)
CSS03-Most Severe Idea, Control-P6MC105234CSS03-Most Severe Idea, Control-P6MColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Controllability of Most Severe Ideation (Past 6 Months)
CSS03-Most Severe Idea, Desc-LifeC105226CSS03-Most Severe Idea, Desc-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of most severe ideation. (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Describe Most Severe Ideation (Lifetime)
CSS03-Most Severe Idea, Desc-P6MC105228CSS03-Most Severe Idea, Desc-P6MColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of most severe ideation. (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Describe Most Severe Ideation (Past 6 Months)
CSS03-Most Severe Idea, Deterrents-LifeC105235CSS03-Most Severe Idea, Deterrents-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Deterrents to Most Severe Ideation (Lifetime)
CSS03-Most Severe Idea, Deterrents-P6MC105236CSS03-Most Severe Idea, Deterrents-P6MColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Deterrents to Most Severe Ideation (Past 6 Months)
CSS03-Most Severe Idea, Duration-LifeC105231CSS03-Most Severe Idea, Duration-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - When you have the thoughts how long do they last? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Duration of Most Severe Ideation (Lifetime)
CSS03-Most Severe Idea, Duration-P6MC105232CSS03-Most Severe Idea, Duration-P6MColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - When you have the thoughts how long do they last? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Duration of Most Severe Ideation (Past 6 Months)
CSS03-Most Severe Idea, Frequency-LifeC105229CSS03-Most Severe Idea, Frequency-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - How many times have you had these thoughts? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Frequency of Most Severe Ideation (Lifetime)
CSS03-Most Severe Idea, Frequency-P6MC105230CSS03-Most Severe Idea, Frequency-P6MColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - How many times have you had these thoughts? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Frequency of Most Severe Ideation (Past 6 Months)
CSS03-Most Severe Idea, Reasons-LifeC105237CSS03-Most Severe Idea, Reasons-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Reasons for Most Severe Ideation (Lifetime)
CSS03-Most Severe Idea, Reasons-P6MC105238CSS03-Most Severe Idea, Reasons-P6MColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Reasons for Most Severe Ideation (Past 6 Months)
CSS03-Most Severe Idea-LifeC105225CSS03-Most Severe Idea-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most severe ideation. (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Most Severe Ideation (Lifetime)
CSS03-Most Severe Idea-P6MC105227CSS03-Most Severe Idea-P6MColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most severe ideation. (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Most Severe Ideation (Past 6 Months)
CSS03-Non-Spec Suicid Thought, DescribeC105215CSS03-Non-Spec Suicid Thought, DescribeColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of non-specific active suicidal thoughts.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Non-Specific Active Suicidal Thoughts (Lifetime)
CSS03-Non-Spec Suicid Thought-LifeC105213CSS03-Non-Spec Suicid Thought-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you actually had any thoughts of killing yourself? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Non-Specific Active Suicidal Thoughts (Lifetime)
CSS03-Non-Spec Suicid Thought-P6MC105214CSS03-Non-Spec Suicid Thought-P6MColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you actually had any thoughts of killing yourself? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Non-Specific Active Suicidal Thoughts (Past 6 Months)
CSS03-Non-suicidal Self-injurious BehavC105242CSS03-Non-suicidal Self-injurious BehavColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Has the subject engaged in non-suicidal self-injurious behavior.C-SSRS Baseline/Screening Version Phase 1 Study - Non-suicidal Self-injurious Behavior
CSS03-Number of Aborted AttemptsC105247CSS03-Number of Aborted AttemptsColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Total number of aborted attempts.C-SSRS Baseline/Screening Version Phase 1 Study - Number of Aborted Suicide Attempts
CSS03-Number of Actual AttemptsC105240CSS03-Number of Actual AttemptsColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Total number of actual attempts.C-SSRS Baseline/Screening Version Phase 1 Study - Number of Actual Suicide Attempts
CSS03-Number of Interrupted AttemptsC105244CSS03-Number of Interrupted AttemptsColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Total number of interrupted attempts.C-SSRS Baseline/Screening Version Phase 1 Study - Number of Interrupted Suicide Attempts
CSS03-Preparatory Acts/BehaviorC105249CSS03-Preparatory Acts/BehaviorColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)?C-SSRS Baseline/Screening Version Phase 1 Study - Preparatory Acts or Behaviors Toward Suicide Attempt
CSS03-Preparatory Acts/Behavior, DescrC105250CSS03-Preparatory Acts/Behavior, DescrColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of preparatory acts or behavior.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS03-Suicidal BehaviorC105251CSS03-Suicidal BehaviorColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Suicidal behavior was present during the assessment period?C-SSRS Baseline/Screening Version Phase 1 Study - Suicidal Behavior
CSS03-Wish to be Dead, DescribeC105212CSS03-Wish to be Dead, DescribeColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of wishing to be dead.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Wish to be Dead (Lifetime)
CSS03-Wish to be Dead-LifeC105210CSS03-Wish to be Dead-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you wished you were dead or wished you could go to sleep and not wake up? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Wish to be Dead (Lifetime)
CSS03-Wish to be Dead-P6MC105211CSS03-Wish to be Dead-P6MColumbia-Suicide Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you wished you were dead or wished you could go to sleep and not wake up? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Wish to be Dead (Past 6 Months)
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CL.C106661.CSS04TCColumbia-Suicide Severity Rating Scale Baseline/Screening Version Questionnaire Test Code
(CSS04TC)
text
Extensible: No
C106661Columbia-Suicide Severity Rating Scale Baseline/Screening Version Questionnaire Test CodeColumbia-Suicide Severity Rating Scale Baseline/Screening Version test code.CDISC Questionnaire C-SSRS Baseline/Screening Version Test Code Terminology
CSS0401AC106707CSS04-Wish to be Dead-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you wished you were dead or wished you could go to sleep and not wake up? (Lifetime).C-SSRS Baseline/Screening Version - Wish to be Dead (Lifetime)
CSS0401BC106708CSS04-Wish to be Dead-P_MColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you wished you were dead or wished you could go to sleep and not wake up? (Past _ Months).C-SSRS Baseline/Screening Version - Wish to be Dead (Past X Months)
CSS0401CC106709CSS04-Wish to be Dead, DescribeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of wishing to be dead.C-SSRS Baseline/Screening Version - Description of Wish to be Dead
CSS0402AC106710CSS04-Non-Spec Suicid Thought-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you actually had any thoughts of killing yourself? (Lifetime).C-SSRS Baseline/Screening Version - Non-Specific Active Suicidal Thoughts (Lifetime)
CSS0402BC106711CSS04-Non-Spec Suicid Thought-P_MColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you actually had any thoughts of killing yourself? (Past _ Months).C-SSRS Baseline/Screening Version - Non-Specific Active Suicidal Thoughts (Past X Months)
CSS0402CC106712CSS04-Non-Spec Suicid Thought, DescribeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of non-specific active suicidal thoughts.C-SSRS Baseline/Screening Version - Description of Non-Specific Active Suicidal Thoughts
CSS0403AC106713CSS04-Idea, No Intent, No Plan-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you been thinking about how you might do this? (Lifetime).C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Lifetime)
CSS0403BC106714CSS04-Idea, No Intent, No Plan-P_MColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you been thinking about how you might do this? (Past _ Months).C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Past X Months)
CSS0403CC106715CSS04-Idea, No Intent, No Plan, DescribeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Baseline/Screening Version - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
CSS0404AC107017CSS04-Idea, Intent, No Plan-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you had these thoughts and had some intention of acting on them? (Lifetime).C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Lifetime)
CSS0404BC107018CSS04-Idea, Intent, No Plan-P_MColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you had these thoughts and had some intention of acting on them? (Past _ Months).C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Past X Months)
CSS0404CC107019CSS04-Idea, Intent, No Plan, DescribeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Baseline/Screening Version - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
CSS0405AC106716CSS04-Idea, Plan, Intent-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Lifetime).C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Specific Plan and Intent (Lifetime)
CSS0405BC106717CSS04-Idea, Plan, Intent-P_MColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Past _ Months).C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Specific Plan and Intent (Past X Months)
CSS0405CC106718CSS04-Idea, Plan, Intent, DescribeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of active suicidal ideation with specific plan and intent.C-SSRS Baseline/Screening Version - Description of Active Suicidal Ideation with Specific Plan and Intent
CSS0406AC106719CSS04-Most Severe Idea-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Most severe ideation. (Lifetime).C-SSRS Baseline/Screening Version - Most Severe Ideation (Lifetime)
CSS0406BC106720CSS04-Most Severe Idea, Desc-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of most severe ideation. (Lifetime).C-SSRS Baseline/Screening Version - Describe Most Severe Ideation (Lifetime)
CSS0406CC106721CSS04-Most Severe Idea-P_MColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Most severe ideation. (Past _ Months).C-SSRS Baseline/Screening Version - Most Severe Ideation (Past X Months)
CSS0406DC106722CSS04-Most Severe Idea, Desc-P_MColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of most severe ideation. (Past _ Months).C-SSRS Baseline/Screening Version - Describe Most Severe Ideation (Past X Months)
CSS0407AC106723CSS04-Most Severe Idea, Frequency-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - How many times have you had these thoughts? (Lifetime).C-SSRS Baseline/Screening Version - Frequency of Most Severe Ideation (Lifetime)
CSS0407BC106724CSS04-Most Severe Idea, Frequency-P_MColumbia-Suicide Severity Rating Scale Baseline/Screening Version - How many times have you had these thoughts? (Past _ Months).C-SSRS Baseline/Screening Version - Frequency of Most Severe Ideation (Past X Months)
CSS0408AC106725CSS04-Most Severe Idea, Duration-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - When you have the thoughts how long do they last? (Lifetime).C-SSRS Baseline/Screening Version - Duration of Most Severe Ideation (Lifetime)
CSS0408BC106726CSS04-Most Severe Idea, Duration-P_MColumbia-Suicide Severity Rating Scale Baseline/Screening Version - When you have the thoughts how long do they last? (Past _ Months).C-SSRS Baseline/Screening Version - Duration of Most Severe Ideation (Past X Months)
CSS0409AC106727CSS04-Most Severe Idea, Control-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Lifetime).C-SSRS Baseline/Screening Version - Controllability of Most Severe Ideation (Lifetime)
CSS0409BC106728CSS04-Most Severe Idea, Control-P_MColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Past _ Months).C-SSRS Baseline/Screening Version - Controllability of Most Severe Ideation (Past X Months)
CSS0410AC106729CSS04-Most Severe Idea, Deterrents-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Lifetime).C-SSRS Baseline/Screening Version - Deterrents to Most Severe Ideation (Lifetime)
CSS0410BC106730CSS04-Most Severe Idea, Deterrents-P_MColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Past _ Months).C-SSRS Baseline/Screening Version - Deterrents to Most Severe Ideation (Past X Months)
CSS0411AC106731CSS04-Most Severe Idea, Reasons-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Lifetime).C-SSRS Baseline/Screening Version - Reasons for Most Severe Ideation (Lifetime)
CSS0411BC106732CSS04-Most Severe Idea, Reasons-P_MColumbia-Suicide Severity Rating Scale Baseline/Screening Version - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Past _ Months).C-SSRS Baseline/Screening Version - Reasons for Most Severe Ideation (Past X Months)
CSS0412AC106733CSS04-Actual Attempt-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Lifetime).C-SSRS Baseline/Screening Version - Actual Suicide Attempt (Lifetime)
CSS0412BC106734CSS04-Actual Attempt-P_YColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Past _ Years).C-SSRS Baseline/Screening Version - Actual Suicide Attempt (Past X Years)
CSS0413AC106735CSS04-Number of Actual Attempts-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Total number of actual attempts. (Lifetime).C-SSRS Baseline/Screening Version - Number of Actual Suicide Attempts (Lifetime)
CSS0413BC106736CSS04-Number of Actual Attempts-P_YColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Total number of actual attempts. (Past _ Years).C-SSRS Baseline/Screening Version - Number of Actual Suicide Attempts (Past X Years)
CSS0413CC106737CSS04-Actual Attempt, DescribeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of actual attempt.C-SSRS Baseline/Screening Version - Description of Actual Suicide Attempt
CSS0414AC106738CSS04-Non-suicidal Self-injur Behav-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Has the subject engaged in non-suicidal self-injurious behavior. (Lifetime).C-SSRS Baseline/Screening Version - Non-suicidal Self-injurious Behavior (Lifetime)
CSS0414BC106739CSS04-Non-suicidal Self-injur Behav-P_YColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Has the subject engaged in non-suicidal self-injurious behavior. (Past _ Years).C-SSRS Baseline/Screening Version - Non-suicidal Self-injurious Behavior (Past X Years)
CSS0415AC106740CSS04-Interrupted Attempt-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything? (Lifetime).C-SSRS Baseline/Screening Version - Interrupted Suicide Attempt (Lifetime)
CSS0415BC106741CSS04-Interrupted Attempt-P_YColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything? (Past _ Years).C-SSRS Baseline/Screening Version - Interrupted Suicide Attempt (Past X Years)
CSS0416AC106742CSS04-Number of Interrupt Attempts-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Total number of interrupted attempts. (Lifetime).C-SSRS Baseline/Screening Version - Number of Interrupted Suicide Attempts (Lifetime)
CSS0416BC106743CSS04-Number of Interrupt Attempts-P_YColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Total number of interrupted attempts. (Past _ Years).C-SSRS Baseline/Screening Version - Number of Interrupted Suicide Attempts (Past X Years)
CSS0416CC106744CSS04-Interrupted Attempt, DescribeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of interrupted attempt.C-SSRS Baseline/Screening Version - Description of Interrupted Suicide Attempt
CSS0417AC106745CSS04-Aborted Attempt-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Lifetime).C-SSRS Baseline/Screening Version - Aborted Suicide Attempt (Lifetime)
CSS0417BC106746CSS04-Aborted Attempt-P_YColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Past _ Years).C-SSRS Baseline/Screening Version - Aborted Suicide Attempt (Past X Years)
CSS0418AC106747CSS04-Number of Aborted Attempts-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Total number of aborted attempts. (Lifetime).C-SSRS Baseline/Screening Version - Number of Aborted Suicide Attempts (Lifetime)
CSS0418BC106748CSS04-Number of Aborted Attempts-P_YColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Total number of aborted attempts. (Past _ Years).C-SSRS Baseline/Screening Version - Number of Aborted Suicide Attempts (Past X Years)
CSS0418CC106749CSS04-Aborted Attempt, DescribeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of aborted attempt.C-SSRS Baseline/Screening Version - Description of Aborted Suicide Attempt
CSS0419AC106750CSS04-Preparatory Acts/Behavior-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? (Lifetime).C-SSRS Baseline/Screening Version - Preparatory Acts or Behaviors Toward Suicide Attempt (Lifetime)
CSS0419BC106751CSS04-Preparatory Acts/Behavior-P_YColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? (Past _ Years).C-SSRS Baseline/Screening Version - Preparatory Acts or Behaviors Toward Suicide Attempt (Past X Years)
CSS0419CC106752CSS04-Preparatory Acts/Behav, DescrColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of preparatory acts or behavior.C-SSRS Baseline/Screening Version - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS0420AC106753CSS04-Suicidal Behavior-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Suicidal behavior was present during the assessment period? (Lifetime).C-SSRS Baseline/Screening Version - Suicidal Behavior (Lifetime)
CSS0420BC106754CSS04-Suicidal Behavior-P_YColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Suicidal behavior was present during the assessment period? (Past _ Years).C-SSRS Baseline/Screening Version - Suicidal Behavior (Past X Years)
CSS0421AC106755CSS04-Most Recent Attempt DateColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Most recent attempt date.C-SSRS Baseline/Screening Version - Most Recent Suicide Attempt Date
CSS0421BC106756CSS04-Most Recent Attempt DamageColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Most recent attempt actual lethality/medical damage.C-SSRS Baseline/Screening Version - Most Recent Suicide Attempt Actual Lethality/Medical Damage
CSS0421CC106757CSS04-Most Recent Attempt PotentialColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Most recent attempt potential lethality.C-SSRS Baseline/Screening Version - Most Recent Suicide Attempt Potential Lethality
CSS0422AC106758CSS04-Most Lethal Attempt DateColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Most lethal attempt date.C-SSRS Baseline/Screening Version - Most Lethal Suicide Attempt Date
CSS0422BC106759CSS04-Most Lethal Attempt DamageColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Most lethal attempt actual lethality/medical damage.C-SSRS Baseline/Screening Version - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
CSS0422CC106760CSS04-Most Lethal Attempt PotentialColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Most lethal attempt potential lethality.C-SSRS Baseline/Screening Version - Most Lethal Suicide Attempt Potential Lethality
CSS0423AC106761CSS04-First Attempt DateColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Initial/first attempt date.C-SSRS Baseline/Screening Version - First Suicide Attempt Date
CSS0423BC106762CSS04-First Attempt DamageColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Initial/first attempt actual lethality/medical damage.C-SSRS Baseline/Screening Version - First Suicide Attempt Actual Lethality/Medical Damage
CSS0423CC106763CSS04-First Attempt PotentialColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Initial/first attempt potential lethality.C-SSRS Baseline/Screening Version - First Suicide Attempt Potential Lethality
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CL.C106660.CSS04TNColumbia-Suicide Severity Rating Scale Baseline/Screening Version Questionnaire Test Name
(CSS04TN)
text
Extensible: No
C106660Columbia-Suicide Severity Rating Scale Baseline/Screening Version Questionnaire Test NameColumbia-Suicide Severity Rating Scale Baseline/Screening Version test name.CDISC Questionnaire C-SSRS Baseline/Screening Version Test Name Terminology
CSS04-Aborted Attempt, DescribeC106749CSS04-Aborted Attempt, DescribeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of aborted attempt.C-SSRS Baseline/Screening Version - Description of Aborted Suicide Attempt
CSS04-Aborted Attempt-LifeC106745CSS04-Aborted Attempt-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Lifetime).C-SSRS Baseline/Screening Version - Aborted Suicide Attempt (Lifetime)
CSS04-Aborted Attempt-P_YC106746CSS04-Aborted Attempt-P_YColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Past _ Years).C-SSRS Baseline/Screening Version - Aborted Suicide Attempt (Past X Years)
CSS04-Actual Attempt, DescribeC106737CSS04-Actual Attempt, DescribeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of actual attempt.C-SSRS Baseline/Screening Version - Description of Actual Suicide Attempt
CSS04-Actual Attempt-LifeC106733CSS04-Actual Attempt-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Lifetime).C-SSRS Baseline/Screening Version - Actual Suicide Attempt (Lifetime)
CSS04-Actual Attempt-P_YC106734CSS04-Actual Attempt-P_YColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Past _ Years).C-SSRS Baseline/Screening Version - Actual Suicide Attempt (Past X Years)
CSS04-First Attempt DamageC106762CSS04-First Attempt DamageColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Initial/first attempt actual lethality/medical damage.C-SSRS Baseline/Screening Version - First Suicide Attempt Actual Lethality/Medical Damage
CSS04-First Attempt DateC106761CSS04-First Attempt DateColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Initial/first attempt date.C-SSRS Baseline/Screening Version - First Suicide Attempt Date
CSS04-First Attempt PotentialC106763CSS04-First Attempt PotentialColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Initial/first attempt potential lethality.C-SSRS Baseline/Screening Version - First Suicide Attempt Potential Lethality
CSS04-Idea, Intent, No Plan, DescribeC107019CSS04-Idea, Intent, No Plan, DescribeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Baseline/Screening Version - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
CSS04-Idea, Intent, No Plan-LifeC107017CSS04-Idea, Intent, No Plan-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you had these thoughts and had some intention of acting on them? (Lifetime).C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Lifetime)
CSS04-Idea, Intent, No Plan-P_MC107018CSS04-Idea, Intent, No Plan-P_MColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you had these thoughts and had some intention of acting on them? (Past _ Months).C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Past X Months)
CSS04-Idea, No Intent, No Plan, DescribeC106715CSS04-Idea, No Intent, No Plan, DescribeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Baseline/Screening Version - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
CSS04-Idea, No Intent, No Plan-LifeC106713CSS04-Idea, No Intent, No Plan-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you been thinking about how you might do this? (Lifetime).C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Lifetime)
CSS04-Idea, No Intent, No Plan-P_MC106714CSS04-Idea, No Intent, No Plan-P_MColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you been thinking about how you might do this? (Past _ Months).C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Past X Months)
CSS04-Idea, Plan, Intent, DescribeC106718CSS04-Idea, Plan, Intent, DescribeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of active suicidal ideation with specific plan and intent.C-SSRS Baseline/Screening Version - Description of Active Suicidal Ideation with Specific Plan and Intent
CSS04-Idea, Plan, Intent-LifeC106716CSS04-Idea, Plan, Intent-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Lifetime).C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Specific Plan and Intent (Lifetime)
CSS04-Idea, Plan, Intent-P_MC106717CSS04-Idea, Plan, Intent-P_MColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Past _ Months).C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Specific Plan and Intent (Past X Months)
CSS04-Interrupted Attempt, DescribeC106744CSS04-Interrupted Attempt, DescribeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of interrupted attempt.C-SSRS Baseline/Screening Version - Description of Interrupted Suicide Attempt
CSS04-Interrupted Attempt-LifeC106740CSS04-Interrupted Attempt-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything? (Lifetime).C-SSRS Baseline/Screening Version - Interrupted Suicide Attempt (Lifetime)
CSS04-Interrupted Attempt-P_YC106741CSS04-Interrupted Attempt-P_YColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything? (Past _ Years).C-SSRS Baseline/Screening Version - Interrupted Suicide Attempt (Past X Years)
CSS04-Most Lethal Attempt DamageC106759CSS04-Most Lethal Attempt DamageColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Most lethal attempt actual lethality/medical damage.C-SSRS Baseline/Screening Version - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
CSS04-Most Lethal Attempt DateC106758CSS04-Most Lethal Attempt DateColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Most lethal attempt date.C-SSRS Baseline/Screening Version - Most Lethal Suicide Attempt Date
CSS04-Most Lethal Attempt PotentialC106760CSS04-Most Lethal Attempt PotentialColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Most lethal attempt potential lethality.C-SSRS Baseline/Screening Version - Most Lethal Suicide Attempt Potential Lethality
CSS04-Most Recent Attempt DamageC106756CSS04-Most Recent Attempt DamageColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Most recent attempt actual lethality/medical damage.C-SSRS Baseline/Screening Version - Most Recent Suicide Attempt Actual Lethality/Medical Damage
CSS04-Most Recent Attempt DateC106755CSS04-Most Recent Attempt DateColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Most recent attempt date.C-SSRS Baseline/Screening Version - Most Recent Suicide Attempt Date
CSS04-Most Recent Attempt PotentialC106757CSS04-Most Recent Attempt PotentialColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Most recent attempt potential lethality.C-SSRS Baseline/Screening Version - Most Recent Suicide Attempt Potential Lethality
CSS04-Most Severe Idea, Control-LifeC106727CSS04-Most Severe Idea, Control-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Lifetime).C-SSRS Baseline/Screening Version - Controllability of Most Severe Ideation (Lifetime)
CSS04-Most Severe Idea, Control-P_MC106728CSS04-Most Severe Idea, Control-P_MColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Past _ Months).C-SSRS Baseline/Screening Version - Controllability of Most Severe Ideation (Past X Months)
CSS04-Most Severe Idea, Desc-LifeC106720CSS04-Most Severe Idea, Desc-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of most severe ideation. (Lifetime).C-SSRS Baseline/Screening Version - Describe Most Severe Ideation (Lifetime)
CSS04-Most Severe Idea, Desc-P_MC106722CSS04-Most Severe Idea, Desc-P_MColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of most severe ideation. (Past _ Months).C-SSRS Baseline/Screening Version - Describe Most Severe Ideation (Past X Months)
CSS04-Most Severe Idea, Deterrents-LifeC106729CSS04-Most Severe Idea, Deterrents-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Lifetime).C-SSRS Baseline/Screening Version - Deterrents to Most Severe Ideation (Lifetime)
CSS04-Most Severe Idea, Deterrents-P_MC106730CSS04-Most Severe Idea, Deterrents-P_MColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Past _ Months).C-SSRS Baseline/Screening Version - Deterrents to Most Severe Ideation (Past X Months)
CSS04-Most Severe Idea, Duration-LifeC106725CSS04-Most Severe Idea, Duration-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - When you have the thoughts how long do they last? (Lifetime).C-SSRS Baseline/Screening Version - Duration of Most Severe Ideation (Lifetime)
CSS04-Most Severe Idea, Duration-P_MC106726CSS04-Most Severe Idea, Duration-P_MColumbia-Suicide Severity Rating Scale Baseline/Screening Version - When you have the thoughts how long do they last? (Past _ Months).C-SSRS Baseline/Screening Version - Duration of Most Severe Ideation (Past X Months)
CSS04-Most Severe Idea, Frequency-LifeC106723CSS04-Most Severe Idea, Frequency-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - How many times have you had these thoughts? (Lifetime).C-SSRS Baseline/Screening Version - Frequency of Most Severe Ideation (Lifetime)
CSS04-Most Severe Idea, Frequency-P_MC106724CSS04-Most Severe Idea, Frequency-P_MColumbia-Suicide Severity Rating Scale Baseline/Screening Version - How many times have you had these thoughts? (Past _ Months).C-SSRS Baseline/Screening Version - Frequency of Most Severe Ideation (Past X Months)
CSS04-Most Severe Idea, Reasons-LifeC106731CSS04-Most Severe Idea, Reasons-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Lifetime).C-SSRS Baseline/Screening Version - Reasons for Most Severe Ideation (Lifetime)
CSS04-Most Severe Idea, Reasons-P_MC106732CSS04-Most Severe Idea, Reasons-P_MColumbia-Suicide Severity Rating Scale Baseline/Screening Version - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Past _ Months).C-SSRS Baseline/Screening Version - Reasons for Most Severe Ideation (Past X Months)
CSS04-Most Severe Idea-LifeC106719CSS04-Most Severe Idea-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Most severe ideation. (Lifetime).C-SSRS Baseline/Screening Version - Most Severe Ideation (Lifetime)
CSS04-Most Severe Idea-P_MC106721CSS04-Most Severe Idea-P_MColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Most severe ideation. (Past _ Months).C-SSRS Baseline/Screening Version - Most Severe Ideation (Past X Months)
CSS04-Non-Spec Suicid Thought, DescribeC106712CSS04-Non-Spec Suicid Thought, DescribeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of non-specific active suicidal thoughts.C-SSRS Baseline/Screening Version - Description of Non-Specific Active Suicidal Thoughts
CSS04-Non-Spec Suicid Thought-LifeC106710CSS04-Non-Spec Suicid Thought-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you actually had any thoughts of killing yourself? (Lifetime).C-SSRS Baseline/Screening Version - Non-Specific Active Suicidal Thoughts (Lifetime)
CSS04-Non-Spec Suicid Thought-P_MC106711CSS04-Non-Spec Suicid Thought-P_MColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you actually had any thoughts of killing yourself? (Past _ Months).C-SSRS Baseline/Screening Version - Non-Specific Active Suicidal Thoughts (Past X Months)
CSS04-Non-suicidal Self-injur Behav-LifeC106738CSS04-Non-suicidal Self-injur Behav-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Has the subject engaged in non-suicidal self-injurious behavior. (Lifetime).C-SSRS Baseline/Screening Version - Non-suicidal Self-injurious Behavior (Lifetime)
CSS04-Non-suicidal Self-injur Behav-P_YC106739CSS04-Non-suicidal Self-injur Behav-P_YColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Has the subject engaged in non-suicidal self-injurious behavior. (Past _ Years).C-SSRS Baseline/Screening Version - Non-suicidal Self-injurious Behavior (Past X Years)
CSS04-Number of Aborted Attempts-LifeC106747CSS04-Number of Aborted Attempts-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Total number of aborted attempts. (Lifetime).C-SSRS Baseline/Screening Version - Number of Aborted Suicide Attempts (Lifetime)
CSS04-Number of Aborted Attempts-P_YC106748CSS04-Number of Aborted Attempts-P_YColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Total number of aborted attempts. (Past _ Years).C-SSRS Baseline/Screening Version - Number of Aborted Suicide Attempts (Past X Years)
CSS04-Number of Actual Attempts-LifeC106735CSS04-Number of Actual Attempts-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Total number of actual attempts. (Lifetime).C-SSRS Baseline/Screening Version - Number of Actual Suicide Attempts (Lifetime)
CSS04-Number of Actual Attempts-P_YC106736CSS04-Number of Actual Attempts-P_YColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Total number of actual attempts. (Past _ Years).C-SSRS Baseline/Screening Version - Number of Actual Suicide Attempts (Past X Years)
CSS04-Number of Interrupt Attempts-LifeC106742CSS04-Number of Interrupt Attempts-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Total number of interrupted attempts. (Lifetime).C-SSRS Baseline/Screening Version - Number of Interrupted Suicide Attempts (Lifetime)
CSS04-Number of Interrupt Attempts-P_YC106743CSS04-Number of Interrupt Attempts-P_YColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Total number of interrupted attempts. (Past _ Years).C-SSRS Baseline/Screening Version - Number of Interrupted Suicide Attempts (Past X Years)
CSS04-Preparatory Acts/Behav, DescrC106752CSS04-Preparatory Acts/Behav, DescrColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of preparatory acts or behavior.C-SSRS Baseline/Screening Version - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS04-Preparatory Acts/Behavior-LifeC106750CSS04-Preparatory Acts/Behavior-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? (Lifetime).C-SSRS Baseline/Screening Version - Preparatory Acts or Behaviors Toward Suicide Attempt (Lifetime)
CSS04-Preparatory Acts/Behavior-P_YC106751CSS04-Preparatory Acts/Behavior-P_YColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? (Past _ Years).C-SSRS Baseline/Screening Version - Preparatory Acts or Behaviors Toward Suicide Attempt (Past X Years)
CSS04-Suicidal Behavior-LifeC106753CSS04-Suicidal Behavior-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Suicidal behavior was present during the assessment period? (Lifetime).C-SSRS Baseline/Screening Version - Suicidal Behavior (Lifetime)
CSS04-Suicidal Behavior-P_YC106754CSS04-Suicidal Behavior-P_YColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Suicidal behavior was present during the assessment period? (Past _ Years).C-SSRS Baseline/Screening Version - Suicidal Behavior (Past X Years)
CSS04-Wish to be Dead, DescribeC106709CSS04-Wish to be Dead, DescribeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Description of wishing to be dead.C-SSRS Baseline/Screening Version - Description of Wish to be Dead
CSS04-Wish to be Dead-LifeC106707CSS04-Wish to be Dead-LifeColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you wished you were dead or wished you could go to sleep and not wake up? (Lifetime).C-SSRS Baseline/Screening Version - Wish to be Dead (Lifetime)
CSS04-Wish to be Dead-P_MC106708CSS04-Wish to be Dead-P_MColumbia-Suicide Severity Rating Scale Baseline/Screening Version - Have you wished you were dead or wished you could go to sleep and not wake up? (Past _ Months).C-SSRS Baseline/Screening Version - Wish to be Dead (Past X Months)
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CL.C111336.CSS06TCColumbia-Suicide Severity Rating Scale Children's Baseline Questionnaire Test Code
(CSS06TC)
text
Extensible: No
C111336Columbia-Suicide Severity Rating Scale Children's Baseline Questionnaire Test CodeColumbia-Suicide Severity Rating Scale Children's Baseline test code.CDISC Questionnaire C-SSRS Children's Baseline Test Code Terminology
CSS0601C111527CSS06-Wish to be DeadColumbia-Suicide Severity Rating Scale Children's Baseline - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore?C-SSRS Children's Baseline - Wish to be Dead
CSS0601AC111528CSS06-Wish to be Dead, DescribeColumbia-Suicide Severity Rating Scale Children's Baseline - Description of wishing to be dead.C-SSRS Children's Baseline - Description of Wish to be Dead
CSS0602C111529CSS06-Non-Specific Suicidal ThoughtColumbia-Suicide Severity Rating Scale Children's Baseline - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself?C-SSRS Children's Baseline - Non-Specific Active Suicidal Thoughts
CSS0602AC111530CSS06-Non-Specific Suicid Thought, DescrColumbia-Suicide Severity Rating Scale Children's Baseline - Description of non-specific active suicidal thoughts.C-SSRS Children's Baseline - Description of Non-Specific Active Suicidal Thoughts
CSS0603C111531CSS06-Idea, No Intent, No PlanColumbia-Suicide Severity Rating Scale Children's Baseline - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about?C-SSRS Children's Baseline - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
CSS0603AC111532CSS06-Idea, No Intent, No Plan, DescribeColumbia-Suicide Severity Rating Scale Children's Baseline - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Children's Baseline - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
CSS0604C111533CSS06-Ideation With Intent, No PlanColumbia-Suicide Severity Rating Scale Children's Baseline - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it.C-SSRS Children's Baseline - Active Suicidal Ideation with Some Intent to Act, without Specific Plan
CSS0604AC111534CSS06-Ideation With Intent No Plan DescrColumbia-Suicide Severity Rating Scale Children's Baseline - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Children's Baseline - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
CSS0605C111535CSS06-Ideation With Plan/IntentColumbia-Suicide Severity Rating Scale Children's Baseline - Have you ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it?C-SSRS Children's Baseline - Active Suicidal Ideation with Specific Plan and Intent
CSS0605AC111536CSS06-Ideation With Plan/Intent, DescrColumbia-Suicide Severity Rating Scale Children's Baseline - Description of active suicidal ideation with specific plan and intent.C-SSRS Children's Baseline - Description of Active Suicidal Ideation with Specific Plan and Intent
CSS0606C111537CSS06-Most Severe IdeationColumbia-Suicide Severity Rating Scale Children's Baseline - Most severe ideation.C-SSRS Children's Baseline - Most Severe Ideation
CSS0606AC111538CSS06-Most Severe Ideation, DescriptionColumbia-Suicide Severity Rating Scale Children's Baseline - Description of most severe ideation.C-SSRS Children's Baseline - Describe Most Severe Ideation
CSS0607C111539CSS06-Most Severe Ideation, FrequencyColumbia-Suicide Severity Rating Scale Children's Baseline - How many times have you had these thoughts?C-SSRS Children's Baseline - Frequency of Most Severe Ideation
CSS0607AC111540CSS06-Frequency, Write ResponseColumbia-Suicide Severity Rating Scale Children's Baseline - Frequency, write response.C-SSRS Children's Baseline - Frequency, Write Response
CSS0608C111541CSS06-Actual AttemptColumbia-Suicide Severity Rating Scale Children's Baseline - Did you ever do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you ever hurt yourself on purpose? Why did you do that?C-SSRS Children's Baseline - Actual Suicide Attempt
CSS0609C111542CSS06-Number of Actual AttemptsColumbia-Suicide Severity Rating Scale Children's Baseline - Total number of actual attempts.C-SSRS Children's Baseline - Number of Actual Suicide Attempts
CSS0609AC111543CSS06-Actual Attempt, DescribeColumbia-Suicide Severity Rating Scale Children's Baseline - Description of actual attempt.C-SSRS Children's Baseline - Description of Actual Suicide Attempt
CSS0610C111544CSS06-Non-suicidal Self-injurious BehavColumbia-Suicide Severity Rating Scale Children's Baseline - Has subject engaged in non-suicidal self-injurious behavior?C-SSRS Children's Baseline - Non-suicidal Self-injurious Behavior
CSS0611C111545CSS06-Self-injur Behav, Intent UnknownColumbia-Suicide Severity Rating Scale Children's Baseline - Has subject engaged in self-injurious behavior, intent unknown?C-SSRS Children's Baseline - Self-injurious Behavior, Intent Unknown
CSS0612C111546CSS06-Interrupted AttemptColumbia-Suicide Severity Rating Scale Children's Baseline - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do?C-SSRS Children's Baseline - Interrupted Suicide Attempt
CSS0613C111547CSS06-Number of Interrupt AttemptsColumbia-Suicide Severity Rating Scale Children's Baseline - Total number of interrupted attempts.C-SSRS Children's Baseline - Number of Interrupted Suicide Attempts
CSS0613AC111548CSS06-Interrupted Attempt, DescribeColumbia-Suicide Severity Rating Scale Children's Baseline - Description of interrupted attempt.C-SSRS Children's Baseline - Description of Interrupted Suicide Attempt
CSS0614C111549CSS06-Aborted AttemptColumbia-Suicide Severity Rating Scale Children's Baseline - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do?C-SSRS Children's Baseline - Aborted Suicide Attempt
CSS0615C111550CSS06-Number of Aborted AttemptsColumbia-Suicide Severity Rating Scale Children's Baseline - Total number of aborted attempts.C-SSRS Children's Baseline - Number of Aborted Suicide Attempts
CSS0615AC111551CSS06-Aborted Attempt, DescribeColumbia-Suicide Severity Rating Scale Children's Baseline - Description of aborted attempt.C-SSRS Children's Baseline - Description of Aborted Suicide Attempt
CSS0616C111552CSS06-Preparatory Acts/BehaviorColumbia-Suicide Severity Rating Scale Children's Baseline - Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself?C-SSRS Children's Baseline - Preparatory Acts or Behaviors Toward Suicide Attempt
CSS0616AC111553CSS06-Preparatory Acts/Behavior, DescrColumbia-Suicide Severity Rating Scale Children's Baseline - Description of preparatory acts or behavior.C-SSRS Children's Baseline - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS0617C111554CSS06-Suicidal BehaviorColumbia-Suicide Severity Rating Scale Children's Baseline - Suicidal behavior was present during the assessment period?C-SSRS Children's Baseline - Suicidal Behavior
CSS0618AC111555CSS06-Most Recent Attempt DateColumbia-Suicide Severity Rating Scale Children's Baseline - Most recent attempt date.C-SSRS Children's Baseline - Most Recent Suicide Attempt Date
CSS0618BC111556CSS06-Most Recent Attempt DamageColumbia-Suicide Severity Rating Scale Children's Baseline - Most recent attempt actual lethality/medical damage.C-SSRS Children's Baseline - Most Recent Suicide Attempt Actual Lethality/Medical Damage
CSS0618CC111557CSS06-Most Recent Attempt PotentialColumbia-Suicide Severity Rating Scale Children's Baseline - Most recent attempt potential lethality.C-SSRS Children's Baseline - Most Recent Suicide Attempt Potential Lethality
CSS0619AC111558CSS06-Most Lethal Attempt DateColumbia-Suicide Severity Rating Scale Children's Baseline - Most lethal attempt date.C-SSRS Children's Baseline - Most Lethal Suicide Attempt Date
CSS0619BC111559CSS06-Most Lethal Attempt DamageColumbia-Suicide Severity Rating Scale Children's Baseline - Most lethal attempt actual lethality/medical damage.C-SSRS Children's Baseline - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
CSS0619CC111560CSS06-Most Lethal Attempt PotentialColumbia-Suicide Severity Rating Scale Children's Baseline - Most lethal attempt potential lethality.C-SSRS Children's Baseline - Most Lethal Suicide Attempt Potential Lethality
CSS0620AC111561CSS06-First Attempt DateColumbia-Suicide Severity Rating Scale Children's Baseline - Initial/first attempt date.C-SSRS Children's Baseline - First Suicide Attempt Date
CSS0620BC111562CSS06-First Attempt DamageColumbia-Suicide Severity Rating Scale Children's Baseline - Initial/first attempt actual lethality/medical damage.C-SSRS Children's Baseline - First Suicide Attempt Actual Lethality/Medical Damage
CSS0620CC111563CSS06-First Attempt PotentialColumbia-Suicide Severity Rating Scale Children's Baseline - Initial/first attempt potential lethality.C-SSRS Children's Baseline - First Suicide Attempt Potential Lethality
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CL.C111335.CSS06TNColumbia-Suicide Severity Rating Scale Children's Baseline Questionnaire Test Name
(CSS06TN)
text
Extensible: No
C111335Columbia-Suicide Severity Rating Scale Children's Baseline Questionnaire Test NameColumbia-Suicide Severity Rating Scale Children's Baseline test name.CDISC Questionnaire C-SSRS Children's Baseline Test Name Terminology
CSS06-Aborted AttemptC111549CSS06-Aborted AttemptColumbia-Suicide Severity Rating Scale Children's Baseline - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do?C-SSRS Children's Baseline - Aborted Suicide Attempt
CSS06-Aborted Attempt, DescribeC111551CSS06-Aborted Attempt, DescribeColumbia-Suicide Severity Rating Scale Children's Baseline - Description of aborted attempt.C-SSRS Children's Baseline - Description of Aborted Suicide Attempt
CSS06-Actual AttemptC111541CSS06-Actual AttemptColumbia-Suicide Severity Rating Scale Children's Baseline - Did you ever do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you ever hurt yourself on purpose? Why did you do that?C-SSRS Children's Baseline - Actual Suicide Attempt
CSS06-Actual Attempt, DescribeC111543CSS06-Actual Attempt, DescribeColumbia-Suicide Severity Rating Scale Children's Baseline - Description of actual attempt.C-SSRS Children's Baseline - Description of Actual Suicide Attempt
CSS06-First Attempt DamageC111562CSS06-First Attempt DamageColumbia-Suicide Severity Rating Scale Children's Baseline - Initial/first attempt actual lethality/medical damage.C-SSRS Children's Baseline - First Suicide Attempt Actual Lethality/Medical Damage
CSS06-First Attempt DateC111561CSS06-First Attempt DateColumbia-Suicide Severity Rating Scale Children's Baseline - Initial/first attempt date.C-SSRS Children's Baseline - First Suicide Attempt Date
CSS06-First Attempt PotentialC111563CSS06-First Attempt PotentialColumbia-Suicide Severity Rating Scale Children's Baseline - Initial/first attempt potential lethality.C-SSRS Children's Baseline - First Suicide Attempt Potential Lethality
CSS06-Frequency, Write ResponseC111540CSS06-Frequency, Write ResponseColumbia-Suicide Severity Rating Scale Children's Baseline - Frequency, write response.C-SSRS Children's Baseline - Frequency, Write Response
CSS06-Idea, No Intent, No PlanC111531CSS06-Idea, No Intent, No PlanColumbia-Suicide Severity Rating Scale Children's Baseline - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about?C-SSRS Children's Baseline - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
CSS06-Idea, No Intent, No Plan, DescribeC111532CSS06-Idea, No Intent, No Plan, DescribeColumbia-Suicide Severity Rating Scale Children's Baseline - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Children's Baseline - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
CSS06-Ideation With Intent No Plan DescrC111534CSS06-Ideation With Intent No Plan DescrColumbia-Suicide Severity Rating Scale Children's Baseline - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Children's Baseline - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
CSS06-Ideation With Intent, No PlanC111533CSS06-Ideation With Intent, No PlanColumbia-Suicide Severity Rating Scale Children's Baseline - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it.C-SSRS Children's Baseline - Active Suicidal Ideation with Some Intent to Act, without Specific Plan
CSS06-Ideation With Plan/IntentC111535CSS06-Ideation With Plan/IntentColumbia-Suicide Severity Rating Scale Children's Baseline - Have you ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it?C-SSRS Children's Baseline - Active Suicidal Ideation with Specific Plan and Intent
CSS06-Ideation With Plan/Intent, DescrC111536CSS06-Ideation With Plan/Intent, DescrColumbia-Suicide Severity Rating Scale Children's Baseline - Description of active suicidal ideation with specific plan and intent.C-SSRS Children's Baseline - Description of Active Suicidal Ideation with Specific Plan and Intent
CSS06-Interrupted AttemptC111546CSS06-Interrupted AttemptColumbia-Suicide Severity Rating Scale Children's Baseline - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do?C-SSRS Children's Baseline - Interrupted Suicide Attempt
CSS06-Interrupted Attempt, DescribeC111548CSS06-Interrupted Attempt, DescribeColumbia-Suicide Severity Rating Scale Children's Baseline - Description of interrupted attempt.C-SSRS Children's Baseline - Description of Interrupted Suicide Attempt
CSS06-Most Lethal Attempt DamageC111559CSS06-Most Lethal Attempt DamageColumbia-Suicide Severity Rating Scale Children's Baseline - Most lethal attempt actual lethality/medical damage.C-SSRS Children's Baseline - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
CSS06-Most Lethal Attempt DateC111558CSS06-Most Lethal Attempt DateColumbia-Suicide Severity Rating Scale Children's Baseline - Most lethal attempt date.C-SSRS Children's Baseline - Most Lethal Suicide Attempt Date
CSS06-Most Lethal Attempt PotentialC111560CSS06-Most Lethal Attempt PotentialColumbia-Suicide Severity Rating Scale Children's Baseline - Most lethal attempt potential lethality.C-SSRS Children's Baseline - Most Lethal Suicide Attempt Potential Lethality
CSS06-Most Recent Attempt DamageC111556CSS06-Most Recent Attempt DamageColumbia-Suicide Severity Rating Scale Children's Baseline - Most recent attempt actual lethality/medical damage.C-SSRS Children's Baseline - Most Recent Suicide Attempt Actual Lethality/Medical Damage
CSS06-Most Recent Attempt DateC111555CSS06-Most Recent Attempt DateColumbia-Suicide Severity Rating Scale Children's Baseline - Most recent attempt date.C-SSRS Children's Baseline - Most Recent Suicide Attempt Date
CSS06-Most Recent Attempt PotentialC111557CSS06-Most Recent Attempt PotentialColumbia-Suicide Severity Rating Scale Children's Baseline - Most recent attempt potential lethality.C-SSRS Children's Baseline - Most Recent Suicide Attempt Potential Lethality
CSS06-Most Severe IdeationC111537CSS06-Most Severe IdeationColumbia-Suicide Severity Rating Scale Children's Baseline - Most severe ideation.C-SSRS Children's Baseline - Most Severe Ideation
CSS06-Most Severe Ideation, DescriptionC111538CSS06-Most Severe Ideation, DescriptionColumbia-Suicide Severity Rating Scale Children's Baseline - Description of most severe ideation.C-SSRS Children's Baseline - Describe Most Severe Ideation
CSS06-Most Severe Ideation, FrequencyC111539CSS06-Most Severe Ideation, FrequencyColumbia-Suicide Severity Rating Scale Children's Baseline - How many times have you had these thoughts?C-SSRS Children's Baseline - Frequency of Most Severe Ideation
CSS06-Non-Specific Suicid Thought, DescrC111530CSS06-Non-Specific Suicid Thought, DescrColumbia-Suicide Severity Rating Scale Children's Baseline - Description of non-specific active suicidal thoughts.C-SSRS Children's Baseline - Description of Non-Specific Active Suicidal Thoughts
CSS06-Non-Specific Suicidal ThoughtC111529CSS06-Non-Specific Suicidal ThoughtColumbia-Suicide Severity Rating Scale Children's Baseline - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself?C-SSRS Children's Baseline - Non-Specific Active Suicidal Thoughts
CSS06-Non-suicidal Self-injurious BehavC111544CSS06-Non-suicidal Self-injurious BehavColumbia-Suicide Severity Rating Scale Children's Baseline - Has subject engaged in non-suicidal self-injurious behavior?C-SSRS Children's Baseline - Non-suicidal Self-injurious Behavior
CSS06-Number of Aborted AttemptsC111550CSS06-Number of Aborted AttemptsColumbia-Suicide Severity Rating Scale Children's Baseline - Total number of aborted attempts.C-SSRS Children's Baseline - Number of Aborted Suicide Attempts
CSS06-Number of Actual AttemptsC111542CSS06-Number of Actual AttemptsColumbia-Suicide Severity Rating Scale Children's Baseline - Total number of actual attempts.C-SSRS Children's Baseline - Number of Actual Suicide Attempts
CSS06-Number of Interrupt AttemptsC111547CSS06-Number of Interrupt AttemptsColumbia-Suicide Severity Rating Scale Children's Baseline - Total number of interrupted attempts.C-SSRS Children's Baseline - Number of Interrupted Suicide Attempts
CSS06-Preparatory Acts/BehaviorC111552CSS06-Preparatory Acts/BehaviorColumbia-Suicide Severity Rating Scale Children's Baseline - Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself?C-SSRS Children's Baseline - Preparatory Acts or Behaviors Toward Suicide Attempt
CSS06-Preparatory Acts/Behavior, DescrC111553CSS06-Preparatory Acts/Behavior, DescrColumbia-Suicide Severity Rating Scale Children's Baseline - Description of preparatory acts or behavior.C-SSRS Children's Baseline - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS06-Self-injur Behav, Intent UnknownC111545CSS06-Self-injur Behav, Intent UnknownColumbia-Suicide Severity Rating Scale Children's Baseline - Has subject engaged in self-injurious behavior, intent unknown?C-SSRS Children's Baseline - Self-injurious Behavior, Intent Unknown
CSS06-Suicidal BehaviorC111554CSS06-Suicidal BehaviorColumbia-Suicide Severity Rating Scale Children's Baseline - Suicidal behavior was present during the assessment period?C-SSRS Children's Baseline - Suicidal Behavior
CSS06-Wish to be DeadC111527CSS06-Wish to be DeadColumbia-Suicide Severity Rating Scale Children's Baseline - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore?C-SSRS Children's Baseline - Wish to be Dead
CSS06-Wish to be Dead, DescribeC111528CSS06-Wish to be Dead, DescribeColumbia-Suicide Severity Rating Scale Children's Baseline - Description of wishing to be dead.C-SSRS Children's Baseline - Description of Wish to be Dead
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CL.C111338.CSS07TCColumbia-Suicide Severity Rating Scale Children's Baseline/Screening Questionnaire Test Code
(CSS07TC)
text
Extensible: No
C111338Columbia-Suicide Severity Rating Scale Children's Baseline/Screening Questionnaire Test CodeColumbia-Suicide Severity Rating Scale Children's Baseline/Screening test code.CDISC Questionnaire C-SSRS Children's Baseline/Screening Test Code Terminology
CSS0701AC111385CSS07-Wish to be Dead-LifeColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore? (Lifetime).C-SSRS Children's Baseline/Screening - Wish to be Dead (Lifetime)
CSS0701BC111386CSS07-Wish to be Dead-P6MColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore? (Past 6 Months).C-SSRS Children's Baseline/Screening - Wish to be Dead (Past 6 Months)
CSS0701CC111387CSS07-Wish to be Dead, DescribeColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of wishing to be dead.C-SSRS Children's Baseline/Screening - Description of Wish to be Dead
CSS0702AC111388CSS07-Non-Spec Suicid Thought-LifeColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself? (Lifetime).C-SSRS Children's Baseline/Screening - Non-Specific Active Suicidal Thoughts (Lifetime)
CSS0702BC111389CSS07-Non-Spec Suicid Thought-P6MColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself? (Past 6 Months).C-SSRS Children's Baseline/Screening - Non-Specific Active Suicidal Thoughts (Past 6 Months)
CSS0702CC111390CSS07-Non-Spec Suicid Thought, DescribeColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of non-specific active suicidal thoughts.C-SSRS Children's Baseline/Screening - Description of Non-Specific Active Suicidal Thoughts
CSS0703AC111391CSS07-Idea, No Intent, No Plan-LifeColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about? (Lifetime).C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Lifetime)
CSS0703BC111392CSS07-Idea, No Intent, No Plan-P6MColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about? (Past 6 Months).C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Past 6 Months)
CSS0703CC111393CSS07-Idea, No Intent, No Plan, DescribeColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Children's Baseline/Screening - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
CSS0704AC111394CSS07-Idea, Intent, No Plan-LifeColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it. (Lifetime).C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Lifetime)
CSS0704BC111395CSS07-Idea, Intent, No Plan-P6MColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it. (Past 6 Months).C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Past 6 Months)
CSS0704CC111396CSS07-Idea, Intent, No Plan, DescribeColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Children's Baseline/Screening - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
CSS0705AC111397CSS07-Idea, Plan, Intent-LifeColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it? (Lifetime).C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Specific Plan and Intent (Lifetime)
CSS0705BC111398CSS07-Idea, Plan, Intent-P6MColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it? (Past 6 Months).C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Specific Plan and Intent (Past 6 Months)
CSS0705CC111399CSS07-Idea, Plan, Intent, DescribeColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of active suicidal ideation with specific plan and intent.C-SSRS Children's Baseline/Screening - Description of Active Suicidal Ideation with Specific Plan and Intent
CSS0706AC111400CSS07-Most Severe IdeaColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Most severe ideation.C-SSRS Children's Baseline/Screening - Most Severe Ideation
CSS0706BC111401CSS07-Most Severe Idea, DescColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of most severe ideation.C-SSRS Children's Baseline/Screening - Describe Most Severe Ideation
CSS0707AC111402CSS07-Most Severe Idea, Frequency-LifeColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - How many times have you had these thoughts? (Lifetime).C-SSRS Children's Baseline/Screening - Frequency of Most Severe Ideation (Lifetime)
CSS0707BC111403CSS07-Most Severe Idea, Frequency-P6MColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - How many times have you had these thoughts? (Past 6 Months).C-SSRS Children's Baseline/Screening - Frequency of Most Severe Ideation (Past 6 Months)
CSS0707CC111404CSS07-Frequency, Write ResponseColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Frequency, write response.C-SSRS Children's Baseline/Screening - Frequency, Write Response
CSS0708C111405CSS07-Actual AttemptColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Did you ever do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you ever hurt yourself on purpose? Why did you do that?C-SSRS Children's Baseline/Screening - Actual Suicide Attempt
CSS0709C111406CSS07-Number of Actual AttemptsColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Total number of actual attempts.C-SSRS Children's Baseline/Screening - Number of Actual Suicide Attempts
CSS0709AC111407CSS07-Actual Attempt, DescribeColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of actual attempt.C-SSRS Children's Baseline/Screening - Description of Actual Suicide Attempt
CSS0710C111408CSS07-Non-suicidal Self-injur BehavColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Has subject engaged in non-suicidal self-injurious behavior?C-SSRS Children's Baseline/Screening - Non-suicidal Self-injurious Behavior
CSS0711C111409CSS07-Self-injur Behav, Intent UnknownColumbia-Suicide Severity Rating Scale Children's Baseline - Has subject engaged in self-injurious behavior, intent unknown?C-SSRS Children's Baseline/Screening - Self-injurious Behavior, Intent Unknown
CSS0712C111410CSS07-Interrupted AttemptColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do?C-SSRS Children's Baseline/Screening - Interrupted Suicide Attempt
CSS0713C111411CSS07-Number of Interrupt AttemptsColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Total number of interrupted attempts.C-SSRS Children's Baseline/Screening - Number of Interrupted Suicide Attempts
CSS0713AC111412CSS07-Interrupted Attempt, DescribeColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of interrupted attempt.C-SSRS Children's Baseline/Screening - Description of Interrupted Suicide Attempt
CSS0714C111413CSS07-Aborted AttemptColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do?C-SSRS Children's Baseline/Screening - Aborted Suicide Attempt
CSS0715C111414CSS07-Number of Aborted AttemptsColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Total number of aborted attempts.C-SSRS Children's Baseline/Screening - Number of Aborted Suicide Attempts
CSS0715AC111415CSS07-Aborted Attempt, DescribeColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of aborted attempt.C-SSRS Children's Baseline/Screening - Description of Aborted Suicide Attempt
CSS0716C111416CSS07-Preparatory Acts/BehaviorColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself?C-SSRS Children's Baseline/Screening - Preparatory Acts or Behaviors Toward Suicide Attempt
CSS0716AC111417CSS07-Preparatory Acts/Behavior, DescrColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of preparatory acts or behavior.C-SSRS Children's Baseline/Screening - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS0717C111418CSS07-Suicidal BehaviorColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Suicidal behavior was present during the assessment period?C-SSRS Children's Baseline/Screening - Suicidal Behavior
CSS0718AC111419CSS07-Most Recent Attempt DateColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Most recent attempt date.C-SSRS Children's Baseline/Screening - Most Recent Suicide Attempt Date
CSS0718BC111420CSS07-Most Recent Attempt DamageColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Most recent attempt actual lethality/medical damage.C-SSRS Children's Baseline/Screening - Most Recent Suicide Attempt Actual Lethality/Medical Damage
CSS0718CC111421CSS07-Most Recent Attempt PotentialColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Most recent attempt potential lethality.C-SSRS Children's Baseline/Screening - Most Recent Suicide Attempt Potential Lethality
CSS0719AC111422CSS07-Most Lethal Attempt DateColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Most lethal attempt date.C-SSRS Children's Baseline/Screening - Most Lethal Suicide Attempt Date
CSS0719BC111423CSS07-Most Lethal Attempt DamageColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Most lethal attempt actual lethality/medical damage.C-SSRS Children's Baseline/Screening - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
CSS0719CC111424CSS07-Most Lethal Attempt PotentialColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Most lethal attempt potential lethality.C-SSRS Children's Baseline/Screening - Most Lethal Suicide Attempt Potential Lethality
CSS0720AC111425CSS07-First Attempt DateColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Initial/first attempt date.C-SSRS Children's Baseline/Screening - First Suicide Attempt Date
CSS0720BC111426CSS07-First Attempt DamageColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Initial/first attempt actual lethality/medical damage.C-SSRS Children's Baseline/Screening - First Suicide Attempt Actual Lethality/Medical Damage
CSS0720CC111427CSS07-First Attempt PotentialColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Initial/first attempt potential lethality.C-SSRS Children's Baseline/Screening - First Suicide Attempt Potential Lethality
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CL.C111337.CSS07TNColumbia-Suicide Severity Rating Scale Children's Baseline/Screening Questionnaire Test Name
(CSS07TN)
text
Extensible: No
C111337Columbia-Suicide Severity Rating Scale Children's Baseline/Screening Questionnaire Test NameColumbia-Suicide Severity Rating Scale Children's Baseline/Screening test name.CDISC Questionnaire C-SSRS Children's Baseline/Screening Test Name Terminology
CSS07-Aborted AttemptC111413CSS07-Aborted AttemptColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do?C-SSRS Children's Baseline/Screening - Aborted Suicide Attempt
CSS07-Aborted Attempt, DescribeC111415CSS07-Aborted Attempt, DescribeColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of aborted attempt.C-SSRS Children's Baseline/Screening - Description of Aborted Suicide Attempt
CSS07-Actual AttemptC111405CSS07-Actual AttemptColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Did you ever do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you ever hurt yourself on purpose? Why did you do that?C-SSRS Children's Baseline/Screening - Actual Suicide Attempt
CSS07-Actual Attempt, DescribeC111407CSS07-Actual Attempt, DescribeColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of actual attempt.C-SSRS Children's Baseline/Screening - Description of Actual Suicide Attempt
CSS07-First Attempt DamageC111426CSS07-First Attempt DamageColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Initial/first attempt actual lethality/medical damage.C-SSRS Children's Baseline/Screening - First Suicide Attempt Actual Lethality/Medical Damage
CSS07-First Attempt DateC111425CSS07-First Attempt DateColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Initial/first attempt date.C-SSRS Children's Baseline/Screening - First Suicide Attempt Date
CSS07-First Attempt PotentialC111427CSS07-First Attempt PotentialColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Initial/first attempt potential lethality.C-SSRS Children's Baseline/Screening - First Suicide Attempt Potential Lethality
CSS07-Frequency, Write ResponseC111404CSS07-Frequency, Write ResponseColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Frequency, write response.C-SSRS Children's Baseline/Screening - Frequency, Write Response
CSS07-Idea, Intent, No Plan, DescribeC111396CSS07-Idea, Intent, No Plan, DescribeColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Children's Baseline/Screening - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
CSS07-Idea, Intent, No Plan-LifeC111394CSS07-Idea, Intent, No Plan-LifeColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it. (Lifetime).C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Lifetime)
CSS07-Idea, Intent, No Plan-P6MC111395CSS07-Idea, Intent, No Plan-P6MColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it. (Past 6 Months).C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Past 6 Months)
CSS07-Idea, No Intent, No Plan, DescribeC111393CSS07-Idea, No Intent, No Plan, DescribeColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Children's Baseline/Screening - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
CSS07-Idea, No Intent, No Plan-LifeC111391CSS07-Idea, No Intent, No Plan-LifeColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about? (Lifetime).C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Lifetime)
CSS07-Idea, No Intent, No Plan-P6MC111392CSS07-Idea, No Intent, No Plan-P6MColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about? (Past 6 Months).C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Past 6 Months)
CSS07-Idea, Plan, Intent, DescribeC111399CSS07-Idea, Plan, Intent, DescribeColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of active suicidal ideation with specific plan and intent.C-SSRS Children's Baseline/Screening - Description of Active Suicidal Ideation with Specific Plan and Intent
CSS07-Idea, Plan, Intent-LifeC111397CSS07-Idea, Plan, Intent-LifeColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it? (Lifetime).C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Specific Plan and Intent (Lifetime)
CSS07-Idea, Plan, Intent-P6MC111398CSS07-Idea, Plan, Intent-P6MColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it? (Past 6 Months).C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Specific Plan and Intent (Past 6 Months)
CSS07-Interrupted AttemptC111410CSS07-Interrupted AttemptColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do?C-SSRS Children's Baseline/Screening - Interrupted Suicide Attempt
CSS07-Interrupted Attempt, DescribeC111412CSS07-Interrupted Attempt, DescribeColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of interrupted attempt.C-SSRS Children's Baseline/Screening - Description of Interrupted Suicide Attempt
CSS07-Most Lethal Attempt DamageC111423CSS07-Most Lethal Attempt DamageColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Most lethal attempt actual lethality/medical damage.C-SSRS Children's Baseline/Screening - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
CSS07-Most Lethal Attempt DateC111422CSS07-Most Lethal Attempt DateColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Most lethal attempt date.C-SSRS Children's Baseline/Screening - Most Lethal Suicide Attempt Date
CSS07-Most Lethal Attempt PotentialC111424CSS07-Most Lethal Attempt PotentialColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Most lethal attempt potential lethality.C-SSRS Children's Baseline/Screening - Most Lethal Suicide Attempt Potential Lethality
CSS07-Most Recent Attempt DamageC111420CSS07-Most Recent Attempt DamageColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Most recent attempt actual lethality/medical damage.C-SSRS Children's Baseline/Screening - Most Recent Suicide Attempt Actual Lethality/Medical Damage
CSS07-Most Recent Attempt DateC111419CSS07-Most Recent Attempt DateColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Most recent attempt date.C-SSRS Children's Baseline/Screening - Most Recent Suicide Attempt Date
CSS07-Most Recent Attempt PotentialC111421CSS07-Most Recent Attempt PotentialColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Most recent attempt potential lethality.C-SSRS Children's Baseline/Screening - Most Recent Suicide Attempt Potential Lethality
CSS07-Most Severe IdeaC111400CSS07-Most Severe IdeaColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Most severe ideation.C-SSRS Children's Baseline/Screening - Most Severe Ideation
CSS07-Most Severe Idea, DescC111401CSS07-Most Severe Idea, DescColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of most severe ideation.C-SSRS Children's Baseline/Screening - Describe Most Severe Ideation
CSS07-Most Severe Idea, Frequency-LifeC111402CSS07-Most Severe Idea, Frequency-LifeColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - How many times have you had these thoughts? (Lifetime).C-SSRS Children's Baseline/Screening - Frequency of Most Severe Ideation (Lifetime)
CSS07-Most Severe Idea, Frequency-P6MC111403CSS07-Most Severe Idea, Frequency-P6MColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - How many times have you had these thoughts? (Past 6 Months).C-SSRS Children's Baseline/Screening - Frequency of Most Severe Ideation (Past 6 Months)
CSS07-Non-Spec Suicid Thought, DescribeC111390CSS07-Non-Spec Suicid Thought, DescribeColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of non-specific active suicidal thoughts.C-SSRS Children's Baseline/Screening - Description of Non-Specific Active Suicidal Thoughts
CSS07-Non-Spec Suicid Thought-LifeC111388CSS07-Non-Spec Suicid Thought-LifeColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself? (Lifetime).C-SSRS Children's Baseline/Screening - Non-Specific Active Suicidal Thoughts (Lifetime)
CSS07-Non-Spec Suicid Thought-P6MC111389CSS07-Non-Spec Suicid Thought-P6MColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself? (Past 6 Months).C-SSRS Children's Baseline/Screening - Non-Specific Active Suicidal Thoughts (Past 6 Months)
CSS07-Non-suicidal Self-injur BehavC111408CSS07-Non-suicidal Self-injur BehavColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Has subject engaged in non-suicidal self-injurious behavior?C-SSRS Children's Baseline/Screening - Non-suicidal Self-injurious Behavior
CSS07-Number of Aborted AttemptsC111414CSS07-Number of Aborted AttemptsColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Total number of aborted attempts.C-SSRS Children's Baseline/Screening - Number of Aborted Suicide Attempts
CSS07-Number of Actual AttemptsC111406CSS07-Number of Actual AttemptsColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Total number of actual attempts.C-SSRS Children's Baseline/Screening - Number of Actual Suicide Attempts
CSS07-Number of Interrupt AttemptsC111411CSS07-Number of Interrupt AttemptsColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Total number of interrupted attempts.C-SSRS Children's Baseline/Screening - Number of Interrupted Suicide Attempts
CSS07-Preparatory Acts/BehaviorC111416CSS07-Preparatory Acts/BehaviorColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself?C-SSRS Children's Baseline/Screening - Preparatory Acts or Behaviors Toward Suicide Attempt
CSS07-Preparatory Acts/Behavior, DescrC111417CSS07-Preparatory Acts/Behavior, DescrColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of preparatory acts or behavior.C-SSRS Children's Baseline/Screening - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS07-Self-injur Behav, Intent UnknownC111409CSS07-Self-injur Behav, Intent UnknownColumbia-Suicide Severity Rating Scale Children's Baseline - Has subject engaged in self-injurious behavior, intent unknown?C-SSRS Children's Baseline/Screening - Self-injurious Behavior, Intent Unknown
CSS07-Suicidal BehaviorC111418CSS07-Suicidal BehaviorColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Suicidal behavior was present during the assessment period?C-SSRS Children's Baseline/Screening - Suicidal Behavior
CSS07-Wish to be Dead, DescribeC111387CSS07-Wish to be Dead, DescribeColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Description of wishing to be dead.C-SSRS Children's Baseline/Screening - Description of Wish to be Dead
CSS07-Wish to be Dead-LifeC111385CSS07-Wish to be Dead-LifeColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore? (Lifetime).C-SSRS Children's Baseline/Screening - Wish to be Dead (Lifetime)
CSS07-Wish to be Dead-P6MC111386CSS07-Wish to be Dead-P6MColumbia-Suicide Severity Rating Scale Children's Baseline/Screening - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore? (Past 6 Months).C-SSRS Children's Baseline/Screening - Wish to be Dead (Past 6 Months)
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CL.C111340.CSS08TCColumbia-Suicide Severity Rating Scale Children's Since Last Visit Questionnaire Test Code
(CSS08TC)
text
Extensible: No
C111340Columbia-Suicide Severity Rating Scale Children's Since Last Visit Questionnaire Test CodeColumbia-Suicide Severity Rating Scale Children's Since Last Visit test code.CDISC Questionnaire C-SSRS Children's Since Last Visit Test Code Terminology
CSS0801C111428CSS08-Wish to be DeadColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore?C-SSRS Children's Since Last Visit - Wish to be Dead
CSS0801AC111429CSS08-Wish to be Dead, DescribeColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of wishing to be dead.C-SSRS Children's Since Last Visit - Description of Wish to be Dead
CSS0802C111430CSS08-Non-Specific Suicidal ThoughtColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself?C-SSRS Children's Since Last Visit - Non-Specific Active Suicidal Thoughts
CSS0802AC111431CSS08-Non-Specific Suicid Thought, DescrColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of non-specific active suicidal thoughts.C-SSRS Children's Since Last Visit - Description of Non-Specific Active Suicidal Thoughts
CSS0803C111432CSS08-Idea, No Intent, No PlanColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about?C-SSRS Children's Since Last Visit - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
CSS0803AC111433CSS08-Idea, No Intent, No Plan, DescribeColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Children's Since Last Visit - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
CSS0804C111434CSS08-Ideation With Intent, No PlanColumbia-Suicide Severity Rating Scale Children's Since Last Visit - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it.C-SSRS Children's Since Last Visit - Active Suicidal Ideation with Some Intent to Act, without Specific Plan
CSS0804AC111435CSS08-Ideation With Intent No Plan DescrColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Children's Since Last Visit - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
CSS0805C111436CSS08-Ideation With Plan/IntentColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Have you decided how or when you would make yourself not alive anymore/kill yourself? Have you planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it?C-SSRS Children's Since Last Visit - Active Suicidal Ideation with Specific Plan and Intent
CSS0805AC111437CSS08-Ideation With Plan/Intent, DescrColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of active suicidal ideation with specific plan and intent.C-SSRS Children's Since Last Visit - Description of Active Suicidal Ideation with Specific Plan and Intent
CSS0806C111438CSS08-Most Severe IdeationColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Most severe ideation.C-SSRS Children's Since Last Visit - Most Severe Ideation
CSS0806AC111439CSS08-Most Severe Ideation, DescriptionColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of most severe ideation.C-SSRS Children's Since Last Visit - Describe Most Severe Ideation
CSS0807C111440CSS08-Most Severe Ideation, FrequencyColumbia-Suicide Severity Rating Scale Children's Since Last Visit - How many times have you had these thoughts?C-SSRS Children's Since Last Visit - Frequency of Most Severe Ideation
CSS0807AC111441CSS08-Frequency, Write ResponseColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Frequency, write response.C-SSRS Children's Since Last Visit - Frequency, Write Response
CSS0808C111442CSS08-Actual AttemptColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Did you do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you hurt yourself on purpose? Why did you do that?C-SSRS Children's Since Last Visit - Actual Suicide Attempt
CSS0809C111443CSS08-Number of Actual AttemptsColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Total number of actual attempts.C-SSRS Children's Since Last Visit - Number of Actual Suicide Attempts
CSS0809AC111444CSS08-Actual Attempt, DescribeColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of actual attempt.C-SSRS Children's Since Last Visit - Description of Actual Suicide Attempt
CSS0810C111445CSS08-Non-suicidal Self-injurious BehavColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Has subject engaged in non-suicidal self-injurious behavior?C-SSRS Children's Since Last Visit - Non-suicidal Self-injurious Behavior
CSS0811C111446CSS08-Self-injur Behav, Intent UnknownColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Has subject engaged in self-injurious behavior, intent unknown?C-SSRS Children's Since Last Visit - Self-injurious Behavior, Intent Unknown
CSS0812C111447CSS08-Interrupted AttemptColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do?C-SSRS Children's Since Last Visit - Interrupted Suicide Attempt
CSS0813C111448CSS08-Number of Interrupt AttemptsColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Total number of interrupted attempts.C-SSRS Children's Since Last Visit - Number of Interrupted Suicide Attempts
CSS0813AC111449CSS08-Interrupted Attempt, DescribeColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of interrupted attempt.C-SSRS Children's Since Last Visit - Description of Interrupted Suicide Attempt
CSS0814C111450CSS08-Aborted/Self-Interrupted AttemptColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do?C-SSRS Children's Since Last Visit - Aborted or Self-interrupted Suicide Attempt
CSS0815C111451CSS08-Number of Aborted AttemptsColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Total number of aborted or self-interrupted attempts.C-SSRS Children's Since Last Visit - Number of Aborted or Self-interrupted Suicide Attempts
CSS0815AC111452CSS08-Aborted Attempt, DescribeColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of aborted attempt or self-interrupted attempt.C-SSRS Children's Since Last Visit - Description of Aborted or Self-interrupted Suicide Attempt
CSS0816C111453CSS08-Preparatory Acts/BehaviorColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself?C-SSRS Children's Since Last Visit - Preparatory Acts or Behaviors Toward Suicide Attempt
CSS0816AC111454CSS08-Preparatory Acts/Behavior, DescrColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of preparatory acts or behavior.C-SSRS Children's Since Last Visit - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS0817C111455CSS08-Suicidal BehaviorColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Suicidal behavior was present during the assessment period?C-SSRS Children's Since Last Visit - Suicidal Behavior
CSS0818C111456CSS08-SuicideColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Suicide.C-SSRS Children's Since Last Visit - Suicide
CSS0819AC111457CSS08-Most Lethal Attempt DateColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Most lethal attempt date.C-SSRS Children's Since Last Visit - Most Lethal Suicide Attempt Date
CSS0819BC111458CSS08-Most Lethal Attempt DamageColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Most lethal attempt actual lethality/medical damage.C-SSRS Children's Since Last Visit - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
CSS0819CC111459CSS08-Most Lethal Attempt PotentialColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Most lethal attempt potential lethality.C-SSRS Children's Since Last Visit - Most Lethal Suicide Attempt Potential Lethality
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CL.C111339.CSS08TNColumbia-Suicide Severity Rating Scale Children's Since Last Visit Questionnaire Test Name
(CSS08TN)
text
Extensible: No
C111339Columbia-Suicide Severity Rating Scale Children's Since Last Visit Questionnaire Test NameColumbia-Suicide Severity Rating Scale Children's Since Last Visit test name.CDISC Questionnaire C-SSRS Children's Since Last Visit Test Name Terminology
CSS08-Aborted Attempt, DescribeC111452CSS08-Aborted Attempt, DescribeColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of aborted attempt or self-interrupted attempt.C-SSRS Children's Since Last Visit - Description of Aborted or Self-interrupted Suicide Attempt
CSS08-Aborted/Self-Interrupted AttemptC111450CSS08-Aborted/Self-Interrupted AttemptColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do?C-SSRS Children's Since Last Visit - Aborted or Self-interrupted Suicide Attempt
CSS08-Actual AttemptC111442CSS08-Actual AttemptColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Did you do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you hurt yourself on purpose? Why did you do that?C-SSRS Children's Since Last Visit - Actual Suicide Attempt
CSS08-Actual Attempt, DescribeC111444CSS08-Actual Attempt, DescribeColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of actual attempt.C-SSRS Children's Since Last Visit - Description of Actual Suicide Attempt
CSS08-Frequency, Write ResponseC111441CSS08-Frequency, Write ResponseColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Frequency, write response.C-SSRS Children's Since Last Visit - Frequency, Write Response
CSS08-Idea, No Intent, No PlanC111432CSS08-Idea, No Intent, No PlanColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about?C-SSRS Children's Since Last Visit - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
CSS08-Idea, No Intent, No Plan, DescribeC111433CSS08-Idea, No Intent, No Plan, DescribeColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Children's Since Last Visit - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
CSS08-Ideation With Intent No Plan DescrC111435CSS08-Ideation With Intent No Plan DescrColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Children's Since Last Visit - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
CSS08-Ideation With Intent, No PlanC111434CSS08-Ideation With Intent, No PlanColumbia-Suicide Severity Rating Scale Children's Since Last Visit - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it.C-SSRS Children's Since Last Visit - Active Suicidal Ideation with Some Intent to Act, without Specific Plan
CSS08-Ideation With Plan/IntentC111436CSS08-Ideation With Plan/IntentColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Have you decided how or when you would make yourself not alive anymore/kill yourself? Have you planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it?C-SSRS Children's Since Last Visit - Active Suicidal Ideation with Specific Plan and Intent
CSS08-Ideation With Plan/Intent, DescrC111437CSS08-Ideation With Plan/Intent, DescrColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of active suicidal ideation with specific plan and intent.C-SSRS Children's Since Last Visit - Description of Active Suicidal Ideation with Specific Plan and Intent
CSS08-Interrupted AttemptC111447CSS08-Interrupted AttemptColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do?C-SSRS Children's Since Last Visit - Interrupted Suicide Attempt
CSS08-Interrupted Attempt, DescribeC111449CSS08-Interrupted Attempt, DescribeColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of interrupted attempt.C-SSRS Children's Since Last Visit - Description of Interrupted Suicide Attempt
CSS08-Most Lethal Attempt DamageC111458CSS08-Most Lethal Attempt DamageColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Most lethal attempt actual lethality/medical damage.C-SSRS Children's Since Last Visit - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
CSS08-Most Lethal Attempt DateC111457CSS08-Most Lethal Attempt DateColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Most lethal attempt date.C-SSRS Children's Since Last Visit - Most Lethal Suicide Attempt Date
CSS08-Most Lethal Attempt PotentialC111459CSS08-Most Lethal Attempt PotentialColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Most lethal attempt potential lethality.C-SSRS Children's Since Last Visit - Most Lethal Suicide Attempt Potential Lethality
CSS08-Most Severe IdeationC111438CSS08-Most Severe IdeationColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Most severe ideation.C-SSRS Children's Since Last Visit - Most Severe Ideation
CSS08-Most Severe Ideation, DescriptionC111439CSS08-Most Severe Ideation, DescriptionColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of most severe ideation.C-SSRS Children's Since Last Visit - Describe Most Severe Ideation
CSS08-Most Severe Ideation, FrequencyC111440CSS08-Most Severe Ideation, FrequencyColumbia-Suicide Severity Rating Scale Children's Since Last Visit - How many times have you had these thoughts?C-SSRS Children's Since Last Visit - Frequency of Most Severe Ideation
CSS08-Non-Specific Suicid Thought, DescrC111431CSS08-Non-Specific Suicid Thought, DescrColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of non-specific active suicidal thoughts.C-SSRS Children's Since Last Visit - Description of Non-Specific Active Suicidal Thoughts
CSS08-Non-Specific Suicidal ThoughtC111430CSS08-Non-Specific Suicidal ThoughtColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself?C-SSRS Children's Since Last Visit - Non-Specific Active Suicidal Thoughts
CSS08-Non-suicidal Self-injurious BehavC111445CSS08-Non-suicidal Self-injurious BehavColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Has subject engaged in non-suicidal self-injurious behavior?C-SSRS Children's Since Last Visit - Non-suicidal Self-injurious Behavior
CSS08-Number of Aborted AttemptsC111451CSS08-Number of Aborted AttemptsColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Total number of aborted or self-interrupted attempts.C-SSRS Children's Since Last Visit - Number of Aborted or Self-interrupted Suicide Attempts
CSS08-Number of Actual AttemptsC111443CSS08-Number of Actual AttemptsColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Total number of actual attempts.C-SSRS Children's Since Last Visit - Number of Actual Suicide Attempts
CSS08-Number of Interrupt AttemptsC111448CSS08-Number of Interrupt AttemptsColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Total number of interrupted attempts.C-SSRS Children's Since Last Visit - Number of Interrupted Suicide Attempts
CSS08-Preparatory Acts/BehaviorC111453CSS08-Preparatory Acts/BehaviorColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself?C-SSRS Children's Since Last Visit - Preparatory Acts or Behaviors Toward Suicide Attempt
CSS08-Preparatory Acts/Behavior, DescrC111454CSS08-Preparatory Acts/Behavior, DescrColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of preparatory acts or behavior.C-SSRS Children's Since Last Visit - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS08-Self-injur Behav, Intent UnknownC111446CSS08-Self-injur Behav, Intent UnknownColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Has subject engaged in self-injurious behavior, intent unknown?C-SSRS Children's Since Last Visit - Self-injurious Behavior, Intent Unknown
CSS08-Suicidal BehaviorC111455CSS08-Suicidal BehaviorColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Suicidal behavior was present during the assessment period?C-SSRS Children's Since Last Visit - Suicidal Behavior
CSS08-SuicideC111456CSS08-SuicideColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Suicide.C-SSRS Children's Since Last Visit - Suicide
CSS08-Wish to be DeadC111428CSS08-Wish to be DeadColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore?C-SSRS Children's Since Last Visit - Wish to be Dead
CSS08-Wish to be Dead, DescribeC111429CSS08-Wish to be Dead, DescribeColumbia-Suicide Severity Rating Scale Children's Since Last Visit - Description of wishing to be dead.C-SSRS Children's Since Last Visit - Description of Wish to be Dead
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CL.C117989.CSS11TCColumbia-Suicide Severity Rating Scale Lifetime/Recent Version Questionnaire Test Code
(CSS11TC)
text
Extensible: No
C117989Columbia-Suicide Severity Rating Scale Lifetime/Recent Version Questionnaire Test CodeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version test code.CDISC Questionnaire C-SSRS Lifetime/Recent Version Test Code Terminology
CSS1101AC118019CSS11-Wish to be Dead-LifeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you wished you were dead or wished you could go to sleep and not wake up? (Lifetime).C-SSRS Lifetime/Recent Version - Wish to be Dead (Lifetime)
CSS1101BC118020CSS11-Wish to be Dead-P1MColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you wished you were dead or wished you could go to sleep and not wake up? (Past 1 Month).C-SSRS Lifetime/Recent Version - Wish to be Dead (Past 1 Month)
CSS1101CC118021CSS11-Wish to be Dead, DescribeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of wishing to be dead.C-SSRS Lifetime/Recent Version - Description of Wish to be Dead
CSS1102AC118022CSS11-Non-Spec Suicid Thought-LifeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you actually had any thoughts of killing yourself? (Lifetime).C-SSRS Lifetime/Recent Version - Non-Specific Active Suicidal Thoughts (Lifetime)
CSS1102BC118023CSS11-Non-Spec Suicid Thought-P1MColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you actually had any thoughts of killing yourself? (Past 1 Month).C-SSRS Lifetime/Recent Version - Non-Specific Active Suicidal Thoughts (Past 1 Months)
CSS1102CC118024CSS11-Non-Spec Suicid Thought, DescribeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of non-specific active suicidal thoughts.C-SSRS Lifetime/Recent Version - Description of Non-Specific Active Suicidal Thoughts
CSS1103AC118025CSS11-Idea, No Intent, No Plan-LifeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you been thinking about how you might do this? (Lifetime).C-SSRS Lifetime/Recent Version - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Lifetime)
CSS1103BC118026CSS11-Idea, No Intent, No Plan-P1MColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you been thinking about how you might do this? (Past 1 Month).C-SSRS Lifetime/Recent Version - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Past 1 Month)
CSS1103CC118027CSS11-Idea, No Intent, No Plan, DescribeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Lifetime/Recent Version - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
CSS1104AC118028CSS11-Idea, Intent, No Plan-LifeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you had these thoughts and had some intention of acting on them? (Lifetime).C-SSRS Lifetime/Recent Version - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Lifetime)
CSS1104BC118029CSS11-Idea, Intent, No Plan-P1MColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you had these thoughts and had some intention of acting on them? (Past 1 Month).C-SSRS Lifetime/Recent Version - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Past 1 Month)
CSS1104CC118030CSS11-Idea, Intent, No Plan, DescribeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Lifetime/Recent Version - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
CSS1105AC118031CSS11-Idea, Plan, Intent-LifeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Lifetime).C-SSRS Lifetime/Recent Version - Active Suicidal Ideation with Specific Plan and Intent (Lifetime)
CSS1105BC118032CSS11-Idea, Plan, Intent-P1MColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Past 1 Month).C-SSRS Lifetime/Recent Version - Active Suicidal Ideation with Specific Plan and Intent (Past 1 Month)
CSS1105CC118033CSS11-Idea, Plan, Intent, DescribeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of active suicidal ideation with specific plan and intent.C-SSRS Lifetime/Recent Version - Description of Active Suicidal Ideation with Specific Plan and Intent
CSS1106AC118034CSS11-Most Severe Idea-LifeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Most severe ideation. (Lifetime).C-SSRS Lifetime/Recent Version - Most Severe Ideation (Lifetime)
CSS1106BC118035CSS11-Most Severe Idea, Desc-LifeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of most severe ideation. (Lifetime).C-SSRS Lifetime/Recent Version - Describe Most Severe Ideation (Lifetime)
CSS1106CC118036CSS11-Most Severe Idea-Recent-P1MColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Most severe ideation. (Recent - Past 1 Month).C-SSRS Lifetime/Recent Version - Recent Most Severe Ideation (Past 1 Month)
CSS1106DC118037CSS11-Most Severe Idea, Desc-Recent-P1MColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of most severe ideation. (Recent - Past 1 Month).C-SSRS Lifetime/Recent Version - Describe Recent Most Severe Ideation (Past 1 Month)
CSS1107AC118038CSS11-Most Severe Idea, Frequency-LifeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - How many times have you had these thoughts? (Lifetime).C-SSRS Lifetime/Recent Version - Frequency of Most Severe Ideation (Lifetime)
CSS1107BC118039CSS11-Most Severe Idea, Frequency-P1MColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - How many times have you had these thoughts? (Past 1 Month).C-SSRS Lifetime/Recent Version - Frequency of Most Severe Ideation (Past 1 Month)
CSS1108AC118040CSS11-Most Severe Idea, Duration-LifeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - When you have the thoughts how long do they last? (Lifetime).C-SSRS Lifetime/Recent Version - Duration of Most Severe Ideation (Lifetime)
CSS1108BC118041CSS11-Most Severe Idea, Duration-P1MColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - When you have the thoughts how long do they last? (Past 1 Month).C-SSRS Lifetime/Recent Version - Duration of Most Severe Ideation (Past 1 Month)
CSS1109AC118042CSS11-Most Severe Idea, Control-LifeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Lifetime).C-SSRS Lifetime/Recent Version - Controllability of Most Severe Ideation (Lifetime)
CSS1109BC118043CSS11-Most Severe Idea, Control-P1MColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Past 1 Month).C-SSRS Lifetime/Recent Version - Controllability of Most Severe Ideation (Past 1 Month)
CSS1110AC118044CSS11-Most Severe Idea, Deterrents-LifeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Are there things - anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Lifetime).C-SSRS Lifetime/Recent Version - Deterrents to Most Severe Ideation (Lifetime)
CSS1110BC118045CSS11-Most Severe Idea, Deterrents-P1MColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Are there things - anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Past 1 Month).C-SSRS Lifetime/Recent Version - Deterrents to Most Severe Ideation (Past 1 Month)
CSS1111AC118046CSS11-Most Severe Idea, Reasons-LifeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Lifetime).C-SSRS Lifetime/Recent Version - Reasons for Most Severe Ideation (Lifetime)
CSS1111BC118047CSS11-Most Severe Idea, Reasons-P1MColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Past 1 Month).C-SSRS Lifetime/Recent Version - Reasons for Most Severe Ideation (Past 1 Month)
CSS1112AC118048CSS11-Actual Attempt-LifeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Lifetime).C-SSRS Lifetime/Recent Version - Actual Suicide Attempt (Lifetime)
CSS1112BC118049CSS11-Actual Attempt-P3MColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Past 3 Months).C-SSRS Lifetime/Recent Version - Actual Suicide Attempt (Past 3 Months)
CSS1113AC118050CSS11-Number of Actual Attempts-LifeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Total number of actual attempts. (Lifetime).C-SSRS Lifetime/Recent Version - Number of Actual Suicide Attempts (Lifetime)
CSS1113BC118051CSS11-Number of Actual Attempts-P3MColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Total number of actual attempts. (Past 3 Months).C-SSRS Lifetime/Recent Version - Number of Actual Suicide Attempts (Past 3 Months)
CSS1113CC118052CSS11-Actual Attempt, DescribeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of actual attempt.C-SSRS Lifetime/Recent Version - Description of Actual Suicide Attempt
CSS1114AC118053CSS11-Non-suicid Self-injur Behav-LifeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Has subject engaged in non-suicidal self-injurious behavior? (Lifetime).C-SSRS Lifetime/Recent Version - Non-suicidal Self-injurious Behavior (Lifetime)
CSS1114BC118054CSS11-Non-suicid Self-injur Behav-P3MColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Has subject engaged in non-suicidal self-injurious behavior? (Past 3 Months).C-SSRS Lifetime/Recent Version - Non-suicidal Self-injurious Behavior (Past 3 Months)
CSS1115AC118055CSS11-Interrupted Attempt-LifeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Has there been a time when you started to do something to end your life but someone or something stopped you before you actually did anything? (Lifetime).C-SSRS Lifetime/Recent Version - Interrupted Suicide Attempt (Lifetime)
CSS1115BC118056CSS11-Interrupted Attempt-P3MColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Has there been a time when you started to do something to end your life but someone or something stopped you before you actually did anything? (Past 3 Months).C-SSRS Lifetime/Recent Version - Interrupted Suicide Attempt (Past 3 Months)
CSS1116AC118057CSS11-Num of Interrupted Attempts-LifeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Total number of interrupted attempts. (Lifetime).C-SSRS Lifetime/Recent Version - Number of Interrupted Suicide Attempts (Lifetime)
CSS1116BC118058CSS11-Num of Interrupted Attempts-P3MColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Total number of interrupted attempts. (Past 3 Months).C-SSRS Lifetime/Recent Version - Number of Interrupted Suicide Attempts (Past 3 Months)
CSS1116CC118059CSS11-Interrupted Attempt, DescribeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of interrupted attempt.C-SSRS Lifetime/Recent Version - Description of Interrupted Suicide Attempt
CSS1117AC118060CSS11-Aborted Attempt-LifeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Lifetime).C-SSRS Lifetime/Recent Version - Aborted Suicide Attempt (Lifetime)
CSS1117BC118061CSS11-Aborted Attempt-P3MColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Past 3 Months).C-SSRS Lifetime/Recent Version - Aborted Suicide Attempt (Past 3 Months)
CSS1118AC118062CSS11-Number of Aborted Attempts-LifeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Total number of aborted or self-interrupted attempts. (Lifetime).C-SSRS Lifetime/Recent Version - Number of Aborted Suicide Attempts (Lifetime)
CSS1118BC118063CSS11-Number of Aborted Attempts-P3MColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Total number of aborted or self-interrupted attempts. (Past 3 Months).C-SSRS Lifetime/Recent Version - Number of Aborted Suicide Attempts (Past 3 Months)
CSS1118CC118064CSS11-Aborted Attempt, DescribeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of aborted or self-interrupted attempt.C-SSRS Lifetime/Recent Version - Description of Aborted Suicide Attempt
CSS1119AC118065CSS11-Preparatory Acts/Behavior-LifeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? (Lifetime).C-SSRS Lifetime/Recent Version - Preparatory Acts or Behaviors Toward Suicide Attempt (Lifetime)
CSS1119BC118066CSS11-Preparatory Acts/Behavior-P3MColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? (Past 3 Months).C-SSRS Lifetime/Recent Version - Preparatory Acts or Behaviors Toward Suicide Attempt (Past 3 Months)
CSS1119CC118067CSS11-Preparatory Acts/Behavior, DescrColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of preparatory acts or behavior.C-SSRS Lifetime/Recent Version - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS1120AC118068CSS11-Suicidal Behavior-LifeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Suicidal behavior was present during the assessment period? (Lifetime).C-SSRS Lifetime/Recent Version - Suicidal Behavior (Lifetime)
CSS1120BC118069CSS11-Suicidal Behavior-P3MColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Suicidal behavior was present during the assessment period? (Past 3 Months).C-SSRS Lifetime/Recent Version - Suicidal Behavior (Past 3 Months)
CSS1121AC118070CSS11-Most Recent Attempt DateColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Most recent attempt date.C-SSRS Lifetime/Recent Version - Most Recent Suicide Attempt Date
CSS1121BC118071CSS11-Most Recent Attempt DamageColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Most recent attempt actual lethality/medical damage.C-SSRS Lifetime/Recent Version - Most Recent Suicide Attempt Actual Lethality/Medical Damage
CSS1121CC118072CSS11-Most Recent Attempt PotentialColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Most recent attempt potential lethality.C-SSRS Lifetime/Recent Version - Most Recent Suicide Attempt Potential Lethality
CSS1122AC118073CSS11-Most Lethal Attempt DateColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Most lethal attempt date.C-SSRS Lifetime/Recent Version - Most Lethal Suicide Attempt Date
CSS1122BC118074CSS11-Most Lethal Attempt DamageColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Most lethal attempt actual lethality/medical damage.C-SSRS Lifetime/Recent Version - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
CSS1122CC118075CSS11-Most Lethal Attempt PotentialColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Most lethal attempt potential lethality.C-SSRS Lifetime/Recent Version - Most Lethal Suicide Attempt Potential Lethality
CSS1123AC118076CSS11-First Attempt DateColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Initial/first attempt date.C-SSRS Lifetime/Recent Version - First Suicide Attempt Date
CSS1123BC118077CSS11-First Attempt DamageColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Initial/first attempt actual lethality/medical damage.C-SSRS Lifetime/Recent Version - First Suicide Attempt Actual Lethality/Medical Damage
CSS1123CC118078CSS11-First Attempt PotentialColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Initial/first attempt potential lethality.C-SSRS Lifetime/Recent Version - First Suicide Attempt Potential Lethality
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CL.C117988.CSS11TNColumbia-Suicide Severity Rating Scale Lifetime/Recent Version Questionnaire Test Name
(CSS11TN)
text
Extensible: No
C117988Columbia-Suicide Severity Rating Scale Lifetime/Recent Version Questionnaire Test NameColumbia-Suicide Severity Rating Scale Lifetime/Recent Version test name.CDISC Questionnaire C-SSRS Lifetime/Recent Version Test Name Terminology
CSS11-Aborted Attempt, DescribeC118064CSS11-Aborted Attempt, DescribeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of aborted or self-interrupted attempt.C-SSRS Lifetime/Recent Version - Description of Aborted Suicide Attempt
CSS11-Aborted Attempt-LifeC118060CSS11-Aborted Attempt-LifeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Lifetime).C-SSRS Lifetime/Recent Version - Aborted Suicide Attempt (Lifetime)
CSS11-Aborted Attempt-P3MC118061CSS11-Aborted Attempt-P3MColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Past 3 Months).C-SSRS Lifetime/Recent Version - Aborted Suicide Attempt (Past 3 Months)
CSS11-Actual Attempt, DescribeC118052CSS11-Actual Attempt, DescribeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of actual attempt.C-SSRS Lifetime/Recent Version - Description of Actual Suicide Attempt
CSS11-Actual Attempt-LifeC118048CSS11-Actual Attempt-LifeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Lifetime).C-SSRS Lifetime/Recent Version - Actual Suicide Attempt (Lifetime)
CSS11-Actual Attempt-P3MC118049CSS11-Actual Attempt-P3MColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Past 3 Months).C-SSRS Lifetime/Recent Version - Actual Suicide Attempt (Past 3 Months)
CSS11-First Attempt DamageC118077CSS11-First Attempt DamageColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Initial/first attempt actual lethality/medical damage.C-SSRS Lifetime/Recent Version - First Suicide Attempt Actual Lethality/Medical Damage
CSS11-First Attempt DateC118076CSS11-First Attempt DateColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Initial/first attempt date.C-SSRS Lifetime/Recent Version - First Suicide Attempt Date
CSS11-First Attempt PotentialC118078CSS11-First Attempt PotentialColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Initial/first attempt potential lethality.C-SSRS Lifetime/Recent Version - First Suicide Attempt Potential Lethality
CSS11-Idea, Intent, No Plan, DescribeC118030CSS11-Idea, Intent, No Plan, DescribeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Lifetime/Recent Version - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
CSS11-Idea, Intent, No Plan-LifeC118028CSS11-Idea, Intent, No Plan-LifeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you had these thoughts and had some intention of acting on them? (Lifetime).C-SSRS Lifetime/Recent Version - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Lifetime)
CSS11-Idea, Intent, No Plan-P1MC118029CSS11-Idea, Intent, No Plan-P1MColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you had these thoughts and had some intention of acting on them? (Past 1 Month).C-SSRS Lifetime/Recent Version - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Past 1 Month)
CSS11-Idea, No Intent, No Plan, DescribeC118027CSS11-Idea, No Intent, No Plan, DescribeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Lifetime/Recent Version - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
CSS11-Idea, No Intent, No Plan-LifeC118025CSS11-Idea, No Intent, No Plan-LifeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you been thinking about how you might do this? (Lifetime).C-SSRS Lifetime/Recent Version - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Lifetime)
CSS11-Idea, No Intent, No Plan-P1MC118026CSS11-Idea, No Intent, No Plan-P1MColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you been thinking about how you might do this? (Past 1 Month).C-SSRS Lifetime/Recent Version - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Past 1 Month)
CSS11-Idea, Plan, Intent, DescribeC118033CSS11-Idea, Plan, Intent, DescribeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of active suicidal ideation with specific plan and intent.C-SSRS Lifetime/Recent Version - Description of Active Suicidal Ideation with Specific Plan and Intent
CSS11-Idea, Plan, Intent-LifeC118031CSS11-Idea, Plan, Intent-LifeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Lifetime).C-SSRS Lifetime/Recent Version - Active Suicidal Ideation with Specific Plan and Intent (Lifetime)
CSS11-Idea, Plan, Intent-P1MC118032CSS11-Idea, Plan, Intent-P1MColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Past 1 Month).C-SSRS Lifetime/Recent Version - Active Suicidal Ideation with Specific Plan and Intent (Past 1 Month)
CSS11-Interrupted Attempt, DescribeC118059CSS11-Interrupted Attempt, DescribeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of interrupted attempt.C-SSRS Lifetime/Recent Version - Description of Interrupted Suicide Attempt
CSS11-Interrupted Attempt-LifeC118055CSS11-Interrupted Attempt-LifeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Has there been a time when you started to do something to end your life but someone or something stopped you before you actually did anything? (Lifetime).C-SSRS Lifetime/Recent Version - Interrupted Suicide Attempt (Lifetime)
CSS11-Interrupted Attempt-P3MC118056CSS11-Interrupted Attempt-P3MColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Has there been a time when you started to do something to end your life but someone or something stopped you before you actually did anything? (Past 3 Months).C-SSRS Lifetime/Recent Version - Interrupted Suicide Attempt (Past 3 Months)
CSS11-Most Lethal Attempt DamageC118074CSS11-Most Lethal Attempt DamageColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Most lethal attempt actual lethality/medical damage.C-SSRS Lifetime/Recent Version - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
CSS11-Most Lethal Attempt DateC118073CSS11-Most Lethal Attempt DateColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Most lethal attempt date.C-SSRS Lifetime/Recent Version - Most Lethal Suicide Attempt Date
CSS11-Most Lethal Attempt PotentialC118075CSS11-Most Lethal Attempt PotentialColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Most lethal attempt potential lethality.C-SSRS Lifetime/Recent Version - Most Lethal Suicide Attempt Potential Lethality
CSS11-Most Recent Attempt DamageC118071CSS11-Most Recent Attempt DamageColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Most recent attempt actual lethality/medical damage.C-SSRS Lifetime/Recent Version - Most Recent Suicide Attempt Actual Lethality/Medical Damage
CSS11-Most Recent Attempt DateC118070CSS11-Most Recent Attempt DateColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Most recent attempt date.C-SSRS Lifetime/Recent Version - Most Recent Suicide Attempt Date
CSS11-Most Recent Attempt PotentialC118072CSS11-Most Recent Attempt PotentialColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Most recent attempt potential lethality.C-SSRS Lifetime/Recent Version - Most Recent Suicide Attempt Potential Lethality
CSS11-Most Severe Idea, Control-LifeC118042CSS11-Most Severe Idea, Control-LifeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Lifetime).C-SSRS Lifetime/Recent Version - Controllability of Most Severe Ideation (Lifetime)
CSS11-Most Severe Idea, Control-P1MC118043CSS11-Most Severe Idea, Control-P1MColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Past 1 Month).C-SSRS Lifetime/Recent Version - Controllability of Most Severe Ideation (Past 1 Month)
CSS11-Most Severe Idea, Desc-LifeC118035CSS11-Most Severe Idea, Desc-LifeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of most severe ideation. (Lifetime).C-SSRS Lifetime/Recent Version - Describe Most Severe Ideation (Lifetime)
CSS11-Most Severe Idea, Desc-Recent-P1MC118037CSS11-Most Severe Idea, Desc-Recent-P1MColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of most severe ideation. (Recent - Past 1 Month).C-SSRS Lifetime/Recent Version - Describe Recent Most Severe Ideation (Past 1 Month)
CSS11-Most Severe Idea, Deterrents-LifeC118044CSS11-Most Severe Idea, Deterrents-LifeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Are there things - anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Lifetime).C-SSRS Lifetime/Recent Version - Deterrents to Most Severe Ideation (Lifetime)
CSS11-Most Severe Idea, Deterrents-P1MC118045CSS11-Most Severe Idea, Deterrents-P1MColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Are there things - anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Past 1 Month).C-SSRS Lifetime/Recent Version - Deterrents to Most Severe Ideation (Past 1 Month)
CSS11-Most Severe Idea, Duration-LifeC118040CSS11-Most Severe Idea, Duration-LifeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - When you have the thoughts how long do they last? (Lifetime).C-SSRS Lifetime/Recent Version - Duration of Most Severe Ideation (Lifetime)
CSS11-Most Severe Idea, Duration-P1MC118041CSS11-Most Severe Idea, Duration-P1MColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - When you have the thoughts how long do they last? (Past 1 Month).C-SSRS Lifetime/Recent Version - Duration of Most Severe Ideation (Past 1 Month)
CSS11-Most Severe Idea, Frequency-LifeC118038CSS11-Most Severe Idea, Frequency-LifeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - How many times have you had these thoughts? (Lifetime).C-SSRS Lifetime/Recent Version - Frequency of Most Severe Ideation (Lifetime)
CSS11-Most Severe Idea, Frequency-P1MC118039CSS11-Most Severe Idea, Frequency-P1MColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - How many times have you had these thoughts? (Past 1 Month).C-SSRS Lifetime/Recent Version - Frequency of Most Severe Ideation (Past 1 Month)
CSS11-Most Severe Idea, Reasons-LifeC118046CSS11-Most Severe Idea, Reasons-LifeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Lifetime).C-SSRS Lifetime/Recent Version - Reasons for Most Severe Ideation (Lifetime)
CSS11-Most Severe Idea, Reasons-P1MC118047CSS11-Most Severe Idea, Reasons-P1MColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Past 1 Month).C-SSRS Lifetime/Recent Version - Reasons for Most Severe Ideation (Past 1 Month)
CSS11-Most Severe Idea-LifeC118034CSS11-Most Severe Idea-LifeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Most severe ideation. (Lifetime).C-SSRS Lifetime/Recent Version - Most Severe Ideation (Lifetime)
CSS11-Most Severe Idea-Recent-P1MC118036CSS11-Most Severe Idea-Recent-P1MColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Most severe ideation. (Recent - Past 1 Month).C-SSRS Lifetime/Recent Version - Recent Most Severe Ideation (Past 1 Month)
CSS11-Non-Spec Suicid Thought, DescribeC118024CSS11-Non-Spec Suicid Thought, DescribeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of non-specific active suicidal thoughts.C-SSRS Lifetime/Recent Version - Description of Non-Specific Active Suicidal Thoughts
CSS11-Non-Spec Suicid Thought-LifeC118022CSS11-Non-Spec Suicid Thought-LifeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you actually had any thoughts of killing yourself? (Lifetime).C-SSRS Lifetime/Recent Version - Non-Specific Active Suicidal Thoughts (Lifetime)
CSS11-Non-Spec Suicid Thought-P1MC118023CSS11-Non-Spec Suicid Thought-P1MColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you actually had any thoughts of killing yourself? (Past 1 Month).C-SSRS Lifetime/Recent Version - Non-Specific Active Suicidal Thoughts (Past 1 Months)
CSS11-Non-suicid Self-injur Behav-LifeC118053CSS11-Non-suicid Self-injur Behav-LifeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Has subject engaged in non-suicidal self-injurious behavior? (Lifetime).C-SSRS Lifetime/Recent Version - Non-suicidal Self-injurious Behavior (Lifetime)
CSS11-Non-suicid Self-injur Behav-P3MC118054CSS11-Non-suicid Self-injur Behav-P3MColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Has subject engaged in non-suicidal self-injurious behavior? (Past 3 Months).C-SSRS Lifetime/Recent Version - Non-suicidal Self-injurious Behavior (Past 3 Months)
CSS11-Num of Interrupted Attempts-LifeC118057CSS11-Num of Interrupted Attempts-LifeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Total number of interrupted attempts. (Lifetime).C-SSRS Lifetime/Recent Version - Number of Interrupted Suicide Attempts (Lifetime)
CSS11-Num of Interrupted Attempts-P3MC118058CSS11-Num of Interrupted Attempts-P3MColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Total number of interrupted attempts. (Past 3 Months).C-SSRS Lifetime/Recent Version - Number of Interrupted Suicide Attempts (Past 3 Months)
CSS11-Number of Aborted Attempts-LifeC118062CSS11-Number of Aborted Attempts-LifeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Total number of aborted or self-interrupted attempts. (Lifetime).C-SSRS Lifetime/Recent Version - Number of Aborted Suicide Attempts (Lifetime)
CSS11-Number of Aborted Attempts-P3MC118063CSS11-Number of Aborted Attempts-P3MColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Total number of aborted or self-interrupted attempts. (Past 3 Months).C-SSRS Lifetime/Recent Version - Number of Aborted Suicide Attempts (Past 3 Months)
CSS11-Number of Actual Attempts-LifeC118050CSS11-Number of Actual Attempts-LifeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Total number of actual attempts. (Lifetime).C-SSRS Lifetime/Recent Version - Number of Actual Suicide Attempts (Lifetime)
CSS11-Number of Actual Attempts-P3MC118051CSS11-Number of Actual Attempts-P3MColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Total number of actual attempts. (Past 3 Months).C-SSRS Lifetime/Recent Version - Number of Actual Suicide Attempts (Past 3 Months)
CSS11-Preparatory Acts/Behavior, DescrC118067CSS11-Preparatory Acts/Behavior, DescrColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of preparatory acts or behavior.C-SSRS Lifetime/Recent Version - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS11-Preparatory Acts/Behavior-LifeC118065CSS11-Preparatory Acts/Behavior-LifeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? (Lifetime).C-SSRS Lifetime/Recent Version - Preparatory Acts or Behaviors Toward Suicide Attempt (Lifetime)
CSS11-Preparatory Acts/Behavior-P3MC118066CSS11-Preparatory Acts/Behavior-P3MColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? (Past 3 Months).C-SSRS Lifetime/Recent Version - Preparatory Acts or Behaviors Toward Suicide Attempt (Past 3 Months)
CSS11-Suicidal Behavior-LifeC118068CSS11-Suicidal Behavior-LifeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Suicidal behavior was present during the assessment period? (Lifetime).C-SSRS Lifetime/Recent Version - Suicidal Behavior (Lifetime)
CSS11-Suicidal Behavior-P3MC118069CSS11-Suicidal Behavior-P3MColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Suicidal behavior was present during the assessment period? (Past 3 Months).C-SSRS Lifetime/Recent Version - Suicidal Behavior (Past 3 Months)
CSS11-Wish to be Dead, DescribeC118021CSS11-Wish to be Dead, DescribeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Description of wishing to be dead.C-SSRS Lifetime/Recent Version - Description of Wish to be Dead
CSS11-Wish to be Dead-LifeC118019CSS11-Wish to be Dead-LifeColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you wished you were dead or wished you could go to sleep and not wake up? (Lifetime).C-SSRS Lifetime/Recent Version - Wish to be Dead (Lifetime)
CSS11-Wish to be Dead-P1MC118020CSS11-Wish to be Dead-P1MColumbia-Suicide Severity Rating Scale Lifetime/Recent Version - Have you wished you were dead or wished you could go to sleep and not wake up? (Past 1 Month).C-SSRS Lifetime/Recent Version - Wish to be Dead (Past 1 Month)
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CL.C113848.CSS10TCColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent Questionnaire Test Code
(CSS10TC)
text
Extensible: No
C113848Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent Questionnaire Test CodeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent test code.CDISC Questionnaire C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent Test Code Terminology
CSS1001AC113889CSS10-Wish to be Dead-LifeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Wish to be Dead (Lifetime)
CSS1001BC113890CSS10-Wish to be Dead-P1MColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore? (Past 1 Month).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Wish to be Dead (Past 1 Month)
CSS1001CC113891CSS10-Wish to be Dead, DescribeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of wishing to be dead.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Wish to be Dead
CSS1002AC113892CSS10-Non-Spec Suicid Thought-LifeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Non-Specific Active Suicidal Thoughts (Lifetime)
CSS1002BC113893CSS10-Non-Spec Suicid Thought-P1MColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself? (Past 1 Month).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Non-Specific Active Suicidal Thoughts (Past 1 Month)
CSS1002CC113894CSS10-Non-Spec Suicid Thought, DescribeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of non-specific active suicidal thoughts.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Non-Specific Active Suicidal Thoughts
CSS1003AC113895CSS10-Idea, No Intent, No Plan-LifeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act (Lifetime)
CSS1003BC113896CSS10-Idea, No Intent, No Plan-P1MColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about? (Past 1 Month).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act (Past 1 Month)
CSS1003CC113897CSS10-Idea, No Intent, No Plan, DescribeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act
CSS1004AC113898CSS10-Idea, Intent, No Plan-LifeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it. (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Some Intent to Act, Without Specific Plan (Lifetime)
CSS1004BC113899CSS10-Idea, Intent, No Plan-P1MColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it. (Past 1 Month).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Some Intent to Act, Without Specific Plan (Past 1 Month)
CSS1004CC113900CSS10-Idea, Intent, No Plan, DescribeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Active Suicidal Ideation With Some Intent to Act, Without Specific Plan
CSS1005AC113901CSS10-Idea, Plan, Intent-LifeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Specific Plan and Intent (Lifetime)
CSS1005BC113902CSS10-Idea, Plan, Intent-P1MColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it? (Past 1 Month).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Specific Plan and Intent (Past 1 Month)
CSS1005CC113903CSS10-Idea, Plan, Intent, DescribeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of active suicidal ideation with specific plan and intent.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Active Suicidal Ideation With Specific Plan and Intent
CSS1006AC113904CSS10-Most Severe Idea-LifeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most severe ideation. (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Severe Ideation (Lifetime)
CSS1006BC113905CSS10-Most Severe Idea, Desc-LifeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of most severe ideation. (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Describe Most Severe Ideation (Lifetime)
CSS1006CC113906CSS10-Most Severe Idea-P1MColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most severe ideation. (Past 1 Month).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Severe Ideation (Past 1 Month)
CSS1006DC113907CSS10-Most Severe Idea, Desc-P1MColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of most severe ideation. (Past 1 Month).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Describe Most Severe Ideation (Past 1 Month)
CSS1007AC113908CSS10-Most Severe Idea, Frequency-LifeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - How many times have you had these thoughts? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Frequency (Lifetime)
CSS1007BC113909CSS10-Most Severe Idea, Frequency-P1MColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - How many times have you had these thoughts? (Past 1 Month).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Frequency (Past 1 Month)
CSS1007CC113910CSS10-Frequency, Write ResponseColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Frequency, write response.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Frequency Write Response
CSS1008AC113911CSS10-Actual Attempt-LifeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Did you ever do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you ever hurt yourself on purpose? Why did you do that? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Actual Suicide Attempt (Lifetime)
CSS1008BC113912CSS10-Actual Attempt-P3MColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Did you ever do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you ever hurt yourself on purpose? Why did you do that? (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Actual Suicide Attempt (Past 3 Month)
CSS1009AC113913CSS10-Number of Actual Attempts-LifeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of actual attempts. (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Actual Suicide Attempts (Lifetime)
CSS1009BC113914CSS10-Number of Actual Attempts-P3MColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of actual attempts. (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Actual Suicide Attempts (Past 3 Months)
CSS1009CC113915CSS10-Actual Attempt, DescribeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of actual attempt.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Actual Suicide Attempt
CSS1010AC113916CSS10-Non-suicidal Self-injur Behav-LifeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has subject engaged in non-suicidal self-injurious behavior? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Non-suicidal Self-injurious Behavior (Lifetime)
CSS1010BC113917CSS10-Non-suicidal Self-injur Behav-P3MColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has subject engaged in non-suicidal self-injurious behavior? (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Non-suicidal Self-injurious Behavior (Past 3 Months)
CSS1011AC113918CSS10-Self-injur Behav, Intent Unk-LifeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has subject engaged in self-injurious behavior, intent unknown? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Self-injurious Behavior, Intent Unknown (Lifetime)
CSS1011BC113919CSS10-Self-injur Behav, Intent Unk-P3MColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has subject engaged in self-injurious behavior, intent unknown? (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Self-injurious Behavior, Intent Unknown (Past 3 Months)
CSS1012AC113920CSS10-Interrupted Attempt-LifeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Interrupted Suicide Attempt (Lifetime)
CSS1012BC113921CSS10-Interrupted Attempt-P3MColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do? (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Interrupted Suicide Attempt (Past 3 Months)
CSS1013AC113922CSS10-Number of Interrupt Attempts-LifeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of interrupted attempts. (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Interrupted Suicide Attempts (Lifetime)
CSS1013BC113923CSS10-Number of Interrupt Attempts-P3MColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of interrupted attempts. (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Interrupted Suicide Attempts (Past 3 Months)
CSS1013CC113924CSS10-Interrupted Attempt, DescribeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of interrupted attempt.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Interrupted Suicide Attempt
CSS1014AC113925CSS10-Aborted Attempt-LifeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Aborted or Self-interrupted Suicide Attempt (Lifetime)
CSS1014BC113926CSS10-Aborted Attempt-P3MColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do? (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Aborted or Self-interrupted Suicide Attempt (Past 3 Months)
CSS1015AC113927CSS10-Number of Aborted Attempts-LifeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of aborted or self-interrupted attempts. (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Aborted or Self-interrupted Suicide Attempt (Lifetime)
CSS1015BC113928CSS10-Number of Aborted Attempts-P3MColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of aborted or self-interrupted attempts. (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Aborted or Self-interrupted Suicide Attempt (Past 3 Months)
CSS1015CC113929CSS10-Aborted Attempt, DescribeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of aborted or self-interrupted attempt.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Aborted Suicide Attempt
CSS1016AC113930CSS10-Preparatory Acts/Behavior-LifeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Preparatory Acts or Behaviors Toward Suicide Attempt (Lifetime)
CSS1016BC113931CSS10-Preparatory Acts/Behavior-P3MColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself? (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Preparatory Acts or Behaviors Toward Suicide Attempt (Past 3 Months)
CSS1016CC113932CSS10-Preparatory Acts/Behavior, DescrColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of preparatory acts or behavior.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS1017AC113933CSS10-Suicidal Behavior-LifeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Suicidal behavior was present during the assessment period? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Suicidal Behavior (Lifetime)
CSS1017BC113934CSS10-Suicidal Behavior-P3MColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Suicidal behavior was present during the assessment period? (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Suicidal Behavior (Past 3 Months)
CSS1018AC113935CSS10-Most Recent Attempt DateColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most recent attempt date.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Recent Suicide Attempt Date
CSS1018BC113936CSS10-Most Recent Attempt DamageColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most recent attempt actual lethality/medical damage.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Recent Suicide Attempt Actual Lethality/Medical Damage
CSS1018CC113937CSS10-Most Recent Attempt PotentialColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most recent attempt potential lethality.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Recent Suicide Attempt Potential Lethality
CSS1019AC113938CSS10-Most Lethal Attempt DateColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most lethal attempt date.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Lethal Suicide Attempt Date
CSS1019BC113939CSS10-Most Lethal Attempt DamageColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most lethal attempt actual lethality/medical damage.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
CSS1019CC113940CSS10-Most Lethal Attempt PotentialColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most lethal attempt potential lethality.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Lethal Suicide Attempt Potential Lethality
CSS1020AC113941CSS10-First Attempt DateColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Initial/first attempt date.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - First Suicide Attempt Date
CSS1020BC113942CSS10-First Attempt DamageColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Initial/first attempt actual lethality/medical damage.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - First Suicide Attempt Actual Lethality/Medical Damage
CSS1020CC113943CSS10-First Attempt PotentialColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Initial/first attempt potential lethality.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - First Suicide Attempt Potential Lethality
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CL.C113847.CSS10TNColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent Questionnaire Test Name
(CSS10TN)
text
Extensible: No
C113847Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent Questionnaire Test NameColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent test name.CDISC Questionnaire C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent Test Name Terminology
CSS10-Aborted Attempt, DescribeC113929CSS10-Aborted Attempt, DescribeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of aborted or self-interrupted attempt.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Aborted Suicide Attempt
CSS10-Aborted Attempt-LifeC113925CSS10-Aborted Attempt-LifeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Aborted or Self-interrupted Suicide Attempt (Lifetime)
CSS10-Aborted Attempt-P3MC113926CSS10-Aborted Attempt-P3MColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do? (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Aborted or Self-interrupted Suicide Attempt (Past 3 Months)
CSS10-Actual Attempt, DescribeC113915CSS10-Actual Attempt, DescribeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of actual attempt.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Actual Suicide Attempt
CSS10-Actual Attempt-LifeC113911CSS10-Actual Attempt-LifeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Did you ever do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you ever hurt yourself on purpose? Why did you do that? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Actual Suicide Attempt (Lifetime)
CSS10-Actual Attempt-P3MC113912CSS10-Actual Attempt-P3MColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Did you ever do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you ever hurt yourself on purpose? Why did you do that? (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Actual Suicide Attempt (Past 3 Month)
CSS10-First Attempt DamageC113942CSS10-First Attempt DamageColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Initial/first attempt actual lethality/medical damage.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - First Suicide Attempt Actual Lethality/Medical Damage
CSS10-First Attempt DateC113941CSS10-First Attempt DateColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Initial/first attempt date.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - First Suicide Attempt Date
CSS10-First Attempt PotentialC113943CSS10-First Attempt PotentialColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Initial/first attempt potential lethality.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - First Suicide Attempt Potential Lethality
CSS10-Frequency, Write ResponseC113910CSS10-Frequency, Write ResponseColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Frequency, write response.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Frequency Write Response
CSS10-Idea, Intent, No Plan, DescribeC113900CSS10-Idea, Intent, No Plan, DescribeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Active Suicidal Ideation With Some Intent to Act, Without Specific Plan
CSS10-Idea, Intent, No Plan-LifeC113898CSS10-Idea, Intent, No Plan-LifeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it. (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Some Intent to Act, Without Specific Plan (Lifetime)
CSS10-Idea, Intent, No Plan-P1MC113899CSS10-Idea, Intent, No Plan-P1MColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it. (Past 1 Month).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Some Intent to Act, Without Specific Plan (Past 1 Month)
CSS10-Idea, No Intent, No Plan, DescribeC113897CSS10-Idea, No Intent, No Plan, DescribeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act
CSS10-Idea, No Intent, No Plan-LifeC113895CSS10-Idea, No Intent, No Plan-LifeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act (Lifetime)
CSS10-Idea, No Intent, No Plan-P1MC113896CSS10-Idea, No Intent, No Plan-P1MColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about? (Past 1 Month).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act (Past 1 Month)
CSS10-Idea, Plan, Intent, DescribeC113903CSS10-Idea, Plan, Intent, DescribeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of active suicidal ideation with specific plan and intent.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Active Suicidal Ideation With Specific Plan and Intent
CSS10-Idea, Plan, Intent-LifeC113901CSS10-Idea, Plan, Intent-LifeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Specific Plan and Intent (Lifetime)
CSS10-Idea, Plan, Intent-P1MC113902CSS10-Idea, Plan, Intent-P1MColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it? (Past 1 Month).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Specific Plan and Intent (Past 1 Month)
CSS10-Interrupted Attempt, DescribeC113924CSS10-Interrupted Attempt, DescribeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of interrupted attempt.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Interrupted Suicide Attempt
CSS10-Interrupted Attempt-LifeC113920CSS10-Interrupted Attempt-LifeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Interrupted Suicide Attempt (Lifetime)
CSS10-Interrupted Attempt-P3MC113921CSS10-Interrupted Attempt-P3MColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do? (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Interrupted Suicide Attempt (Past 3 Months)
CSS10-Most Lethal Attempt DamageC113939CSS10-Most Lethal Attempt DamageColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most lethal attempt actual lethality/medical damage.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
CSS10-Most Lethal Attempt DateC113938CSS10-Most Lethal Attempt DateColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most lethal attempt date.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Lethal Suicide Attempt Date
CSS10-Most Lethal Attempt PotentialC113940CSS10-Most Lethal Attempt PotentialColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most lethal attempt potential lethality.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Lethal Suicide Attempt Potential Lethality
CSS10-Most Recent Attempt DamageC113936CSS10-Most Recent Attempt DamageColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most recent attempt actual lethality/medical damage.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Recent Suicide Attempt Actual Lethality/Medical Damage
CSS10-Most Recent Attempt DateC113935CSS10-Most Recent Attempt DateColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most recent attempt date.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Recent Suicide Attempt Date
CSS10-Most Recent Attempt PotentialC113937CSS10-Most Recent Attempt PotentialColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most recent attempt potential lethality.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Recent Suicide Attempt Potential Lethality
CSS10-Most Severe Idea, Desc-LifeC113905CSS10-Most Severe Idea, Desc-LifeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of most severe ideation. (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Describe Most Severe Ideation (Lifetime)
CSS10-Most Severe Idea, Desc-P1MC113907CSS10-Most Severe Idea, Desc-P1MColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of most severe ideation. (Past 1 Month).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Describe Most Severe Ideation (Past 1 Month)
CSS10-Most Severe Idea, Frequency-LifeC113908CSS10-Most Severe Idea, Frequency-LifeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - How many times have you had these thoughts? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Frequency (Lifetime)
CSS10-Most Severe Idea, Frequency-P1MC113909CSS10-Most Severe Idea, Frequency-P1MColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - How many times have you had these thoughts? (Past 1 Month).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Frequency (Past 1 Month)
CSS10-Most Severe Idea-LifeC113904CSS10-Most Severe Idea-LifeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most severe ideation. (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Severe Ideation (Lifetime)
CSS10-Most Severe Idea-P1MC113906CSS10-Most Severe Idea-P1MColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most severe ideation. (Past 1 Month).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Severe Ideation (Past 1 Month)
CSS10-Non-Spec Suicid Thought, DescribeC113894CSS10-Non-Spec Suicid Thought, DescribeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of non-specific active suicidal thoughts.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Non-Specific Active Suicidal Thoughts
CSS10-Non-Spec Suicid Thought-LifeC113892CSS10-Non-Spec Suicid Thought-LifeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Non-Specific Active Suicidal Thoughts (Lifetime)
CSS10-Non-Spec Suicid Thought-P1MC113893CSS10-Non-Spec Suicid Thought-P1MColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself? (Past 1 Month).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Non-Specific Active Suicidal Thoughts (Past 1 Month)
CSS10-Non-suicidal Self-injur Behav-LifeC113916CSS10-Non-suicidal Self-injur Behav-LifeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has subject engaged in non-suicidal self-injurious behavior? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Non-suicidal Self-injurious Behavior (Lifetime)
CSS10-Non-suicidal Self-injur Behav-P3MC113917CSS10-Non-suicidal Self-injur Behav-P3MColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has subject engaged in non-suicidal self-injurious behavior? (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Non-suicidal Self-injurious Behavior (Past 3 Months)
CSS10-Number of Aborted Attempts-LifeC113927CSS10-Number of Aborted Attempts-LifeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of aborted or self-interrupted attempts. (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Aborted or Self-interrupted Suicide Attempt (Lifetime)
CSS10-Number of Aborted Attempts-P3MC113928CSS10-Number of Aborted Attempts-P3MColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of aborted or self-interrupted attempts. (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Aborted or Self-interrupted Suicide Attempt (Past 3 Months)
CSS10-Number of Actual Attempts-LifeC113913CSS10-Number of Actual Attempts-LifeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of actual attempts. (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Actual Suicide Attempts (Lifetime)
CSS10-Number of Actual Attempts-P3MC113914CSS10-Number of Actual Attempts-P3MColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of actual attempts. (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Actual Suicide Attempts (Past 3 Months)
CSS10-Number of Interrupt Attempts-LifeC113922CSS10-Number of Interrupt Attempts-LifeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of interrupted attempts. (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Interrupted Suicide Attempts (Lifetime)
CSS10-Number of Interrupt Attempts-P3MC113923CSS10-Number of Interrupt Attempts-P3MColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of interrupted attempts. (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Interrupted Suicide Attempts (Past 3 Months)
CSS10-Preparatory Acts/Behavior, DescrC113932CSS10-Preparatory Acts/Behavior, DescrColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of preparatory acts or behavior.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS10-Preparatory Acts/Behavior-LifeC113930CSS10-Preparatory Acts/Behavior-LifeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Preparatory Acts or Behaviors Toward Suicide Attempt (Lifetime)
CSS10-Preparatory Acts/Behavior-P3MC113931CSS10-Preparatory Acts/Behavior-P3MColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself? (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Preparatory Acts or Behaviors Toward Suicide Attempt (Past 3 Months)
CSS10-Self-injur Behav, Intent Unk-LifeC113918CSS10-Self-injur Behav, Intent Unk-LifeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has subject engaged in self-injurious behavior, intent unknown? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Self-injurious Behavior, Intent Unknown (Lifetime)
CSS10-Self-injur Behav, Intent Unk-P3MC113919CSS10-Self-injur Behav, Intent Unk-P3MColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has subject engaged in self-injurious behavior, intent unknown? (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Self-injurious Behavior, Intent Unknown (Past 3 Months)
CSS10-Suicidal Behavior-LifeC113933CSS10-Suicidal Behavior-LifeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Suicidal behavior was present during the assessment period? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Suicidal Behavior (Lifetime)
CSS10-Suicidal Behavior-P3MC113934CSS10-Suicidal Behavior-P3MColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Suicidal behavior was present during the assessment period? (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Suicidal Behavior (Past 3 Months)
CSS10-Wish to be Dead, DescribeC113891CSS10-Wish to be Dead, DescribeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of wishing to be dead.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Wish to be Dead
CSS10-Wish to be Dead-LifeC113889CSS10-Wish to be Dead-LifeColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Wish to be Dead (Lifetime)
CSS10-Wish to be Dead-P1MC113890CSS10-Wish to be Dead-P1MColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore? (Past 1 Month).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Wish to be Dead (Past 1 Month)
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CL.C111342.CSS09TCColumbia-Suicide Severity Rating Scale Screening Questionnaire Test Code
(CSS09TC)
text
Extensible: No
C111342Columbia-Suicide Severity Rating Scale Screening Questionnaire Test CodeColumbia-Suicide Severity Rating Scale Screening test code.CDISC Questionnaire C-SSRS Screening Test Code Terminology
CSS0901C111460CSS09-Wish to be DeadColumbia-Suicide Severity Rating Scale Screening - Have you wished you were dead or wished you could go to sleep and not wake up?C-SSRS Screening - Wish to be Dead
CSS0901AC111461CSS09-Wish to be Dead, DescribeColumbia-Suicide Severity Rating Scale Screening - Description of wishing to be dead.C-SSRS Screening - Description of Wish to be Dead
CSS0902C111462CSS09-Non-Spec Suicid ThoughtColumbia-Suicide Severity Rating Scale Screening - Have you actually had any thoughts of killing yourself?C-SSRS Screening - Non-Specific Active Suicidal Thoughts
CSS0902AC111463CSS09-Non-Spec Suicid Thought, DescribeColumbia-Suicide Severity Rating Scale Screening - Description of non-specific active suicidal thoughts.C-SSRS Screening - Description of Non-Specific Active Suicidal Thoughts
CSS0903C111464CSS09-Idea, No Intent, No PlanColumbia-Suicide Severity Rating Scale Screening - Have you been thinking about how you might do this?C-SSRS Screening - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
CSS0903AC111465CSS09-Idea, No Intent, No Plan, DescribeColumbia-Suicide Severity Rating Scale Screening - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Screening - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
CSS0904C111466CSS09-Idea, Intent, No PlanColumbia-Suicide Severity Rating Scale Screening - Have you had these thoughts and had some intention of acting on them?C-SSRS Screening - Active Suicidal Ideation with Some Intent to Act, without Specific Plan
CSS0904AC111467CSS09-Idea, Intent, No Plan, DescribeColumbia-Suicide Severity Rating Scale Screening - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Screening - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
CSS0905C111468CSS09-Idea, Plan, IntentColumbia-Suicide Severity Rating Scale Screening - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan?C-SSRS Screening - Active Suicidal Ideation with Specific Plan and Intent
CSS0905AC111469CSS09-Idea, Plan, Intent, DescribeColumbia-Suicide Severity Rating Scale Screening - Description of active suicidal ideation with specific plan and intent.C-SSRS Screening - Description of Active Suicidal Ideation with Specific Plan and Intent
CSS0906C111470CSS09-Most Severe IdeaColumbia-Suicide Severity Rating Scale Screening - Most severe ideation.C-SSRS Screening - Most Severe Ideation
CSS0906AC111471CSS09-Most Severe Idea, DescColumbia-Suicide Severity Rating Scale Screening - Description of most severe ideation.C-SSRS Screening - Describe Most Severe Ideation
CSS0907C111472CSS09-Most Severe Idea, FrequencyColumbia-Suicide Severity Rating Scale Screening - How many times have you had these thoughts?C-SSRS Screening - Frequency of Most Severe Ideation
CSS0908C111473CSS09-Most Severe Idea, DurationColumbia-Suicide Severity Rating Scale Screening - When you have the thoughts, how long do they last?C-SSRS Screening - Duration of Most Severe Ideation
CSS0909C111474CSS09-Most Severe Idea, ControllabilityColumbia-Suicide Severity Rating Scale Screening - Could/can you stop thinking about killing yourself or wanting to die if you want to?C-SSRS Screening - Controllability of Most Severe Ideation
CSS0910C111475CSS09-Most Severe Idea, DeterrentsColumbia-Suicide Severity Rating Scale Screening - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide?C-SSRS Screening - Deterrents to Most Severe Ideation
CSS0911C111476CSS09-Most Severe Idea, ReasonsColumbia-Suicide Severity Rating Scale Screening - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both?C-SSRS Screening - Reasons for Most Severe Ideation
CSS0912C111477CSS09-Actual AttemptColumbia-Suicide Severity Rating Scale Screening - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died?C-SSRS Screening - Actual Suicide Attempt
CSS0913C111478CSS09-Number of Actual AttemptsColumbia-Suicide Severity Rating Scale Screening - Total number of actual attempts.C-SSRS Screening - Number of Actual Suicide Attempts
CSS0913AC111479CSS09-Actual Attempt, DescribeColumbia-Suicide Severity Rating Scale Screening - Description of actual attempt.C-SSRS Screening - Description of Actual Suicide Attempt
CSS0914C111480CSS09-Non-suicidal Self-injur BehavColumbia-Suicide Severity Rating Scale Screening - Has subject engaged in non-suicidal self-injurious behavior?C-SSRS Screening - Non-suicidal Self-injurious Behavior
CSS0915C111481CSS09-Interrupted AttemptColumbia-Suicide Severity Rating Scale Screening - Has there been a time when you started to do something to end your life but someone or something stopped you before you actually did anything?C-SSRS Screening - Interrupted Suicide Attempt
CSS0916C111482CSS09-Number of Interrupt AttemptsColumbia-Suicide Severity Rating Scale Screening - Total number of interrupted attempts.C-SSRS Screening - Number of Interrupted Suicide Attempts
CSS0916AC111483CSS09-Interrupted Attempt, DescribeColumbia-Suicide Severity Rating Scale Screening - Description of interrupted attempt.C-SSRS Screening - Description of Interrupted Suicide Attempt
CSS0917C111484CSS09-Aborted AttemptColumbia-Suicide Severity Rating Scale Screening - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything?C-SSRS Screening - Aborted Suicide Attempt
CSS0918C111485CSS09-Number of Aborted AttemptsColumbia-Suicide Severity Rating Scale Screening - Total number of aborted attempts.C-SSRS Screening - Number of Aborted Suicide Attempts
CSS0918AC111486CSS09-Aborted Attempt, DescribeColumbia-Suicide Severity Rating Scale Screening - Description of aborted attempt.C-SSRS Screening - Description of Aborted Suicide Attempt
CSS0919C111487CSS09-Preparatory Acts/BehaviorColumbia-Suicide Severity Rating Scale Screening - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)?C-SSRS Screening - Preparatory Acts or Behaviors Toward Suicide Attempt
CSS0919AC111488CSS09-Preparatory Acts/Behavior, DescrColumbia-Suicide Severity Rating Scale Screening - Description of preparatory acts or behavior.C-SSRS Screening - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS0920C111489CSS09-Suicidal BehaviorColumbia-Suicide Severity Rating Scale Screening - Suicidal behavior was present during the assessment period?C-SSRS Screening - Suicidal Behavior
CSS0921AC111490CSS09-Most Recent Attempt DateColumbia-Suicide Severity Rating Scale Screening - Most recent attempt date.C-SSRS Screening - Most Recent Suicide Attempt Date
CSS0921BC111491CSS09-Most Recent Attempt DamageColumbia-Suicide Severity Rating Scale Screening - Most recent attempt actual lethality/medical damage.C-SSRS Screening - Most Recent Suicide Attempt Actual Lethality/Medical Damage
CSS0921CC111492CSS09-Most Recent Attempt PotentialColumbia-Suicide Severity Rating Scale Screening - Most recent attempt potential lethality.C-SSRS Screening - Most Recent Suicide Attempt Potential Lethality
CSS0922AC111493CSS09-Most Lethal Attempt DateColumbia-Suicide Severity Rating Scale Screening - Most lethal attempt date.C-SSRS Screening - Most Lethal Suicide Attempt Date
CSS0922BC111494CSS09-Most Lethal Attempt DamageColumbia-Suicide Severity Rating Scale Screening - Most lethal attempt actual lethality/medical damage.C-SSRS Screening - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
CSS0922CC111495CSS09-Most Lethal Attempt PotentialColumbia-Suicide Severity Rating Scale Screening - Most lethal attempt potential lethality.C-SSRS Screening - Most Lethal Suicide Attempt Potential Lethality
CSS0923AC111496CSS09-First Attempt DateColumbia-Suicide Severity Rating Scale Screening - Initial/first attempt date.C-SSRS Screening - First Suicide Attempt Date
CSS0923BC111497CSS09-First Attempt DamageColumbia-Suicide Severity Rating Scale Screening - Initial/first attempt actual lethality/medical damage.C-SSRS Screening - First Suicide Attempt Actual Lethality/Medical Damage
CSS0923CC111498CSS09-First Attempt PotentialColumbia-Suicide Severity Rating Scale Screening - Initial/first attempt potential lethality.C-SSRS Screening - First Suicide Attempt Potential Lethality
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CL.C111341.CSS09TNColumbia-Suicide Severity Rating Scale Screening Questionnaire Test Name
(CSS09TN)
text
Extensible: No
C111341Columbia-Suicide Severity Rating Scale Screening Questionnaire Test NameColumbia-Suicide Severity Rating Scale Screening test name.CDISC Questionnaire C-SSRS Screening Test Name Terminology
CSS09-Aborted AttemptC111484CSS09-Aborted AttemptColumbia-Suicide Severity Rating Scale Screening - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything?C-SSRS Screening - Aborted Suicide Attempt
CSS09-Aborted Attempt, DescribeC111486CSS09-Aborted Attempt, DescribeColumbia-Suicide Severity Rating Scale Screening - Description of aborted attempt.C-SSRS Screening - Description of Aborted Suicide Attempt
CSS09-Actual AttemptC111477CSS09-Actual AttemptColumbia-Suicide Severity Rating Scale Screening - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died?C-SSRS Screening - Actual Suicide Attempt
CSS09-Actual Attempt, DescribeC111479CSS09-Actual Attempt, DescribeColumbia-Suicide Severity Rating Scale Screening - Description of actual attempt.C-SSRS Screening - Description of Actual Suicide Attempt
CSS09-First Attempt DamageC111497CSS09-First Attempt DamageColumbia-Suicide Severity Rating Scale Screening - Initial/first attempt actual lethality/medical damage.C-SSRS Screening - First Suicide Attempt Actual Lethality/Medical Damage
CSS09-First Attempt DateC111496CSS09-First Attempt DateColumbia-Suicide Severity Rating Scale Screening - Initial/first attempt date.C-SSRS Screening - First Suicide Attempt Date
CSS09-First Attempt PotentialC111498CSS09-First Attempt PotentialColumbia-Suicide Severity Rating Scale Screening - Initial/first attempt potential lethality.C-SSRS Screening - First Suicide Attempt Potential Lethality
CSS09-Idea, Intent, No PlanC111466CSS09-Idea, Intent, No PlanColumbia-Suicide Severity Rating Scale Screening - Have you had these thoughts and had some intention of acting on them?C-SSRS Screening - Active Suicidal Ideation with Some Intent to Act, without Specific Plan
CSS09-Idea, Intent, No Plan, DescribeC111467CSS09-Idea, Intent, No Plan, DescribeColumbia-Suicide Severity Rating Scale Screening - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Screening - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
CSS09-Idea, No Intent, No PlanC111464CSS09-Idea, No Intent, No PlanColumbia-Suicide Severity Rating Scale Screening - Have you been thinking about how you might do this?C-SSRS Screening - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
CSS09-Idea, No Intent, No Plan, DescribeC111465CSS09-Idea, No Intent, No Plan, DescribeColumbia-Suicide Severity Rating Scale Screening - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Screening - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
CSS09-Idea, Plan, IntentC111468CSS09-Idea, Plan, IntentColumbia-Suicide Severity Rating Scale Screening - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan?C-SSRS Screening - Active Suicidal Ideation with Specific Plan and Intent
CSS09-Idea, Plan, Intent, DescribeC111469CSS09-Idea, Plan, Intent, DescribeColumbia-Suicide Severity Rating Scale Screening - Description of active suicidal ideation with specific plan and intent.C-SSRS Screening - Description of Active Suicidal Ideation with Specific Plan and Intent
CSS09-Interrupted AttemptC111481CSS09-Interrupted AttemptColumbia-Suicide Severity Rating Scale Screening - Has there been a time when you started to do something to end your life but someone or something stopped you before you actually did anything?C-SSRS Screening - Interrupted Suicide Attempt
CSS09-Interrupted Attempt, DescribeC111483CSS09-Interrupted Attempt, DescribeColumbia-Suicide Severity Rating Scale Screening - Description of interrupted attempt.C-SSRS Screening - Description of Interrupted Suicide Attempt
CSS09-Most Lethal Attempt DamageC111494CSS09-Most Lethal Attempt DamageColumbia-Suicide Severity Rating Scale Screening - Most lethal attempt actual lethality/medical damage.C-SSRS Screening - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
CSS09-Most Lethal Attempt DateC111493CSS09-Most Lethal Attempt DateColumbia-Suicide Severity Rating Scale Screening - Most lethal attempt date.C-SSRS Screening - Most Lethal Suicide Attempt Date
CSS09-Most Lethal Attempt PotentialC111495CSS09-Most Lethal Attempt PotentialColumbia-Suicide Severity Rating Scale Screening - Most lethal attempt potential lethality.C-SSRS Screening - Most Lethal Suicide Attempt Potential Lethality
CSS09-Most Recent Attempt DamageC111491CSS09-Most Recent Attempt DamageColumbia-Suicide Severity Rating Scale Screening - Most recent attempt actual lethality/medical damage.C-SSRS Screening - Most Recent Suicide Attempt Actual Lethality/Medical Damage
CSS09-Most Recent Attempt DateC111490CSS09-Most Recent Attempt DateColumbia-Suicide Severity Rating Scale Screening - Most recent attempt date.C-SSRS Screening - Most Recent Suicide Attempt Date
CSS09-Most Recent Attempt PotentialC111492CSS09-Most Recent Attempt PotentialColumbia-Suicide Severity Rating Scale Screening - Most recent attempt potential lethality.C-SSRS Screening - Most Recent Suicide Attempt Potential Lethality
CSS09-Most Severe IdeaC111470CSS09-Most Severe IdeaColumbia-Suicide Severity Rating Scale Screening - Most severe ideation.C-SSRS Screening - Most Severe Ideation
CSS09-Most Severe Idea, ControllabilityC111474CSS09-Most Severe Idea, ControllabilityColumbia-Suicide Severity Rating Scale Screening - Could/can you stop thinking about killing yourself or wanting to die if you want to?C-SSRS Screening - Controllability of Most Severe Ideation
CSS09-Most Severe Idea, DescC111471CSS09-Most Severe Idea, DescColumbia-Suicide Severity Rating Scale Screening - Description of most severe ideation.C-SSRS Screening - Describe Most Severe Ideation
CSS09-Most Severe Idea, DeterrentsC111475CSS09-Most Severe Idea, DeterrentsColumbia-Suicide Severity Rating Scale Screening - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide?C-SSRS Screening - Deterrents to Most Severe Ideation
CSS09-Most Severe Idea, DurationC111473CSS09-Most Severe Idea, DurationColumbia-Suicide Severity Rating Scale Screening - When you have the thoughts, how long do they last?C-SSRS Screening - Duration of Most Severe Ideation
CSS09-Most Severe Idea, FrequencyC111472CSS09-Most Severe Idea, FrequencyColumbia-Suicide Severity Rating Scale Screening - How many times have you had these thoughts?C-SSRS Screening - Frequency of Most Severe Ideation
CSS09-Most Severe Idea, ReasonsC111476CSS09-Most Severe Idea, ReasonsColumbia-Suicide Severity Rating Scale Screening - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both?C-SSRS Screening - Reasons for Most Severe Ideation
CSS09-Non-Spec Suicid ThoughtC111462CSS09-Non-Spec Suicid ThoughtColumbia-Suicide Severity Rating Scale Screening - Have you actually had any thoughts of killing yourself?C-SSRS Screening - Non-Specific Active Suicidal Thoughts
CSS09-Non-Spec Suicid Thought, DescribeC111463CSS09-Non-Spec Suicid Thought, DescribeColumbia-Suicide Severity Rating Scale Screening - Description of non-specific active suicidal thoughts.C-SSRS Screening - Description of Non-Specific Active Suicidal Thoughts
CSS09-Non-suicidal Self-injur BehavC111480CSS09-Non-suicidal Self-injur BehavColumbia-Suicide Severity Rating Scale Screening - Has subject engaged in non-suicidal self-injurious behavior?C-SSRS Screening - Non-suicidal Self-injurious Behavior
CSS09-Number of Aborted AttemptsC111485CSS09-Number of Aborted AttemptsColumbia-Suicide Severity Rating Scale Screening - Total number of aborted attempts.C-SSRS Screening - Number of Aborted Suicide Attempts
CSS09-Number of Actual AttemptsC111478CSS09-Number of Actual AttemptsColumbia-Suicide Severity Rating Scale Screening - Total number of actual attempts.C-SSRS Screening - Number of Actual Suicide Attempts
CSS09-Number of Interrupt AttemptsC111482CSS09-Number of Interrupt AttemptsColumbia-Suicide Severity Rating Scale Screening - Total number of interrupted attempts.C-SSRS Screening - Number of Interrupted Suicide Attempts
CSS09-Preparatory Acts/BehaviorC111487CSS09-Preparatory Acts/BehaviorColumbia-Suicide Severity Rating Scale Screening - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)?C-SSRS Screening - Preparatory Acts or Behaviors Toward Suicide Attempt
CSS09-Preparatory Acts/Behavior, DescrC111488CSS09-Preparatory Acts/Behavior, DescrColumbia-Suicide Severity Rating Scale Screening - Description of preparatory acts or behavior.C-SSRS Screening - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS09-Suicidal BehaviorC111489CSS09-Suicidal BehaviorColumbia-Suicide Severity Rating Scale Screening - Suicidal behavior was present during the assessment period?C-SSRS Screening - Suicidal Behavior
CSS09-Wish to be DeadC111460CSS09-Wish to be DeadColumbia-Suicide Severity Rating Scale Screening - Have you wished you were dead or wished you could go to sleep and not wake up?C-SSRS Screening - Wish to be Dead
CSS09-Wish to be Dead, DescribeC111461CSS09-Wish to be Dead, DescribeColumbia-Suicide Severity Rating Scale Screening - Description of wishing to be dead.C-SSRS Screening - Description of Wish to be Dead
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CL.C103461.CSS02TCColumbia-Suicide Severity Rating Scale Since Last Visit Questionnaire Test Code
(CSS02TC)
text
Extensible: No
C103461Columbia-Suicide Severity Rating Scale Since Last Visit Questionnaire Test CodeColumbia-Suicide Severity Rating Scale Since Last Visit test code.CDISC Questionnaire C-SSRS Since Last Visit Test Code Terminology
CSS0201C103772CSS02-Wish to be DeadColumbia-Suicide Severity Rating Scale Since Last Visit - Have you wished you were dead or wished you could go to sleep and not wake up?C-SSRS Since Last Visit - Wish to be Dead or go to Sleep and not Wake Up
CSS0201AC103773CSS02-Wish to be Dead, DescribeColumbia-Suicide Severity Rating Scale Since Last Visit - Description of wishing to be dead.C-SSRS Since Last Visit - Description of Wish to be Dead
CSS0202C103774CSS02-Non-Specific Suicidal ThoughtColumbia-Suicide Severity Rating Scale Since Last Visit - Have you actually had any thoughts of killing yourself?C-SSRS Since Last Visit - Non-Specific Suicidal Thought
CSS0202AC103775CSS02-Non-Specific Suicid Thought, DescrColumbia-Suicide Severity Rating Scale Since Last Visit - Description of non-specific active suicidal thoughts.C-SSRS Since Last Visit - Description of Non-Specific Suicide Thought
CSS0203C103776CSS02-Suicidal Ideation-No IntentColumbia-Suicide Severity Rating Scale Since Last Visit - Have you been thinking about how you might do this?C-SSRS Since Last Visit - Suicidal Ideation-No Intent
CSS0203AC103777CSS02-Suicidal Ideation-No Intent, DescrColumbia-Suicide Severity Rating Scale Since Last Visit - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Since Last Visit - Description of Suicidal Ideation-No Intent
CSS0204C103799CSS02-Ideation With Intent, No PlanColumbia-Suicide Severity Rating Scale Since Last Visit - Have you had these thoughts and had some intention of acting on them?C-SSRS Since Last Visit - Ideation With Intent, No Plan
CSS0204AC103800CSS02-Ideation With Intent No Plan DescrColumbia-Suicide Severity Rating Scale Since Last Visit - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Since Last Visit - Description of Ideation With Intent, No Plan
CSS0205C103801CSS02-Ideation With Plan/IntentColumbia-Suicide Severity Rating Scale Since Last Visit - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan?C-SSRS Since Last Visit - Ideation With Plan/Intent
CSS0205AC103778CSS02-Ideation With Plan/Intent, DescrColumbia-Suicide Severity Rating Scale Since Last Visit - Description of active suicidal ideation with specific plan and intent.C-SSRS Since Last Visit - Description of Ideation With Plan and Intent
CSS0206C103779CSS02-Most Severe IdeationColumbia-Suicide Severity Rating Scale Since Last Visit - Most severe ideation.C-SSRS Since Last Visit - Most Severe Ideation
CSS0206AC103780CSS02-Most Severe Ideation, DescriptionColumbia-Suicide Severity Rating Scale Since Last Visit - Description of most severe ideation.C-SSRS Since Last Visit - Describe Most Severe Ideation
CSS0207C103781CSS02-Most Severe Ideation, FrequencyColumbia-Suicide Severity Rating Scale Since Last Visit - How many times have you had these thoughts?C-SSRS Since Last Visit - Frequency of Most Severe Ideation
CSS0208C103782CSS02-Most Severe Ideation, DurationColumbia-Suicide Severity Rating Scale Since Last Visit - When you have the thoughts, how long do they last?C-SSRS Since Last Visit - Duration of Most Severe Ideation
CSS0209C103783CSS02-Most Severe Ideation, ControlColumbia-Suicide Severity Rating Scale Since Last Visit - Could/can you stop thinking about killing yourself or wanting to die if you want to?C-SSRS Since Last Visit - Control over Most Severe Ideation
CSS0210C103784CSS02-Most Severe Ideation, DeterrentsColumbia-Suicide Severity Rating Scale Since Last Visit - Are there things - anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide?C-SSRS Since Last Visit - Deterrents to Most Severe Ideation
CSS0211C103785CSS02-Most Severe Ideation, ReasonsColumbia-Suicide Severity Rating Scale Since Last Visit - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both?C-SSRS Since Last Visit - Reasons for Most Severe Ideation
CSS0212C103786CSS02-Actual AttemptColumbia-Suicide Severity Rating Scale Since Last Visit - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died?C-SSRS Since Last Visit - Actual Suicide Attempt
CSS0213C103787CSS02-Number of Actual AttemptsColumbia-Suicide Severity Rating Scale Since Last Visit - Total number of actual attempts.C-SSRS Since Last Visit - Number of Actual Suicide Attempts
CSS0213AC103788CSS02-Actual Attempt, DescribeColumbia-Suicide Severity Rating Scale Since Last Visit - Description of actual attempt.C-SSRS Since Last Visit - Description of Actual Suicide Attempts
CSS0214C103789CSS02-Non-suicidal Self-injurious BehavColumbia-Suicide Severity Rating Scale Since Last Visit - Has the subject engaged in non-suicidal self-injurious behavior.C-SSRS Since Last Visit - Non-suicidal Self-injurious Behavior
CSS0215C103790CSS02-Interrupted AttemptColumbia-Suicide Severity Rating Scale Since Last Visit - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything?C-SSRS Since Last Visit - Interrupted Suicide Attempt
CSS0216C103791CSS02-Number of Interrupted AttemptsColumbia-Suicide Severity Rating Scale Since Last Visit - Total number of interrupted attempts.C-SSRS Since Last Visit - Number of Interrupted Suicide Attempts
CSS0216AC103792CSS02-Interrupted Attempt, DescribeColumbia-Suicide Severity Rating Scale Since Last Visit - Description of interrupted attempt.C-SSRS Since Last Visit - Description of Interrupted Suicide Attempt
CSS0217C103793CSS02-Aborted AttemptColumbia-Suicide Severity Rating Scale Since Last Visit - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything?C-SSRS Since Last Visit - Aborted Suicide Attempt
CSS0218C103794CSS02-Number of Aborted AttemptsColumbia-Suicide Severity Rating Scale Since Last Visit - Total number of aborted attempts.C-SSRS Since Last Visit - Number of Aborted Suicide Attempts
CSS0218AC103795CSS02-Aborted Attempt, DescribeColumbia-Suicide Severity Rating Scale Since Last Visit - Description of aborted attempt.C-SSRS Since Last Visit - Description of Aborted Suicide Attempt
CSS0219C103796CSS02-Preparatory Acts/BehaviorColumbia-Suicide Severity Rating Scale Since Last Visit - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)?C-SSRS Since Last Visit - Preparatory Acts or Behaviors Toward Suicide Attempt
CSS0219AC103797CSS02-Preparatory Acts/Behavior, DescrColumbia-Suicide Severity Rating Scale Since Last Visit - Description of preparatory acts or behavior.C-SSRS Since Last Visit - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS0220C103798CSS02-Suicidal BehaviorColumbia-Suicide Severity Rating Scale Since Last Visit - Suicidal behavior was present during the assessment period?C-SSRS Since Last Visit - Suicidal Behavior
CSS0221C103532CSS02-SuicideColumbia-Suicide Severity Rating Scale Since Last Visit - Suicide.C-SSRS Since Last Visit - Suicide
CSS0222AC103533CSS02-Most Lethal Attempt DateColumbia-Suicide Severity Rating Scale Since Last Visit - Most lethal attempt date.C-SSRS Since Last Visit - Most Lethal Attempt Date
CSS0222BC103534CSS02-Most Lethal Attempt DamageColumbia-Suicide Severity Rating Scale Since Last Visit - Most lethal attempt actual lethality/medical damage.C-SSRS Since Last Visit - Most Lethal Actual Attempt Lethality/Medical Damage
CSS0222CC103535CSS02-Most Lethal Attempt PotentialColumbia-Suicide Severity Rating Scale Since Last Visit - Most lethal attempt potential lethality.C-SSRS Since Last Visit - Most Lethal Actual Attempt Potential Lethality
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CL.C103460.CSS02TNColumbia-Suicide Severity Rating Scale Since Last Visit Questionnaire Test Name
(CSS02TN)
text
Extensible: No
C103460Columbia-Suicide Severity Rating Scale Since Last Visit Questionnaire Test NameColumbia-Suicide Severity Rating Scale Since Last Visit test name.CDISC Questionnaire C-SSRS Since Last Visit Test Name Terminology
CSS02-Aborted AttemptC103793CSS02-Aborted AttemptColumbia-Suicide Severity Rating Scale Since Last Visit - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything?C-SSRS Since Last Visit - Aborted Suicide Attempt
CSS02-Aborted Attempt, DescribeC103795CSS02-Aborted Attempt, DescribeColumbia-Suicide Severity Rating Scale Since Last Visit - Description of aborted attempt.C-SSRS Since Last Visit - Description of Aborted Suicide Attempt
CSS02-Actual AttemptC103786CSS02-Actual AttemptColumbia-Suicide Severity Rating Scale Since Last Visit - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died?C-SSRS Since Last Visit - Actual Suicide Attempt
CSS02-Actual Attempt, DescribeC103788CSS02-Actual Attempt, DescribeColumbia-Suicide Severity Rating Scale Since Last Visit - Description of actual attempt.C-SSRS Since Last Visit - Description of Actual Suicide Attempts
CSS02-Ideation With Intent No Plan DescrC103800CSS02-Ideation With Intent No Plan DescrColumbia-Suicide Severity Rating Scale Since Last Visit - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Since Last Visit - Description of Ideation With Intent, No Plan
CSS02-Ideation With Intent, No PlanC103799CSS02-Ideation With Intent, No PlanColumbia-Suicide Severity Rating Scale Since Last Visit - Have you had these thoughts and had some intention of acting on them?C-SSRS Since Last Visit - Ideation With Intent, No Plan
CSS02-Ideation With Plan/IntentC103801CSS02-Ideation With Plan/IntentColumbia-Suicide Severity Rating Scale Since Last Visit - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan?C-SSRS Since Last Visit - Ideation With Plan/Intent
CSS02-Ideation With Plan/Intent, DescrC103778CSS02-Ideation With Plan/Intent, DescrColumbia-Suicide Severity Rating Scale Since Last Visit - Description of active suicidal ideation with specific plan and intent.C-SSRS Since Last Visit - Description of Ideation With Plan and Intent
CSS02-Interrupted AttemptC103790CSS02-Interrupted AttemptColumbia-Suicide Severity Rating Scale Since Last Visit - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything?C-SSRS Since Last Visit - Interrupted Suicide Attempt
CSS02-Interrupted Attempt, DescribeC103792CSS02-Interrupted Attempt, DescribeColumbia-Suicide Severity Rating Scale Since Last Visit - Description of interrupted attempt.C-SSRS Since Last Visit - Description of Interrupted Suicide Attempt
CSS02-Most Lethal Attempt DamageC103534CSS02-Most Lethal Attempt DamageColumbia-Suicide Severity Rating Scale Since Last Visit - Most lethal attempt actual lethality/medical damage.C-SSRS Since Last Visit - Most Lethal Actual Attempt Lethality/Medical Damage
CSS02-Most Lethal Attempt DateC103533CSS02-Most Lethal Attempt DateColumbia-Suicide Severity Rating Scale Since Last Visit - Most lethal attempt date.C-SSRS Since Last Visit - Most Lethal Attempt Date
CSS02-Most Lethal Attempt PotentialC103535CSS02-Most Lethal Attempt PotentialColumbia-Suicide Severity Rating Scale Since Last Visit - Most lethal attempt potential lethality.C-SSRS Since Last Visit - Most Lethal Actual Attempt Potential Lethality
CSS02-Most Severe IdeationC103779CSS02-Most Severe IdeationColumbia-Suicide Severity Rating Scale Since Last Visit - Most severe ideation.C-SSRS Since Last Visit - Most Severe Ideation
CSS02-Most Severe Ideation, ControlC103783CSS02-Most Severe Ideation, ControlColumbia-Suicide Severity Rating Scale Since Last Visit - Could/can you stop thinking about killing yourself or wanting to die if you want to?C-SSRS Since Last Visit - Control over Most Severe Ideation
CSS02-Most Severe Ideation, DescriptionC103780CSS02-Most Severe Ideation, DescriptionColumbia-Suicide Severity Rating Scale Since Last Visit - Description of most severe ideation.C-SSRS Since Last Visit - Describe Most Severe Ideation
CSS02-Most Severe Ideation, DeterrentsC103784CSS02-Most Severe Ideation, DeterrentsColumbia-Suicide Severity Rating Scale Since Last Visit - Are there things - anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide?C-SSRS Since Last Visit - Deterrents to Most Severe Ideation
CSS02-Most Severe Ideation, DurationC103782CSS02-Most Severe Ideation, DurationColumbia-Suicide Severity Rating Scale Since Last Visit - When you have the thoughts, how long do they last?C-SSRS Since Last Visit - Duration of Most Severe Ideation
CSS02-Most Severe Ideation, FrequencyC103781CSS02-Most Severe Ideation, FrequencyColumbia-Suicide Severity Rating Scale Since Last Visit - How many times have you had these thoughts?C-SSRS Since Last Visit - Frequency of Most Severe Ideation
CSS02-Most Severe Ideation, ReasonsC103785CSS02-Most Severe Ideation, ReasonsColumbia-Suicide Severity Rating Scale Since Last Visit - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both?C-SSRS Since Last Visit - Reasons for Most Severe Ideation
CSS02-Non-Specific Suicid Thought, DescrC103775CSS02-Non-Specific Suicid Thought, DescrColumbia-Suicide Severity Rating Scale Since Last Visit - Description of non-specific active suicidal thoughts.C-SSRS Since Last Visit - Description of Non-Specific Suicide Thought
CSS02-Non-Specific Suicidal ThoughtC103774CSS02-Non-Specific Suicidal ThoughtColumbia-Suicide Severity Rating Scale Since Last Visit - Have you actually had any thoughts of killing yourself?C-SSRS Since Last Visit - Non-Specific Suicidal Thought
CSS02-Non-suicidal Self-injurious BehavC103789CSS02-Non-suicidal Self-injurious BehavColumbia-Suicide Severity Rating Scale Since Last Visit - Has the subject engaged in non-suicidal self-injurious behavior.C-SSRS Since Last Visit - Non-suicidal Self-injurious Behavior
CSS02-Number of Aborted AttemptsC103794CSS02-Number of Aborted AttemptsColumbia-Suicide Severity Rating Scale Since Last Visit - Total number of aborted attempts.C-SSRS Since Last Visit - Number of Aborted Suicide Attempts
CSS02-Number of Actual AttemptsC103787CSS02-Number of Actual AttemptsColumbia-Suicide Severity Rating Scale Since Last Visit - Total number of actual attempts.C-SSRS Since Last Visit - Number of Actual Suicide Attempts
CSS02-Number of Interrupted AttemptsC103791CSS02-Number of Interrupted AttemptsColumbia-Suicide Severity Rating Scale Since Last Visit - Total number of interrupted attempts.C-SSRS Since Last Visit - Number of Interrupted Suicide Attempts
CSS02-Preparatory Acts/BehaviorC103796CSS02-Preparatory Acts/BehaviorColumbia-Suicide Severity Rating Scale Since Last Visit - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)?C-SSRS Since Last Visit - Preparatory Acts or Behaviors Toward Suicide Attempt
CSS02-Preparatory Acts/Behavior, DescrC103797CSS02-Preparatory Acts/Behavior, DescrColumbia-Suicide Severity Rating Scale Since Last Visit - Description of preparatory acts or behavior.C-SSRS Since Last Visit - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS02-Suicidal BehaviorC103798CSS02-Suicidal BehaviorColumbia-Suicide Severity Rating Scale Since Last Visit - Suicidal behavior was present during the assessment period?C-SSRS Since Last Visit - Suicidal Behavior
CSS02-Suicidal Ideation-No IntentC103776CSS02-Suicidal Ideation-No IntentColumbia-Suicide Severity Rating Scale Since Last Visit - Have you been thinking about how you might do this?C-SSRS Since Last Visit - Suicidal Ideation-No Intent
CSS02-Suicidal Ideation-No Intent, DescrC103777CSS02-Suicidal Ideation-No Intent, DescrColumbia-Suicide Severity Rating Scale Since Last Visit - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Since Last Visit - Description of Suicidal Ideation-No Intent
CSS02-SuicideC103532CSS02-SuicideColumbia-Suicide Severity Rating Scale Since Last Visit - Suicide.C-SSRS Since Last Visit - Suicide
CSS02-Wish to be DeadC103772CSS02-Wish to be DeadColumbia-Suicide Severity Rating Scale Since Last Visit - Have you wished you were dead or wished you could go to sleep and not wake up?C-SSRS Since Last Visit - Wish to be Dead or go to Sleep and not Wake Up
CSS02-Wish to be Dead, DescribeC103773CSS02-Wish to be Dead, DescribeColumbia-Suicide Severity Rating Scale Since Last Visit - Description of wishing to be dead.C-SSRS Since Last Visit - Description of Wish to be Dead
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CL.C179945.CES0101ORCombat Exposure Scale Questionnaire ORRES for CES0101 TN/TC
(CES0101OR)
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Extensible: No
C179945Combat Exposure Scale Questionnaire ORRES for CES0101 TN/TCCombat Exposure Scale original result for CES0101 test and test code.CDISC Questionnaire Combat Exposure Scale CES0101 Original Response Terminology
1-3 timesC180262CES0101-1-3 timesCombat Exposure Scale original result for CES0101-1-3 times.Combat Exposure Scale CES0101 Original Result - 1-3 Times
13-50 timesC180264CES0101-13-50 timesCombat Exposure Scale original result for CES0101-13-50 times.Combat Exposure Scale CES0101 Original Result - 13-50 Times
4-12 timesC180263CES0101-4-12 timesCombat Exposure Scale original result for CES0101-4-12 times.Combat Exposure Scale CES0101 Original Result - 4-12 Times
51+ timesC180265CES0101-51+timesCombat Exposure Scale original result for CES0101-51+times.Combat Exposure Scale CES0101 Original Result - 51+ Times
NoC180261CES0101-NoCombat Exposure Scale original result for CES0101-No.Combat Exposure Scale CES0101 Original Result - No
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CL.C179946.CES0102ORCombat Exposure Scale Questionnaire ORRES for CES0102 TN/TC
(CES0102OR)
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Extensible: No
C179946Combat Exposure Scale Questionnaire ORRES for CES0102 TN/TCCombat Exposure Scale original result for CES0102 test and test code.CDISC Questionnaire Combat Exposure Scale CES0102 Original Response Terminology
1-3 monthsC180268CES0102-1-3 monthsCombat Exposure Scale original result for CES0102-1-3 months.Combat Exposure Scale CES0102 Original Result - 1-3 Months
4-6 monthsC180269CES0102-4-6 monthsCombat Exposure Scale original result for CES0102-4-6 months.Combat Exposure Scale CES0102 Original Result - 4-6 Months
7+ monthsC180270CES0102-7+ monthsCombat Exposure Scale original result for CES0102-7+ months.Combat Exposure Scale CES0102 Original Result - 7+ Months
<1 monthC180267CES0102-<1 monthCombat Exposure Scale original result for CES0102-<1 month.Combat Exposure Scale CES0102 Original Result - <1 Month
NeverC180266CES0102-NeverCombat Exposure Scale original result for CES0102-Never.Combat Exposure Scale CES0102 Original Result - Never
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CL.C179947.CES0103ORCombat Exposure Scale Questionnaire ORRES for CES0103 TN/TC
(CES0103OR)
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Extensible: No
C179947Combat Exposure Scale Questionnaire ORRES for CES0103 TN/TCCombat Exposure Scale original result for CES0103 test and test code.CDISC Questionnaire Combat Exposure Scale CES0103 Original Response Terminology
1-2 timesC180272CES0103-1-2 timesCombat Exposure Scale original result for CES0103-1-2 times.Combat Exposure Scale CES0103 Original Result - 1-2 Times
13-25 timesC180274CES0103-13-25 timesCombat Exposure Scale original result for CES0103-13-25 times.Combat Exposure Scale CES0103 Original Result - 13-25 Times
26+ timesC180275CES0103-26+timesCombat Exposure Scale original result for CES0103-26+times.Combat Exposure Scale CES0103 Original Result - 26+ Times
3-12 timesC180273CES0103-3-12 timesCombat Exposure Scale original result for CES0103-3-12 times.Combat Exposure Scale CES0103 Original Result - 3-12 Times
NoC180271CES0103-NoCombat Exposure Scale original result for CES0103-No.Combat Exposure Scale CES0103 Original Result - No
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CL.C179948.CES0104ORCombat Exposure Scale Questionnaire ORRES for CES0104 TN/TC
(CES0104OR)
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Extensible: No
C179948Combat Exposure Scale Questionnaire ORRES for CES0104 TN/TCCombat Exposure Scale original result for CES0104 test and test code.CDISC Questionnaire Combat Exposure Scale CES0104 Original Response Terminology
1-25%C180277CES0104-1-25%Combat Exposure Scale original result for CES0104-1-25%.Combat Exposure Scale CES0104 Original Result - 1-25%
26-50%C180278CES0104-26-50%Combat Exposure Scale original result for CES0104-26-50%.Combat Exposure Scale CES0104 Original Result - 26-50%
51-75%C180279CES0104-51-75%Combat Exposure Scale original result for CES0104-51-75%.Combat Exposure Scale CES0104 Original Result - 51-75%
76% or moreC180280CES0104-76% or moreCombat Exposure Scale original result for CES0104-76% or more.Combat Exposure Scale CES0104 Original Result - 76% or More
NoneC180276CES0104-NoneCombat Exposure Scale original result for CES0104-None.Combat Exposure Scale CES0104 Original Result - None
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CL.C179949.CES0105T07ORCombat Exposure Scale Questionnaire ORRES for CES0105 Through CES0107 TN/TC
(CES0105T07OR)
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Extensible: No
C179949Combat Exposure Scale Questionnaire ORRES for CES0105 Through CES0107 TN/TCCombat Exposure Scale original result for CES0105 through CES0107 test and test code.CDISC Questionnaire Combat Exposure Scale CES0105 Through CES0107 Original Response Terminology
1-2 timesC180282CES0105 through CES0107-1-2 timesCombat Exposure Scale original result for CES0105 through CES0107-1-2 times.Combat Exposure Scale CES0105 Through CES0107 Original Result - 1-2 Times
13-50 timesC180284CES0105 through CES0107-13-50 timesCombat Exposure Scale original result for CES0105 through CES0107-13-50 times.Combat Exposure Scale CES0105 Through CES0107 Original Result - 13-50 Times
3-12 timesC180283CES0105 through CES0107-3-12 timesCombat Exposure Scale original result for CES0105 through CES0107-3-12 times.Combat Exposure Scale CES0105 Through CES0107 Original Result - 3-12 Times
51+ timesC180285CES0105 through CES0107-51+ timesCombat Exposure Scale original result for CES0105 through CES0107-51+ times.Combat Exposure Scale CES0105 Through CES0107 Original Result - 51+ Times
NeverC180281CES0105 through CES0107-NeverCombat Exposure Scale original result for CES0105 through CES0107-Never.Combat Exposure Scale CES0105 Through CES0107 Original Result - Never
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CL.C179950.CES0101STRCombat Exposure Scale Questionnaire STRESC for CES0101 TN/TC
(CES0101STR)
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Extensible: No
C179950Combat Exposure Scale Questionnaire STRESC for CES0101 TN/TCCombat Exposure Scale standardized character result for CES0101 test and test code.CDISC Questionnaire Combat Exposure Scale CES0101 Standardized Character Response Terminology
1C180286CES0101-1Combat Exposure Scale standardized character result for CES0101-No.Combat Exposure Scale CES0101 Standardized Character Result 1
2C180287CES0101-2Combat Exposure Scale standardized character result for CES0101-1-3 times.Combat Exposure Scale CES0101 Standardized Character Result 2
3C180288CES0101-3Combat Exposure Scale standardized character result for CES0101-4-12 times.Combat Exposure Scale CES0101 Standardized Character Result 3
4C180289CES0101-4Combat Exposure Scale standardized character result for CES0101-13-50 times.Combat Exposure Scale CES0101 Standardized Character Result 4
5C180290CES0101-5Combat Exposure Scale standardized character result for CES0101-51+times.Combat Exposure Scale CES0101 Standardized Character Result 5
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CL.C179951.CES0102STRCombat Exposure Scale Questionnaire STRESC for CES0102 TN/TC
(CES0102STR)
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Extensible: No
C179951Combat Exposure Scale Questionnaire STRESC for CES0102 TN/TCCombat Exposure Scale standardized character result for CES0102 test and test code.CDISC Questionnaire Combat Exposure Scale CES0102 Standardized Character Response Terminology
1C180291CES0102-1Combat Exposure Scale standardized character result for CES0102-Never.Combat Exposure Scale CES0102 Standardized Character Result 1
2C180292CES0102-2Combat Exposure Scale standardized character result for CES0102-<1 month.Combat Exposure Scale CES0102 Standardized Character Result 2
3C180293CES0102-3Combat Exposure Scale standardized character result for CES0102-1-3 months.Combat Exposure Scale CES0102 Standardized Character Result 3
4C180294CES0102-4Combat Exposure Scale standardized character result for CES0102-4-6 months.Combat Exposure Scale CES0102 Standardized Character Result 4
5C180295CES0102-5Combat Exposure Scale standardized character result for CES0102-7+ months.Combat Exposure Scale CES0102 Standardized Character Result 5
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CL.C179952.CES0103STRCombat Exposure Scale Questionnaire STRESC for CES0103 TN/TC
(CES0103STR)
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Extensible: No
C179952Combat Exposure Scale Questionnaire STRESC for CES0103 TN/TCCombat Exposure Scale standardized character result for CES0103 test and test code.CDISC Questionnaire Combat Exposure Scale CES0103 Standardized Character Response Terminology
1C180296CES0103-1Combat Exposure Scale standardized character result for CES0103-No.Combat Exposure Scale CES0103 Standardized Character Result 1
2C180297CES0103-2Combat Exposure Scale standardized character result for CES0103-1-2 times.Combat Exposure Scale CES0103 Standardized Character Result 2
3C180298CES0103-3Combat Exposure Scale standardized character result for CES0103-3-12 times.Combat Exposure Scale CES0103 Standardized Character Result 3
4C180299CES0103-4Combat Exposure Scale standardized character result for CES0103-13-25 times.Combat Exposure Scale CES0103 Standardized Character Result 4
5C180300CES0103-5Combat Exposure Scale standardized character result for CES0103-26+times.Combat Exposure Scale CES0103 Standardized Character Result 5
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CL.C179953.CES0104STRCombat Exposure Scale Questionnaire STRESC for CES0104 TN/TC
(CES0104STR)
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Extensible: No
C179953Combat Exposure Scale Questionnaire STRESC for CES0104 TN/TCCombat Exposure Scale standardized character result for CES0104 test and test code.CDISC Questionnaire Combat Exposure Scale CES0104 Standardized Character Response Terminology
1C180301CES0104-1Combat Exposure Scale standardized character result for CES0104-None.Combat Exposure Scale CES0104 Standardized Character Result 1
2C180302CES0104-2Combat Exposure Scale standardized character result for CES0104-1-25%.Combat Exposure Scale CES0104 Standardized Character Result 2
3C180303CES0104-3Combat Exposure Scale standardized character result for CES0104-26-50%.Combat Exposure Scale CES0104 Standardized Character Result 3
4C180304CES0104-4Combat Exposure Scale standardized character result for CES0104-51-75%.Combat Exposure Scale CES0104 Standardized Character Result 4
5C180305CES0104-5Combat Exposure Scale standardized character result for CES0104-76% or more.Combat Exposure Scale CES0104 Standardized Character Result 5
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CL.C179954.CES0105T07STRCombat Exposure Scale Questionnaire STRESC for CES0105 Through CES0107 TN/TC
(CES0105T07STR)
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Extensible: No
C179954Combat Exposure Scale Questionnaire STRESC for CES0105 Through CES0107 TN/TCCombat Exposure Scale standardized character result for CES0105 through CES0107 test and test code.CDISC Questionnaire Combat Exposure Scale CES0105 Through CES0107 Standardized Character Response Terminology
1C180306CES0105 through CES0107-1Combat Exposure Scale standardized character result for CES0105 through CES0107-Never.Combat Exposure Scale CES0105 Through CES0107 Standardized Character Result 1
2C180307CES0105 through CES0107-2Combat Exposure Scale standardized character result for CES0105 through CES0107-1-2 times.Combat Exposure Scale CES0105 Through CES0107 Standardized Character Result 2
3C180308CES0105 through CES0107-3Combat Exposure Scale standardized character result for CES0105 through CES0107-3-12 times.Combat Exposure Scale CES0105 Through CES0107 Standardized Character Result 3
4C180309CES0105 through CES0107-4Combat Exposure Scale standardized character result for CES0105 through CES0107-13-50 times.Combat Exposure Scale CES0105 Through CES0107 Standardized Character Result 4
5C180310CES0105 through CES0107-5Combat Exposure Scale standardized character result for CES0105 through CES0107-51+ times.Combat Exposure Scale CES0105 Through CES0107 Standardized Character Result 5
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CL.C132519.CES01TCCombat Exposure Scale Questionnaire Test Code
(CES01TC)
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Extensible: No
C132519Combat Exposure Scale Questionnaire Test CodeCombat Exposure Scale test code.CDISC Questionnaire CES Test Code Terminology
CES0101C132556CES01-Ever Combat Patrols/Dangerous DutyCombat Exposure Scale - Did you ever go on combat patrols or have other dangerous duty?CES - Ever Combat Patrols or Dangerous Duty
CES0102C132557CES01-Were You Ever Under Enemy FireCombat Exposure Scale - Were you ever under enemy fire?CES - Were You Ever Under Enemy Fire
CES0103C132558CES01-Ever Surrounded by the EnemyCombat Exposure Scale - Were you ever surrounded by the enemy?CES - Ever Surrounded by the Enemy
CES0104C132559CES01-Soldiers in Unit KIA, Wounded, MIACombat Exposure Scale - What percentage of the soldiers in your unit were killed (KIA), wounded or missing in action (MIA)?CES - Soldiers in Unit Killed (KIA), Wounded, Missing (MIA)
CES0105C132560CES01-How Often Fire Rounds at EnemyCombat Exposure Scale - How often did you fire rounds at the enemy?CES - How Often Fire Rounds at Enemy
CES0106C132561CES01-See Someone Hit by RoundsCombat Exposure Scale - How often did you see someone hit by incoming or outgoing rounds?CES - See Someone Hit by Rounds
CES0107C132562CES01-In Danger of Being Injured/KilledCombat Exposure Scale - How often were you in danger of being injured or killed (i.e., being pinned down, overrun, ambushed, near miss, etc.)?CES - In Danger of Being Injured or Killed
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CL.C132518.CES01TNCombat Exposure Scale Questionnaire Test Name
(CES01TN)
text
Extensible: No
C132518Combat Exposure Scale Questionnaire Test NameCombat Exposure Scale test name.CDISC Questionnaire CES Test Name Terminology
CES01-Ever Combat Patrols/Dangerous DutyC132556CES01-Ever Combat Patrols/Dangerous DutyCombat Exposure Scale - Did you ever go on combat patrols or have other dangerous duty?CES - Ever Combat Patrols or Dangerous Duty
CES01-Ever Surrounded by the EnemyC132558CES01-Ever Surrounded by the EnemyCombat Exposure Scale - Were you ever surrounded by the enemy?CES - Ever Surrounded by the Enemy
CES01-How Often Fire Rounds at EnemyC132560CES01-How Often Fire Rounds at EnemyCombat Exposure Scale - How often did you fire rounds at the enemy?CES - How Often Fire Rounds at Enemy
CES01-In Danger of Being Injured/KilledC132562CES01-In Danger of Being Injured/KilledCombat Exposure Scale - How often were you in danger of being injured or killed (i.e., being pinned down, overrun, ambushed, near miss, etc.)?CES - In Danger of Being Injured or Killed
CES01-See Someone Hit by RoundsC132561CES01-See Someone Hit by RoundsCombat Exposure Scale - How often did you see someone hit by incoming or outgoing rounds?CES - See Someone Hit by Rounds
CES01-Soldiers in Unit KIA, Wounded, MIAC132559CES01-Soldiers in Unit KIA, Wounded, MIACombat Exposure Scale - What percentage of the soldiers in your unit were killed (KIA), wounded or missing in action (MIA)?CES - Soldiers in Unit Killed (KIA), Wounded, Missing (MIA)
CES01-Were You Ever Under Enemy FireC132557CES01-Were You Ever Under Enemy FireCombat Exposure Scale - Were you ever under enemy fire?CES - Were You Ever Under Enemy Fire
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CL.C150766.COWAT1TCControlled Oral Word Association Test Functional Test Test Code
(COWAT1TC)
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Extensible: No
C150766Controlled Oral Word Association Test Functional Test Test CodeControlled Oral Word Association Test test code.CDISC Functional Test COWAT Test Code Terminology
COWAT101C150922COWAT1-Another Word That Begins With RControlled Oral Word Association Test - Can you tell me another word that begins with R?COWAT - Another Word That Begins With R
COWAT102C150923COWAT1-Number Correct Words: CControlled Oral Word Association Test - Number correct words: Now I'm going to give you another letter, and again, say all words beginning with that letter that you can think of. You will have a minute for each one. The first letter is C.COWAT - Number Correct Words: C
COWAT103C150924COWAT1-Number Correct Words: FControlled Oral Word Association Test - Number correct words: Now I am going to give another letter. Tell me as many words as you can that begin with F. Tell me as many words as quickly as you can that begin with F.COWAT - Number Correct Words: F
COWAT104C150925COWAT1-Number Correct Words: LControlled Oral Word Association Test - Number correct words: Now I am going to give another letter. Tell me as many words as you can that begin with L. Tell me as many words as quickly as you can that begin with L.COWAT - Number Correct Words: L
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CL.C150765.COWAT1TNControlled Oral Word Association Test Functional Test Test Name
(COWAT1TN)
text
Extensible: No
C150765Controlled Oral Word Association Test Functional Test Test NameControlled Oral Word Association Test test name.CDISC Functional Test COWAT Test Name Terminology
COWAT1-Another Word That Begins With RC150922COWAT1-Another Word That Begins With RControlled Oral Word Association Test - Can you tell me another word that begins with R?COWAT - Another Word That Begins With R
COWAT1-Number Correct Words: CC150923COWAT1-Number Correct Words: CControlled Oral Word Association Test - Number correct words: Now I'm going to give you another letter, and again, say all words beginning with that letter that you can think of. You will have a minute for each one. The first letter is C.COWAT - Number Correct Words: C
COWAT1-Number Correct Words: FC150924COWAT1-Number Correct Words: FControlled Oral Word Association Test - Number correct words: Now I am going to give another letter. Tell me as many words as you can that begin with F. Tell me as many words as quickly as you can that begin with F.COWAT - Number Correct Words: F
COWAT1-Number Correct Words: LC150925COWAT1-Number Correct Words: LControlled Oral Word Association Test - Number correct words: Now I am going to give another letter. Tell me as many words as you can that begin with L. Tell me as many words as quickly as you can that begin with L.COWAT - Number Correct Words: L
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CL.C119076.CADG01TCCoronary Artery Dissection NHLBI Grade Clinical Classification Test Code
(CADG01TC)
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Extensible: No
C119076Coronary Artery Dissection NHLBI Grade Clinical Classification Test CodeCoronary Artery Dissection NHLBI Grade test code.CDISC Clinical Classification NHLBI CAD Grade Test Code Terminology
CADG0101C119196CADG01-Coronary Dissection NHLBI GradeCoronary Artery Dissection NHLBI Grade - A grading system to describe coronary artery dissection per the NHLBI, American College of Cardiology, American Heart Association.NHLBI CAD Grade - Coronary Artery Dissection NHLBI Grade
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CL.C119075.CADG01TNCoronary Artery Dissection NHLBI Grade Clinical Classification Test Name
(CADG01TN)
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Extensible: No
C119075Coronary Artery Dissection NHLBI Grade Clinical Classification Test NameCoronary Artery Dissection NHLBI Grade test name.CDISC Clinical Classification NHLBI CAD Grade Test Name Terminology
CADG01-Coronary Dissection NHLBI GradeC119196CADG01-Coronary Dissection NHLBI GradeCoronary Artery Dissection NHLBI Grade - A grading system to describe coronary artery dissection per the NHLBI, American College of Cardiology, American Heart Association.NHLBI CAD Grade - Coronary Artery Dissection NHLBI Grade
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CL.C119074.TIMG01TCCoronary Thrombus TIMI Grade Clinical Classification Test Code
(TIMG01TC)
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Extensible: No
C119074Coronary Thrombus TIMI Grade Clinical Classification Test CodeCoronary Thrombus TIMI Grade test code.CDISC Clinical Classification TIMI Thrombus Grade Test Code Terminology
TIMG0101C119195TIMG01-Coronary Thrombus TIMI GradeCoronary Thrombus TIMI Grade - Grade corresponding to thrombus development as defined in the grading system by the Thrombolysis in the Myocardial Infarction Group.TIMI Thrombus Grade - Coronary Thrombus TIMI Grade
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CL.C119073.TIMG01TNCoronary Thrombus TIMI Grade Clinical Classification Test Name
(TIMG01TN)
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Extensible: No
C119073Coronary Thrombus TIMI Grade Clinical Classification Test NameCoronary Thrombus TIMI Grade test name.CDISC Clinical Classification TIMI Thrombus Grade Test Name Terminology
TIMG01-Coronary Thrombus TIMI GradeC119195TIMG01-Coronary Thrombus TIMI GradeCoronary Thrombus TIMI Grade - Grade corresponding to thrombus development as defined in the grading system by the Thrombolysis in the Myocardial Infarction Group.TIMI Thrombus Grade - Coronary Thrombus TIMI Grade
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CL.C156673.COVI01TCCovi Anxiety Scale Clinical Classification Test Code
(COVI01TC)
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Extensible: No
C156673Covi Anxiety Scale Clinical Classification Test CodeCovi Anxiety Scale test code.CDISC Clinical Classification COVI Test Code Terminology
COVI0101C156676COVI01-Verbal ReportCovi Anxiety Scale - Verbal report.COVI - Verbal Report
COVI0102C156677COVI01-BehaviorCovi Anxiety Scale - Behavior.COVI - Behavior
COVI0103C156678COVI01-Somatic Symptoms of AnxietyCovi Anxiety Scale - Somatic symptoms of anxiety.COVI - Somatic Symptoms of Anxiety
COVI0104C156679COVI01-Total ScoreCovi Anxiety Scale - Total score.COVI - Total Score
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CL.C156672.COVI01TNCovi Anxiety Scale Clinical Classification Test Name
(COVI01TN)
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Extensible: No
C156672Covi Anxiety Scale Clinical Classification Test NameCovi Anxiety Scale test name.CDISC Clinical Classification COVI Test Name Terminology
COVI01-BehaviorC156677COVI01-BehaviorCovi Anxiety Scale - Behavior.COVI - Behavior
COVI01-Somatic Symptoms of AnxietyC156678COVI01-Somatic Symptoms of AnxietyCovi Anxiety Scale - Somatic symptoms of anxiety.COVI - Somatic Symptoms of Anxiety
COVI01-Total ScoreC156679COVI01-Total ScoreCovi Anxiety Scale - Total score.COVI - Total Score
COVI01-Verbal ReportC156676COVI01-Verbal ReportCovi Anxiety Scale - Verbal report.COVI - Verbal Report
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CL.C117987.CHSF1TCCraig Handicap Assessment and Reporting Technique - Short Form Interview Version Questionnaire Test Code
(CHSF1TC)
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Extensible: No
C117987Craig Handicap Assessment and Reporting Technique - Short Form Interview Version Questionnaire Test CodeCraig Handicap Assessment and Reporting Technique - Short Form Interview Version test code.CDISC Questionnaire CHART-SF Interview Version Test Code Terminology
CHSF101AC117998CHSF1-Paid Personal Care per DayCraig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours in a typical 24-hour day do you have someone with you to provide physical assistance for personal care activities such as eating, bathing, dressing, toileting and mobility? (hours paid assistance).CHART-SF Interview Version - Paid Personal Care per Day
CHSF101BC117999CHSF1-Unpaid Personal Care per DayCraig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours in a typical 24-hour day do you have someone with you to provide physical assistance for personal care activities such as eating, bathing, dressing, toileting and mobility? hours unpaid (family, others).CHART-SF Interview Version - Unpaid Personal Care per Day
CHSF102C118000CHSF1-Home Cognitive Assistance per DayCraig Handicap Assessment and Reporting Technique-Short Form Interview Version - How much time is someone with you in your home to assist you with activities that require remembering, decision making, or judgment?CHART-SF Interview Version - Cognitive Assistance at Home per Day
CHSF103C118001CHSF1-Away Cognitive Assistance per DayCraig Handicap Assessment and Reporting Technique-Short Form Interview Version - How much of the time is someone with you to help you with remembering, decision making, or judgment when you go away from your home?CHART-SF Interview Version - Cognitive Assistance Away From Home per Day
CHSF104C118002CHSF1-Hours Out of Bed per DayCraig Handicap Assessment and Reporting Technique-Short Form Interview Version - On a typical day, how many hours are you out of bed?CHART-SF Interview Version - Hours Out of Bed per Day
CHSF105C118003CHSF1-Days Out of the House per WeekCraig Handicap Assessment and Reporting Technique-Short Form Interview Version - In a typical week, how many days do you get out of your house and go somewhere?CHART-SF Interview Version - Days Out of the House per Week
CHSF106C118004CHSF1-Nights Away From Home Last YearCraig Handicap Assessment and Reporting Technique-Short Form Interview Version - In the last year, how many nights have you spent away from your home?CHART-SF Interview Version - Nights Away From Home Last Year
CHSF107AC118005CHSF1-Hours of Paid Work per WeekCraig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours per week do you spend working in a job for which you get paid?CHART-SF Interview Version - Hours of Paid Work per Week
CHSF107BC118006CHSF1-Occupation of Paid WorkCraig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours per week do you spend working in a job for which you get paid? (occupation).CHART-SF Interview Version - Occupation of Paid Work
CHSF108C118007CHSF1-Hours of Schoolwork per WeekCraig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours per week do you spend in school working toward a degree or in an accredited technical training program?CHART-SF Interview Version - Hours of Schoolwork per Week
CHSF109C118008CHSF1-Hours of Homemaking per WeekCraig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours per week do you spend in active homemaking including parenting, housekeeping, and food preparation?CHART-SF Interview Version - Hours of Homemaking per Week
CHSF110C118009CHSF1-Hours of Home Maintenance per WeekCraig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours per week do you spend in home maintenance activities such as gardening, house repairs or home improvement?CHART-SF Interview Version - Hours of Home Maintenance per Week
CHSF111C118010CHSF1-Hours of Recreation per WeekCraig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours per week do you spend in recreational activities such as sports, exercise, playing cards, or going to movies?CHART-SF Interview Version - Hours of Recreational Activities per Week
CHSF112C118011CHSF1-Number of People You Live WithCraig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many people do you live with?CHART-SF Interview Version - Number of People You Live With
CHSF113C118012CHSF1-Live With Spouse or Signif OtherCraig Handicap Assessment and Reporting Technique-Short Form Interview Version - Is one of them your spouse or significant other?CHART-SF Interview Version - Live With Spouse or Significant Other
CHSF114C118013CHSF1-Number of Relatives You Live WithCraig Handicap Assessment and Reporting Technique-Short Form Interview Version - Of the people you live with how many are relatives?CHART-SF Interview Version - Number of Relatives You Live With
CHSF115C118014CHSF1-Associates Contacted per MonthCraig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many business or organizational associates do you visit, phone, or write to at least once a month?CHART-SF Interview Version - Associates Contacted per Month
CHSF116C118015CHSF1-Friends Contacted per MonthCraig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many friends do you visit, phone, or write to at least once a month?CHART-SF Interview Version - Friends Contacted per Month
CHSF117C118016CHSF1-Strangers Spoke with Last MonthCraig Handicap Assessment and Reporting Technique-Short Form Interview Version - With how many strangers have you initiated a conversation in the last month?CHART-SF Interview Version - Initiated Conversation With Strangers Last Month
CHSF118C118017CHSF1-Combined Household Income Last YrCraig Handicap Assessment and Reporting Technique-Short Form Interview Version - Approximately what was the combined annual income, in the last year, of all family members in your household?CHART-SF Interview Version - Combined Annual Household Income Last Year
CHSF119C118018CHSF1-Medical Care Expenses Last YearCraig Handicap Assessment and Reporting Technique-Short Form Interview Version - Approximately how much did you pay last year for medical care expenses?CHART-SF Interview Version - Medical Care Expense Last Year
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CL.C117986.CHSF1TNCraig Handicap Assessment and Reporting Technique - Short Form Interview Version Questionnaire Test Name
(CHSF1TN)
text
Extensible: No
C117986Craig Handicap Assessment and Reporting Technique - Short Form Interview Version Questionnaire Test NameCraig Handicap Assessment and Reporting Technique - Short Form Interview Version test name.CDISC Questionnaire CHART-SF Interview Version Test Name Terminology
CHSF1-Associates Contacted per MonthC118014CHSF1-Associates Contacted per MonthCraig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many business or organizational associates do you visit, phone, or write to at least once a month?CHART-SF Interview Version - Associates Contacted per Month
CHSF1-Away Cognitive Assistance per DayC118001CHSF1-Away Cognitive Assistance per DayCraig Handicap Assessment and Reporting Technique-Short Form Interview Version - How much of the time is someone with you to help you with remembering, decision making, or judgment when you go away from your home?CHART-SF Interview Version - Cognitive Assistance Away From Home per Day
CHSF1-Combined Household Income Last YrC118017CHSF1-Combined Household Income Last YrCraig Handicap Assessment and Reporting Technique-Short Form Interview Version - Approximately what was the combined annual income, in the last year, of all family members in your household?CHART-SF Interview Version - Combined Annual Household Income Last Year
CHSF1-Days Out of the House per WeekC118003CHSF1-Days Out of the House per WeekCraig Handicap Assessment and Reporting Technique-Short Form Interview Version - In a typical week, how many days do you get out of your house and go somewhere?CHART-SF Interview Version - Days Out of the House per Week
CHSF1-Friends Contacted per MonthC118015CHSF1-Friends Contacted per MonthCraig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many friends do you visit, phone, or write to at least once a month?CHART-SF Interview Version - Friends Contacted per Month
CHSF1-Home Cognitive Assistance per DayC118000CHSF1-Home Cognitive Assistance per DayCraig Handicap Assessment and Reporting Technique-Short Form Interview Version - How much time is someone with you in your home to assist you with activities that require remembering, decision making, or judgment?CHART-SF Interview Version - Cognitive Assistance at Home per Day
CHSF1-Hours of Home Maintenance per WeekC118009CHSF1-Hours of Home Maintenance per WeekCraig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours per week do you spend in home maintenance activities such as gardening, house repairs or home improvement?CHART-SF Interview Version - Hours of Home Maintenance per Week
CHSF1-Hours of Homemaking per WeekC118008CHSF1-Hours of Homemaking per WeekCraig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours per week do you spend in active homemaking including parenting, housekeeping, and food preparation?CHART-SF Interview Version - Hours of Homemaking per Week
CHSF1-Hours of Paid Work per WeekC118005CHSF1-Hours of Paid Work per WeekCraig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours per week do you spend working in a job for which you get paid?CHART-SF Interview Version - Hours of Paid Work per Week
CHSF1-Hours of Recreation per WeekC118010CHSF1-Hours of Recreation per WeekCraig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours per week do you spend in recreational activities such as sports, exercise, playing cards, or going to movies?CHART-SF Interview Version - Hours of Recreational Activities per Week
CHSF1-Hours of Schoolwork per WeekC118007CHSF1-Hours of Schoolwork per WeekCraig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours per week do you spend in school working toward a degree or in an accredited technical training program?CHART-SF Interview Version - Hours of Schoolwork per Week
CHSF1-Hours Out of Bed per DayC118002CHSF1-Hours Out of Bed per DayCraig Handicap Assessment and Reporting Technique-Short Form Interview Version - On a typical day, how many hours are you out of bed?CHART-SF Interview Version - Hours Out of Bed per Day
CHSF1-Live With Spouse or Signif OtherC118012CHSF1-Live With Spouse or Signif OtherCraig Handicap Assessment and Reporting Technique-Short Form Interview Version - Is one of them your spouse or significant other?CHART-SF Interview Version - Live With Spouse or Significant Other
CHSF1-Medical Care Expenses Last YearC118018CHSF1-Medical Care Expenses Last YearCraig Handicap Assessment and Reporting Technique-Short Form Interview Version - Approximately how much did you pay last year for medical care expenses?CHART-SF Interview Version - Medical Care Expense Last Year
CHSF1-Nights Away From Home Last YearC118004CHSF1-Nights Away From Home Last YearCraig Handicap Assessment and Reporting Technique-Short Form Interview Version - In the last year, how many nights have you spent away from your home?CHART-SF Interview Version - Nights Away From Home Last Year
CHSF1-Number of People You Live WithC118011CHSF1-Number of People You Live WithCraig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many people do you live with?CHART-SF Interview Version - Number of People You Live With
CHSF1-Number of Relatives You Live WithC118013CHSF1-Number of Relatives You Live WithCraig Handicap Assessment and Reporting Technique-Short Form Interview Version - Of the people you live with how many are relatives?CHART-SF Interview Version - Number of Relatives You Live With
CHSF1-Occupation of Paid WorkC118006CHSF1-Occupation of Paid WorkCraig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours per week do you spend working in a job for which you get paid? (occupation).CHART-SF Interview Version - Occupation of Paid Work
CHSF1-Paid Personal Care per DayC117998CHSF1-Paid Personal Care per DayCraig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours in a typical 24-hour day do you have someone with you to provide physical assistance for personal care activities such as eating, bathing, dressing, toileting and mobility? (hours paid assistance).CHART-SF Interview Version - Paid Personal Care per Day
CHSF1-Strangers Spoke with Last MonthC118016CHSF1-Strangers Spoke with Last MonthCraig Handicap Assessment and Reporting Technique-Short Form Interview Version - With how many strangers have you initiated a conversation in the last month?CHART-SF Interview Version - Initiated Conversation With Strangers Last Month
CHSF1-Unpaid Personal Care per DayC117999CHSF1-Unpaid Personal Care per DayCraig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours in a typical 24-hour day do you have someone with you to provide physical assistance for personal care activities such as eating, bathing, dressing, toileting and mobility? hours unpaid (family, others).CHART-SF Interview Version - Unpaid Personal Care per Day
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CL.C119068.CHSF2TCCraig Handicap Assessment and Reporting Technique - Short Form Paper Version Questionnaire Test Code
(CHSF2TC)
text
Extensible: No
C119068Craig Handicap Assessment and Reporting Technique - Short Form Paper Version Questionnaire Test CodeCraig Handicap Assessment and Reporting Technique - Short Form Paper Version test code.CDISC Questionnaire CHART-SF Paper Version Test Code Terminology
CHSF201AC119142CHSF2-Paid Personal Care per DayCraig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours in a typical 24-hour day do you have someone with you to provide physical assistance for personal care activities such as eating, bathing, dressing, toileting and mobility? (hours paid assistance).CHART-SF Paper Version - Paid Personal Care per Day
CHSF201BC119143CHSF2-Unpaid Personal Care per DayCraig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours in a typical 24-hour day do you have someone with you to provide physical assistance for personal care activities such as eating, bathing, dressing, toileting and mobility? hours unpaid (family, others).CHART-SF Paper Version - Unpaid Personal Care per Day
CHSF202C119144CHSF2-Home Cognitive Assistance per DayCraig Handicap Assessment and Reporting Technique-Short Form Paper Version - How much time is someone with you in your home to assist you with activities that require remembering, decision making, or judgment?CHART-SF Paper Version - Cognitive Assistance at Home per Day
CHSF203C119145CHSF2-Away Cognitive Assistance per DayCraig Handicap Assessment and Reporting Technique-Short Form Paper Version - How much of the time is someone with you to help you with remembering, decision making, or judgment when you go away from your home?CHART-SF Paper Version - Cognitive Assistance Away From Home per Day
CHSF204C119146CHSF2-Hours Out of Bed per DayCraig Handicap Assessment and Reporting Technique-Short Form Paper Version - On a typical day, how many hours are you out of bed?CHART-SF Paper Version - Hours Out of Bed per Day
CHSF205C119147CHSF2-Days Out of the House per WeekCraig Handicap Assessment and Reporting Technique-Short Form Paper Version - In a typical week, how many days do you get out of your house and go somewhere?CHART-SF Paper Version - Days Out of the House per Week
CHSF206C119148CHSF2-Nights Away From Home Last YearCraig Handicap Assessment and Reporting Technique-Short Form Paper Version - In the last year, how many nights have you spent away from your home?CHART-SF Paper Version - Nights Away From Home Last Year
CHSF207AC119149CHSF2-Hours of Paid Work per WeekCraig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours per week do you spend working in a job for which you get paid?CHART-SF Paper Version - Hours of Paid Work per Week
CHSF207BC119150CHSF2-Occupation of Paid WorkCraig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours per week do you spend working in a job for which you get paid? (occupation).CHART-SF Paper Version - Occupation of Paid Work
CHSF208C119151CHSF2-Hours of Schoolwork per WeekCraig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours per week do you spend in school working toward a degree or in an accredited technical training program?CHART-SF Paper Version - Hours of Schoolwork per Week
CHSF209C119152CHSF2-Hours of Homemaking per WeekCraig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours per week do you spend in active homemaking including parenting, housekeeping, and food preparation?CHART-SF Paper Version - Hours of Homemaking per Week
CHSF210C119153CHSF2-Hours of Home Maintenance per WeekCraig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours per week do you spend in home maintenance activities such as gardening, house repairs or home improvement?CHART-SF Paper Version - Hours of Home Maintenance per Week
CHSF211C119154CHSF2-Hours of Recreation per WeekCraig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours per week do you spend in recreational activities such as sports, exercise, playing cards, or going to movies?CHART-SF Paper Version - Hours of Recreational Activities per Week
CHSF212C119155CHSF2-Number of People You Live WithCraig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many people do you live with?CHART-SF Paper Version - Number of People You Live With
CHSF213C119156CHSF2-Live With Spouse or Signif OtherCraig Handicap Assessment and Reporting Technique-Short Form Paper Version - Is one of them your spouse or significant other?CHART-SF Paper Version - Live With Spouse or Significant Other
CHSF214C119157CHSF2-Number of Relatives You Live WithCraig Handicap Assessment and Reporting Technique-Short Form Paper Version - Of the people you live with how many are relatives?CHART-SF Paper Version - Number of Relatives You Live With
CHSF215C119158CHSF2-Associates Contacted per MonthCraig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many business or organizational associates do you visit, phone, or write to at least once a month?CHART-SF Paper Version - Associates Contacted per Month
CHSF216C119159CHSF2-Friends Contacted per MonthCraig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many friends do you visit, phone, or write to at least once a month?CHART-SF Paper Version - Friends Contacted per Month
CHSF217C119160CHSF2-Strangers Spoke with Last MonthCraig Handicap Assessment and Reporting Technique-Short Form Paper Version - With how many strangers have you initiated a conversation in the last month?CHART-SF Paper Version - Initiated Conversation With Strangers Last Month
CHSF218C119161CHSF2-Combined Household Income Last YrCraig Handicap Assessment and Reporting Technique-Short Form Paper Version - Approximately what was the combined annual income, in the last year, of all family members in your household?CHART-SF Paper Version - Combined Annual Household Income Last Year
CHSF219C119162CHSF2-Medical Care Expenses Last YearCraig Handicap Assessment and Reporting Technique-Short Form Paper Version - Approximately how much did you pay last year for medical care expenses?CHART-SF Paper Version - Medical Care Expense Last Year
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CL.C119067.CHSF2TNCraig Handicap Assessment and Reporting Technique - Short Form Paper Version Questionnaire Test Name
(CHSF2TN)
text
Extensible: No
C119067Craig Handicap Assessment and Reporting Technique - Short Form Paper Version Questionnaire Test NameCraig Handicap Assessment and Reporting Technique - Short Form Paper Version test name.CDISC Questionnaire CHART-SF Paper Version Test Name Terminology
CHSF2-Associates Contacted per MonthC119158CHSF2-Associates Contacted per MonthCraig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many business or organizational associates do you visit, phone, or write to at least once a month?CHART-SF Paper Version - Associates Contacted per Month
CHSF2-Away Cognitive Assistance per DayC119145CHSF2-Away Cognitive Assistance per DayCraig Handicap Assessment and Reporting Technique-Short Form Paper Version - How much of the time is someone with you to help you with remembering, decision making, or judgment when you go away from your home?CHART-SF Paper Version - Cognitive Assistance Away From Home per Day
CHSF2-Combined Household Income Last YrC119161CHSF2-Combined Household Income Last YrCraig Handicap Assessment and Reporting Technique-Short Form Paper Version - Approximately what was the combined annual income, in the last year, of all family members in your household?CHART-SF Paper Version - Combined Annual Household Income Last Year
CHSF2-Days Out of the House per WeekC119147CHSF2-Days Out of the House per WeekCraig Handicap Assessment and Reporting Technique-Short Form Paper Version - In a typical week, how many days do you get out of your house and go somewhere?CHART-SF Paper Version - Days Out of the House per Week
CHSF2-Friends Contacted per MonthC119159CHSF2-Friends Contacted per MonthCraig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many friends do you visit, phone, or write to at least once a month?CHART-SF Paper Version - Friends Contacted per Month
CHSF2-Home Cognitive Assistance per DayC119144CHSF2-Home Cognitive Assistance per DayCraig Handicap Assessment and Reporting Technique-Short Form Paper Version - How much time is someone with you in your home to assist you with activities that require remembering, decision making, or judgment?CHART-SF Paper Version - Cognitive Assistance at Home per Day
CHSF2-Hours of Home Maintenance per WeekC119153CHSF2-Hours of Home Maintenance per WeekCraig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours per week do you spend in home maintenance activities such as gardening, house repairs or home improvement?CHART-SF Paper Version - Hours of Home Maintenance per Week
CHSF2-Hours of Homemaking per WeekC119152CHSF2-Hours of Homemaking per WeekCraig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours per week do you spend in active homemaking including parenting, housekeeping, and food preparation?CHART-SF Paper Version - Hours of Homemaking per Week
CHSF2-Hours of Paid Work per WeekC119149CHSF2-Hours of Paid Work per WeekCraig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours per week do you spend working in a job for which you get paid?CHART-SF Paper Version - Hours of Paid Work per Week
CHSF2-Hours of Recreation per WeekC119154CHSF2-Hours of Recreation per WeekCraig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours per week do you spend in recreational activities such as sports, exercise, playing cards, or going to movies?CHART-SF Paper Version - Hours of Recreational Activities per Week
CHSF2-Hours of Schoolwork per WeekC119151CHSF2-Hours of Schoolwork per WeekCraig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours per week do you spend in school working toward a degree or in an accredited technical training program?CHART-SF Paper Version - Hours of Schoolwork per Week
CHSF2-Hours Out of Bed per DayC119146CHSF2-Hours Out of Bed per DayCraig Handicap Assessment and Reporting Technique-Short Form Paper Version - On a typical day, how many hours are you out of bed?CHART-SF Paper Version - Hours Out of Bed per Day
CHSF2-Live With Spouse or Signif OtherC119156CHSF2-Live With Spouse or Signif OtherCraig Handicap Assessment and Reporting Technique-Short Form Paper Version - Is one of them your spouse or significant other?CHART-SF Paper Version - Live With Spouse or Significant Other
CHSF2-Medical Care Expenses Last YearC119162CHSF2-Medical Care Expenses Last YearCraig Handicap Assessment and Reporting Technique-Short Form Paper Version - Approximately how much did you pay last year for medical care expenses?CHART-SF Paper Version - Medical Care Expense Last Year
CHSF2-Nights Away From Home Last YearC119148CHSF2-Nights Away From Home Last YearCraig Handicap Assessment and Reporting Technique-Short Form Paper Version - In the last year, how many nights have you spent away from your home?CHART-SF Paper Version - Nights Away From Home Last Year
CHSF2-Number of People You Live WithC119155CHSF2-Number of People You Live WithCraig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many people do you live with?CHART-SF Paper Version - Number of People You Live With
CHSF2-Number of Relatives You Live WithC119157CHSF2-Number of Relatives You Live WithCraig Handicap Assessment and Reporting Technique-Short Form Paper Version - Of the people you live with how many are relatives?CHART-SF Paper Version - Number of Relatives You Live With
CHSF2-Occupation of Paid WorkC119150CHSF2-Occupation of Paid WorkCraig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours per week do you spend working in a job for which you get paid? (occupation).CHART-SF Paper Version - Occupation of Paid Work
CHSF2-Paid Personal Care per DayC119142CHSF2-Paid Personal Care per DayCraig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours in a typical 24-hour day do you have someone with you to provide physical assistance for personal care activities such as eating, bathing, dressing, toileting and mobility? (hours paid assistance).CHART-SF Paper Version - Paid Personal Care per Day
CHSF2-Strangers Spoke with Last MonthC119160CHSF2-Strangers Spoke with Last MonthCraig Handicap Assessment and Reporting Technique-Short Form Paper Version - With how many strangers have you initiated a conversation in the last month?CHART-SF Paper Version - Initiated Conversation With Strangers Last Month
CHSF2-Unpaid Personal Care per DayC119143CHSF2-Unpaid Personal Care per DayCraig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours in a typical 24-hour day do you have someone with you to provide physical assistance for personal care activities such as eating, bathing, dressing, toileting and mobility? hours unpaid (family, others).CHART-SF Paper Version - Unpaid Personal Care per Day
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CL.C176049.CDAI01TCCrohn's Disease Activity Index Version 1 Clinical Classification Test Code
(CDAI01TC)
text
Extensible: No
C176049Crohn's Disease Activity Index Version 1 Clinical Classification Test CodeCrohn's Disease Activity Index Version 1 test code.CDISC Clinical Classification CDAI Version 1 Test Code Terminology
CDAI0101C176067CDAI01-WeightCrohn's Disease Activity Index Version 1 - Weight.CDAI Version 1 - Weight
CDAI0102C176068CDAI01-Standard Body WeightCrohn's Disease Activity Index Version 1 - Standard body weight.CDAI Version 1 - Standard Body Weight
CDAI0103C176069CDAI01-Daily Number of StoolsCrohn's Disease Activity Index Version 1 - Daily number of very soft/liquid stools in the last 7 days.CDAI Version 1 - Daily Number of Stools
CDAI0104C176070CDAI01-Daily Average Abdominal PainCrohn's Disease Activity Index Version 1 - Daily average abdominal pain (average daily rating for each of the past 7 days).CDAI Version 1 - Daily Average Abdominal Pain
CDAI0105C176071CDAI01-Daily Average General Well-beingCrohn's Disease Activity Index Version 1 - Daily average general well-being (average daily rating for each of the past 7 days).CDAI Version 1 - Daily Average General Well-being
CDAI0106C176072CDAI01-Anti-diarrhea/Opiate UseCrohn's Disease Activity Index Version 1 - Anti-diarrhea/opiate use during past 7 days.CDAI Version 1 - Anti-diarrhea/Opiate Use
CDAI0107C176073CDAI01-Abdominal MassCrohn's Disease Activity Index Version 1 - Abdominal mass.CDAI Version 1 - Abdominal Mass
CDAI0108C176074CDAI01-HematocritCrohn's Disease Activity Index Version 1 - Hematocrit.CDAI Version 1 - Hematocrit
CDAI0109C176075CDAI01-Arthritis/ArthralgiaCrohn's Disease Activity Index Version 1 - Arthritis/arthralgia.CDAI Version 1 - Arthritis/Arthralgia
CDAI0110C176076CDAI01-Iritis/UveitisCrohn's Disease Activity Index Version 1 - Iritis/uveitis.CDAI Version 1 - Iritis/Uveitis
CDAI0111C176077CDAI01-Erythema NodosumCrohn's Disease Activity Index Version 1 - Erythema nodosum, pyoderma gangrenosum, or aphthous stomatitis.CDAI Version 1 - Erythema Nodosum
CDAI0112C176078CDAI01-Anal Fissure/Fistula/AbscessCrohn's Disease Activity Index Version 1 - Anal fissure, fistula, or abscess.CDAI Version 1 - Anal Fissure, Fistula or Abscess
CDAI0113C176079CDAI01-Other FistulaCrohn's Disease Activity Index Version 1 - Other fistula.CDAI Version 1 - Other Fistula
CDAI0114C176080CDAI01-FeverCrohn's Disease Activity Index Version 1 - Fever/temperature > 100F/37.8C during the past 7 days.CDAI Version 1 - Fever
CDAI0115C176081CDAI01-Weight SubscoreCrohn's Disease Activity Index Version 1 - Weight subscore.CDAI Version 1 - Weight Subscore
CDAI0116C176082CDAI01-Total Number Stools SubscoreCrohn's Disease Activity Index Version 1 - Total number of very soft/liquid stools in the last 7 days: Subscore.CDAI Version 1 - Total Number Stools Subscore
CDAI0117C176083CDAI01-Abdominal Pain SubscoreCrohn's Disease Activity Index Version 1 - Abdominal pain (daily rating for the past 7 days): Subscore.CDAI Version 1 - Abdominal Pain Subscore
CDAI0118C176084CDAI01-General Well-being SubscoreCrohn's Disease Activity Index Version 1 - General well-being (daily rating for the past 7 days): Subscore.CDAI Version 1 - General Well-being Subscore
CDAI0119C176085CDAI01-Anti-diarrhea/Opiate Use SubscoreCrohn's Disease Activity Index Version 1 - Anti-diarrhea/opiate use subscore.CDAI Version 1 - Anti-diarrhea/Opiate Use Subscore
CDAI0120C176086CDAI01-Abdominal Mass SubscoreCrohn's Disease Activity Index Version 1 - Abdominal mass subscore.CDAI Version 1 - Abdominal Mass Subscore
CDAI0121C176087CDAI01-Hematocrit SubscoreCrohn's Disease Activity Index Version 1 - Hematocrit subscore.CDAI Version 1 - Hematocrit Subscore
CDAI0122C176088CDAI01-Symptoms Manifested SubscoreCrohn's Disease Activity Index Version 1 - Arthritis/arthralgia; iritis/uveitis; erythema nodosum, pyoderma gangrenosum, or aphthous stomatitis; anal fissure, fistula, or abscess; other fistula; fever subscore.CDAI Version 1 - Symptoms Manifested Subscore
CDAI0123C176089CDAI01-CDAI Total ScoreCrohn's Disease Activity Index Version 1 - CDAI total score.CDAI Version 1 - CDAI Total Score
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CL.C176048.CDAI01TNCrohn's Disease Activity Index Version 1 Clinical Classification Test Name
(CDAI01TN)
text
Extensible: No
C176048Crohn's Disease Activity Index Version 1 Clinical Classification Test NameCrohn's Disease Activity Index Version 1 test name.CDISC Clinical Classification CDAI Version 1 Test Name Terminology
CDAI01-Abdominal Mass SubscoreC176086CDAI01-Abdominal Mass SubscoreCrohn's Disease Activity Index Version 1 - Abdominal mass subscore.CDAI Version 1 - Abdominal Mass Subscore
CDAI01-Abdominal MassC176073CDAI01-Abdominal MassCrohn's Disease Activity Index Version 1 - Abdominal mass.CDAI Version 1 - Abdominal Mass
CDAI01-Abdominal Pain SubscoreC176083CDAI01-Abdominal Pain SubscoreCrohn's Disease Activity Index Version 1 - Abdominal pain (daily rating for the past 7 days): Subscore.CDAI Version 1 - Abdominal Pain Subscore
CDAI01-Anal Fissure/Fistula/AbscessC176078CDAI01-Anal Fissure/Fistula/AbscessCrohn's Disease Activity Index Version 1 - Anal fissure, fistula, or abscess.CDAI Version 1 - Anal Fissure, Fistula or Abscess
CDAI01-Anti-diarrhea/Opiate Use SubscoreC176085CDAI01-Anti-diarrhea/Opiate Use SubscoreCrohn's Disease Activity Index Version 1 - Anti-diarrhea/opiate use subscore.CDAI Version 1 - Anti-diarrhea/Opiate Use Subscore
CDAI01-Anti-diarrhea/Opiate UseC176072CDAI01-Anti-diarrhea/Opiate UseCrohn's Disease Activity Index Version 1 - Anti-diarrhea/opiate use during past 7 days.CDAI Version 1 - Anti-diarrhea/Opiate Use
CDAI01-Arthritis/ArthralgiaC176075CDAI01-Arthritis/ArthralgiaCrohn's Disease Activity Index Version 1 - Arthritis/arthralgia.CDAI Version 1 - Arthritis/Arthralgia
CDAI01-CDAI Total ScoreC176089CDAI01-CDAI Total ScoreCrohn's Disease Activity Index Version 1 - CDAI total score.CDAI Version 1 - CDAI Total Score
CDAI01-Daily Average Abdominal PainC176070CDAI01-Daily Average Abdominal PainCrohn's Disease Activity Index Version 1 - Daily average abdominal pain (average daily rating for each of the past 7 days).CDAI Version 1 - Daily Average Abdominal Pain
CDAI01-Daily Average General Well-beingC176071CDAI01-Daily Average General Well-beingCrohn's Disease Activity Index Version 1 - Daily average general well-being (average daily rating for each of the past 7 days).CDAI Version 1 - Daily Average General Well-being
CDAI01-Daily Number of StoolsC176069CDAI01-Daily Number of StoolsCrohn's Disease Activity Index Version 1 - Daily number of very soft/liquid stools in the last 7 days.CDAI Version 1 - Daily Number of Stools
CDAI01-Erythema NodosumC176077CDAI01-Erythema NodosumCrohn's Disease Activity Index Version 1 - Erythema nodosum, pyoderma gangrenosum, or aphthous stomatitis.CDAI Version 1 - Erythema Nodosum
CDAI01-FeverC176080CDAI01-FeverCrohn's Disease Activity Index Version 1 - Fever/temperature > 100F/37.8C during the past 7 days.CDAI Version 1 - Fever
CDAI01-General Well-being SubscoreC176084CDAI01-General Well-being SubscoreCrohn's Disease Activity Index Version 1 - General well-being (daily rating for the past 7 days): Subscore.CDAI Version 1 - General Well-being Subscore
CDAI01-Hematocrit SubscoreC176087CDAI01-Hematocrit SubscoreCrohn's Disease Activity Index Version 1 - Hematocrit subscore.CDAI Version 1 - Hematocrit Subscore
CDAI01-HematocritC176074CDAI01-HematocritCrohn's Disease Activity Index Version 1 - Hematocrit.CDAI Version 1 - Hematocrit
CDAI01-Iritis/UveitisC176076CDAI01-Iritis/UveitisCrohn's Disease Activity Index Version 1 - Iritis/uveitis.CDAI Version 1 - Iritis/Uveitis
CDAI01-Other FistulaC176079CDAI01-Other FistulaCrohn's Disease Activity Index Version 1 - Other fistula.CDAI Version 1 - Other Fistula
CDAI01-Standard Body WeightC176068CDAI01-Standard Body WeightCrohn's Disease Activity Index Version 1 - Standard body weight.CDAI Version 1 - Standard Body Weight
CDAI01-Symptoms Manifested SubscoreC176088CDAI01-Symptoms Manifested SubscoreCrohn's Disease Activity Index Version 1 - Arthritis/arthralgia; iritis/uveitis; erythema nodosum, pyoderma gangrenosum, or aphthous stomatitis; anal fissure, fistula, or abscess; other fistula; fever subscore.CDAI Version 1 - Symptoms Manifested Subscore
CDAI01-Total Number Stools SubscoreC176082CDAI01-Total Number Stools SubscoreCrohn's Disease Activity Index Version 1 - Total number of very soft/liquid stools in the last 7 days: Subscore.CDAI Version 1 - Total Number Stools Subscore
CDAI01-Weight SubscoreC176081CDAI01-Weight SubscoreCrohn's Disease Activity Index Version 1 - Weight subscore.CDAI Version 1 - Weight Subscore
CDAI01-WeightC176067CDAI01-WeightCrohn's Disease Activity Index Version 1 - Weight.CDAI Version 1 - Weight
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CL.C100158.COMM1TCCurrent Opioid Misuse Measure Questionnaire Test Code
(COMM1TC)
text
Extensible: No
C100158Current Opioid Misuse Measure Questionnaire Test CodeCurrent Opioid Misuse Measure test code.CDISC Questionnaire COMM Test Code Terminology
COMM101C100958COMM1-Trouble Thinking Clearly/MemoryCurrent Opioid Misuse Measure - In the past 30 days, how often have you had trouble with thinking clearly or had memory problems?COMM - Trouble Thinking Clearly or Memory Problems
COMM102C100959COMM1-Complaints Not Completing TasksCurrent Opioid Misuse Measure - In the past 30 days, how often do people complain that you are not completing necessary tasks? (i.e., doing things that need to be done, such as going to class, work or appointments)COMM - Complaints Not Completing Tasks
COMM103C100960COMM1-Other Sources For Pain MedicationCurrent Opioid Misuse Measure - In the past 30 days, how often have you had to go to someone other than your prescribing physician to get sufficient pain relief from medications? (i.e., another doctor, the Emergency Room, friends, street source)COMM - Other Sources for Pain Medication
COMM104C100961COMM1-Taken Meds Other Than PrescribedCurrent Opioid Misuse Measure - In the past 30 days, how often have you taken your medications differently from how they are prescribed?COMM - Taken Medications Other Than Prescribed
COMM105C100962COMM1-Seriously Thought of Hurting SelfCurrent Opioid Misuse Measure - In the past 30 days, how often have you seriously thought about hurting yourself?COMM - Seriously Thought of Hurting Self
COMM106C100963COMM1-Time Spent Thinking About OpioidsCurrent Opioid Misuse Measure - In the past 30 days, how much of your time was spent thinking about opioid medications (having enough, taking them, dosing schedule, etc.)?COMM - Time Spent Thinking About Opioids
COMM107C100964COMM1-Been in an ArgumentCurrent Opioid Misuse Measure - In the past 30 days, how often have you been in an argument?COMM - Been in an Argument
COMM108C100965COMM1-Trouble Controlling AngerCurrent Opioid Misuse Measure - In the past 30 days, how often have you had trouble controlling your anger (e.g., road rage, screaming, etc.)?COMM - Trouble Controlling Anger
COMM109C100966COMM1-Take Meds Belonging to OthersCurrent Opioid Misuse Measure - In the past 30 days, how often have you needed to take pain medications belonging to someone else?COMM - Take Medications Belonging to Others
COMM110C100967COMM1-Worry About Handling MedsCurrent Opioid Misuse Measure - In the past 30 days, how often have you been worried about how you're handling your medications?COMM - Worry About Handling Medications
COMM111C100968COMM1-Others Worry About Your MedsCurrent Opioid Misuse Measure - In the past 30 days, how often have others been worried about how you're handling your medications?COMM - Others Worry About Your Medications
COMM112C100969COMM1-Emergency Phone Call/Clinic VisitCurrent Opioid Misuse Measure - In the past 30 days, how often have you had to make an emergency phone call or show up at the clinic without an appointment?COMM - Emergency Phone Call or Clinic Visit
COMM113C100970COMM1-Gotten Angry With PeopleCurrent Opioid Misuse Measure - In the past 30 days, how often have you gotten angry with people?COMM - Gotten Angry With People
COMM114C100971COMM1-Take More Meds Than PrescribedCurrent Opioid Misuse Measure - In the past 30 days, how often have you had to take more of your medication than prescribed?COMM - Take More Medication Than Prescribed
COMM115C100972COMM1-Borrowed Meds From OthersCurrent Opioid Misuse Measure - In the past 30 days, how often have you borrowed pain medication from someone else?COMM - Borrowed Medication From Others
COMM116C100973COMM1-Used Pain Meds For Other SymptomsCurrent Opioid Misuse Measure - In the past 30 days, how often have you used your pain medicine for symptoms other than for pain (e.g., to help you sleep, improve your mood, or relieve stress)?COMM - Used Pain Medicine For Other Symptoms
COMM117C100974COMM1-Visit Emergency RoomCurrent Opioid Misuse Measure - In the past 30 days, how often have you had to visit the Emergency Room?COMM - Visit Emergency Room
COMM118C100975COMM1-ScoreCurrent Opioid Misuse Measure - Score.COMM - Score
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CL.C100157.COMM1TNCurrent Opioid Misuse Measure Questionnaire Test Name
(COMM1TN)
text
Extensible: No
C100157Current Opioid Misuse Measure Questionnaire Test NameCurrent Opioid Misuse Measure test name.CDISC Questionnaire COMM Test Name Terminology
COMM1-Been in an ArgumentC100964COMM1-Been in an ArgumentCurrent Opioid Misuse Measure - In the past 30 days, how often have you been in an argument?COMM - Been in an Argument
COMM1-Borrowed Meds From OthersC100972COMM1-Borrowed Meds From OthersCurrent Opioid Misuse Measure - In the past 30 days, how often have you borrowed pain medication from someone else?COMM - Borrowed Medication From Others
COMM1-Complaints Not Completing TasksC100959COMM1-Complaints Not Completing TasksCurrent Opioid Misuse Measure - In the past 30 days, how often do people complain that you are not completing necessary tasks? (i.e., doing things that need to be done, such as going to class, work or appointments)COMM - Complaints Not Completing Tasks
COMM1-Emergency Phone Call/Clinic VisitC100969COMM1-Emergency Phone Call/Clinic VisitCurrent Opioid Misuse Measure - In the past 30 days, how often have you had to make an emergency phone call or show up at the clinic without an appointment?COMM - Emergency Phone Call or Clinic Visit
COMM1-Gotten Angry With PeopleC100970COMM1-Gotten Angry With PeopleCurrent Opioid Misuse Measure - In the past 30 days, how often have you gotten angry with people?COMM - Gotten Angry With People
COMM1-Other Sources For Pain MedicationC100960COMM1-Other Sources For Pain MedicationCurrent Opioid Misuse Measure - In the past 30 days, how often have you had to go to someone other than your prescribing physician to get sufficient pain relief from medications? (i.e., another doctor, the Emergency Room, friends, street source)COMM - Other Sources for Pain Medication
COMM1-Others Worry About Your MedsC100968COMM1-Others Worry About Your MedsCurrent Opioid Misuse Measure - In the past 30 days, how often have others been worried about how you're handling your medications?COMM - Others Worry About Your Medications
COMM1-ScoreC100975COMM1-ScoreCurrent Opioid Misuse Measure - Score.COMM - Score
COMM1-Seriously Thought of Hurting SelfC100962COMM1-Seriously Thought of Hurting SelfCurrent Opioid Misuse Measure - In the past 30 days, how often have you seriously thought about hurting yourself?COMM - Seriously Thought of Hurting Self
COMM1-Take Meds Belonging to OthersC100966COMM1-Take Meds Belonging to OthersCurrent Opioid Misuse Measure - In the past 30 days, how often have you needed to take pain medications belonging to someone else?COMM - Take Medications Belonging to Others
COMM1-Take More Meds Than PrescribedC100971COMM1-Take More Meds Than PrescribedCurrent Opioid Misuse Measure - In the past 30 days, how often have you had to take more of your medication than prescribed?COMM - Take More Medication Than Prescribed
COMM1-Taken Meds Other Than PrescribedC100961COMM1-Taken Meds Other Than PrescribedCurrent Opioid Misuse Measure - In the past 30 days, how often have you taken your medications differently from how they are prescribed?COMM - Taken Medications Other Than Prescribed
COMM1-Time Spent Thinking About OpioidsC100963COMM1-Time Spent Thinking About OpioidsCurrent Opioid Misuse Measure - In the past 30 days, how much of your time was spent thinking about opioid medications (having enough, taking them, dosing schedule, etc.)?COMM - Time Spent Thinking About Opioids
COMM1-Trouble Controlling AngerC100965COMM1-Trouble Controlling AngerCurrent Opioid Misuse Measure - In the past 30 days, how often have you had trouble controlling your anger (e.g., road rage, screaming, etc.)?COMM - Trouble Controlling Anger
COMM1-Trouble Thinking Clearly/MemoryC100958COMM1-Trouble Thinking Clearly/MemoryCurrent Opioid Misuse Measure - In the past 30 days, how often have you had trouble with thinking clearly or had memory problems?COMM - Trouble Thinking Clearly or Memory Problems
COMM1-Used Pain Meds For Other SymptomsC100973COMM1-Used Pain Meds For Other SymptomsCurrent Opioid Misuse Measure - In the past 30 days, how often have you used your pain medicine for symptoms other than for pain (e.g., to help you sleep, improve your mood, or relieve stress)?COMM - Used Pain Medicine For Other Symptoms
COMM1-Visit Emergency RoomC100974COMM1-Visit Emergency RoomCurrent Opioid Misuse Measure - In the past 30 days, how often have you had to visit the Emergency Room?COMM - Visit Emergency Room
COMM1-Worry About Handling MedsC100967COMM1-Worry About Handling MedsCurrent Opioid Misuse Measure - In the past 30 days, how often have you been worried about how you're handling your medications?COMM - Worry About Handling Medications
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CL.C141673.DRRI1TCDeployment Risk and Resilience Inventory-2 Questionnaire Test Code
(DRRI1TC)
text
Extensible: No
C141673Deployment Risk and Resilience Inventory-2 Questionnaire Test CodeDeployment Risk and Resilience Inventory-2 test code.CDISC Questionnaire DRRI-2 Test Code Terminology
DRRI1A01C141867DRRI1-A: Someone Close to Me DiedDeployment Risk & Resilience Inventory-2 - Before deployment: someone close to me died.DRRI-2 - A: Someone Close to Me Died
DRRI1A02C141868DRRI1-A: Went Through Divorce/Was LeftDeployment Risk & Resilience Inventory-2 - Before deployment: I went through a divorce or was left by a significant other.DRRI-2 - A: Went Through Divorce/Was Left
DRRI1A03C141869DRRI1-A: Robbed/Had My Home Broken IntoDeployment Risk & Resilience Inventory-2 - Before deployment: I was robbed or had my home broken into.DRRI-2 - A: Robbed/Had My Home Broken Into
DRRI1A04C141870DRRI1-A: Saw/Heard Physical Fight ParentDeployment Risk & Resilience Inventory-2 - Before deployment: I saw or heard physical fighting between my parents or caregivers.DRRI-2 - A: Saw/Heard Physical Fight Parent
DRRI1A05C141871DRRI1-A: Physically Punished by ParentDeployment Risk & Resilience Inventory-2 - Before deployment: I was physically punished by a parent or primary caregiver.DRRI-2 - A: Physically Punished by Parent
DRRI1A06C141872DRRI1-A: Unwanted Sex Activity ChildhoodDeployment Risk & Resilience Inventory-2 - Before deployment: I experienced unwanted sexual activity as a result of force, threat of harm, or manipulation during childhood (before age 18).DRRI-2 - A: Unwanted Sex Activity Childhood
DRRI1A07C141873DRRI1-A: Unwanted Sex Activity AdulthoodDeployment Risk & Resilience Inventory-2 - Before deployment: I experienced unwanted sexual activity as a result of force, threat of harm, or manipulation during adulthood (age 18 or later).DRRI-2 - A: Unwanted Sex Activity Adulthood
DRRI1A08C141874DRRI1-A: Experienced Natural DisasterDeployment Risk & Resilience Inventory-2 - Before deployment: I experienced a natural disaster (for example, a hurricane), a fire, or an accident in which I or someone close to me was hurt or had serious property damage.DRRI-2 - A: Experienced Natural Disaster
DRRI1A09C141875DRRI1-A: Someone Close Serious IllnessDeployment Risk & Resilience Inventory-2 - Before deployment: someone close to me experienced a serious illness, injury, or mental health problem (for example, cancer, alcohol/drug problem).DRRI-2 - A: Someone Close Serious Illness
DRRI1A10C141876DRRI1-A: Witnessed Someone AssaultedDeployment Risk & Resilience Inventory-2 - Before deployment: I witnessed someone being seriously assaulted or killed.DRRI-2 - A: Witnessed Someone Assaulted
DRRI1A11C141877DRRI1-A: Lost My Job/Trouble Finding JobDeployment Risk & Resilience Inventory-2 - Before deployment: I lost my job or had serious trouble finding a job.DRRI-2 - A: Lost My Job/Trouble Finding Job
DRRI1A12C141878DRRI1-A: Emotionally MistreatedDeployment Risk & Resilience Inventory-2 - Before deployment: I was emotionally mistreated (for example, ignored or repeatedly told I was no good).DRRI-2 - A: Emotionally Mistreated
DRRI1A13C141879DRRI1-A: Serious Financial ProblemsDeployment Risk & Resilience Inventory-2 - Before deployment: I experienced serious financial problems.DRRI-2 - A: Serious Financial Problems
DRRI1A14C141880DRRI1-A: Serious Physical Health ProblemDeployment Risk & Resilience Inventory-2 - Before deployment: I experienced serious physical or mental health problems.DRRI-2 - A: Serious Physical Health Problem
DRRI1A15C141881DRRI1-A: Dangerous Military DutiesDeployment Risk & Resilience Inventory-2 - Before deployment: I participated in dangerous military duties.DRRI-2 - A: Dangerous Military Duties
DRRI1A16C141882DRRI1-A: Injured by Person - ChildhoodDeployment Risk & Resilience Inventory-2 - Before deployment: I was seriously physically injured by another person (for example, hit or beaten up) during childhood (before age 18).DRRI-2 - A: Injured by Person - Childhood
DRRI1A17C141883DRRI1-A: Injured by Person - AdulthoodDeployment Risk & Resilience Inventory-2 - Before deployment: I was seriously physically injured by another person (for example, hit or beaten up) during adulthood (age 18 or later).DRRI-2 - A: Injured by Person - Adulthood
DRRI1A18C141884DRRI1-A: Stressful Legal ProblemsDeployment Risk & Resilience Inventory-2 - Before deployment: I experienced stressful legal problems (for example, being sued, suing someone else, or being in a custody battle).DRRI-2 - A: Stressful Legal Problems
DRRI1B01C141885DRRI1-B: Got Along Well With My FamilyDeployment Risk & Resilience Inventory-2 - During childhood: I got along well with my family members.DRRI-2 - B: Got Along Well With My Family
DRRI1B02C141886DRRI1-B: Felt Like I Fit in With FamilyDeployment Risk & Resilience Inventory-2 - During childhood: I felt like I fit in with my family.DRRI-2 - B: Felt Like I Fit in With Family
DRRI1B03C141887DRRI1-B: Family Knew What I Thought/FeltDeployment Risk & Resilience Inventory-2 - During childhood: family members knew what I thought and how I felt about things.DRRI-2 - B: Family Knew What I Thought/Felt
DRRI1B04C141888DRRI1-B: Contribution Family AppreciatedDeployment Risk & Resilience Inventory-2 - During childhood: I felt like my contributions to my family were appreciated.DRRI-2 - B: Contribution Family Appreciated
DRRI1B05C141889DRRI1-B: Shared Interests With FamilyDeployment Risk & Resilience Inventory-2 - During childhood: I shared many common interests and activities with family members.DRRI-2 - B: Shared Interests With Family
DRRI1B06C141890DRRI1-B: Opinions Were Valued by FamilyDeployment Risk & Resilience Inventory-2 - During childhood: my opinions were valued by other family members.DRRI-2 - B: Opinions Were Valued by Family
DRRI1B07C141891DRRI1-B: I Was Affectionate With FamilyDeployment Risk & Resilience Inventory-2 - During childhood: I was affectionate with family members.DRRI-2 - B: I Was Affectionate With Family
DRRI1B08C141892DRRI1-B: Played Important Role in FamilyDeployment Risk & Resilience Inventory-2 - During childhood: I played an important role in my family.DRRI-2 - B: Played Important Role in Family
DRRI1B09C141893DRRI1-B: Spent My Free Time With FamilyDeployment Risk & Resilience Inventory-2 - During childhood: I spent as much of my free time with family members as possible.DRRI-2 - B: Spent My Free Time With Family
DRRI1B10C141894DRRI1-B: Family Told Me When ProblemDeployment Risk & Resilience Inventory-2 - During childhood: family members told me when they were having a problem.DRRI-2 - B: Family Told Me When Problem
DRRI1B11C141895DRRI1-B: I Could Be Myself Around FamilyDeployment Risk & Resilience Inventory-2 - During childhood: I could be myself around family members.DRRI-2 - B: I Could Be Myself Around Family
DRRI1B12C141896DRRI1-B: Input Sought Family DecisionsDeployment Risk & Resilience Inventory-2 - During childhood: my input was sought on important family decisions.DRRI-2 - B: Input Sought Family Decisions
DRRI1C01C141897DRRI1-C: Climate Was UncomfortableDeployment Risk & Resilience Inventory-2 - During deployment: the climate was uncomfortable.DRRI-2 - C: Climate Was Uncomfortable
DRRI1C02C141898DRRI1-C: Deal With Annoying AnimalsDeployment Risk & Resilience Inventory-2 - During deployment: I had to deal with annoying animals, insects, or plants.DRRI-2 - C: Deal With Annoying Animals
DRRI1C03C141899DRRI1-C: Food Was of Very Poor QualityDeployment Risk & Resilience Inventory-2 - During deployment: the food I had to eat was of very poor quality (for example, bad or old MREs).DRRI-2 - C: Food Was of Very Poor Quality
DRRI1C04C141900DRRI1-C: Conditions Extremely UnsanitaryDeployment Risk & Resilience Inventory-2 - During deployment: the conditions I lived in were extremely unsanitary.DRRI-2 - C: Conditions Extremely Unsanitary
DRRI1C05C141901DRRI1-C: Didn't Have BathroomsDeployment Risk & Resilience Inventory-2 - During deployment: I didn't have access to bathrooms or showers when I needed them.DRRI-2 - C: Didn't Have Bathrooms
DRRI1C06C141902DRRI1-C: Wasn't Able to Get PrivacyDeployment Risk & Resilience Inventory-2 - During deployment: I wasn't able to get as much privacy as I needed.DRRI-2 - C: Wasn't Able to Get Privacy
DRRI1C07C141903DRRI1-C: I Was Exposed to Awful SmellsDeployment Risk & Resilience Inventory-2 - During deployment: I was exposed to awful smells.DRRI-2 - C: I Was Exposed to Awful Smells
DRRI1C08C141904DRRI1-C: I Was Subjected to Loud NoisesDeployment Risk & Resilience Inventory-2 - During deployment: I was subjected to loud noises.DRRI-2 - C: I Was Subjected to Loud Noises
DRRI1C09C141905DRRI1-C: Restricted Because Local CustomDeployment Risk & Resilience Inventory-2 - During deployment: my daily activities were restricted because of local religious or ethnic customs.DRRI-2 - C: Restricted Because Local Custom
DRRI1C10C141906DRRI1-C: Wasn't Able to RestDeployment Risk & Resilience Inventory-2 - During deployment: I wasn't able to get rest when I needed it.DRRI-2 - C: Wasn't Able to Rest
DRRI1C11C141907DRRI1-C: Wasn't Able to Contact HomeDeployment Risk & Resilience Inventory-2 - During deployment: I wasn't able to contact home when I needed to.DRRI-2 - C: Wasn't Able to Contact Home
DRRI1C12C141908DRRI1-C: Hassle With Heavy/Annoying GearDeployment Risk & Resilience Inventory-2 - During deployment: I had to hassle with putting on and taking off heavy or annoying gear.DRRI-2 - C: Hassle With Heavy/Annoying Gear
DRRI1C13C141909DRRI1-C: Not Allowed to Get Job DoneDeployment Risk & Resilience Inventory-2 - During deployment: I was not allowed to do the things I needed to do to get my job done.DRRI-2 - C: Not Allowed to Get Job Done
DRRI1C14C141910DRRI1-C: Not Have Adequate ShelterDeployment Risk & Resilience Inventory-2 - During deployment: I did not have adequate shelter from uncomfortable living conditions (for example, heat, cold, wet, etc.).DRRI-2 - C: Not Have Adequate Shelter
DRRI1D01C141911DRRI1-D: Went on Combat Patrols/MissionsDeployment Risk & Resilience Inventory-2 - During deployment: I went on combat patrols or missions.DRRI-2 - D: Went on Combat Patrols/Missions
DRRI1D02C141912DRRI1-D: Assault on Entrenched PositionsDeployment Risk & Resilience Inventory-2 - During deployment: I took part in an assault on entrenched or fortified positions that involved naval and/or land forces.DRRI-2 - D: Assault on Entrenched Positions
DRRI1D03C141913DRRI1-D: Witnessed Someone Unit WoundedDeployment Risk & Resilience Inventory-2 - During deployment: I personally witnessed someone from my unit or an ally unit being seriously wounded or killed.DRRI-2 - D: Witnessed Someone Unit Wounded
DRRI1D04C141914DRRI1-D: Encountered Land MinesDeployment Risk & Resilience Inventory-2 - During deployment: I encountered land or water mines, booby traps, or roadside bombs (for example, IEDs).DRRI-2 - D: Encountered Land Mines
DRRI1D05C141915DRRI1-D: Exposed Hostile Incoming FireDeployment Risk & Resilience Inventory-2 - During deployment: I was exposed to hostile incoming fire.DRRI-2 - D: Exposed Hostile Incoming Fire
DRRI1D06C141916DRRI1-D: Exposed to Friendly FireDeployment Risk & Resilience Inventory-2 - During deployment: I was exposed to "friendly" fire.DRRI-2 - D: Exposed to Friendly Fire
DRRI1D07C141917DRRI1-D: Vehicle/Part of Convoy AttackedDeployment Risk & Resilience Inventory-2 - During deployment: I was in a vehicle (for example, a "humvee", helicopter, or boat) or part of a convoy that was attacked.DRRI-2 - D: Vehicle/Part of Convoy Attacked
DRRI1D08C141918DRRI1-D: Part of Unit Fired on EnemyDeployment Risk & Resilience Inventory-2 - During deployment: I was part of a land or naval artillery unit that fired on enemy combatants.DRRI-2 - D: Part of Unit Fired on Enemy
DRRI1D09C141919DRRI1-D: Witnessed Enemy Wounded/KilledDeployment Risk & Resilience Inventory-2 - During deployment: I personally witnessed enemy combatants being seriously wounded or killed.DRRI-2 - D: Witnessed Enemy Wounded/Killed
DRRI1D10C141920DRRI1-D: Witnessed Civilians WoundedDeployment Risk & Resilience Inventory-2 - During deployment: I personally witnessed civilians (for example, women and children) being seriously wounded or killed.DRRI-2 - D: Witnessed Civilians Wounded
DRRI1D11C141921DRRI1-D: Injured Combat-Related IncidentDeployment Risk & Resilience Inventory-2 - During deployment: I was injured in a combat-related incident.DRRI-2 - D: Injured Combat-Related Incident
DRRI1D12C141922DRRI1-D: Fired My Weapon Enemy CombatantDeployment Risk & Resilience Inventory-2 - During deployment: I fired my weapon at enemy combatants.DRRI-2 - D: Fired My Weapon Enemy Combatant
DRRI1D13C141923DRRI1-D: Think I Wounded/Killed SomeoneDeployment Risk & Resilience Inventory-2 - During deployment: I think I wounded or killed someone during combat operations.DRRI-2 - D: Think I Wounded/Killed Someone
DRRI1D14C141924DRRI1-D: Locating Explosive DevicesDeployment Risk & Resilience Inventory-2 - During deployment: I was involved in locating or disarming explosive devices.DRRI-2 - D: Locating Explosive Devices
DRRI1D15C141925DRRI1-D: Searching Homes/BuildingsDeployment Risk & Resilience Inventory-2 - During deployment: I was involved in searching or clearing homes, buildings, or other locations.DRRI-2 - D: Searching Homes/Buildings
DRRI1D16C141926DRRI1-D: Participate Hand-to-hand CombatDeployment Risk & Resilience Inventory-2 - During deployment: I participated in hand-to-hand combat.DRRI-2 - D: Participate Hand-to-hand Combat
DRRI1D17C141927DRRI1-D: Search/Disarm Potential EnemyDeployment Risk & Resilience Inventory-2 - During deployment: I was involved in searching and/or disarming potential enemy combatants.DRRI-2 - D: Search/Disarm Potential Enemy
DRRI1E01C141928DRRI1-E: Saw People Begging for FoodDeployment Risk & Resilience Inventory-2 - During deployment: I saw people begging for food.DRRI-2 - E: Saw People Begging for Food
DRRI1E02C141929DRRI1-E: Saw Refugees Who Had Lost HomesDeployment Risk & Resilience Inventory-2 - During deployment: I saw refugees who had lost their homes or belongings.DRRI-2 - E: Saw Refugees Who Had Lost Homes
DRRI1E03C141930DRRI1-E: Observed Homes Been DestroyedDeployment Risk & Resilience Inventory-2 - During deployment: I observed homes or communities that had been destroyed.DRRI-2 - E: Observed Homes Been Destroyed
DRRI1E04C141931DRRI1-E: Took Care Injured/Dying PeopleDeployment Risk & Resilience Inventory-2 - During deployment: I took care of injured or dying people.DRRI-2 - E: Took Care Injured/Dying People
DRRI1E05C141932DRRI1-E: Saw Civilians After WoundedDeployment Risk & Resilience Inventory-2 - During deployment: I saw civilians after they had been severely wounded or disfigured.DRRI-2 - E: Saw Civilians After Wounded
DRRI1E06C141933DRRI1-E: Saw Combatants Had Been WoundedDeployment Risk & Resilience Inventory-2 - During deployment: I saw enemy combatants after they had been severely wounded or disfigured.DRRI-2 - E: Saw Combatants Had Been Wounded
DRRI1E07C141934DRRI1-E: Saw Americans Had Been WoundedDeployment Risk & Resilience Inventory-2 - During deployment: I saw Americans or allies after they had been severely wounded or disfigured.DRRI-2 - E: Saw Americans Had Been Wounded
DRRI1E08C141935DRRI1-E: Saw Bodies of Dead EnemyDeployment Risk & Resilience Inventory-2 - During deployment: I saw the bodies of dead enemy combatants.DRRI-2 - E: Saw Bodies of Dead Enemy
DRRI1E09C141936DRRI1-E: Saw Bodies of Dead AmericansDeployment Risk & Resilience Inventory-2 - During deployment: I saw the bodies of dead Americans or allies.DRRI-2 - E: Saw Bodies of Dead Americans
DRRI1E10C141937DRRI1-E: Saw Bodies of Dead CiviliansDeployment Risk & Resilience Inventory-2 - During deployment: I saw the bodies of dead civilians.DRRI-2 - E: Saw Bodies of Dead Civilians
DRRI1E11C141938DRRI1-E: Interacted With DetaineesDeployment Risk & Resilience Inventory-2 - During deployment: I interacted with detainees or prisoners of war.DRRI-2 - E: Interacted With Detainees
DRRI1E12C141939DRRI1-E: Sight/Sound/Smell Dead AnimalsDeployment Risk & Resilience Inventory-2 - During deployment: I was exposed to the sight, sound, or smell of dead or dying animals.DRRI-2 - E: Sight/Sound/Smell Dead Animals
DRRI1E13C141940DRRI1-E: Involved Handling Human RemainsDeployment Risk & Resilience Inventory-2 - During deployment: I was involved in handling human remains.DRRI-2 - E: Involved Handling Human Remains
DRRI1F01C141941DRRI1-F: Took Preventative PillsDeployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I took preventative pills (for example, to protect against nerve gas).DRRI-2 - F: Took Preventative Pills
DRRI1F02C141942DRRI1-F: Received VaccinationsDeployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I received preventative vaccinations by injection (for example, to prevent anthrax or botulism).DRRI-2 - F: Received Vaccinations
DRRI1F03C141943DRRI1-F: Exposed to Nerve Gas AgentsDeployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I was exposed to nerve gas agents (for example, sarin).DRRI-2 - F: Exposed to Nerve Gas Agents
DRRI1F04C141944DRRI1-F: Exposed to Mustard GasDeployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I was exposed to mustard gas or other blistering agents.DRRI-2 - F: Exposed to Mustard Gas
DRRI1F05C141945DRRI1-F: Exposed Government-issued DEETDeployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I was exposed to government-issued DEET-containing insect repellents.DRRI-2 - F: Exposed Government-issued DEET
DRRI1F06C141946DRRI1-F: Exposed to Other PesticidesDeployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I was exposed to other pesticides (for example, in flea collars, uniforms, or the environment).DRRI-2 - F: Exposed to Other Pesticides
DRRI1F07C141947DRRI1-F: Exposed to Smoke/Air PollutionDeployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I was exposed to smoke or other air pollution.DRRI-2 - F: Exposed to Smoke/Air Pollution
DRRI1F08C141948DRRI1-F: Exposed to Diesel/Fuel on SkinDeployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I was exposed to diesel or other petrochemical fuel on my skin.DRRI-2 - F: Exposed to Diesel/Fuel on Skin
DRRI1F09C141949DRRI1-F: Exposed to Fumes From HeatersDeployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I was exposed to fumes or exhaust from heaters or generators, including heaters in tents.DRRI-2 - F: Exposed to Fumes From Heaters
DRRI1F10C141950DRRI1-F: Exposed to Depleted UraniumDeployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I was exposed to depleted uranium in munitions.DRRI-2 - F: Exposed to Depleted Uranium
DRRI1F11C141951DRRI1-F: Exposed to Burning Trash/FecesDeployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I was exposed to burning trash or burning feces.DRRI-2 - F: Exposed to Burning Trash/Feces
DRRI1F12C141952DRRI1-F: Exposed to Chlorine GasDeployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I was exposed to chlorine gas.DRRI-2 - F: Exposed to Chlorine Gas
DRRI1F13C141953DRRI1-F: Exposed to Nuclear WeaponsDeployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I was exposed to nuclear, biological, or chemical weapons.DRRI-2 - F: Exposed to Nuclear Weapons
DRRI1G01C141954DRRI1-G: Concerned Infectious DiseaseDeployment Risk & Resilience Inventory-2 - During deployment: I was concerned about getting an infectious disease.DRRI-2 - G: Concerned Infectious Disease
DRRI1G02C141955DRRI1-G: Health Might Suffer NBC AgentsDeployment Risk & Resilience Inventory-2 - During deployment: I was concerned that my health might suffer due to exposure to nuclear, biological, or chemical (NBC) agents.DRRI-2 - G: Health Might Suffer NBC Agents
DRRI1G03C141956DRRI1-G: Felt in Danger of Being WoundedDeployment Risk & Resilience Inventory-2 - During deployment: I felt I was in great danger of being wounded (for example, losing a limb).DRRI-2 - G: Felt in Danger of Being Wounded
DRRI1G04C141957DRRI1-G: Concerned Medicine Make Me SickDeployment Risk & Resilience Inventory-2 - During deployment: I was concerned that the medicine I was given to protect me from illness would make me sick.DRRI-2 - G: Concerned Medicine Make Me Sick
DRRI1G05C141958DRRI1-G: Concerned Encounter ExplosiveDeployment Risk & Resilience Inventory-2 - During deployment: I was concerned that I would encounter an explosive device (for example, a roadside bomb, mine, or booby trap).DRRI-2 - G: Concerned Encounter Explosive
DRRI1G06C141959DRRI1-G: Feared Sick From PesticidesDeployment Risk & Resilience Inventory-2 - During deployment: I feared that I would become sick from pesticides (for example, bug spray) or other routinely used chemicals.DRRI-2 - G: Feared Sick From Pesticides
DRRI1G07C141960DRRI1-G: Concern Rocket/Mortar Would HitDeployment Risk & Resilience Inventory-2 - During deployment: I was concerned that a rocket or mortar would hit our living quarters.DRRI-2 - G: Concern Rocket/Mortar Would Hit
DRRI1G08C141961DRRI1-G: Concerned Depleted UraniumDeployment Risk & Resilience Inventory-2 - During deployment: I was concerned that I might be exposed to depleted uranium in munitions.DRRI-2 - G: Concerned Depleted Uranium
DRRI1G09C141962DRRI1-G: Thought I Would Never SurviveDeployment Risk & Resilience Inventory-2 - During deployment: I thought I would never survive.DRRI-2 - G: Thought I Would Never Survive
DRRI1G10C141963DRRI1-G: Concerned Taken HostageDeployment Risk & Resilience Inventory-2 - During deployment: I was concerned that I might be taken hostage.DRRI-2 - G: Concerned Taken Hostage
DRRI1G11C141964DRRI1-G: Concerned Locals Against UsDeployment Risk & Resilience Inventory-2 - During deployment: I was concerned that the locals who were supposed to be helping us were actually working against us.DRRI-2 - G: Concerned Locals Against Us
DRRI1G12C141965DRRI1-G: Concerned Trapped in CrossfireDeployment Risk & Resilience Inventory-2 - During deployment: I was concerned about being trapped in the crossfire of rival factions.DRRI-2 - G: Concerned Trapped in Crossfire
DRRI1H01C141966DRRI1-H: Had All Supplies NeededDeployment Risk & Resilience Inventory-2 - In preparation for deployment: I had all the supplies and equipment needed to get my job done.DRRI-2 - H: Had All Supplies Needed
DRRI1H02C141967DRRI1-H: Confident Ability Use EquipmentDeployment Risk & Resilience Inventory-2 - In preparation for deployment: the training I received made me feel confident in my ability to use my equipment.DRRI-2 - H: Confident Ability Use Equipment
DRRI1H03C141968DRRI1-H: Prepared to Deal With ClimateDeployment Risk & Resilience Inventory-2 - In preparation for deployment: the training I received prepared me to deal with the region's climate.DRRI-2 - H: Prepared to Deal With Climate
DRRI1H04C141969DRRI1-H: Accurately Informed About RoleDeployment Risk & Resilience Inventory-2 - In preparation for deployment: I was accurately informed about the role my unit was expected to play in the deployment.DRRI-2 - H: Accurately Informed About Role
DRRI1H05C141970DRRI1-H: Had Enough Gear in Case AttackDeployment Risk & Resilience Inventory-2 - In preparation for deployment: I had enough gear to protect myself in case of an attack.DRRI-2 - H: Had Enough Gear in Case Attack
DRRI1H06C141971DRRI1-H: Training for DeploymentDeployment Risk & Resilience Inventory-2 - In preparation for deployment: I received appropriate training for the nature of the deployment I experienced.DRRI-2 - H: Training for Deployment
DRRI1H07C141972DRRI1-H: Military Duties What I ExpectedDeployment Risk & Resilience Inventory-2 - In preparation for deployment: my military duties and assignments were what I expected.DRRI-2 - H: Military Duties What I Expected
DRRI1H08C141973DRRI1-H: Prepared to Operate as TeamDeployment Risk & Resilience Inventory-2 - In preparation for deployment: my unit was well-prepared to operate as a team during deployment.DRRI-2 - H: Prepared to Operate as Team
DRRI1H09C141974DRRI1-H: Confident to Perform TasksDeployment Risk & Resilience Inventory-2 - In preparation for deployment: the training I received made me feel confident in my ability to perform tasks assigned to me during deployment.DRRI-2 - H: Confident to Perform Tasks
DRRI1H10C141975DRRI1-H: Taught Me Everything I NeededDeployment Risk & Resilience Inventory-2 - In preparation for deployment: the training I received taught me everything I needed to know for deployment.DRRI-2 - H: Taught Me Everything I Needed
DRRI1I01C141976DRRI1-I: Family Sincerely InterestedDeployment Risk & Resilience Inventory-2 - During deployment: family members and/or friends at home were sincerely interested in hearing what was going on with me.DRRI-2 - I: Family Sincerely Interested
DRRI1I02C141977DRRI1-I: Had Family I Could Talk ToDeployment Risk & Resilience Inventory-2 - During deployment: I had family members or friends at home I could talk to when I had a problem.DRRI-2 - I: Had Family I Could Talk To
DRRI1I03C141978DRRI1-I: Could Count on Family AdviceDeployment Risk & Resilience Inventory-2 - During deployment: I could count on my family members or friends at home for good advice.DRRI-2 - I: Could Count on Family Advice
DRRI1I04C141979DRRI1-I: Relatives Look Out for FamilyDeployment Risk & Resilience Inventory-2 - During deployment: relatives or friends at home could be counted on to look out for the well-being of my family or other dependents (including pets).DRRI-2 - I: Relatives Look Out for Family
DRRI1I05C141980DRRI1-I: Relatives Take Care of FinancesDeployment Risk & Resilience Inventory-2 - During deployment: relatives or friends at home could be counted on to take care of my finances, property, or belongings if needed.DRRI-2 - I: Relatives Take Care of Finances
DRRI1I06C141981DRRI1-I: Happy Communication From HomeDeployment Risk & Resilience Inventory-2 - During deployment: I was happy with the amount of communication I received from people at home.DRRI-2 - I: Happy Communication From Home
DRRI1I07C141982DRRI1-I: Happy With Support From HomeDeployment Risk & Resilience Inventory-2 - During deployment: I was happy with the amount of support I received from people at home.DRRI-2 - I: Happy With Support From Home
DRRI1I08C141983DRRI1-I: People at Home Show They CaredDeployment Risk & Resilience Inventory-2 - During deployment: people at home did things to show they cared about me.DRRI-2 - I: People at Home Show They Cared
DRRI1J01C141984DRRI1-J: My Unit Was Like Family to MeDeployment Risk & Resilience Inventory-2 - During deployment: my unit was like family to me.DRRI-2 - J: My Unit Was Like Family to Me
DRRI1J02C141985DRRI1-J: People in Unit Were TrustworthyDeployment Risk & Resilience Inventory-2 - During deployment: people in my unit were trustworthy.DRRI-2 - J: People in Unit Were Trustworthy
DRRI1J03C141986DRRI1-J: Fellow Unit Appreciated EffortsDeployment Risk & Resilience Inventory-2 - During deployment: my fellow unit members appreciated my efforts.DRRI-2 - J: Fellow Unit Appreciated Efforts
DRRI1J04C141987DRRI1-J: Felt Valued Fellow Unit MembersDeployment Risk & Resilience Inventory-2 - During deployment: I felt valued by my fellow unit members.DRRI-2 - J: Felt Valued Fellow Unit Members
DRRI1J05C141988DRRI1-J: Unit Interested My Well-beingDeployment Risk & Resilience Inventory-2 - During deployment: members of my unit were interested in my well-being.DRRI-2 - J: Unit Interested My Well-being
DRRI1J06C141989DRRI1-J: Unit Interested What I ThoughtDeployment Risk & Resilience Inventory-2 - During deployment: my fellow unit members were interested in what I thought and how I felt about things.DRRI-2 - J: Unit Interested What I Thought
DRRI1J07C141990DRRI1-J: Leader Interested What ThoughtDeployment Risk & Resilience Inventory-2 - During deployment: my unit leader(s) were interested in what I thought and how I felt about things.DRRI-2 - J: Leader Interested What Thought
DRRI1J08C141991DRRI1-J: Felt Like My Efforts CountedDeployment Risk & Resilience Inventory-2 - During deployment: I felt like my efforts really counted to the leaders in my unit.DRRI-2 - J: Felt Like My Efforts Counted
DRRI1J09C141992DRRI1-J: Service Appreciated by LeadersDeployment Risk & Resilience Inventory-2 - During deployment: my service was appreciated by the leaders in my unit.DRRI-2 - J: Service Appreciated by Leaders
DRRI1J10C141993DRRI1-J: Could Go to Leaders If ProblemDeployment Risk & Resilience Inventory-2 - During deployment: I could go to unit leaders for help if I had a problem or concern.DRRI-2 - J: Could Go to Leaders If Problem
DRRI1J11C141994DRRI1-J: Leaders Interested in WelfareDeployment Risk & Resilience Inventory-2 - During deployment: the leaders of my unit were interested in my personal welfare.DRRI-2 - J: Leaders Interested in Welfare
DRRI1J12C141995DRRI1-J: Felt Valued by Leaders of UnitDeployment Risk & Resilience Inventory-2 - During deployment: I felt valued by the leaders of my unit.DRRI-2 - J: Felt Valued by Leaders of Unit
DRRI1K01C141996DRRI1-K: Treated in Overly Critical WayDeployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: treated me in an overly critical way.DRRI-2 - K: Treated in Overly Critical Way
DRRI1K02C141997DRRI1-K: Uncooperative Working With MeDeployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: behaved in way that was uncooperative when working with me.DRRI-2 - K: Uncooperative Working With Me
DRRI1K03C141998DRRI1-K: Had to Work Harder Prove MyselfDeployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: treated me as if I had to work harder than others to prove myself.DRRI-2 - K: Had to Work Harder Prove Myself
DRRI1K04C141999DRRI1-K: Questioned My Abilities PerformDeployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: questioned my abilities or commitment to perform my job effectively.DRRI-2 - K: Questioned My Abilities Perform
DRRI1K05C142000DRRI1-K: My Mistakes Worse Than OthersDeployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: acted as though my mistakes were worse than others'.DRRI-2 - K: My Mistakes Worse Than Others
DRRI1K06C142001DRRI1-K: Make My Job More DifficultDeployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: tried to make my job more difficult to do.DRRI-2 - K: Make My Job More Difficult
DRRI1K07C142002DRRI1-K: Put Me DownDeployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: "put me down" or treated me in a condescending way.DRRI-2 - K: Put Me Down
DRRI1K08C142003DRRI1-K: Threatened My Physical SafetyDeployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: threatened my physical safety.DRRI-2 - K: Threatened My Physical Safety
DRRI1K09C142004DRRI1-K: Made Crude Sexual Remarks at MeDeployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: made crude and offensive sexual remarks directed at me, either publicly or privately.DRRI-2 - K: Made Crude Sexual Remarks at Me
DRRI1K10C142005DRRI1-K: Spread Rumors Sexual ActivitiesDeployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: spread negative rumors about my sexual activities.DRRI-2 - K: Spread Rumors Sexual Activities
DRRI1K11C142006DRRI1-K: Tried to Talk into Sexual ActsDeployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: tried to talk me into participating in sexual acts when I didn't want to.DRRI-2 - K: Tried to Talk into Sexual Acts
DRRI1K12C142007DRRI1-K: Authority Pressure Unwanted SexDeployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: used a position of authority to pressure me into unwanted sexual activity.DRRI-2 - K: Authority Pressure Unwanted Sex
DRRI1K13C142008DRRI1-K: Offered Reward Take Part in SexDeployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: offered me a specific reward or special treatment to take part in sexual behavior.DRRI-2 - K: Offered Reward Take Part in Sex
DRRI1K14C142009DRRI1-K: Threatened Me If Not SexDeployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: threatened me with some sort of retaliation if I was not sexually cooperative (for example, the threat of negative review or physical violence).DRRI-2 - K: Threatened Me If Not Sex
DRRI1K15C142010DRRI1-K: Touched Sexual Way Against WillDeployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: touched me in a sexual way against my will.DRRI-2 - K: Touched Sexual Way Against Will
DRRI1K16C142011DRRI1-K: Physically Forced to Have SexDeployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: physically forced me to have sex.DRRI-2 - K: Physically Forced to Have Sex
DRRI1L01C142012DRRI1-L: Effect Deployment RelationshipDeployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: the effect of the deployment on my relationship with my spouse or significant other.DRRI-2 - L: Effect Deployment Relationship
DRRI1L02C142013DRRI1-L: Missing Out on Children GrowthDeployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: missing out on my children's growth and development.DRRI-2 - L: Missing Out on Children Growth
DRRI1L03C142014DRRI1-L: Missing Family Events at HomeDeployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: missing important family events at home such as birthdays, weddings, funerals, graduations, etc.DRRI-2 - L: Missing Family Events at Home
DRRI1L04C142015DRRI1-L: Safety and Well-being of SpouseDeployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: the safety and well-being of my spouse or significant other.DRRI-2 - L: Safety and Well-being of Spouse
DRRI1L05C142016DRRI1-L: Safety and Well-being of ChildDeployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: the safety and well-being of my child(ren).DRRI-2 - L: Safety and Well-being of Child
DRRI1L06C142017DRRI1-L: Unable to Help Family If CrisisDeployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: being unable to help my family if there was some kind of crisis or emergency.DRRI-2 - L: Unable to Help Family If Crisis
DRRI1L07C142018DRRI1-L: Inability Manage Family AffairsDeployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: my inability to directly manage or control family affairs.DRRI-2 - L: Inability Manage Family Affairs
DRRI1L08C142019DRRI1-L: Damaging Career Because DeployDeployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: damaging my career because of the deployment.DRRI-2 - L: Damaging Career Because Deploy
DRRI1L09C142020DRRI1-L: Care Child/Dependents ReceivingDeployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: the care that my child(ren) or other dependents were receiving.DRRI-2 - L: Care Child/Dependents Receiving
DRRI1L10C142021DRRI1-L: Being Cheated on by My SpouseDeployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: being cheated on by my spouse or significant other.DRRI-2 - L: Being Cheated on by My Spouse
DRRI1L11C142022DRRI1-L: Family Ability Cope With StressDeployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: my family's ability to cope with the stress of the deployment.DRRI-2 - L: Family Ability Cope With Stress
DRRI1L12C142023DRRI1-L: Spouse Ability Manage HouseholdDeployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: my spouse or significant other's ability to manage the household (for example, chores, bills, home repairs, etc.).DRRI-2 - L: Spouse Ability Manage Household
DRRI1L13C142024DRRI1-L: Losing My Civilian JobDeployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: losing my civilian job because of the deployment.DRRI-2 - L: Losing My Civilian Job
DRRI1L14C142025DRRI1-L: Effect Relationship My ChildrenDeployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: the effect of the deployment on my relationship with my child(ren).DRRI-2 - L: Effect Relationship My Children
DRRI1L15C142026DRRI1-L: My Family Financial SituationDeployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: my family's financial situation.DRRI-2 - L: My Family Financial Situation
DRRI1M01C142027DRRI1-M: Problems Get in Touch FamilyDeployment Risk & Resilience Inventory-2 - During deployment: I had problems getting in touch with a family member or other loved one.DRRI-2 - M: Problems Get in Touch Family
DRRI1M02C142028DRRI1-M: Someone Close Serious IllnessDeployment Risk & Resilience Inventory-2 - During deployment: someone close to me experienced a serious illness, injury, or mental health problem (for example, cancer, alcohol/drug problem).DRRI-2 - M: Someone Close Serious Illness
DRRI1M03C142029DRRI1-M: Family Member Passed AwayDeployment Risk & Resilience Inventory-2 - During deployment: a family member or other loved one passed away.DRRI-2 - M: Family Member Passed Away
DRRI1M04C142030DRRI1-M: My Family Had Money ProblemsDeployment Risk & Resilience Inventory-2 - During deployment: my family had money problems.DRRI-2 - M: My Family Had Money Problems
DRRI1M05C142031DRRI1-M: Spouse Cheated on MeDeployment Risk & Resilience Inventory-2 - During deployment: a spouse or significant other cheated on me.DRRI-2 - M: Spouse Cheated on Me
DRRI1M06C142032DRRI1-M: Spouse Suspected I CheatedDeployment Risk & Resilience Inventory-2 - During deployment: a spouse or significant other suspected that I had cheated on him/her.DRRI-2 - M: Spouse Suspected I Cheated
DRRI1M07C142033DRRI1-M: Relationship With Spouse EndedDeployment Risk & Resilience Inventory-2 - During deployment: my relationship with a spouse or significant other ended.DRRI-2 - M: Relationship With Spouse Ended
DRRI1M08C142034DRRI1-M: Had Major Conflict With FamilyDeployment Risk & Resilience Inventory-2 - During deployment: I had a major conflict with a family member or other loved one.DRRI-2 - M: Had Major Conflict With Family
DRRI1M09C142035DRRI1-M: Family Had Difficulty AdjustingDeployment Risk & Resilience Inventory-2 - During deployment: a family member or other loved one had serious difficulty adjusting to my absence.DRRI-2 - M: Family Had Difficulty Adjusting
DRRI1M10C142036DRRI1-M: My Home Was RobbedDeployment Risk & Resilience Inventory-2 - During deployment: my home was robbed and/or my belongings were stolen.DRRI-2 - M: My Home Was Robbed
DRRI1M11C142037DRRI1-M: Family Member Wasted MoneyDeployment Risk & Resilience Inventory-2 - During deployment: a family member or other person I trusted wasted or mismanaged my money.DRRI-2 - M: Family Member Wasted Money
DRRI1M12C142038DRRI1-M: Loved One Things I DisapprovedDeployment Risk & Resilience Inventory-2 - During deployment: I learned that a loved one was doing things I disapproved of.DRRI-2 - M: Loved One Things I Disapproved
DRRI1M13C142039DRRI1-M: Fam Dangerous Military DutiesDeployment Risk & Resilience Inventory-2 - During deployment: a family member or other loved one participated in dangerous military duties.DRRI-2 - M: Fam Dangerous Military Duties
DRRI1M14C142040DRRI1-M: Family Got Into TroubleDeployment Risk & Resilience Inventory-2 - During deployment: a family member got into trouble at home, at school, or in the community.DRRI-2 - M: Family Got Into Trouble
DRRI1N01C142041DRRI1-N: Robbed/Had My Home Broken IntoDeployment Risk & Resilience Inventory-2 - Since returning: I was robbed or had my home broken into.DRRI-2 - N: Robbed/Had My Home Broken Into
DRRI1N02C142042DRRI1-N: Unwanted Sexual ActivityDeployment Risk & Resilience Inventory-2 - Since returning: I experienced unwanted sexual activity as a result of force, threat or harm, or manipulation.DRRI-2 - N: Unwanted Sexual Activity
DRRI1N03C142043DRRI1-N: Went Through Divorce/Was LeftDeployment Risk & Resilience Inventory-2 - Since returning: I went through a divorce or have been left by a partner or significant other.DRRI-2 - N: Went Through Divorce/Was Left
DRRI1N04C142044DRRI1-N: Problems Getting HealthcareDeployment Risk & Resilience Inventory-2 - Since returning: I had problems getting access to adequate healthcare.DRRI-2 - N: Problems Getting Healthcare
DRRI1N05C142045DRRI1-N: Experienced Natural DisasterDeployment Risk & Resilience Inventory-2 - Since returning: I experienced a natural disaster (for example, a hurricane), a fire, or an accident in which I or someone close to me was hurt or had serious property damage.DRRI-2 - N: Experienced Natural Disaster
DRRI1N06C142046DRRI1-N: Someone Close Serious IllnessDeployment Risk & Resilience Inventory-2 - Since returning: someone close to me has experienced a serious illness, injury, or mental health problem (for example, cancer, alcohol/drug problem).DRRI-2 - N: Someone Close Serious Illness
DRRI1N07C142047DRRI1-N: Witnessed Someone AssaultedDeployment Risk & Resilience Inventory-2 - Since returning: I have witnessed someone being seriously assaulted or killed.DRRI-2 - N: Witnessed Someone Assaulted
DRRI1N08C142048DRRI1-N: Lost My Job/Trouble Finding JobDeployment Risk & Resilience Inventory-2 - Since returning: I lost my job or had serious trouble finding a job.DRRI-2 - N: Lost My Job/Trouble Finding Job
DRRI1N09C142049DRRI1-N: Emotionally MistreatedDeployment Risk & Resilience Inventory-2 - Since returning: I have been emotionally mistreated (for example, ignored or repeatedly told I was no good).DRRI-2 - N: Emotionally Mistreated
DRRI1N10C142050DRRI1-N: Serious Financial ProblemsDeployment Risk & Resilience Inventory-2 - Since returning: I have experienced serious financial problems.DRRI-2 - N: Serious Financial Problems
DRRI1N11C142051DRRI1-N: Serious Physical Health ProblemDeployment Risk & Resilience Inventory-2 - Since returning: I have experienced serious physical or mental health problems.DRRI-2 - N: Serious Physical Health Problem
DRRI1N12C142052DRRI1-N: Stressful Legal ProblemsDeployment Risk & Resilience Inventory-2 - Since returning: I have experienced stressful legal problems (for example, being sued, suing someone else, or being in a custody battle).DRRI-2 - N: Stressful Legal Problems
DRRI1N13C142053DRRI1-N: Injured by Another PersonDeployment Risk & Resilience Inventory-2 - Since returning: I have been seriously physically injured by another person (for example, hit or beaten up).DRRI-2 - N: Injured by Another Person
DRRI1N14C142054DRRI1-N: Someone Close to Me Has DiedDeployment Risk & Resilience Inventory-2 - Since returning: someone close to me has died.DRRI-2 - N: Someone Close to Me Has Died
DRRI1O01C142055DRRI1-O: People Made Me Feel at HomeDeployment Risk & Resilience Inventory-2 - Since returning: the American people made me feel at home.DRRI-2 - O: People Made Me Feel at Home
DRRI1O02C142056DRRI1-O: People Made Me Feel ProudDeployment Risk & Resilience Inventory-2 - Since returning: people made me feel proud to have served my country in the Armed Forces.DRRI-2 - O: People Made Me Feel Proud
DRRI1O03C142057DRRI1-O: Family Make Me Better When DownDeployment Risk & Resilience Inventory-2 - Since returning: my family members and/or friends make me feel better when I am down.DRRI-2 - O: Family Make Me Better When Down
DRRI1O04C142058DRRI1-O: Go to Family When Need AdviceDeployment Risk & Resilience Inventory-2 - Since returning: I can go to family members or friends when I need good advice.DRRI-2 - O: Go to Family When Need Advice
DRRI1O05C142059DRRI1-O: Family/Friends UnderstandDeployment Risk & Resilience Inventory-2 - Since returning: my family and friends understand what I have been through in the Armed Forces.DRRI-2 - O: Family/Friends Understand
DRRI1O06C142060DRRI1-O: I Can Talk About My DeploymentDeployment Risk & Resilience Inventory-2 - Since returning: there are family and/or friends with whom I can talk about my deployment experiences.DRRI-2 - O: I Can Talk About My Deployment
DRRI1O07C142061DRRI1-O: Family Would Lend MoneyDeployment Risk & Resilience Inventory-2 - Since returning: my family members or friends would lend me money if I needed it.DRRI-2 - O: Family Would Lend Money
DRRI1O08C142062DRRI1-O: Family Would Help MoveDeployment Risk & Resilience Inventory-2 - Since returning: my family members or friends would help me move my belongings if I needed help.DRRI-2 - O: Family Would Help Move
DRRI1O09C142063DRRI1-O: Someone Would Help With TasksDeployment Risk & Resilience Inventory-2 - Since returning: if I were unable to attend to daily chores, there is someone who would help me with these tasks.DRRI-2 - O: Someone Would Help With Tasks
DRRI1O10C142064DRRI1-O: When Ill Family Will Help OutDeployment Risk & Resilience Inventory-2 - Since returning: when I am ill, family members or friends will help out until I am well.DRRI-2 - O: When Ill Family Will Help Out
DRRI1P01C142065DRRI1-P: Input Sought Family DecisionsDeployment Risk & Resilience Inventory-2 - Since returning: my input is sought on important family decisions.DRRI-2 - P: Input Sought Family Decisions
DRRI1P02C142066DRRI1-P: Feel Like I Fit in With FamilyDeployment Risk & Resilience Inventory-2 - Since returning: I feel like I fit in with my family.DRRI-2 - P: Feel Like I Fit in With Family
DRRI1P03C142067DRRI1-P: Family Know What I Think/FeelDeployment Risk & Resilience Inventory-2 - Since returning: family members know what I think and how I feel about things.DRRI-2 - P: Family Know What I Think/Feel
DRRI1P04C142068DRRI1-P: Contribution Family AppreciatedDeployment Risk & Resilience Inventory-2 - Since returning: I feel like my contributions to my family are appreciated.DRRI-2 - P: Contribution Family Appreciated
DRRI1P05C142069DRRI1-P: Share Interests With FamilyDeployment Risk & Resilience Inventory-2 - Since returning: I share many common interests and activities with family members.DRRI-2 - P: Share Interests With Family
DRRI1P06C142070DRRI1-P: Opinions Valued by FamilyDeployment Risk & Resilience Inventory-2 - Since returning: my opinions are valued by other family members.DRRI-2 - P: Opinions Valued by Family
DRRI1P07C142071DRRI1-P: I am Affectionate With FamilyDeployment Risk & Resilience Inventory-2 - Since returning: I am affectionate with family members.DRRI-2 - P: I am Affectionate With Family
DRRI1P08C142072DRRI1-P: Play Important Role in FamilyDeployment Risk & Resilience Inventory-2 - Since returning: I play an important role in my family.DRRI-2 - P: Play Important Role in Family
DRRI1P09C142073DRRI1-P: Spend My Free Time With FamilyDeployment Risk & Resilience Inventory-2 - Since returning: I spend as much of my free time with family members as possible.DRRI-2 - P: Spend My Free Time With Family
DRRI1P10C142074DRRI1-P: Family Tell Me When ProblemDeployment Risk & Resilience Inventory-2 - Since returning: family members tell me when they are having a problem.DRRI-2 - P: Family Tell Me When Problem
DRRI1P11C142075DRRI1-P: Can Be Myself Around FamilyDeployment Risk & Resilience Inventory-2 - Since returning: I can be myself around family members.DRRI-2 - P: Can Be Myself Around Family
DRRI1P12C142076DRRI1-P: I Get Along Well With My FamilyDeployment Risk & Resilience Inventory-2 - Since returning: I get along well with my family members.DRRI-2 - P: I Get Along Well With My Family
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CL.C141672.DRRI1TNDeployment Risk and Resilience Inventory-2 Questionnaire Test Name
(DRRI1TN)
text
Extensible: No
C141672Deployment Risk and Resilience Inventory-2 Questionnaire Test NameDeployment Risk and Resilience Inventory-2 test name.CDISC Questionnaire DRRI-2 Test Name Terminology
DRRI1-A: Dangerous Military DutiesC141881DRRI1-A: Dangerous Military DutiesDeployment Risk & Resilience Inventory-2 - Before deployment: I participated in dangerous military duties.DRRI-2 - A: Dangerous Military Duties
DRRI1-A: Emotionally MistreatedC141878DRRI1-A: Emotionally MistreatedDeployment Risk & Resilience Inventory-2 - Before deployment: I was emotionally mistreated (for example, ignored or repeatedly told I was no good).DRRI-2 - A: Emotionally Mistreated
DRRI1-A: Experienced Natural DisasterC141874DRRI1-A: Experienced Natural DisasterDeployment Risk & Resilience Inventory-2 - Before deployment: I experienced a natural disaster (for example, a hurricane), a fire, or an accident in which I or someone close to me was hurt or had serious property damage.DRRI-2 - A: Experienced Natural Disaster
DRRI1-A: Injured by Person - AdulthoodC141883DRRI1-A: Injured by Person - AdulthoodDeployment Risk & Resilience Inventory-2 - Before deployment: I was seriously physically injured by another person (for example, hit or beaten up) during adulthood (age 18 or later).DRRI-2 - A: Injured by Person - Adulthood
DRRI1-A: Injured by Person - ChildhoodC141882DRRI1-A: Injured by Person - ChildhoodDeployment Risk & Resilience Inventory-2 - Before deployment: I was seriously physically injured by another person (for example, hit or beaten up) during childhood (before age 18).DRRI-2 - A: Injured by Person - Childhood
DRRI1-A: Lost My Job/Trouble Finding JobC141877DRRI1-A: Lost My Job/Trouble Finding JobDeployment Risk & Resilience Inventory-2 - Before deployment: I lost my job or had serious trouble finding a job.DRRI-2 - A: Lost My Job/Trouble Finding Job
DRRI1-A: Physically Punished by ParentC141871DRRI1-A: Physically Punished by ParentDeployment Risk & Resilience Inventory-2 - Before deployment: I was physically punished by a parent or primary caregiver.DRRI-2 - A: Physically Punished by Parent
DRRI1-A: Robbed/Had My Home Broken IntoC141869DRRI1-A: Robbed/Had My Home Broken IntoDeployment Risk & Resilience Inventory-2 - Before deployment: I was robbed or had my home broken into.DRRI-2 - A: Robbed/Had My Home Broken Into
DRRI1-A: Saw/Heard Physical Fight ParentC141870DRRI1-A: Saw/Heard Physical Fight ParentDeployment Risk & Resilience Inventory-2 - Before deployment: I saw or heard physical fighting between my parents or caregivers.DRRI-2 - A: Saw/Heard Physical Fight Parent
DRRI1-A: Serious Financial ProblemsC141879DRRI1-A: Serious Financial ProblemsDeployment Risk & Resilience Inventory-2 - Before deployment: I experienced serious financial problems.DRRI-2 - A: Serious Financial Problems
DRRI1-A: Serious Physical Health ProblemC141880DRRI1-A: Serious Physical Health ProblemDeployment Risk & Resilience Inventory-2 - Before deployment: I experienced serious physical or mental health problems.DRRI-2 - A: Serious Physical Health Problem
DRRI1-A: Someone Close Serious IllnessC141875DRRI1-A: Someone Close Serious IllnessDeployment Risk & Resilience Inventory-2 - Before deployment: someone close to me experienced a serious illness, injury, or mental health problem (for example, cancer, alcohol/drug problem).DRRI-2 - A: Someone Close Serious Illness
DRRI1-A: Someone Close to Me DiedC141867DRRI1-A: Someone Close to Me DiedDeployment Risk & Resilience Inventory-2 - Before deployment: someone close to me died.DRRI-2 - A: Someone Close to Me Died
DRRI1-A: Stressful Legal ProblemsC141884DRRI1-A: Stressful Legal ProblemsDeployment Risk & Resilience Inventory-2 - Before deployment: I experienced stressful legal problems (for example, being sued, suing someone else, or being in a custody battle).DRRI-2 - A: Stressful Legal Problems
DRRI1-A: Unwanted Sex Activity AdulthoodC141873DRRI1-A: Unwanted Sex Activity AdulthoodDeployment Risk & Resilience Inventory-2 - Before deployment: I experienced unwanted sexual activity as a result of force, threat of harm, or manipulation during adulthood (age 18 or later).DRRI-2 - A: Unwanted Sex Activity Adulthood
DRRI1-A: Unwanted Sex Activity ChildhoodC141872DRRI1-A: Unwanted Sex Activity ChildhoodDeployment Risk & Resilience Inventory-2 - Before deployment: I experienced unwanted sexual activity as a result of force, threat of harm, or manipulation during childhood (before age 18).DRRI-2 - A: Unwanted Sex Activity Childhood
DRRI1-A: Went Through Divorce/Was LeftC141868DRRI1-A: Went Through Divorce/Was LeftDeployment Risk & Resilience Inventory-2 - Before deployment: I went through a divorce or was left by a significant other.DRRI-2 - A: Went Through Divorce/Was Left
DRRI1-A: Witnessed Someone AssaultedC141876DRRI1-A: Witnessed Someone AssaultedDeployment Risk & Resilience Inventory-2 - Before deployment: I witnessed someone being seriously assaulted or killed.DRRI-2 - A: Witnessed Someone Assaulted
DRRI1-B: Contribution Family AppreciatedC141888DRRI1-B: Contribution Family AppreciatedDeployment Risk & Resilience Inventory-2 - During childhood: I felt like my contributions to my family were appreciated.DRRI-2 - B: Contribution Family Appreciated
DRRI1-B: Family Knew What I Thought/FeltC141887DRRI1-B: Family Knew What I Thought/FeltDeployment Risk & Resilience Inventory-2 - During childhood: family members knew what I thought and how I felt about things.DRRI-2 - B: Family Knew What I Thought/Felt
DRRI1-B: Family Told Me When ProblemC141894DRRI1-B: Family Told Me When ProblemDeployment Risk & Resilience Inventory-2 - During childhood: family members told me when they were having a problem.DRRI-2 - B: Family Told Me When Problem
DRRI1-B: Felt Like I Fit in With FamilyC141886DRRI1-B: Felt Like I Fit in With FamilyDeployment Risk & Resilience Inventory-2 - During childhood: I felt like I fit in with my family.DRRI-2 - B: Felt Like I Fit in With Family
DRRI1-B: Got Along Well With My FamilyC141885DRRI1-B: Got Along Well With My FamilyDeployment Risk & Resilience Inventory-2 - During childhood: I got along well with my family members.DRRI-2 - B: Got Along Well With My Family
DRRI1-B: I Could Be Myself Around FamilyC141895DRRI1-B: I Could Be Myself Around FamilyDeployment Risk & Resilience Inventory-2 - During childhood: I could be myself around family members.DRRI-2 - B: I Could Be Myself Around Family
DRRI1-B: I Was Affectionate With FamilyC141891DRRI1-B: I Was Affectionate With FamilyDeployment Risk & Resilience Inventory-2 - During childhood: I was affectionate with family members.DRRI-2 - B: I Was Affectionate With Family
DRRI1-B: Input Sought Family DecisionsC141896DRRI1-B: Input Sought Family DecisionsDeployment Risk & Resilience Inventory-2 - During childhood: my input was sought on important family decisions.DRRI-2 - B: Input Sought Family Decisions
DRRI1-B: Opinions Were Valued by FamilyC141890DRRI1-B: Opinions Were Valued by FamilyDeployment Risk & Resilience Inventory-2 - During childhood: my opinions were valued by other family members.DRRI-2 - B: Opinions Were Valued by Family
DRRI1-B: Played Important Role in FamilyC141892DRRI1-B: Played Important Role in FamilyDeployment Risk & Resilience Inventory-2 - During childhood: I played an important role in my family.DRRI-2 - B: Played Important Role in Family
DRRI1-B: Shared Interests With FamilyC141889DRRI1-B: Shared Interests With FamilyDeployment Risk & Resilience Inventory-2 - During childhood: I shared many common interests and activities with family members.DRRI-2 - B: Shared Interests With Family
DRRI1-B: Spent My Free Time With FamilyC141893DRRI1-B: Spent My Free Time With FamilyDeployment Risk & Resilience Inventory-2 - During childhood: I spent as much of my free time with family members as possible.DRRI-2 - B: Spent My Free Time With Family
DRRI1-C: Climate Was UncomfortableC141897DRRI1-C: Climate Was UncomfortableDeployment Risk & Resilience Inventory-2 - During deployment: the climate was uncomfortable.DRRI-2 - C: Climate Was Uncomfortable
DRRI1-C: Conditions Extremely UnsanitaryC141900DRRI1-C: Conditions Extremely UnsanitaryDeployment Risk & Resilience Inventory-2 - During deployment: the conditions I lived in were extremely unsanitary.DRRI-2 - C: Conditions Extremely Unsanitary
DRRI1-C: Deal With Annoying AnimalsC141898DRRI1-C: Deal With Annoying AnimalsDeployment Risk & Resilience Inventory-2 - During deployment: I had to deal with annoying animals, insects, or plants.DRRI-2 - C: Deal With Annoying Animals
DRRI1-C: Didn't Have BathroomsC141901DRRI1-C: Didn't Have BathroomsDeployment Risk & Resilience Inventory-2 - During deployment: I didn't have access to bathrooms or showers when I needed them.DRRI-2 - C: Didn't Have Bathrooms
DRRI1-C: Food Was of Very Poor QualityC141899DRRI1-C: Food Was of Very Poor QualityDeployment Risk & Resilience Inventory-2 - During deployment: the food I had to eat was of very poor quality (for example, bad or old MREs).DRRI-2 - C: Food Was of Very Poor Quality
DRRI1-C: Hassle With Heavy/Annoying GearC141908DRRI1-C: Hassle With Heavy/Annoying GearDeployment Risk & Resilience Inventory-2 - During deployment: I had to hassle with putting on and taking off heavy or annoying gear.DRRI-2 - C: Hassle With Heavy/Annoying Gear
DRRI1-C: I Was Exposed to Awful SmellsC141903DRRI1-C: I Was Exposed to Awful SmellsDeployment Risk & Resilience Inventory-2 - During deployment: I was exposed to awful smells.DRRI-2 - C: I Was Exposed to Awful Smells
DRRI1-C: I Was Subjected to Loud NoisesC141904DRRI1-C: I Was Subjected to Loud NoisesDeployment Risk & Resilience Inventory-2 - During deployment: I was subjected to loud noises.DRRI-2 - C: I Was Subjected to Loud Noises
DRRI1-C: Not Allowed to Get Job DoneC141909DRRI1-C: Not Allowed to Get Job DoneDeployment Risk & Resilience Inventory-2 - During deployment: I was not allowed to do the things I needed to do to get my job done.DRRI-2 - C: Not Allowed to Get Job Done
DRRI1-C: Not Have Adequate ShelterC141910DRRI1-C: Not Have Adequate ShelterDeployment Risk & Resilience Inventory-2 - During deployment: I did not have adequate shelter from uncomfortable living conditions (for example, heat, cold, wet, etc.).DRRI-2 - C: Not Have Adequate Shelter
DRRI1-C: Restricted Because Local CustomC141905DRRI1-C: Restricted Because Local CustomDeployment Risk & Resilience Inventory-2 - During deployment: my daily activities were restricted because of local religious or ethnic customs.DRRI-2 - C: Restricted Because Local Custom
DRRI1-C: Wasn't Able to Contact HomeC141907DRRI1-C: Wasn't Able to Contact HomeDeployment Risk & Resilience Inventory-2 - During deployment: I wasn't able to contact home when I needed to.DRRI-2 - C: Wasn't Able to Contact Home
DRRI1-C: Wasn't Able to Get PrivacyC141902DRRI1-C: Wasn't Able to Get PrivacyDeployment Risk & Resilience Inventory-2 - During deployment: I wasn't able to get as much privacy as I needed.DRRI-2 - C: Wasn't Able to Get Privacy
DRRI1-C: Wasn't Able to RestC141906DRRI1-C: Wasn't Able to RestDeployment Risk & Resilience Inventory-2 - During deployment: I wasn't able to get rest when I needed it.DRRI-2 - C: Wasn't Able to Rest
DRRI1-D: Assault on Entrenched PositionsC141912DRRI1-D: Assault on Entrenched PositionsDeployment Risk & Resilience Inventory-2 - During deployment: I took part in an assault on entrenched or fortified positions that involved naval and/or land forces.DRRI-2 - D: Assault on Entrenched Positions
DRRI1-D: Encountered Land MinesC141914DRRI1-D: Encountered Land MinesDeployment Risk & Resilience Inventory-2 - During deployment: I encountered land or water mines, booby traps, or roadside bombs (for example, IEDs).DRRI-2 - D: Encountered Land Mines
DRRI1-D: Exposed Hostile Incoming FireC141915DRRI1-D: Exposed Hostile Incoming FireDeployment Risk & Resilience Inventory-2 - During deployment: I was exposed to hostile incoming fire.DRRI-2 - D: Exposed Hostile Incoming Fire
DRRI1-D: Exposed to Friendly FireC141916DRRI1-D: Exposed to Friendly FireDeployment Risk & Resilience Inventory-2 - During deployment: I was exposed to "friendly" fire.DRRI-2 - D: Exposed to Friendly Fire
DRRI1-D: Fired My Weapon Enemy CombatantC141922DRRI1-D: Fired My Weapon Enemy CombatantDeployment Risk & Resilience Inventory-2 - During deployment: I fired my weapon at enemy combatants.DRRI-2 - D: Fired My Weapon Enemy Combatant
DRRI1-D: Injured Combat-Related IncidentC141921DRRI1-D: Injured Combat-Related IncidentDeployment Risk & Resilience Inventory-2 - During deployment: I was injured in a combat-related incident.DRRI-2 - D: Injured Combat-Related Incident
DRRI1-D: Locating Explosive DevicesC141924DRRI1-D: Locating Explosive DevicesDeployment Risk & Resilience Inventory-2 - During deployment: I was involved in locating or disarming explosive devices.DRRI-2 - D: Locating Explosive Devices
DRRI1-D: Part of Unit Fired on EnemyC141918DRRI1-D: Part of Unit Fired on EnemyDeployment Risk & Resilience Inventory-2 - During deployment: I was part of a land or naval artillery unit that fired on enemy combatants.DRRI-2 - D: Part of Unit Fired on Enemy
DRRI1-D: Participate Hand-to-hand CombatC141926DRRI1-D: Participate Hand-to-hand CombatDeployment Risk & Resilience Inventory-2 - During deployment: I participated in hand-to-hand combat.DRRI-2 - D: Participate Hand-to-hand Combat
DRRI1-D: Search/Disarm Potential EnemyC141927DRRI1-D: Search/Disarm Potential EnemyDeployment Risk & Resilience Inventory-2 - During deployment: I was involved in searching and/or disarming potential enemy combatants.DRRI-2 - D: Search/Disarm Potential Enemy
DRRI1-D: Searching Homes/BuildingsC141925DRRI1-D: Searching Homes/BuildingsDeployment Risk & Resilience Inventory-2 - During deployment: I was involved in searching or clearing homes, buildings, or other locations.DRRI-2 - D: Searching Homes/Buildings
DRRI1-D: Think I Wounded/Killed SomeoneC141923DRRI1-D: Think I Wounded/Killed SomeoneDeployment Risk & Resilience Inventory-2 - During deployment: I think I wounded or killed someone during combat operations.DRRI-2 - D: Think I Wounded/Killed Someone
DRRI1-D: Vehicle/Part of Convoy AttackedC141917DRRI1-D: Vehicle/Part of Convoy AttackedDeployment Risk & Resilience Inventory-2 - During deployment: I was in a vehicle (for example, a "humvee", helicopter, or boat) or part of a convoy that was attacked.DRRI-2 - D: Vehicle/Part of Convoy Attacked
DRRI1-D: Went on Combat Patrols/MissionsC141911DRRI1-D: Went on Combat Patrols/MissionsDeployment Risk & Resilience Inventory-2 - During deployment: I went on combat patrols or missions.DRRI-2 - D: Went on Combat Patrols/Missions
DRRI1-D: Witnessed Civilians WoundedC141920DRRI1-D: Witnessed Civilians WoundedDeployment Risk & Resilience Inventory-2 - During deployment: I personally witnessed civilians (for example, women and children) being seriously wounded or killed.DRRI-2 - D: Witnessed Civilians Wounded
DRRI1-D: Witnessed Enemy Wounded/KilledC141919DRRI1-D: Witnessed Enemy Wounded/KilledDeployment Risk & Resilience Inventory-2 - During deployment: I personally witnessed enemy combatants being seriously wounded or killed.DRRI-2 - D: Witnessed Enemy Wounded/Killed
DRRI1-D: Witnessed Someone Unit WoundedC141913DRRI1-D: Witnessed Someone Unit WoundedDeployment Risk & Resilience Inventory-2 - During deployment: I personally witnessed someone from my unit or an ally unit being seriously wounded or killed.DRRI-2 - D: Witnessed Someone Unit Wounded
DRRI1-E: Interacted With DetaineesC141938DRRI1-E: Interacted With DetaineesDeployment Risk & Resilience Inventory-2 - During deployment: I interacted with detainees or prisoners of war.DRRI-2 - E: Interacted With Detainees
DRRI1-E: Involved Handling Human RemainsC141940DRRI1-E: Involved Handling Human RemainsDeployment Risk & Resilience Inventory-2 - During deployment: I was involved in handling human remains.DRRI-2 - E: Involved Handling Human Remains
DRRI1-E: Observed Homes Been DestroyedC141930DRRI1-E: Observed Homes Been DestroyedDeployment Risk & Resilience Inventory-2 - During deployment: I observed homes or communities that had been destroyed.DRRI-2 - E: Observed Homes Been Destroyed
DRRI1-E: Saw Americans Had Been WoundedC141934DRRI1-E: Saw Americans Had Been WoundedDeployment Risk & Resilience Inventory-2 - During deployment: I saw Americans or allies after they had been severely wounded or disfigured.DRRI-2 - E: Saw Americans Had Been Wounded
DRRI1-E: Saw Bodies of Dead AmericansC141936DRRI1-E: Saw Bodies of Dead AmericansDeployment Risk & Resilience Inventory-2 - During deployment: I saw the bodies of dead Americans or allies.DRRI-2 - E: Saw Bodies of Dead Americans
DRRI1-E: Saw Bodies of Dead CiviliansC141937DRRI1-E: Saw Bodies of Dead CiviliansDeployment Risk & Resilience Inventory-2 - During deployment: I saw the bodies of dead civilians.DRRI-2 - E: Saw Bodies of Dead Civilians
DRRI1-E: Saw Bodies of Dead EnemyC141935DRRI1-E: Saw Bodies of Dead EnemyDeployment Risk & Resilience Inventory-2 - During deployment: I saw the bodies of dead enemy combatants.DRRI-2 - E: Saw Bodies of Dead Enemy
DRRI1-E: Saw Civilians After WoundedC141932DRRI1-E: Saw Civilians After WoundedDeployment Risk & Resilience Inventory-2 - During deployment: I saw civilians after they had been severely wounded or disfigured.DRRI-2 - E: Saw Civilians After Wounded
DRRI1-E: Saw Combatants Had Been WoundedC141933DRRI1-E: Saw Combatants Had Been WoundedDeployment Risk & Resilience Inventory-2 - During deployment: I saw enemy combatants after they had been severely wounded or disfigured.DRRI-2 - E: Saw Combatants Had Been Wounded
DRRI1-E: Saw People Begging for FoodC141928DRRI1-E: Saw People Begging for FoodDeployment Risk & Resilience Inventory-2 - During deployment: I saw people begging for food.DRRI-2 - E: Saw People Begging for Food
DRRI1-E: Saw Refugees Who Had Lost HomesC141929DRRI1-E: Saw Refugees Who Had Lost HomesDeployment Risk & Resilience Inventory-2 - During deployment: I saw refugees who had lost their homes or belongings.DRRI-2 - E: Saw Refugees Who Had Lost Homes
DRRI1-E: Sight/Sound/Smell Dead AnimalsC141939DRRI1-E: Sight/Sound/Smell Dead AnimalsDeployment Risk & Resilience Inventory-2 - During deployment: I was exposed to the sight, sound, or smell of dead or dying animals.DRRI-2 - E: Sight/Sound/Smell Dead Animals
DRRI1-E: Took Care Injured/Dying PeopleC141931DRRI1-E: Took Care Injured/Dying PeopleDeployment Risk & Resilience Inventory-2 - During deployment: I took care of injured or dying people.DRRI-2 - E: Took Care Injured/Dying People
DRRI1-F: Exposed Government-issued DEETC141945DRRI1-F: Exposed Government-issued DEETDeployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I was exposed to government-issued DEET-containing insect repellents.DRRI-2 - F: Exposed Government-issued DEET
DRRI1-F: Exposed to Burning Trash/FecesC141951DRRI1-F: Exposed to Burning Trash/FecesDeployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I was exposed to burning trash or burning feces.DRRI-2 - F: Exposed to Burning Trash/Feces
DRRI1-F: Exposed to Chlorine GasC141952DRRI1-F: Exposed to Chlorine GasDeployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I was exposed to chlorine gas.DRRI-2 - F: Exposed to Chlorine Gas
DRRI1-F: Exposed to Depleted UraniumC141950DRRI1-F: Exposed to Depleted UraniumDeployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I was exposed to depleted uranium in munitions.DRRI-2 - F: Exposed to Depleted Uranium
DRRI1-F: Exposed to Diesel/Fuel on SkinC141948DRRI1-F: Exposed to Diesel/Fuel on SkinDeployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I was exposed to diesel or other petrochemical fuel on my skin.DRRI-2 - F: Exposed to Diesel/Fuel on Skin
DRRI1-F: Exposed to Fumes From HeatersC141949DRRI1-F: Exposed to Fumes From HeatersDeployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I was exposed to fumes or exhaust from heaters or generators, including heaters in tents.DRRI-2 - F: Exposed to Fumes From Heaters
DRRI1-F: Exposed to Mustard GasC141944DRRI1-F: Exposed to Mustard GasDeployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I was exposed to mustard gas or other blistering agents.DRRI-2 - F: Exposed to Mustard Gas
DRRI1-F: Exposed to Nerve Gas AgentsC141943DRRI1-F: Exposed to Nerve Gas AgentsDeployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I was exposed to nerve gas agents (for example, sarin).DRRI-2 - F: Exposed to Nerve Gas Agents
DRRI1-F: Exposed to Nuclear WeaponsC141953DRRI1-F: Exposed to Nuclear WeaponsDeployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I was exposed to nuclear, biological, or chemical weapons.DRRI-2 - F: Exposed to Nuclear Weapons
DRRI1-F: Exposed to Other PesticidesC141946DRRI1-F: Exposed to Other PesticidesDeployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I was exposed to other pesticides (for example, in flea collars, uniforms, or the environment).DRRI-2 - F: Exposed to Other Pesticides
DRRI1-F: Exposed to Smoke/Air PollutionC141947DRRI1-F: Exposed to Smoke/Air PollutionDeployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I was exposed to smoke or other air pollution.DRRI-2 - F: Exposed to Smoke/Air Pollution
DRRI1-F: Received VaccinationsC141942DRRI1-F: Received VaccinationsDeployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I received preventative vaccinations by injection (for example, to prevent anthrax or botulism).DRRI-2 - F: Received Vaccinations
DRRI1-F: Took Preventative PillsC141941DRRI1-F: Took Preventative PillsDeployment Risk & Resilience Inventory-2 - Either in preparation for or during my deployment: I took preventative pills (for example, to protect against nerve gas).DRRI-2 - F: Took Preventative Pills
DRRI1-G: Concern Rocket/Mortar Would HitC141960DRRI1-G: Concern Rocket/Mortar Would HitDeployment Risk & Resilience Inventory-2 - During deployment: I was concerned that a rocket or mortar would hit our living quarters.DRRI-2 - G: Concern Rocket/Mortar Would Hit
DRRI1-G: Concerned Depleted UraniumC141961DRRI1-G: Concerned Depleted UraniumDeployment Risk & Resilience Inventory-2 - During deployment: I was concerned that I might be exposed to depleted uranium in munitions.DRRI-2 - G: Concerned Depleted Uranium
DRRI1-G: Concerned Encounter ExplosiveC141958DRRI1-G: Concerned Encounter ExplosiveDeployment Risk & Resilience Inventory-2 - During deployment: I was concerned that I would encounter an explosive device (for example, a roadside bomb, mine, or booby trap).DRRI-2 - G: Concerned Encounter Explosive
DRRI1-G: Concerned Infectious DiseaseC141954DRRI1-G: Concerned Infectious DiseaseDeployment Risk & Resilience Inventory-2 - During deployment: I was concerned about getting an infectious disease.DRRI-2 - G: Concerned Infectious Disease
DRRI1-G: Concerned Locals Against UsC141964DRRI1-G: Concerned Locals Against UsDeployment Risk & Resilience Inventory-2 - During deployment: I was concerned that the locals who were supposed to be helping us were actually working against us.DRRI-2 - G: Concerned Locals Against Us
DRRI1-G: Concerned Medicine Make Me SickC141957DRRI1-G: Concerned Medicine Make Me SickDeployment Risk & Resilience Inventory-2 - During deployment: I was concerned that the medicine I was given to protect me from illness would make me sick.DRRI-2 - G: Concerned Medicine Make Me Sick
DRRI1-G: Concerned Taken HostageC141963DRRI1-G: Concerned Taken HostageDeployment Risk & Resilience Inventory-2 - During deployment: I was concerned that I might be taken hostage.DRRI-2 - G: Concerned Taken Hostage
DRRI1-G: Concerned Trapped in CrossfireC141965DRRI1-G: Concerned Trapped in CrossfireDeployment Risk & Resilience Inventory-2 - During deployment: I was concerned about being trapped in the crossfire of rival factions.DRRI-2 - G: Concerned Trapped in Crossfire
DRRI1-G: Feared Sick From PesticidesC141959DRRI1-G: Feared Sick From PesticidesDeployment Risk & Resilience Inventory-2 - During deployment: I feared that I would become sick from pesticides (for example, bug spray) or other routinely used chemicals.DRRI-2 - G: Feared Sick From Pesticides
DRRI1-G: Felt in Danger of Being WoundedC141956DRRI1-G: Felt in Danger of Being WoundedDeployment Risk & Resilience Inventory-2 - During deployment: I felt I was in great danger of being wounded (for example, losing a limb).DRRI-2 - G: Felt in Danger of Being Wounded
DRRI1-G: Health Might Suffer NBC AgentsC141955DRRI1-G: Health Might Suffer NBC AgentsDeployment Risk & Resilience Inventory-2 - During deployment: I was concerned that my health might suffer due to exposure to nuclear, biological, or chemical (NBC) agents.DRRI-2 - G: Health Might Suffer NBC Agents
DRRI1-G: Thought I Would Never SurviveC141962DRRI1-G: Thought I Would Never SurviveDeployment Risk & Resilience Inventory-2 - During deployment: I thought I would never survive.DRRI-2 - G: Thought I Would Never Survive
DRRI1-H: Accurately Informed About RoleC141969DRRI1-H: Accurately Informed About RoleDeployment Risk & Resilience Inventory-2 - In preparation for deployment: I was accurately informed about the role my unit was expected to play in the deployment.DRRI-2 - H: Accurately Informed About Role
DRRI1-H: Confident Ability Use EquipmentC141967DRRI1-H: Confident Ability Use EquipmentDeployment Risk & Resilience Inventory-2 - In preparation for deployment: the training I received made me feel confident in my ability to use my equipment.DRRI-2 - H: Confident Ability Use Equipment
DRRI1-H: Confident to Perform TasksC141974DRRI1-H: Confident to Perform TasksDeployment Risk & Resilience Inventory-2 - In preparation for deployment: the training I received made me feel confident in my ability to perform tasks assigned to me during deployment.DRRI-2 - H: Confident to Perform Tasks
DRRI1-H: Had All Supplies NeededC141966DRRI1-H: Had All Supplies NeededDeployment Risk & Resilience Inventory-2 - In preparation for deployment: I had all the supplies and equipment needed to get my job done.DRRI-2 - H: Had All Supplies Needed
DRRI1-H: Had Enough Gear in Case AttackC141970DRRI1-H: Had Enough Gear in Case AttackDeployment Risk & Resilience Inventory-2 - In preparation for deployment: I had enough gear to protect myself in case of an attack.DRRI-2 - H: Had Enough Gear in Case Attack
DRRI1-H: Military Duties What I ExpectedC141972DRRI1-H: Military Duties What I ExpectedDeployment Risk & Resilience Inventory-2 - In preparation for deployment: my military duties and assignments were what I expected.DRRI-2 - H: Military Duties What I Expected
DRRI1-H: Prepared to Deal With ClimateC141968DRRI1-H: Prepared to Deal With ClimateDeployment Risk & Resilience Inventory-2 - In preparation for deployment: the training I received prepared me to deal with the region's climate.DRRI-2 - H: Prepared to Deal With Climate
DRRI1-H: Prepared to Operate as TeamC141973DRRI1-H: Prepared to Operate as TeamDeployment Risk & Resilience Inventory-2 - In preparation for deployment: my unit was well-prepared to operate as a team during deployment.DRRI-2 - H: Prepared to Operate as Team
DRRI1-H: Taught Me Everything I NeededC141975DRRI1-H: Taught Me Everything I NeededDeployment Risk & Resilience Inventory-2 - In preparation for deployment: the training I received taught me everything I needed to know for deployment.DRRI-2 - H: Taught Me Everything I Needed
DRRI1-H: Training for DeploymentC141971DRRI1-H: Training for DeploymentDeployment Risk & Resilience Inventory-2 - In preparation for deployment: I received appropriate training for the nature of the deployment I experienced.DRRI-2 - H: Training for Deployment
DRRI1-I: Could Count on Family AdviceC141978DRRI1-I: Could Count on Family AdviceDeployment Risk & Resilience Inventory-2 - During deployment: I could count on my family members or friends at home for good advice.DRRI-2 - I: Could Count on Family Advice
DRRI1-I: Family Sincerely InterestedC141976DRRI1-I: Family Sincerely InterestedDeployment Risk & Resilience Inventory-2 - During deployment: family members and/or friends at home were sincerely interested in hearing what was going on with me.DRRI-2 - I: Family Sincerely Interested
DRRI1-I: Had Family I Could Talk ToC141977DRRI1-I: Had Family I Could Talk ToDeployment Risk & Resilience Inventory-2 - During deployment: I had family members or friends at home I could talk to when I had a problem.DRRI-2 - I: Had Family I Could Talk To
DRRI1-I: Happy Communication From HomeC141981DRRI1-I: Happy Communication From HomeDeployment Risk & Resilience Inventory-2 - During deployment: I was happy with the amount of communication I received from people at home.DRRI-2 - I: Happy Communication From Home
DRRI1-I: Happy With Support From HomeC141982DRRI1-I: Happy With Support From HomeDeployment Risk & Resilience Inventory-2 - During deployment: I was happy with the amount of support I received from people at home.DRRI-2 - I: Happy With Support From Home
DRRI1-I: People at Home Show They CaredC141983DRRI1-I: People at Home Show They CaredDeployment Risk & Resilience Inventory-2 - During deployment: people at home did things to show they cared about me.DRRI-2 - I: People at Home Show They Cared
DRRI1-I: Relatives Look Out for FamilyC141979DRRI1-I: Relatives Look Out for FamilyDeployment Risk & Resilience Inventory-2 - During deployment: relatives or friends at home could be counted on to look out for the well-being of my family or other dependents (including pets).DRRI-2 - I: Relatives Look Out for Family
DRRI1-I: Relatives Take Care of FinancesC141980DRRI1-I: Relatives Take Care of FinancesDeployment Risk & Resilience Inventory-2 - During deployment: relatives or friends at home could be counted on to take care of my finances, property, or belongings if needed.DRRI-2 - I: Relatives Take Care of Finances
DRRI1-J: Could Go to Leaders If ProblemC141993DRRI1-J: Could Go to Leaders If ProblemDeployment Risk & Resilience Inventory-2 - During deployment: I could go to unit leaders for help if I had a problem or concern.DRRI-2 - J: Could Go to Leaders If Problem
DRRI1-J: Fellow Unit Appreciated EffortsC141986DRRI1-J: Fellow Unit Appreciated EffortsDeployment Risk & Resilience Inventory-2 - During deployment: my fellow unit members appreciated my efforts.DRRI-2 - J: Fellow Unit Appreciated Efforts
DRRI1-J: Felt Like My Efforts CountedC141991DRRI1-J: Felt Like My Efforts CountedDeployment Risk & Resilience Inventory-2 - During deployment: I felt like my efforts really counted to the leaders in my unit.DRRI-2 - J: Felt Like My Efforts Counted
DRRI1-J: Felt Valued by Leaders of UnitC141995DRRI1-J: Felt Valued by Leaders of UnitDeployment Risk & Resilience Inventory-2 - During deployment: I felt valued by the leaders of my unit.DRRI-2 - J: Felt Valued by Leaders of Unit
DRRI1-J: Felt Valued Fellow Unit MembersC141987DRRI1-J: Felt Valued Fellow Unit MembersDeployment Risk & Resilience Inventory-2 - During deployment: I felt valued by my fellow unit members.DRRI-2 - J: Felt Valued Fellow Unit Members
DRRI1-J: Leader Interested What ThoughtC141990DRRI1-J: Leader Interested What ThoughtDeployment Risk & Resilience Inventory-2 - During deployment: my unit leader(s) were interested in what I thought and how I felt about things.DRRI-2 - J: Leader Interested What Thought
DRRI1-J: Leaders Interested in WelfareC141994DRRI1-J: Leaders Interested in WelfareDeployment Risk & Resilience Inventory-2 - During deployment: the leaders of my unit were interested in my personal welfare.DRRI-2 - J: Leaders Interested in Welfare
DRRI1-J: My Unit Was Like Family to MeC141984DRRI1-J: My Unit Was Like Family to MeDeployment Risk & Resilience Inventory-2 - During deployment: my unit was like family to me.DRRI-2 - J: My Unit Was Like Family to Me
DRRI1-J: People in Unit Were TrustworthyC141985DRRI1-J: People in Unit Were TrustworthyDeployment Risk & Resilience Inventory-2 - During deployment: people in my unit were trustworthy.DRRI-2 - J: People in Unit Were Trustworthy
DRRI1-J: Service Appreciated by LeadersC141992DRRI1-J: Service Appreciated by LeadersDeployment Risk & Resilience Inventory-2 - During deployment: my service was appreciated by the leaders in my unit.DRRI-2 - J: Service Appreciated by Leaders
DRRI1-J: Unit Interested My Well-beingC141988DRRI1-J: Unit Interested My Well-beingDeployment Risk & Resilience Inventory-2 - During deployment: members of my unit were interested in my well-being.DRRI-2 - J: Unit Interested My Well-being
DRRI1-J: Unit Interested What I ThoughtC141989DRRI1-J: Unit Interested What I ThoughtDeployment Risk & Resilience Inventory-2 - During deployment: my fellow unit members were interested in what I thought and how I felt about things.DRRI-2 - J: Unit Interested What I Thought
DRRI1-K: Authority Pressure Unwanted SexC142007DRRI1-K: Authority Pressure Unwanted SexDeployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: used a position of authority to pressure me into unwanted sexual activity.DRRI-2 - K: Authority Pressure Unwanted Sex
DRRI1-K: Had to Work Harder Prove MyselfC141998DRRI1-K: Had to Work Harder Prove MyselfDeployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: treated me as if I had to work harder than others to prove myself.DRRI-2 - K: Had to Work Harder Prove Myself
DRRI1-K: Made Crude Sexual Remarks at MeC142004DRRI1-K: Made Crude Sexual Remarks at MeDeployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: made crude and offensive sexual remarks directed at me, either publicly or privately.DRRI-2 - K: Made Crude Sexual Remarks at Me
DRRI1-K: Make My Job More DifficultC142001DRRI1-K: Make My Job More DifficultDeployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: tried to make my job more difficult to do.DRRI-2 - K: Make My Job More Difficult
DRRI1-K: My Mistakes Worse Than OthersC142000DRRI1-K: My Mistakes Worse Than OthersDeployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: acted as though my mistakes were worse than others'.DRRI-2 - K: My Mistakes Worse Than Others
DRRI1-K: Offered Reward Take Part in SexC142008DRRI1-K: Offered Reward Take Part in SexDeployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: offered me a specific reward or special treatment to take part in sexual behavior.DRRI-2 - K: Offered Reward Take Part in Sex
DRRI1-K: Physically Forced to Have SexC142011DRRI1-K: Physically Forced to Have SexDeployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: physically forced me to have sex.DRRI-2 - K: Physically Forced to Have Sex
DRRI1-K: Put Me DownC142002DRRI1-K: Put Me DownDeployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: "put me down" or treated me in a condescending way.DRRI-2 - K: Put Me Down
DRRI1-K: Questioned My Abilities PerformC141999DRRI1-K: Questioned My Abilities PerformDeployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: questioned my abilities or commitment to perform my job effectively.DRRI-2 - K: Questioned My Abilities Perform
DRRI1-K: Spread Rumors Sexual ActivitiesC142005DRRI1-K: Spread Rumors Sexual ActivitiesDeployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: spread negative rumors about my sexual activities.DRRI-2 - K: Spread Rumors Sexual Activities
DRRI1-K: Threatened Me If Not SexC142009DRRI1-K: Threatened Me If Not SexDeployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: threatened me with some sort of retaliation if I was not sexually cooperative (for example, the threat of negative review or physical violence).DRRI-2 - K: Threatened Me If Not Sex
DRRI1-K: Threatened My Physical SafetyC142003DRRI1-K: Threatened My Physical SafetyDeployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: threatened my physical safety.DRRI-2 - K: Threatened My Physical Safety
DRRI1-K: Touched Sexual Way Against WillC142010DRRI1-K: Touched Sexual Way Against WillDeployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: touched me in a sexual way against my will.DRRI-2 - K: Touched Sexual Way Against Will
DRRI1-K: Treated in Overly Critical WayC141996DRRI1-K: Treated in Overly Critical WayDeployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: treated me in an overly critical way.DRRI-2 - K: Treated in Overly Critical Way
DRRI1-K: Tried to Talk into Sexual ActsC142006DRRI1-K: Tried to Talk into Sexual ActsDeployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: tried to talk me into participating in sexual acts when I didn't want to.DRRI-2 - K: Tried to Talk into Sexual Acts
DRRI1-K: Uncooperative Working With MeC141997DRRI1-K: Uncooperative Working With MeDeployment Risk & Resilience Inventory-2 - During deployment, the people I worked with: behaved in way that was uncooperative when working with me.DRRI-2 - K: Uncooperative Working With Me
DRRI1-L: Being Cheated on by My SpouseC142021DRRI1-L: Being Cheated on by My SpouseDeployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: being cheated on by my spouse or significant other.DRRI-2 - L: Being Cheated on by My Spouse
DRRI1-L: Care Child/Dependents ReceivingC142020DRRI1-L: Care Child/Dependents ReceivingDeployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: the care that my child(ren) or other dependents were receiving.DRRI-2 - L: Care Child/Dependents Receiving
DRRI1-L: Damaging Career Because DeployC142019DRRI1-L: Damaging Career Because DeployDeployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: damaging my career because of the deployment.DRRI-2 - L: Damaging Career Because Deploy
DRRI1-L: Effect Deployment RelationshipC142012DRRI1-L: Effect Deployment RelationshipDeployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: the effect of the deployment on my relationship with my spouse or significant other.DRRI-2 - L: Effect Deployment Relationship
DRRI1-L: Effect Relationship My ChildrenC142025DRRI1-L: Effect Relationship My ChildrenDeployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: the effect of the deployment on my relationship with my child(ren).DRRI-2 - L: Effect Relationship My Children
DRRI1-L: Family Ability Cope With StressC142022DRRI1-L: Family Ability Cope With StressDeployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: my family's ability to cope with the stress of the deployment.DRRI-2 - L: Family Ability Cope With Stress
DRRI1-L: Inability Manage Family AffairsC142018DRRI1-L: Inability Manage Family AffairsDeployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: my inability to directly manage or control family affairs.DRRI-2 - L: Inability Manage Family Affairs
DRRI1-L: Losing My Civilian JobC142024DRRI1-L: Losing My Civilian JobDeployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: losing my civilian job because of the deployment.DRRI-2 - L: Losing My Civilian Job
DRRI1-L: Missing Family Events at HomeC142014DRRI1-L: Missing Family Events at HomeDeployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: missing important family events at home such as birthdays, weddings, funerals, graduations, etc.DRRI-2 - L: Missing Family Events at Home
DRRI1-L: Missing Out on Children GrowthC142013DRRI1-L: Missing Out on Children GrowthDeployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: missing out on my children's growth and development.DRRI-2 - L: Missing Out on Children Growth
DRRI1-L: My Family Financial SituationC142026DRRI1-L: My Family Financial SituationDeployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: my family's financial situation.DRRI-2 - L: My Family Financial Situation
DRRI1-L: Safety and Well-being of ChildC142016DRRI1-L: Safety and Well-being of ChildDeployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: the safety and well-being of my child(ren).DRRI-2 - L: Safety and Well-being of Child
DRRI1-L: Safety and Well-being of SpouseC142015DRRI1-L: Safety and Well-being of SpouseDeployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: the safety and well-being of my spouse or significant other.DRRI-2 - L: Safety and Well-being of Spouse
DRRI1-L: Spouse Ability Manage HouseholdC142023DRRI1-L: Spouse Ability Manage HouseholdDeployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: my spouse or significant other's ability to manage the household (for example, chores, bills, home repairs, etc.).DRRI-2 - L: Spouse Ability Manage Household
DRRI1-L: Unable to Help Family If CrisisC142017DRRI1-L: Unable to Help Family If CrisisDeployment Risk & Resilience Inventory-2 - During deployment, I was concerned about: being unable to help my family if there was some kind of crisis or emergency.DRRI-2 - L: Unable to Help Family If Crisis
DRRI1-M: Fam Dangerous Military DutiesC142039DRRI1-M: Fam Dangerous Military DutiesDeployment Risk & Resilience Inventory-2 - During deployment: a family member or other loved one participated in dangerous military duties.DRRI-2 - M: Fam Dangerous Military Duties
DRRI1-M: Family Got Into TroubleC142040DRRI1-M: Family Got Into TroubleDeployment Risk & Resilience Inventory-2 - During deployment: a family member got into trouble at home, at school, or in the community.DRRI-2 - M: Family Got Into Trouble
DRRI1-M: Family Had Difficulty AdjustingC142035DRRI1-M: Family Had Difficulty AdjustingDeployment Risk & Resilience Inventory-2 - During deployment: a family member or other loved one had serious difficulty adjusting to my absence.DRRI-2 - M: Family Had Difficulty Adjusting
DRRI1-M: Family Member Passed AwayC142029DRRI1-M: Family Member Passed AwayDeployment Risk & Resilience Inventory-2 - During deployment: a family member or other loved one passed away.DRRI-2 - M: Family Member Passed Away
DRRI1-M: Family Member Wasted MoneyC142037DRRI1-M: Family Member Wasted MoneyDeployment Risk & Resilience Inventory-2 - During deployment: a family member or other person I trusted wasted or mismanaged my money.DRRI-2 - M: Family Member Wasted Money
DRRI1-M: Had Major Conflict With FamilyC142034DRRI1-M: Had Major Conflict With FamilyDeployment Risk & Resilience Inventory-2 - During deployment: I had a major conflict with a family member or other loved one.DRRI-2 - M: Had Major Conflict With Family
DRRI1-M: Loved One Things I DisapprovedC142038DRRI1-M: Loved One Things I DisapprovedDeployment Risk & Resilience Inventory-2 - During deployment: I learned that a loved one was doing things I disapproved of.DRRI-2 - M: Loved One Things I Disapproved
DRRI1-M: My Family Had Money ProblemsC142030DRRI1-M: My Family Had Money ProblemsDeployment Risk & Resilience Inventory-2 - During deployment: my family had money problems.DRRI-2 - M: My Family Had Money Problems
DRRI1-M: My Home Was RobbedC142036DRRI1-M: My Home Was RobbedDeployment Risk & Resilience Inventory-2 - During deployment: my home was robbed and/or my belongings were stolen.DRRI-2 - M: My Home Was Robbed
DRRI1-M: Problems Get in Touch FamilyC142027DRRI1-M: Problems Get in Touch FamilyDeployment Risk & Resilience Inventory-2 - During deployment: I had problems getting in touch with a family member or other loved one.DRRI-2 - M: Problems Get in Touch Family
DRRI1-M: Relationship With Spouse EndedC142033DRRI1-M: Relationship With Spouse EndedDeployment Risk & Resilience Inventory-2 - During deployment: my relationship with a spouse or significant other ended.DRRI-2 - M: Relationship With Spouse Ended
DRRI1-M: Someone Close Serious IllnessC142028DRRI1-M: Someone Close Serious IllnessDeployment Risk & Resilience Inventory-2 - During deployment: someone close to me experienced a serious illness, injury, or mental health problem (for example, cancer, alcohol/drug problem).DRRI-2 - M: Someone Close Serious Illness
DRRI1-M: Spouse Cheated on MeC142031DRRI1-M: Spouse Cheated on MeDeployment Risk & Resilience Inventory-2 - During deployment: a spouse or significant other cheated on me.DRRI-2 - M: Spouse Cheated on Me
DRRI1-M: Spouse Suspected I CheatedC142032DRRI1-M: Spouse Suspected I CheatedDeployment Risk & Resilience Inventory-2 - During deployment: a spouse or significant other suspected that I had cheated on him/her.DRRI-2 - M: Spouse Suspected I Cheated
DRRI1-N: Emotionally MistreatedC142049DRRI1-N: Emotionally MistreatedDeployment Risk & Resilience Inventory-2 - Since returning: I have been emotionally mistreated (for example, ignored or repeatedly told I was no good).DRRI-2 - N: Emotionally Mistreated
DRRI1-N: Experienced Natural DisasterC142045DRRI1-N: Experienced Natural DisasterDeployment Risk & Resilience Inventory-2 - Since returning: I experienced a natural disaster (for example, a hurricane), a fire, or an accident in which I or someone close to me was hurt or had serious property damage.DRRI-2 - N: Experienced Natural Disaster
DRRI1-N: Injured by Another PersonC142053DRRI1-N: Injured by Another PersonDeployment Risk & Resilience Inventory-2 - Since returning: I have been seriously physically injured by another person (for example, hit or beaten up).DRRI-2 - N: Injured by Another Person
DRRI1-N: Lost My Job/Trouble Finding JobC142048DRRI1-N: Lost My Job/Trouble Finding JobDeployment Risk & Resilience Inventory-2 - Since returning: I lost my job or had serious trouble finding a job.DRRI-2 - N: Lost My Job/Trouble Finding Job
DRRI1-N: Problems Getting HealthcareC142044DRRI1-N: Problems Getting HealthcareDeployment Risk & Resilience Inventory-2 - Since returning: I had problems getting access to adequate healthcare.DRRI-2 - N: Problems Getting Healthcare
DRRI1-N: Robbed/Had My Home Broken IntoC142041DRRI1-N: Robbed/Had My Home Broken IntoDeployment Risk & Resilience Inventory-2 - Since returning: I was robbed or had my home broken into.DRRI-2 - N: Robbed/Had My Home Broken Into
DRRI1-N: Serious Financial ProblemsC142050DRRI1-N: Serious Financial ProblemsDeployment Risk & Resilience Inventory-2 - Since returning: I have experienced serious financial problems.DRRI-2 - N: Serious Financial Problems
DRRI1-N: Serious Physical Health ProblemC142051DRRI1-N: Serious Physical Health ProblemDeployment Risk & Resilience Inventory-2 - Since returning: I have experienced serious physical or mental health problems.DRRI-2 - N: Serious Physical Health Problem
DRRI1-N: Someone Close Serious IllnessC142046DRRI1-N: Someone Close Serious IllnessDeployment Risk & Resilience Inventory-2 - Since returning: someone close to me has experienced a serious illness, injury, or mental health problem (for example, cancer, alcohol/drug problem).DRRI-2 - N: Someone Close Serious Illness
DRRI1-N: Someone Close to Me Has DiedC142054DRRI1-N: Someone Close to Me Has DiedDeployment Risk & Resilience Inventory-2 - Since returning: someone close to me has died.DRRI-2 - N: Someone Close to Me Has Died
DRRI1-N: Stressful Legal ProblemsC142052DRRI1-N: Stressful Legal ProblemsDeployment Risk & Resilience Inventory-2 - Since returning: I have experienced stressful legal problems (for example, being sued, suing someone else, or being in a custody battle).DRRI-2 - N: Stressful Legal Problems
DRRI1-N: Unwanted Sexual ActivityC142042DRRI1-N: Unwanted Sexual ActivityDeployment Risk & Resilience Inventory-2 - Since returning: I experienced unwanted sexual activity as a result of force, threat or harm, or manipulation.DRRI-2 - N: Unwanted Sexual Activity
DRRI1-N: Went Through Divorce/Was LeftC142043DRRI1-N: Went Through Divorce/Was LeftDeployment Risk & Resilience Inventory-2 - Since returning: I went through a divorce or have been left by a partner or significant other.DRRI-2 - N: Went Through Divorce/Was Left
DRRI1-N: Witnessed Someone AssaultedC142047DRRI1-N: Witnessed Someone AssaultedDeployment Risk & Resilience Inventory-2 - Since returning: I have witnessed someone being seriously assaulted or killed.DRRI-2 - N: Witnessed Someone Assaulted
DRRI1-O: Family Make Me Better When DownC142057DRRI1-O: Family Make Me Better When DownDeployment Risk & Resilience Inventory-2 - Since returning: my family members and/or friends make me feel better when I am down.DRRI-2 - O: Family Make Me Better When Down
DRRI1-O: Family Would Help MoveC142062DRRI1-O: Family Would Help MoveDeployment Risk & Resilience Inventory-2 - Since returning: my family members or friends would help me move my belongings if I needed help.DRRI-2 - O: Family Would Help Move
DRRI1-O: Family Would Lend MoneyC142061DRRI1-O: Family Would Lend MoneyDeployment Risk & Resilience Inventory-2 - Since returning: my family members or friends would lend me money if I needed it.DRRI-2 - O: Family Would Lend Money
DRRI1-O: Family/Friends UnderstandC142059DRRI1-O: Family/Friends UnderstandDeployment Risk & Resilience Inventory-2 - Since returning: my family and friends understand what I have been through in the Armed Forces.DRRI-2 - O: Family/Friends Understand
DRRI1-O: Go to Family When Need AdviceC142058DRRI1-O: Go to Family When Need AdviceDeployment Risk & Resilience Inventory-2 - Since returning: I can go to family members or friends when I need good advice.DRRI-2 - O: Go to Family When Need Advice
DRRI1-O: I Can Talk About My DeploymentC142060DRRI1-O: I Can Talk About My DeploymentDeployment Risk & Resilience Inventory-2 - Since returning: there are family and/or friends with whom I can talk about my deployment experiences.DRRI-2 - O: I Can Talk About My Deployment
DRRI1-O: People Made Me Feel at HomeC142055DRRI1-O: People Made Me Feel at HomeDeployment Risk & Resilience Inventory-2 - Since returning: the American people made me feel at home.DRRI-2 - O: People Made Me Feel at Home
DRRI1-O: People Made Me Feel ProudC142056DRRI1-O: People Made Me Feel ProudDeployment Risk & Resilience Inventory-2 - Since returning: people made me feel proud to have served my country in the Armed Forces.DRRI-2 - O: People Made Me Feel Proud
DRRI1-O: Someone Would Help With TasksC142063DRRI1-O: Someone Would Help With TasksDeployment Risk & Resilience Inventory-2 - Since returning: if I were unable to attend to daily chores, there is someone who would help me with these tasks.DRRI-2 - O: Someone Would Help With Tasks
DRRI1-O: When Ill Family Will Help OutC142064DRRI1-O: When Ill Family Will Help OutDeployment Risk & Resilience Inventory-2 - Since returning: when I am ill, family members or friends will help out until I am well.DRRI-2 - O: When Ill Family Will Help Out
DRRI1-P: Can Be Myself Around FamilyC142075DRRI1-P: Can Be Myself Around FamilyDeployment Risk & Resilience Inventory-2 - Since returning: I can be myself around family members.DRRI-2 - P: Can Be Myself Around Family
DRRI1-P: Contribution Family AppreciatedC142068DRRI1-P: Contribution Family AppreciatedDeployment Risk & Resilience Inventory-2 - Since returning: I feel like my contributions to my family are appreciated.DRRI-2 - P: Contribution Family Appreciated
DRRI1-P: Family Know What I Think/FeelC142067DRRI1-P: Family Know What I Think/FeelDeployment Risk & Resilience Inventory-2 - Since returning: family members know what I think and how I feel about things.DRRI-2 - P: Family Know What I Think/Feel
DRRI1-P: Family Tell Me When ProblemC142074DRRI1-P: Family Tell Me When ProblemDeployment Risk & Resilience Inventory-2 - Since returning: family members tell me when they are having a problem.DRRI-2 - P: Family Tell Me When Problem
DRRI1-P: Feel Like I Fit in With FamilyC142066DRRI1-P: Feel Like I Fit in With FamilyDeployment Risk & Resilience Inventory-2 - Since returning: I feel like I fit in with my family.DRRI-2 - P: Feel Like I Fit in With Family
DRRI1-P: I am Affectionate With FamilyC142071DRRI1-P: I am Affectionate With FamilyDeployment Risk & Resilience Inventory-2 - Since returning: I am affectionate with family members.DRRI-2 - P: I am Affectionate With Family
DRRI1-P: I Get Along Well With My FamilyC142076DRRI1-P: I Get Along Well With My FamilyDeployment Risk & Resilience Inventory-2 - Since returning: I get along well with my family members.DRRI-2 - P: I Get Along Well With My Family
DRRI1-P: Input Sought Family DecisionsC142065DRRI1-P: Input Sought Family DecisionsDeployment Risk & Resilience Inventory-2 - Since returning: my input is sought on important family decisions.DRRI-2 - P: Input Sought Family Decisions
DRRI1-P: Opinions Valued by FamilyC142070DRRI1-P: Opinions Valued by FamilyDeployment Risk & Resilience Inventory-2 - Since returning: my opinions are valued by other family members.DRRI-2 - P: Opinions Valued by Family
DRRI1-P: Play Important Role in FamilyC142072DRRI1-P: Play Important Role in FamilyDeployment Risk & Resilience Inventory-2 - Since returning: I play an important role in my family.DRRI-2 - P: Play Important Role in Family
DRRI1-P: Share Interests With FamilyC142069DRRI1-P: Share Interests With FamilyDeployment Risk & Resilience Inventory-2 - Since returning: I share many common interests and activities with family members.DRRI-2 - P: Share Interests With Family
DRRI1-P: Spend My Free Time With FamilyC142073DRRI1-P: Spend My Free Time With FamilyDeployment Risk & Resilience Inventory-2 - Since returning: I spend as much of my free time with family members as possible.DRRI-2 - P: Spend My Free Time With Family
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CL.C119070.DLQI1TCDermatology Life Quality Index Questionnaire Test Code
(DLQI1TC)
text
Extensible: No
C119070Dermatology Life Quality Index Questionnaire Test CodeDermatology Life Quality Index test code.CDISC Questionnaire DLQI Test Code Terminology
DLQI101C119163DLQI1-How Itchy, Sore, Painful, StingingDermatology Life Quality Index - Over the last week, how itchy, sore, painful or stinging has your skin been?DLQI - Itchy, Sore, Painful or Stinging Skin
DLQI102C119164DLQI1-How Embarrassed, Self ConsciousDermatology Life Quality Index - Over the last week, how embarrassed or self conscious have you been because of your skin?DLQI - Embarrassed Because of Skin
DLQI103C119165DLQI1-Interfered Shopping, Home, YardDermatology Life Quality Index - Over the last week, how much has your skin interfered with you going shopping or looking after your home or yard?DLQI - Skin Interfere With Shopping, Looking After Home or Yard
DLQI104C119166DLQI1-Influenced Clothes You WearDermatology Life Quality Index - Over the last week, how much has your skin influenced the clothes you wear?DLQI - Skin Influence Clothes You Wear
DLQI105C119167DLQI1-Affected Social, Leisure ActivityDermatology Life Quality Index - Over the last week, how much has your skin affected any social or leisure activities?DLQI - Skin Affect Social or Leisure Activities
DLQI106C119168DLQI1-Made It Difficult to Do Any SportsDermatology Life Quality Index - Over the last week, how much has your skin made it difficult for you to do any sport?DLQI - Skin Made Difficult to Do Sport
DLQI107C119169DLQI1-Prevented Working or StudyingDermatology Life Quality Index - Over the last week, has your skin prevented you from working or studying?DLQI - Skin Prevent Work or Study
DLQI107AC119170DLQI1-Problem at Work or StudyingDermatology Life Quality Index - If 'No', over the last week how much has your skin been a problem at work or studying?DLQI - Skin Has Been a Problem at Work or Study
DLQI108C119171DLQI1-Problem Partner, Friends, RelativeDermatology Life Quality Index - Over the last week, how much has your skin created problems with your partner or any of your close friends or relatives?DLQI - Skin Create Problem With Partner, Friends or Relatives
DLQI109C119172DLQI1-Caused Any Sexual DifficultiesDermatology Life Quality Index - Over the last week, how much has your skin caused any sexual difficulties?DLQI - Skin Cause Sexual Difficulties
DLQI110C119173DLQI1-How Much a Problem is TreatmentDermatology Life Quality Index - Over the last week, how much of a problem has the treatment for your skin been, for example by making your home messy, or by taking up time?DLQI - Treatment for Skin Make Home Messy
DLQI111C119174DLQI1-ScoreDermatology Life Quality Index - Score.DLQI - Score
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CL.C119069.DLQI1TNDermatology Life Quality Index Questionnaire Test Name
(DLQI1TN)
text
Extensible: No
C119069Dermatology Life Quality Index Questionnaire Test NameDermatology Life Quality Index test name.CDISC Questionnaire DLQI Test Name Terminology
DLQI1-Affected Social, Leisure ActivityC119167DLQI1-Affected Social, Leisure ActivityDermatology Life Quality Index - Over the last week, how much has your skin affected any social or leisure activities?DLQI - Skin Affect Social or Leisure Activities
DLQI1-Caused Any Sexual DifficultiesC119172DLQI1-Caused Any Sexual DifficultiesDermatology Life Quality Index - Over the last week, how much has your skin caused any sexual difficulties?DLQI - Skin Cause Sexual Difficulties
DLQI1-How Embarrassed, Self ConsciousC119164DLQI1-How Embarrassed, Self ConsciousDermatology Life Quality Index - Over the last week, how embarrassed or self conscious have you been because of your skin?DLQI - Embarrassed Because of Skin
DLQI1-How Itchy, Sore, Painful, StingingC119163DLQI1-How Itchy, Sore, Painful, StingingDermatology Life Quality Index - Over the last week, how itchy, sore, painful or stinging has your skin been?DLQI - Itchy, Sore, Painful or Stinging Skin
DLQI1-How Much a Problem is TreatmentC119173DLQI1-How Much a Problem is TreatmentDermatology Life Quality Index - Over the last week, how much of a problem has the treatment for your skin been, for example by making your home messy, or by taking up time?DLQI - Treatment for Skin Make Home Messy
DLQI1-Influenced Clothes You WearC119166DLQI1-Influenced Clothes You WearDermatology Life Quality Index - Over the last week, how much has your skin influenced the clothes you wear?DLQI - Skin Influence Clothes You Wear
DLQI1-Interfered Shopping, Home, YardC119165DLQI1-Interfered Shopping, Home, YardDermatology Life Quality Index - Over the last week, how much has your skin interfered with you going shopping or looking after your home or yard?DLQI - Skin Interfere With Shopping, Looking After Home or Yard
DLQI1-Made It Difficult to Do Any SportsC119168DLQI1-Made It Difficult to Do Any SportsDermatology Life Quality Index - Over the last week, how much has your skin made it difficult for you to do any sport?DLQI - Skin Made Difficult to Do Sport
DLQI1-Prevented Working or StudyingC119169DLQI1-Prevented Working or StudyingDermatology Life Quality Index - Over the last week, has your skin prevented you from working or studying?DLQI - Skin Prevent Work or Study
DLQI1-Problem at Work or StudyingC119170DLQI1-Problem at Work or StudyingDermatology Life Quality Index - If 'No', over the last week how much has your skin been a problem at work or studying?DLQI - Skin Has Been a Problem at Work or Study
DLQI1-Problem Partner, Friends, RelativeC119171DLQI1-Problem Partner, Friends, RelativeDermatology Life Quality Index - Over the last week, how much has your skin created problems with your partner or any of your close friends or relatives?DLQI - Skin Create Problem With Partner, Friends or Relatives
DLQI1-ScoreC119174DLQI1-ScoreDermatology Life Quality Index - Score.DLQI - Score
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CL.C161621.DDS01TCDiabetes Distress Scale for Adults with Type 1 Diabetes Questionnaire Test Code
(DDS01TC)
text
Extensible: No
C161621Diabetes Distress Scale for Adults with Type 1 Diabetes Questionnaire Test CodeDiabetes Distress Scale for Adults with Type 1 Diabetes test code.CDISC Questionnaire T1-DDS Test Code Terminology
DDS0101C161704DDS01-Not Skilled at Managing DiabetesDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that I am not as skilled at managing diabetes as I should be.T1-DDS - Not Skilled at Managing Diabetes
DDS0102C161705DDS01-I Don't Eat Carefully as I ShouldDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that I don't eat as carefully as I probably should.T1-DDS - I Don't Eat Carefully as I Should
DDS0103C161706DDS01-Don't Notice Signs of HypoglycemiaDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that I don't notice the warning signs of hypoglycemia as well as I used to.T1-DDS - Don't Notice Signs of Hypoglycemia
DDS0104C161707DDS01-People Treat Me DifferentlyDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that people treat me differently when they find out I have diabetes.T1-DDS - People Treat Me Differently
DDS0105C161708DDS01-Discouraged See High Blood GlucoseDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling discouraged when I see high blood glucose numbers that I can't explain.T1-DDS - Discouraged See High Blood Glucose
DDS0106C161709DDS01-Family Make Bigger Deal DiabetesDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that my family and friends make a bigger deal out of diabetes than they should.T1-DDS - Family Make Bigger Deal Diabetes
DDS0107C161710DDS01-Can't Tell Doctor What on My MindDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that I can't tell my diabetes doctor what is really on my mind.T1-DDS - Can't Tell Doctor What on My Mind
DDS0108C161711DDS01-Not Taking Insulin as I ShouldDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that I am not taking as much insulin as I should.T1-DDS - Not Taking Insulin as I Should
DDS0109C161712DDS01-Too Much Diabetes Equipment w/MeDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that there is too much diabetes equipment and stuff I must always have with me.T1-DDS - Too Much Diabetes Equipment With Me
DDS0110C161713DDS01-Have to Hide My DiabetesDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling like I have to hide my diabetes from other people.T1-DDS - Have to Hide My Diabetes
DDS0111C161714DDS01-Family Worry About HypoglycemiaDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that my friends and family worry more about hypoglycemia than I want them to.T1-DDS - Family Worry About Hypoglycemia
DDS0112C161715DDS01-Don't Check Glucose as I ShouldDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that I don't check my blood glucose level as often as I probably should.T1-DDS - Don't Check Glucose as I Should
DDS0113C161716DDS01-Worried Develop ComplicationsDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling worried that I will develop serious long-term complications, no matter how hard I try.T1-DDS - Worried Develop Complications
DDS0114C161717DDS01-Don't Get Help From DoctorDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that I don't get help I really need from my diabetes doctor about managing diabetes.T1-DDS - Don't Get Help From Doctor
DDS0115C161718DDS01-Hypoglycemic Event When AsleepDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling frightened that I could have a serious hypoglycemic event when I'm asleep.T1-DDS - Hypoglycemic Event When Asleep
DDS0116C161719DDS01-Food and Eating Control My LifeDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that thoughts about food and eating control my life.T1-DDS - Food and Eating Control My Life
DDS0117C161720DDS01-Family Treat Me More FragileDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that my friends or family treat me as if I were more fragile or sicker than I really am.T1-DDS - Family Treat Me More Fragile
DDS0118C161721DDS01-Doctor Doesn't UnderstandDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that my diabetes doctor doesn't really understand what it's like to have diabetes.T1-DDS - Doctor Doesn't Understand
DDS0119C161722DDS01-Less Attractive to EmployersDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling concerned that diabetes may make me less attractive to employers.T1-DDS - Less Attractive to Employers
DDS0120C161723DDS01-Family Act Like Diabetes PoliceDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that my friends or family act like 'diabetes police' (bother me too much).T1-DDS - Family Act Like Diabetes Police
DDS0121C161724DDS01-Be Perfect w/Diabetes ManagementDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that I've got to be perfect with my diabetes management.T1-DDS - Be Perfect With Diabetes Management
DDS0122C161725DDS01-Hypoglycemic Event While DrivingDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling frightened that I could have a serious hypoglycemic event while driving.T1-DDS - Hypoglycemic Event While Driving
DDS0123C161726DDS01-Eating Is Out of ControlDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that my eating is out of control.T1-DDS - Eating Is Out of Control
DDS0124C161727DDS01-People Think Less of MeDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that people will think less of me if they knew I had diabetes.T1-DDS - People Think Less of Me
DDS0125C161728DDS01-Never Be Good EnoughDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that no matter how hard I try with my diabetes, it will never be good enough.T1-DDS - Never Be Good Enough
DDS0126C161729DDS01-Doctor Doesn't Know EnoughDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that my diabetes doctor doesn't know enough about diabetes and diabetes care.T1-DDS - Doctor Doesn't Know Enough
DDS0127C161730DDS01-Be Safe From Hypoglycemic EventDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that I can't ever be safe from the possibility of a serious hypoglycemic event.T1-DDS - Be Safe From Hypoglycemic Event
DDS0128C161731DDS01-Don't Give Diabetes AttentionDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that I don't give my diabetes as much attention as I probably should.T1-DDS - Don't Give Diabetes Attention
DDS0129C161732DDS01-Total ScaleDiabetes Distress Scale for Adults with Type 1 Diabetes - Total scale.T1-DDS - Total Scale
DDS0130C161733DDS01-Subscale 1: PowerlessnessDiabetes Distress Scale for Adults with Type 1 Diabetes - Subscale 1 - Powerlessness.T1-DDS - Subscale 1: Powerlessness
DDS0131C161734DDS01-Subscale 2: Management DistressDiabetes Distress Scale for Adults with Type 1 Diabetes - Subscale 2 - Management distress.T1-DDS - Subscale 2: Management Distress
DDS0132C161735DDS01-Subscale 3: Hypoglycemia DistressDiabetes Distress Scale for Adults with Type 1 Diabetes - Subscale 3 - Hypoglycemia distress.T1-DDS - Subscale 3: Hypoglycemia Distress
DDS0133C161736DDS01-Subscale 4: Neg Social PerceptionsDiabetes Distress Scale for Adults with Type 1 Diabetes - Subscale 4 - Negative social perceptions.T1-DDS - Subscale 4: Negative Social Perceptions
DDS0134C161737DDS01-Subscale 5: Eating DistressDiabetes Distress Scale for Adults with Type 1 Diabetes - Subscale 5 - Eating distress.T1-DDS - Subscale 5: Eating Distress
DDS0135C161738DDS01-Subscale 6: Physician DistressDiabetes Distress Scale for Adults with Type 1 Diabetes - Subscale 6 - Physician distress.T1-DDS - Subscale 6: Physician Distress
DDS0136C161739DDS01-Subscale 7: Friend/Family DistressDiabetes Distress Scale for Adults with Type 1 Diabetes - Subscale 7 - Friend/family distress.T1-DDS - Subscale 7: Friend/Family Distress
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CL.C161620.DDS01TNDiabetes Distress Scale for Adults with Type 1 Diabetes Questionnaire Test Name
(DDS01TN)
text
Extensible: No
C161620Diabetes Distress Scale for Adults with Type 1 Diabetes Questionnaire Test NameDiabetes Distress Scale for Adults with Type 1 Diabetes test name.CDISC Questionnaire T1-DDS Test Name Terminology
DDS01-Be Perfect w/Diabetes ManagementC161724DDS01-Be Perfect w/Diabetes ManagementDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that I've got to be perfect with my diabetes management.T1-DDS - Be Perfect With Diabetes Management
DDS01-Be Safe From Hypoglycemic EventC161730DDS01-Be Safe From Hypoglycemic EventDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that I can't ever be safe from the possibility of a serious hypoglycemic event.T1-DDS - Be Safe From Hypoglycemic Event
DDS01-Can't Tell Doctor What on My MindC161710DDS01-Can't Tell Doctor What on My MindDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that I can't tell my diabetes doctor what is really on my mind.T1-DDS - Can't Tell Doctor What on My Mind
DDS01-Discouraged See High Blood GlucoseC161708DDS01-Discouraged See High Blood GlucoseDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling discouraged when I see high blood glucose numbers that I can't explain.T1-DDS - Discouraged See High Blood Glucose
DDS01-Doctor Doesn't Know EnoughC161729DDS01-Doctor Doesn't Know EnoughDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that my diabetes doctor doesn't know enough about diabetes and diabetes care.T1-DDS - Doctor Doesn't Know Enough
DDS01-Doctor Doesn't UnderstandC161721DDS01-Doctor Doesn't UnderstandDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that my diabetes doctor doesn't really understand what it's like to have diabetes.T1-DDS - Doctor Doesn't Understand
DDS01-Don't Check Glucose as I ShouldC161715DDS01-Don't Check Glucose as I ShouldDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that I don't check my blood glucose level as often as I probably should.T1-DDS - Don't Check Glucose as I Should
DDS01-Don't Get Help From DoctorC161717DDS01-Don't Get Help From DoctorDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that I don't get help I really need from my diabetes doctor about managing diabetes.T1-DDS - Don't Get Help From Doctor
DDS01-Don't Give Diabetes AttentionC161731DDS01-Don't Give Diabetes AttentionDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that I don't give my diabetes as much attention as I probably should.T1-DDS - Don't Give Diabetes Attention
DDS01-Don't Notice Signs of HypoglycemiaC161706DDS01-Don't Notice Signs of HypoglycemiaDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that I don't notice the warning signs of hypoglycemia as well as I used to.T1-DDS - Don't Notice Signs of Hypoglycemia
DDS01-Eating Is Out of ControlC161726DDS01-Eating Is Out of ControlDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that my eating is out of control.T1-DDS - Eating Is Out of Control
DDS01-Family Act Like Diabetes PoliceC161723DDS01-Family Act Like Diabetes PoliceDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that my friends or family act like 'diabetes police' (bother me too much).T1-DDS - Family Act Like Diabetes Police
DDS01-Family Make Bigger Deal DiabetesC161709DDS01-Family Make Bigger Deal DiabetesDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that my family and friends make a bigger deal out of diabetes than they should.T1-DDS - Family Make Bigger Deal Diabetes
DDS01-Family Treat Me More FragileC161720DDS01-Family Treat Me More FragileDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that my friends or family treat me as if I were more fragile or sicker than I really am.T1-DDS - Family Treat Me More Fragile
DDS01-Family Worry About HypoglycemiaC161714DDS01-Family Worry About HypoglycemiaDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that my friends and family worry more about hypoglycemia than I want them to.T1-DDS - Family Worry About Hypoglycemia
DDS01-Food and Eating Control My LifeC161719DDS01-Food and Eating Control My LifeDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that thoughts about food and eating control my life.T1-DDS - Food and Eating Control My Life
DDS01-Have to Hide My DiabetesC161713DDS01-Have to Hide My DiabetesDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling like I have to hide my diabetes from other people.T1-DDS - Have to Hide My Diabetes
DDS01-Hypoglycemic Event When AsleepC161718DDS01-Hypoglycemic Event When AsleepDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling frightened that I could have a serious hypoglycemic event when I'm asleep.T1-DDS - Hypoglycemic Event When Asleep
DDS01-Hypoglycemic Event While DrivingC161725DDS01-Hypoglycemic Event While DrivingDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling frightened that I could have a serious hypoglycemic event while driving.T1-DDS - Hypoglycemic Event While Driving
DDS01-I Don't Eat Carefully as I ShouldC161705DDS01-I Don't Eat Carefully as I ShouldDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that I don't eat as carefully as I probably should.T1-DDS - I Don't Eat Carefully as I Should
DDS01-Less Attractive to EmployersC161722DDS01-Less Attractive to EmployersDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling concerned that diabetes may make me less attractive to employers.T1-DDS - Less Attractive to Employers
DDS01-Never Be Good EnoughC161728DDS01-Never Be Good EnoughDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that no matter how hard I try with my diabetes, it will never be good enough.T1-DDS - Never Be Good Enough
DDS01-Not Skilled at Managing DiabetesC161704DDS01-Not Skilled at Managing DiabetesDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that I am not as skilled at managing diabetes as I should be.T1-DDS - Not Skilled at Managing Diabetes
DDS01-Not Taking Insulin as I ShouldC161711DDS01-Not Taking Insulin as I ShouldDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that I am not taking as much insulin as I should.T1-DDS - Not Taking Insulin as I Should
DDS01-People Think Less of MeC161727DDS01-People Think Less of MeDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that people will think less of me if they knew I had diabetes.T1-DDS - People Think Less of Me
DDS01-People Treat Me DifferentlyC161707DDS01-People Treat Me DifferentlyDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that people treat me differently when they find out I have diabetes.T1-DDS - People Treat Me Differently
DDS01-Subscale 1: PowerlessnessC161733DDS01-Subscale 1: PowerlessnessDiabetes Distress Scale for Adults with Type 1 Diabetes - Subscale 1 - Powerlessness.T1-DDS - Subscale 1: Powerlessness
DDS01-Subscale 2: Management DistressC161734DDS01-Subscale 2: Management DistressDiabetes Distress Scale for Adults with Type 1 Diabetes - Subscale 2 - Management distress.T1-DDS - Subscale 2: Management Distress
DDS01-Subscale 3: Hypoglycemia DistressC161735DDS01-Subscale 3: Hypoglycemia DistressDiabetes Distress Scale for Adults with Type 1 Diabetes - Subscale 3 - Hypoglycemia distress.T1-DDS - Subscale 3: Hypoglycemia Distress
DDS01-Subscale 4: Neg Social PerceptionsC161736DDS01-Subscale 4: Neg Social PerceptionsDiabetes Distress Scale for Adults with Type 1 Diabetes - Subscale 4 - Negative social perceptions.T1-DDS - Subscale 4: Negative Social Perceptions
DDS01-Subscale 5: Eating DistressC161737DDS01-Subscale 5: Eating DistressDiabetes Distress Scale for Adults with Type 1 Diabetes - Subscale 5 - Eating distress.T1-DDS - Subscale 5: Eating Distress
DDS01-Subscale 6: Physician DistressC161738DDS01-Subscale 6: Physician DistressDiabetes Distress Scale for Adults with Type 1 Diabetes - Subscale 6 - Physician distress.T1-DDS - Subscale 6: Physician Distress
DDS01-Subscale 7: Friend/Family DistressC161739DDS01-Subscale 7: Friend/Family DistressDiabetes Distress Scale for Adults with Type 1 Diabetes - Subscale 7 - Friend/family distress.T1-DDS - Subscale 7: Friend/Family Distress
DDS01-Too Much Diabetes Equipment w/MeC161712DDS01-Too Much Diabetes Equipment w/MeDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling that there is too much diabetes equipment and stuff I must always have with me.T1-DDS - Too Much Diabetes Equipment With Me
DDS01-Total ScaleC161732DDS01-Total ScaleDiabetes Distress Scale for Adults with Type 1 Diabetes - Total scale.T1-DDS - Total Scale
DDS01-Worried Develop ComplicationsC161716DDS01-Worried Develop ComplicationsDiabetes Distress Scale for Adults with Type 1 Diabetes - Over the past month, please indicate the degree to which each of the following may have been a problem for you: Feeling worried that I will develop serious long-term complications, no matter how hard I try.T1-DDS - Worried Develop Complications
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CL.C163395.DDS02TCDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes Questionnaire Test Code
(DDS02TC)
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C163395Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes Questionnaire Test CodeDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes test code.CDISC Questionnaire PARENT-DDS Test Code Terminology
DDS0201C163870DDS02-Don't Work Well TogetherDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Feeling that my teen and I just don't work well together when it comes to diabetes.PARENT-DDS - Don't Work Well Together
DDS0202C163871DDS02-Unappreciated for Ways I HelpDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Feeling unappreciated for all the ways I try to help my teen manage diabetes.PARENT-DDS - Unappreciated for Ways I Help
DDS0203C163872DDS02-Trust Teen Take Care of DiabetesDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Feeling that I can't trust my teen to take good care of his/her diabetes.PARENT-DDS - Trust Teen Take Care of Diabetes
DDS0204C163873DDS02-Low Blood Sugars Away From HomeDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Worrying about my teen's low blood sugars when he/she is away from home.PARENT-DDS - Low Blood Sugars Away From Home
DDS0205C163874DDS02-Teen Ignore/Forget DiabetesDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Worrying that my teen will ignore or forget diabetes if I don't keep reminding him/her.PARENT-DDS - Teen Ignore or Forget Diabetes
DDS0206C163875DDS02-Taking Too Much of My EnergyDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Feeling that diabetes is taking up too much of my mental and physical energy every day.PARENT-DDS - Taking Too Much of My Energy
DDS0207C163876DDS02-Help Teen Is a BattleDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Feeling that trying to help my teen with his/her diabetes is always a battle.PARENT-DDS - Help Teen Is a Battle
DDS0208C163877DDS02-Low Blood Sugars When SleepingDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Worrying about my teen's low blood sugars when he/she is sleeping.PARENT-DDS - Low Blood Sugars When Sleeping
DDS0209C163878DDS02-No One Notices Diabetes Hard on MeDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Feeling that no one notices that diabetes is hard on me, not just on my teen.PARENT-DDS - No One Notices Diabetes Hard on Me
DDS0210C163879DDS02-Doesn't Do Enough Manage DiabetesDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Feeling that my teen doesn't do enough to manage his/her diabetes.PARENT-DDS - Doesn't Do Enough Manage Diabetes
DDS0211C163880DDS02-Teen Doesn't Have Right DoctorDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Worrying that my teen doesn't have the right doctor for him/her.PARENT-DDS - Teen Doesn't Have Right Doctor
DDS0212C163881DDS02-Blame Me If Not Well-controlledDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Worrying that others will blame me if my teen's diabetes is not well-controlled.PARENT-DDS - Blame Me If Not Well-controlled
DDS0213C163882DDS02-Leave Home and Cannot Protect HimDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Worrying that my teen will soon leave home and I cannot protect him.PARENT-DDS - Leave Home and Cannot Protect Him
DDS0214C163883DDS02-Teen Ignores My SuggestionsDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Frustrated because my teen ignores my suggestions about diabetes.PARENT-DDS - Teen Ignores My Suggestions
DDS0215C163884DDS02-Lack Support From Friends/FamilyDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Frustrated by the lack of understanding and support for diabetes I get from friends and family members.PARENT-DDS - Lack Support From Friends and Family
DDS0216C163885DDS02-Doesn't Get Expert Medical HelpDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Worrying that my teen doesn't get all of the expert medical help he/she needs.PARENT-DDS - Doesn't Get Expert Medical Help
DDS0217C163886DDS02-Motivate Teen Take Care DiabetesDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Feeling uncertain about how to motivate my teen to take better care of his/her diabetes.PARENT-DDS - Motivate Teen Take Care Diabetes
DDS0218C163887DDS02-Teen Not Prepared Once AdultDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Concerned that my teen is not prepared to deal with the world of insurance and doctors once he/she is an adult.PARENT-DDS - Teen Not Prepared Once Adult
DDS0219C163888DDS02-Only One Takes ResponsibilityDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Frustrated that I am the only one who takes responsibility for helping my teen manage diabetes.PARENT-DDS - Only One Takes Responsibility
DDS0220C163889DDS02-My Nagging Hurting RelationshipDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Worrying that my nagging about diabetes is hurting my relationship with my teen.PARENT-DDS - My Nagging Hurting Relationship
DDS0221C163890DDS02-Total DDS Score: SumDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Total DDS score: Sum of 20 item scores.PARENT-DDS - Total DDS Score: Sum
DDS0222C163891DDS02-Total DDS Score: MeanDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Total DDS score: Mean item score.PARENT-DDS - Total DDS Score: Mean
DDS0223C163892DDS02-Total DDS Score: ModerateDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Total DDS score: Moderate distress or greater? (mean score > 2).PARENT-DDS - Total DDS Score: Moderate
DDS0224C163893DDS02-Personal Distress: SumDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Personal distress: Sum of 6 items (2, 6, 9, 12, 15, 19).PARENT-DDS - Personal Distress: Sum
DDS0225C163894DDS02-Personal Distress: MeanDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Personal distress: Mean item score.PARENT-DDS - Personal Distress: Mean
DDS0226C163895DDS02-Personal Distress: ModerateDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Personal distress: Moderate distress or greater? (mean score > 2).PARENT-DDS - Personal Distress: Moderate
DDS0227C163896DDS02-Teen Management Distress: SumDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Teen management distress: Sum of 4 items (4, 8, 13, 18).PARENT-DDS - Teen Management Distress: Sum
DDS0228C163897DDS02-Teen Management Distress: MeanDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Teen management distress: Mean item score.PARENT-DDS - Teen Management Distress: Mean
DDS0229C163898DDS02-Teen Management Distress: ModerateDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Teen management distress: Moderate distress or greater? (mean score > 2).PARENT-DDS - Teen Management Distress: Moderate
DDS0230C163899DDS02-Parent/Teen Rel Distress: SumDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Parent/teen relationship distress: Sum of 8 items (1, 3, 5, 7, 10, 14, 17, 20).PARENT-DDS - Parent/Teen Relationship Distress: Sum
DDS0231C163900DDS02-Parent/Teen Rel Distress: MeanDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Parent/teen relationship distress: Mean item score.PARENT-DDS - Parent/Teen Relationship Distress: Mean
DDS0232C163901DDS02-Parent/Teen Rel Distress: ModerateDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Parent/teen relationship distress: Moderate distress or greater? (mean score > 2).PARENT-DDS - Parent/Teen Relationship Distress: Moderate
DDS0233C163902DDS02-Healthcare Team Distress: SumDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Healthcare team distress: Sum of 2 items (11, 16).PARENT-DDS - Healthcare Team Distress: Sum
DDS0234C163903DDS02-Healthcare Team Distress: MeanDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Healthcare team distress: Mean item score.PARENT-DDS - Healthcare Team Distress: Mean
DDS0235C163904DDS02-Healthcare Team Distress: ModerateDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Healthcare team distress: Moderate distress or greater? (mean score > 2).PARENT-DDS - Healthcare Team Distress: Moderate
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CL.C163394.DDS02TNDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes Questionnaire Test Name
(DDS02TN)
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C163394Diabetes Distress Scale for Parents of Teens with Type 1 Diabetes Questionnaire Test NameDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes test name.CDISC Questionnaire PARENT-DDS Test Name Terminology
DDS02-Blame Me If Not Well-controlledC163881DDS02-Blame Me If Not Well-controlledDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Worrying that others will blame me if my teen's diabetes is not well-controlled.PARENT-DDS - Blame Me If Not Well-controlled
DDS02-Doesn't Do Enough Manage DiabetesC163879DDS02-Doesn't Do Enough Manage DiabetesDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Feeling that my teen doesn't do enough to manage his/her diabetes.PARENT-DDS - Doesn't Do Enough Manage Diabetes
DDS02-Doesn't Get Expert Medical HelpC163885DDS02-Doesn't Get Expert Medical HelpDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Worrying that my teen doesn't get all of the expert medical help he/she needs.PARENT-DDS - Doesn't Get Expert Medical Help
DDS02-Don't Work Well TogetherC163870DDS02-Don't Work Well TogetherDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Feeling that my teen and I just don't work well together when it comes to diabetes.PARENT-DDS - Don't Work Well Together
DDS02-Healthcare Team Distress: MeanC163903DDS02-Healthcare Team Distress: MeanDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Healthcare team distress: Mean item score.PARENT-DDS - Healthcare Team Distress: Mean
DDS02-Healthcare Team Distress: ModerateC163904DDS02-Healthcare Team Distress: ModerateDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Healthcare team distress: Moderate distress or greater? (mean score > 2).PARENT-DDS - Healthcare Team Distress: Moderate
DDS02-Healthcare Team Distress: SumC163902DDS02-Healthcare Team Distress: SumDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Healthcare team distress: Sum of 2 items (11, 16).PARENT-DDS - Healthcare Team Distress: Sum
DDS02-Help Teen Is a BattleC163876DDS02-Help Teen Is a BattleDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Feeling that trying to help my teen with his/her diabetes is always a battle.PARENT-DDS - Help Teen Is a Battle
DDS02-Lack Support From Friends/FamilyC163884DDS02-Lack Support From Friends/FamilyDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Frustrated by the lack of understanding and support for diabetes I get from friends and family members.PARENT-DDS - Lack Support From Friends and Family
DDS02-Leave Home and Cannot Protect HimC163882DDS02-Leave Home and Cannot Protect HimDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Worrying that my teen will soon leave home and I cannot protect him.PARENT-DDS - Leave Home and Cannot Protect Him
DDS02-Low Blood Sugars Away From HomeC163873DDS02-Low Blood Sugars Away From HomeDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Worrying about my teen's low blood sugars when he/she is away from home.PARENT-DDS - Low Blood Sugars Away From Home
DDS02-Low Blood Sugars When SleepingC163877DDS02-Low Blood Sugars When SleepingDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Worrying about my teen's low blood sugars when he/she is sleeping.PARENT-DDS - Low Blood Sugars When Sleeping
DDS02-Motivate Teen Take Care DiabetesC163886DDS02-Motivate Teen Take Care DiabetesDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Feeling uncertain about how to motivate my teen to take better care of his/her diabetes.PARENT-DDS - Motivate Teen Take Care Diabetes
DDS02-My Nagging Hurting RelationshipC163889DDS02-My Nagging Hurting RelationshipDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Worrying that my nagging about diabetes is hurting my relationship with my teen.PARENT-DDS - My Nagging Hurting Relationship
DDS02-No One Notices Diabetes Hard on MeC163878DDS02-No One Notices Diabetes Hard on MeDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Feeling that no one notices that diabetes is hard on me, not just on my teen.PARENT-DDS - No One Notices Diabetes Hard on Me
DDS02-Only One Takes ResponsibilityC163888DDS02-Only One Takes ResponsibilityDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Frustrated that I am the only one who takes responsibility for helping my teen manage diabetes.PARENT-DDS - Only One Takes Responsibility
DDS02-Parent/Teen Rel Distress: MeanC163900DDS02-Parent/Teen Rel Distress: MeanDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Parent/teen relationship distress: Mean item score.PARENT-DDS - Parent/Teen Relationship Distress: Mean
DDS02-Parent/Teen Rel Distress: ModerateC163901DDS02-Parent/Teen Rel Distress: ModerateDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Parent/teen relationship distress: Moderate distress or greater? (mean score > 2).PARENT-DDS - Parent/Teen Relationship Distress: Moderate
DDS02-Parent/Teen Rel Distress: SumC163899DDS02-Parent/Teen Rel Distress: SumDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Parent/teen relationship distress: Sum of 8 items (1, 3, 5, 7, 10, 14, 17, 20).PARENT-DDS - Parent/Teen Relationship Distress: Sum
DDS02-Personal Distress: MeanC163894DDS02-Personal Distress: MeanDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Personal distress: Mean item score.PARENT-DDS - Personal Distress: Mean
DDS02-Personal Distress: ModerateC163895DDS02-Personal Distress: ModerateDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Personal distress: Moderate distress or greater? (mean score > 2).PARENT-DDS - Personal Distress: Moderate
DDS02-Personal Distress: SumC163893DDS02-Personal Distress: SumDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Personal distress: Sum of 6 items (2, 6, 9, 12, 15, 19).PARENT-DDS - Personal Distress: Sum
DDS02-Taking Too Much of My EnergyC163875DDS02-Taking Too Much of My EnergyDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Feeling that diabetes is taking up too much of my mental and physical energy every day.PARENT-DDS - Taking Too Much of My Energy
DDS02-Teen Doesn't Have Right DoctorC163880DDS02-Teen Doesn't Have Right DoctorDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Worrying that my teen doesn't have the right doctor for him/her.PARENT-DDS - Teen Doesn't Have Right Doctor
DDS02-Teen Ignore/Forget DiabetesC163874DDS02-Teen Ignore/Forget DiabetesDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Worrying that my teen will ignore or forget diabetes if I don't keep reminding him/her.PARENT-DDS - Teen Ignore or Forget Diabetes
DDS02-Teen Ignores My SuggestionsC163883DDS02-Teen Ignores My SuggestionsDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Frustrated because my teen ignores my suggestions about diabetes.PARENT-DDS - Teen Ignores My Suggestions
DDS02-Teen Management Distress: MeanC163897DDS02-Teen Management Distress: MeanDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Teen management distress: Mean item score.PARENT-DDS - Teen Management Distress: Mean
DDS02-Teen Management Distress: ModerateC163898DDS02-Teen Management Distress: ModerateDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Teen management distress: Moderate distress or greater? (mean score > 2).PARENT-DDS - Teen Management Distress: Moderate
DDS02-Teen Management Distress: SumC163896DDS02-Teen Management Distress: SumDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Teen management distress: Sum of 4 items (4, 8, 13, 18).PARENT-DDS - Teen Management Distress: Sum
DDS02-Teen Not Prepared Once AdultC163887DDS02-Teen Not Prepared Once AdultDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Concerned that my teen is not prepared to deal with the world of insurance and doctors once he/she is an adult.PARENT-DDS - Teen Not Prepared Once Adult
DDS02-Total DDS Score: MeanC163891DDS02-Total DDS Score: MeanDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Total DDS score: Mean item score.PARENT-DDS - Total DDS Score: Mean
DDS02-Total DDS Score: ModerateC163892DDS02-Total DDS Score: ModerateDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Total DDS score: Moderate distress or greater? (mean score > 2).PARENT-DDS - Total DDS Score: Moderate
DDS02-Total DDS Score: SumC163890DDS02-Total DDS Score: SumDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - Total DDS score: Sum of 20 item scores.PARENT-DDS - Total DDS Score: Sum
DDS02-Trust Teen Take Care of DiabetesC163872DDS02-Trust Teen Take Care of DiabetesDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Feeling that I can't trust my teen to take good care of his/her diabetes.PARENT-DDS - Trust Teen Take Care of Diabetes
DDS02-Unappreciated for Ways I HelpC163871DDS02-Unappreciated for Ways I HelpDiabetes Distress Scale for Parents of Teens with Type 1 Diabetes - During the past month, I have been: Feeling unappreciated for all the ways I try to help my teen manage diabetes.PARENT-DDS - Unappreciated for Ways I Help
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CL.C163397.DDS03TCDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes Questionnaire Test Code
(DDS03TC)
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C163397Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes Questionnaire Test CodeDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes test code.CDISC Questionnaire PARTNER-DDS Test Code Terminology
DDS0301C163905DDS03-Worry About Low Blood SugarsDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Worrying about my partner's low blood sugars.PARTNER-DDS - Worry About Low Blood Sugars
DDS0302C163906DDS03-How Involved Managing DiabetesDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Feeling unclear about exactly how much I should be involved in managing my partner's diabetes.PARTNER-DDS - How Involved Managing Diabetes
DDS0303C163907DDS03-Partner Shuts Me OutDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Frustrated that my partner shuts me out of his/her diabetes.PARTNER-DDS - Partner Shuts Me Out
DDS0304C163908DDS03-Partner Doesn't Try Hard EnoughDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Feeling that my partner doesn't try hard enough to manage his/her diabetes.PARTNER-DDS - Partner Doesn't Try Hard Enough
DDS0305C163909DDS03-Overwhelmed by Constant DemandsDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Feeling overwhelmed by the constant demands of my partner's diabetes.PARTNER-DDS - Overwhelmed by Constant Demands
DDS0306C163910DDS03-How to Best Help Partner ManageDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Worrying that don't know how to best help my partner manage diabetes.PARTNER-DDS - How to Best Help Partner Manage
DDS0307C163911DDS03-Silent About My Partner's DiabetesDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Feeling that I stay silent about my partner's diabetes more than I really should.PARTNER-DDS - Silent About My Partner's Diabetes
DDS0308C163912DDS03-Taking Too Much of My EnergyDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Feeling that diabetes is taking up too much of my mental and physical energy every day.PARTNER-DDS - Taking Too Much of My Energy
DDS0309C163913DDS03-No One Notices Diabetes Hard On MeDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Feeling that no one notices that diabetes is hard on me, not just on my partner.PARTNER-DDS - No One Notices Diabetes Hard On Me
DDS0310C163914DDS03-More I Try The Worse Things GetDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Frustrated that the more I try to help my partner manage his/her diabetes, the worse things get between us.PARTNER-DDS - More I Try The Worse Things Get
DDS0311C163915DDS03-Guilty Not Doing Enough to HelpDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Feeling guilty about not doing enough to help my partner with diabetes.PARTNER-DDS - Guilty Not Doing Enough to Help
DDS0312C163916DDS03-Can't Get Partner Improve AttitudeDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Frustrated that I can't get my partner to improve his/her attitude about diabetes.PARTNER-DDS - Can't Get Partner Improve Attitude
DDS0313C163917DDS03-Failing to Help Partner ManageDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Worrying that I am failing to help my partner manage diabetes more successfully.PARTNER-DDS - Failing to Help Partner Manage
DDS0314C163918DDS03-Help My Partner Always a BattleDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Feeling that trying to help my partner with his/her diabetes is always a battle.PARTNER-DDS - Help My Partner Always a Battle
DDS0315C163919DDS03-Partner Ignores My SuggestionsDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Frustrated because my partner ignores my suggestions about diabetes.PARTNER-DDS - Partner Ignores My Suggestions
DDS0316C163920DDS03-Diabetes Often Interrupts PlansDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Frustrated that diabetes often interrupts our plans.PARTNER-DDS - Diabetes Often Interrupts Plans
DDS0317C163921DDS03-Low Blood Sugars When SleepingDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Worrying about my partner's low blood sugars when he/she is sleeping.PARTNER-DDS - Low Blood Sugars When Sleeping
DDS0318C163922DDS03-Partner Driving Low Blood SugarsDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Worrying about my partner's driving because of possible low blood sugars.PARTNER-DDS - Partner Driving Low Blood Sugars
DDS0319C163923DDS03-Leaving Alone Low Blood SugarsDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Worrying about leaving my partner alone because of the possible danger of low blood sugars.PARTNER-DDS - Leaving Alone Low Blood Sugars
DDS0320C163924DDS03-Not Working Well TogetherDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Concerned that my partner and I are not working well together when it comes to diabetes.PARTNER-DDS - Not Working Well Together
DDS0321C163925DDS03-Never Get a Break From WorryingDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Feeling that I never get a break from worrying about my partner's diabetes.PARTNER-DDS - Never Get a Break From Worrying
DDS0322C163926DDS03-Total DDS Score: SumDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - Total DDS score: Sum of 21 item scores.PARTNER-DDS - Total DDS Score: Sum
DDS0323C163927DDS03-Total DDS Score: MeanDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - Total DDS score: Mean item score.PARTNER-DDS - Total DDS Score: Mean
DDS0324C163928DDS03-Total DDS Score: ModerateDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - Total DDS score: Moderate distress or greater? (mean score > 2).PARTNER-DDS - Total DDS Score: Moderate
DDS0325C163929DDS03-Partner Diabetes Management: SumDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - My partner's diabetes management: Sum of 7 items (3, 4, 10, 12, 14, 15, 20).PARTNER-DDS - Partner Diabetes Management: Sum
DDS0326C163930DDS03-Partner Diabetes Management: MeanDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - My partner's diabetes management: Mean item score.PARTNER-DDS - Partner Diabetes Management: Mean
DDS0327C163931DDS03-Partner Diabetes Manage: ModerateDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - My partner's diabetes management: Moderate distress or greater? (mean score > 2).PARTNER-DDS - Partner Diabetes Manage: Moderate
DDS0328C163932DDS03-How Best to Help: SumDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - How best to help: Sum of 5 items (2, 6, 7, 11, 13).PARTNER-DDS - How Best to Help: Sum
DDS0329C163933DDS03-How Best to Help: MeanDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - How best to help: Mean item score.PARTNER-DDS - How Best to Help: Mean
DDS0330C163934DDS03-How Best to Help: ModerateDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - How best to help: Moderate distress or greater? (mean score > 2).PARTNER-DDS - How Best to Help: Moderate
DDS0331C163935DDS03-Diabetes and Me: SumDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - Diabetes and me: Sum of 5 items (5, 8, 9, 16, 21).PARTNER-DDS - Diabetes and Me: Sum
DDS0332C163936DDS03-Diabetes and Me: MeanDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - Diabetes and me: Mean item score.PARTNER-DDS - Diabetes and Me: Mean
DDS0333C163937DDS03-Diabetes and Me: ModerateDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - Diabetes and me: Moderate distress or greater? (mean score > 2).PARTNER-DDS - Diabetes and Me: Moderate
DDS0334C163938DDS03-Hypoglycemia: SumDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - Hypoglycemia: Sum of 4 items (1, 17, 18, 19).PARTNER-DDS - Hypoglycemia: Sum
DDS0335C163939DDS03-Hypoglycemia: MeanDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - Hypoglycemia: Mean item score.PARTNER-DDS - Hypoglycemia: Mean
DDS0336C163940DDS03-Hypoglycemia: ModerateDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - Hypoglycemia: Moderate distress or greater? (mean score > 2).PARTNER-DDS - Hypoglycemia: Moderate
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CL.C163396.DDS03TNDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes Questionnaire Test Name
(DDS03TN)
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C163396Diabetes Distress Scale for Partners of Adults with Type 1 Diabetes Questionnaire Test NameDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes test name.CDISC Questionnaire PARTNER-DDS Test Name Terminology
DDS03-Can't Get Partner Improve AttitudeC163916DDS03-Can't Get Partner Improve AttitudeDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Frustrated that I can't get my partner to improve his/her attitude about diabetes.PARTNER-DDS - Can't Get Partner Improve Attitude
DDS03-Diabetes and Me: MeanC163936DDS03-Diabetes and Me: MeanDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - Diabetes and me: Mean item score.PARTNER-DDS - Diabetes and Me: Mean
DDS03-Diabetes and Me: ModerateC163937DDS03-Diabetes and Me: ModerateDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - Diabetes and me: Moderate distress or greater? (mean score > 2).PARTNER-DDS - Diabetes and Me: Moderate
DDS03-Diabetes and Me: SumC163935DDS03-Diabetes and Me: SumDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - Diabetes and me: Sum of 5 items (5, 8, 9, 16, 21).PARTNER-DDS - Diabetes and Me: Sum
DDS03-Diabetes Often Interrupts PlansC163920DDS03-Diabetes Often Interrupts PlansDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Frustrated that diabetes often interrupts our plans.PARTNER-DDS - Diabetes Often Interrupts Plans
DDS03-Failing to Help Partner ManageC163917DDS03-Failing to Help Partner ManageDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Worrying that I am failing to help my partner manage diabetes more successfully.PARTNER-DDS - Failing to Help Partner Manage
DDS03-Guilty Not Doing Enough to HelpC163915DDS03-Guilty Not Doing Enough to HelpDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Feeling guilty about not doing enough to help my partner with diabetes.PARTNER-DDS - Guilty Not Doing Enough to Help
DDS03-Help My Partner Always a BattleC163918DDS03-Help My Partner Always a BattleDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Feeling that trying to help my partner with his/her diabetes is always a battle.PARTNER-DDS - Help My Partner Always a Battle
DDS03-How Best to Help: MeanC163933DDS03-How Best to Help: MeanDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - How best to help: Mean item score.PARTNER-DDS - How Best to Help: Mean
DDS03-How Best to Help: ModerateC163934DDS03-How Best to Help: ModerateDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - How best to help: Moderate distress or greater? (mean score > 2).PARTNER-DDS - How Best to Help: Moderate
DDS03-How Best to Help: SumC163932DDS03-How Best to Help: SumDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - How best to help: Sum of 5 items (2, 6, 7, 11, 13).PARTNER-DDS - How Best to Help: Sum
DDS03-How Involved Managing DiabetesC163906DDS03-How Involved Managing DiabetesDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Feeling unclear about exactly how much I should be involved in managing my partner's diabetes.PARTNER-DDS - How Involved Managing Diabetes
DDS03-How to Best Help Partner ManageC163910DDS03-How to Best Help Partner ManageDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Worrying that don't know how to best help my partner manage diabetes.PARTNER-DDS - How to Best Help Partner Manage
DDS03-Hypoglycemia: MeanC163939DDS03-Hypoglycemia: MeanDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - Hypoglycemia: Mean item score.PARTNER-DDS - Hypoglycemia: Mean
DDS03-Hypoglycemia: ModerateC163940DDS03-Hypoglycemia: ModerateDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - Hypoglycemia: Moderate distress or greater? (mean score > 2).PARTNER-DDS - Hypoglycemia: Moderate
DDS03-Hypoglycemia: SumC163938DDS03-Hypoglycemia: SumDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - Hypoglycemia: Sum of 4 items (1, 17, 18, 19).PARTNER-DDS - Hypoglycemia: Sum
DDS03-Leaving Alone Low Blood SugarsC163923DDS03-Leaving Alone Low Blood SugarsDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Worrying about leaving my partner alone because of the possible danger of low blood sugars.PARTNER-DDS - Leaving Alone Low Blood Sugars
DDS03-Low Blood Sugars When SleepingC163921DDS03-Low Blood Sugars When SleepingDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Worrying about my partner's low blood sugars when he/she is sleeping.PARTNER-DDS - Low Blood Sugars When Sleeping
DDS03-More I Try The Worse Things GetC163914DDS03-More I Try The Worse Things GetDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Frustrated that the more I try to help my partner manage his/her diabetes, the worse things get between us.PARTNER-DDS - More I Try The Worse Things Get
DDS03-Never Get a Break From WorryingC163925DDS03-Never Get a Break From WorryingDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Feeling that I never get a break from worrying about my partner's diabetes.PARTNER-DDS - Never Get a Break From Worrying
DDS03-No One Notices Diabetes Hard On MeC163913DDS03-No One Notices Diabetes Hard On MeDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Feeling that no one notices that diabetes is hard on me, not just on my partner.PARTNER-DDS - No One Notices Diabetes Hard On Me
DDS03-Not Working Well TogetherC163924DDS03-Not Working Well TogetherDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Concerned that my partner and I are not working well together when it comes to diabetes.PARTNER-DDS - Not Working Well Together
DDS03-Overwhelmed by Constant DemandsC163909DDS03-Overwhelmed by Constant DemandsDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Feeling overwhelmed by the constant demands of my partner's diabetes.PARTNER-DDS - Overwhelmed by Constant Demands
DDS03-Partner Diabetes Manage: ModerateC163931DDS03-Partner Diabetes Manage: ModerateDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - My partner's diabetes management: Moderate distress or greater? (mean score > 2).PARTNER-DDS - Partner Diabetes Manage: Moderate
DDS03-Partner Diabetes Management: MeanC163930DDS03-Partner Diabetes Management: MeanDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - My partner's diabetes management: Mean item score.PARTNER-DDS - Partner Diabetes Management: Mean
DDS03-Partner Diabetes Management: SumC163929DDS03-Partner Diabetes Management: SumDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - My partner's diabetes management: Sum of 7 items (3, 4, 10, 12, 14, 15, 20).PARTNER-DDS - Partner Diabetes Management: Sum
DDS03-Partner Doesn't Try Hard EnoughC163908DDS03-Partner Doesn't Try Hard EnoughDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Feeling that my partner doesn't try hard enough to manage his/her diabetes.PARTNER-DDS - Partner Doesn't Try Hard Enough
DDS03-Partner Driving Low Blood SugarsC163922DDS03-Partner Driving Low Blood SugarsDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Worrying about my partner's driving because of possible low blood sugars.PARTNER-DDS - Partner Driving Low Blood Sugars
DDS03-Partner Ignores My SuggestionsC163919DDS03-Partner Ignores My SuggestionsDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Frustrated because my partner ignores my suggestions about diabetes.PARTNER-DDS - Partner Ignores My Suggestions
DDS03-Partner Shuts Me OutC163907DDS03-Partner Shuts Me OutDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Frustrated that my partner shuts me out of his/her diabetes.PARTNER-DDS - Partner Shuts Me Out
DDS03-Silent About My Partner's DiabetesC163911DDS03-Silent About My Partner's DiabetesDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Feeling that I stay silent about my partner's diabetes more than I really should.PARTNER-DDS - Silent About My Partner's Diabetes
DDS03-Taking Too Much of My EnergyC163912DDS03-Taking Too Much of My EnergyDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Feeling that diabetes is taking up too much of my mental and physical energy every day.PARTNER-DDS - Taking Too Much of My Energy
DDS03-Total DDS Score: MeanC163927DDS03-Total DDS Score: MeanDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - Total DDS score: Mean item score.PARTNER-DDS - Total DDS Score: Mean
DDS03-Total DDS Score: ModerateC163928DDS03-Total DDS Score: ModerateDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - Total DDS score: Moderate distress or greater? (mean score > 2).PARTNER-DDS - Total DDS Score: Moderate
DDS03-Total DDS Score: SumC163926DDS03-Total DDS Score: SumDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - Total DDS score: Sum of 21 item scores.PARTNER-DDS - Total DDS Score: Sum
DDS03-Worry About Low Blood SugarsC163905DDS03-Worry About Low Blood SugarsDiabetes Distress Scale for Partners of Adults with Type 1 Diabetes - During the past month, I have been: Worrying about my partner's low blood sugars.PARTNER-DDS - Worry About Low Blood Sugars
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CL.C183549.DIBC01TCDiary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 Questionnaire Test Code
(DIBC01TC)
text
Extensible: No
C183549Diary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 Questionnaire Test CodeDiary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 test code.CDISC Questionnaire DIBSS-C Version 1.0 Test Code Terminology
DIBC0101C183608DIBC01-Rate Worst Abdominal PainDiary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 - How would you rate your worst abdominal pain in the past 24 hours?DIBSS-C Version 1.0 - Rate Worst Abdominal Pain
DIBC0102C183609DIBC01-Rate Worst Abdominal DiscomfortDiary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 - How would you rate your worst abdominal discomfort in the past 24 hours?DIBSS-C Version 1.0 - Rate Worst Abdominal Discomfort
DIBC0103C183610DIBC01-Rate Worst Abdominal BloatingDiary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 - How would you rate your worst abdominal bloating in the past 24 hours?DIBSS-C Version 1.0 - Rate Worst Abdominal Bloating
DIBC0104C183611DIBC01-Other Bowel Movements to ReportDiary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 - Do you have any other bowel movements to report?DIBSS-C Version 1.0 - Other Bowel Movements to Report
DIBC0105C183612DIBC01-Completely Emptied BowelsDiary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 - Did you feel like you completely emptied your bowels after your bowel movement?DIBSS-C Version 1.0 - Completely Emptied Bowels
DIBC0106C183613DIBC01-How Much Did You StrainDiary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 - How much did you strain during your bowel movement?DIBSS-C Version 1.0 - How Much Did You Strain
DIBC0107C183614DIBC01-Describe Consistency of StoolDiary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 - How would you describe the consistency of your stool?DIBSS-C Version 1.0 - Describe Consistency of Stool
DIBC0108C183615DIBC01-Stool Frequency Weekly TotalDiary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 - Stool frequency: weekly score, total number of BMs across days on which no laxative, enema, or suppository use was reported.DIBSS-C Version 1.0 - Stool Frequency Weekly Total
DIBC0109C183616DIBC01-Stool Frequency Weekly CompleteDiary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 - Stool frequency: weekly score, the weekly total score minus any BMs reported as not complete.DIBSS-C Version 1.0 - Stool Frequency Weekly Complete
DIBC0110C183617DIBC01-Abdominal Symptom SubscaleDiary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 - Abdominal symptom subscale.DIBSS-C Version 1.0 - Abdominal Symptom Subscale
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CL.C183548.DIBC01TNDiary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 Questionnaire Test Name
(DIBC01TN)
text
Extensible: No
C183548Diary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 Questionnaire Test NameDiary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 test name.CDISC Questionnaire DIBSS-C Version 1.0 Test Name Terminology
DIBC01-Abdominal Symptom SubscaleC183617DIBC01-Abdominal Symptom SubscaleDiary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 - Abdominal symptom subscale.DIBSS-C Version 1.0 - Abdominal Symptom Subscale
DIBC01-Completely Emptied BowelsC183612DIBC01-Completely Emptied BowelsDiary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 - Did you feel like you completely emptied your bowels after your bowel movement?DIBSS-C Version 1.0 - Completely Emptied Bowels
DIBC01-Describe Consistency of StoolC183614DIBC01-Describe Consistency of StoolDiary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 - How would you describe the consistency of your stool?DIBSS-C Version 1.0 - Describe Consistency of Stool
DIBC01-How Much Did You StrainC183613DIBC01-How Much Did You StrainDiary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 - How much did you strain during your bowel movement?DIBSS-C Version 1.0 - How Much Did You Strain
DIBC01-Other Bowel Movements to ReportC183611DIBC01-Other Bowel Movements to ReportDiary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 - Do you have any other bowel movements to report?DIBSS-C Version 1.0 - Other Bowel Movements to Report
DIBC01-Rate Worst Abdominal BloatingC183610DIBC01-Rate Worst Abdominal BloatingDiary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 - How would you rate your worst abdominal bloating in the past 24 hours?DIBSS-C Version 1.0 - Rate Worst Abdominal Bloating
DIBC01-Rate Worst Abdominal DiscomfortC183609DIBC01-Rate Worst Abdominal DiscomfortDiary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 - How would you rate your worst abdominal discomfort in the past 24 hours?DIBSS-C Version 1.0 - Rate Worst Abdominal Discomfort
DIBC01-Rate Worst Abdominal PainC183608DIBC01-Rate Worst Abdominal PainDiary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 - How would you rate your worst abdominal pain in the past 24 hours?DIBSS-C Version 1.0 - Rate Worst Abdominal Pain
DIBC01-Stool Frequency Weekly CompleteC183616DIBC01-Stool Frequency Weekly CompleteDiary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 - Stool frequency: weekly score, the weekly total score minus any BMs reported as not complete.DIBSS-C Version 1.0 - Stool Frequency Weekly Complete
DIBC01-Stool Frequency Weekly TotalC183615DIBC01-Stool Frequency Weekly TotalDiary for Irritable Bowel Syndrome Symptoms-Constipation v1.0 - Stool frequency: weekly score, total number of BMs across days on which no laxative, enema, or suppository use was reported.DIBSS-C Version 1.0 - Stool Frequency Weekly Total
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CL.C105130.DAD01TCDisability Assessment for Dementia Questionnaire Test Code
(DAD01TC)
text
Extensible: No
C105130Disability Assessment for Dementia Questionnaire Test CodeDisability Assessment for Dementia test code.CDISC Questionnaire DAD Test Code Terminology
DAD0101C105170DAD01-Decide to WashDisability Assessment for Dementia - Decide to wash himself/herself or to take a bath or shower?DAD - Decide to Wash or Take a Bath or Shower
DAD0102C105171DAD01-Decide to Brush Teeth DenturesDisability Assessment for Dementia - Decide to brush his/her teeth or care for his/her dentures?DAD - Decide to Brush Teeth or Care for Dentures
DAD0103C105172DAD01-Decide to Care For HairDisability Assessment for Dementia - Decide to care for his/her hair (wash and comb)?DAD - Decide to Care for His/Her Hair
DAD0104C105173DAD01-Prepare For Washing Bath ShowerDisability Assessment for Dementia - Prepare the water, towels, and soap for washing, taking a bath or a shower?DAD - Prepare the Water, Towels, and Soap for Washing, Taking a Bath or Shower
DAD0105C105174DAD01-Wash and Dry Body SafelyDisability Assessment for Dementia - Wash and dry all parts of his/her body safely and completely?DAD - Wash and Dry All Parts of Body Safely and Completely
DAD0106C105175DAD01-Brush Teeth Take Care of DenturesDisability Assessment for Dementia - Brush his/her teeth or take care of his/her dentures appropriately?DAD - Brush Teeth or Take Care of Dentures Appropriately
DAD0107C105176DAD01-Take Care of HairDisability Assessment for Dementia - Take care of his/her hair (wash and comb)?DAD - Take Care of His/Her Hair
DAD0108C105177DAD01-Decide to DressDisability Assessment for Dementia - Decide to dress himself/herself?DAD - Decide to Dress Himself/Herself
DAD0109C105178DAD01-Choose Appropriate ClothingDisability Assessment for Dementia - Choose appropriate clothing (with regard to the occasion, neatness, the weather and color combination)?DAD - Choose Appropriate Clothing
DAD0110C105179DAD01-Dress in Appropriate OrderDisability Assessment for Dementia - Dress himself/herself in the appropriate order (undergarments, pant/dress, shoes)?DAD - Dress in the Appropriate Order
DAD0111C105180DAD01-Dress CompletelyDisability Assessment for Dementia - Dress himself/herself completely?DAD - Dress Himself/Herself Completely
DAD0112C105181DAD01-Undress CompletelyDisability Assessment for Dementia - Undress himself/herself completely?DAD - Undress Himself/Herself Completely
DAD0113C105182DAD01-Use Toilet at Appropriate TimesDisability Assessment for Dementia - Decide to use the toilet at appropriate times?DAD - Decide to Use the Toilet at Appropriate Times
DAD0114C105183DAD01-Use Toilet Without AccidentsDisability Assessment for Dementia - Use the toilet without 'accidents'?DAD - Use the Toilet Without Accidents
DAD0115C105184DAD01-Decide That He/She Needs to EatDisability Assessment for Dementia - Decide that he/she needs to eat?DAD - Decide That He/She Needs to Eat
DAD0116C105185DAD01-Choose Appropriate UtensilsDisability Assessment for Dementia - Choose appropriate utensils and seasonings when eating?DAD - Choose Appropriate Utensils and Seasonings When Eating
DAD0117C105186DAD01-Eat at Normal Pace With MannersDisability Assessment for Dementia - Eat his/her meals at a normal pace and with appropriate manners?DAD - Eat Meals at a Normal Pace and with Appropriate Manners
DAD0118C105187DAD01-Decide to Prepare Meal SnackDisability Assessment for Dementia - Decide to prepare a light meal or snack for himself/herself?DAD - Decide to Prepare a Light Meal or Snack for Himself/Herself
DAD0119C105188DAD01-Adequately Plan Light Meal SnackDisability Assessment for Dementia - Adequately plan a light meal or snack (ingredients, cookware)?DAD - Adequately Plan a Light Meal or Snack
DAD0120C105189DAD01-Prepare or Cook Light Meal SnackDisability Assessment for Dementia - Prepare or cook a light meal or a snack safely?DAD - Safely Prepare or Cook a Light Meal or Snack
DAD0121C105190DAD01-Telephone Someone at Suitable TimeDisability Assessment for Dementia - Attempt to telephone someone at a suitable time?DAD - Attempt to Telephone Someone at a Suitable Time
DAD0122C105191DAD01-Find and Dial Telephone NumberDisability Assessment for Dementia - Find and dial a telephone number correctly?DAD - Find and Dial a Telephone Number Correctly
DAD0123C105192DAD01-Carry Out Telephone ConversationDisability Assessment for Dementia - Carry out an appropriate telephone conversation?DAD - Carry Out an Appropriate Telephone Conversation
DAD0124C105193DAD01-Write Convey Telephone MessageDisability Assessment for Dementia - Write and convey a telephone message adequately?DAD - Write and Convey a Telephone Message Adequately
DAD0125C105194DAD01-Decide to Go OutDisability Assessment for Dementia - Decide to go out (walk, visit, shop) at an appropriate time?DAD - Decide to Go Out at an Appropriate Time
DAD0126C105195DAD01-Adequately Organize an OutingDisability Assessment for Dementia - Adequately organize an outing with respect to transportation, keys, destination, weather, necessary money, shopping list?DAD - Adequately Organize an Outing with Respect to Transportation, Keys, Destination, Weather, Money, Shopping List
DAD0127C105196DAD01-Go Out Without Getting LostDisability Assessment for Dementia - Go out and reach a familiar destination without getting lost?DAD - Go Out and Reach a Familiar Destination Without Getting Lost
DAD0128C105197DAD01-Safely Take TransportationDisability Assessment for Dementia - Safely take the adequate mode of transportation (car, bus, taxi)?DAD - Safely Take the Adequate Mode of Transportation
DAD0129C105198DAD01-Return From Store With ItemsDisability Assessment for Dementia - Return from the store with the appropriate items?DAD - Return From the Store with Appropriate Items
DAD0130C105199DAD01-Show Interest in Personal AffairsDisability Assessment for Dementia - Show an interest in his/her personal affairs such as his/her finances and written correspondence?DAD - Show an Interest in Personal Affairs such as Finances and Written Correspondence
DAD0131C105200DAD01-Organize Finances to Pay BillsDisability Assessment for Dementia - Organize his/her finances to pay his/her bills (checks, bank statement, bills)?DAD - Organize Finances to Pay Bills
DAD0132C105201DAD01-Adequately Organize CorrespondenceDisability Assessment for Dementia - Adequately organize his/her correspondence with respect to stationery, address, stamps?DAD - Adequately Organize Correspondence
DAD0133C105202DAD01-Handle Money AdequatelyDisability Assessment for Dementia - Handle his/her money adequately (deal with cash)?DAD - Handle Money Adequately
DAD0134C105203DAD01-Take Medications at Correct TimeDisability Assessment for Dementia - Decide to take his/her medications at the correct time?DAD - Decide to Take Medications at the Correct Time
DAD0135C105204DAD01-Take Medications as PrescribedDisability Assessment for Dementia - Take his/her medications as prescribed (according to the right dosage)?DAD - Take Medications as Prescribed
DAD0136C105205DAD01-Show Interest in Leisure ActivityDisability Assessment for Dementia - Show an interest in leisure activity(ies)?DAD - Show an Interest in Leisure Activities
DAD0137C105206DAD01-Take Interest in Household ChoresDisability Assessment for Dementia - Take an interest in household chores that he/she used to perform in the past?DAD - Take an Interest in Household Chores as in the Past
DAD0138C105207DAD01-Plan Organize Household ChoresDisability Assessment for Dementia - Plan and organize adequately household chores that he/she used to perform in the past?DAD - Plan and Organize Adequately Household Chores as in the Past
DAD0139C105208DAD01-Complete Household ChoresDisability Assessment for Dementia - Complete household chores adequately as he/she used to perform in the past?DAD - Complete Household Chores Adequately as in the Past
DAD0140C105209DAD01-Stay Safely at Home When NeededDisability Assessment for Dementia - Stay safely at home by himself/herself when needed?DAD - Stay Safely at Home When Needed
DAD0141C111577DAD01-Sub-Total InitiationDisability Assessment for Dementia - Sub-Total Initiation.DAD - Sub-Total Initiation
DAD0142C111578DAD01-Initiation Num Applic ItemsDisability Assessment for Dementia - Sub-Total Initiation Number of Applicable Items.DAD - Total Initiation Number of Applicable Items
DAD0143C111579DAD01-Sub-Total Planning & OrganizationDisability Assessment for Dementia - Sub-Total Planning & Organization.DAD - Sub-Total Planning and Organization
DAD0144C111617DAD01-Plan & Org Num Applic ItemsDisability Assessment for Dementia - Sub-Total Planning & Organization Number of Applicable Items.DAD - Plan and Organize Number of Applicable Items
DAD0145C111580DAD01-Sub-Total Effective PerformanceDisability Assessment for Dementia - Sub-Total Effective Performance.DAD - Sub-Total Effective Performance
DAD0146C111581DAD01-Effective Perf Num Applic ItemsDisability Assessment for Dementia - Sub-Total Effective Performance Number of Applicable Items.DAD - Sub-Total Effective Performance Number of Applicable Items
DAD0147C111582DAD01-Total ScoreDisability Assessment for Dementia - Total Score.DAD - Total Score
DAD0148C111583DAD01-Total Num of Applic ItemsDisability Assessment for Dementia - Total Number of Applicable Items.DAD - Total Number of Applicable Items
DAD0149C111584DAD01-Total %Disability Assessment for Dementia - Total %.DAD - Total Percent
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CL.C105129.DAD01TNDisability Assessment for Dementia Questionnaire Test Name
(DAD01TN)
text
Extensible: No
C105129Disability Assessment for Dementia Questionnaire Test NameDisability Assessment for Dementia test name.CDISC Questionnaire DAD Test Name Terminology
DAD01-Adequately Organize an OutingC105195DAD01-Adequately Organize an OutingDisability Assessment for Dementia - Adequately organize an outing with respect to transportation, keys, destination, weather, necessary money, shopping list?DAD - Adequately Organize an Outing with Respect to Transportation, Keys, Destination, Weather, Money, Shopping List
DAD01-Adequately Organize CorrespondenceC105201DAD01-Adequately Organize CorrespondenceDisability Assessment for Dementia - Adequately organize his/her correspondence with respect to stationery, address, stamps?DAD - Adequately Organize Correspondence
DAD01-Adequately Plan Light Meal SnackC105188DAD01-Adequately Plan Light Meal SnackDisability Assessment for Dementia - Adequately plan a light meal or snack (ingredients, cookware)?DAD - Adequately Plan a Light Meal or Snack
DAD01-Brush Teeth Take Care of DenturesC105175DAD01-Brush Teeth Take Care of DenturesDisability Assessment for Dementia - Brush his/her teeth or take care of his/her dentures appropriately?DAD - Brush Teeth or Take Care of Dentures Appropriately
DAD01-Carry Out Telephone ConversationC105192DAD01-Carry Out Telephone ConversationDisability Assessment for Dementia - Carry out an appropriate telephone conversation?DAD - Carry Out an Appropriate Telephone Conversation
DAD01-Choose Appropriate ClothingC105178DAD01-Choose Appropriate ClothingDisability Assessment for Dementia - Choose appropriate clothing (with regard to the occasion, neatness, the weather and color combination)?DAD - Choose Appropriate Clothing
DAD01-Choose Appropriate UtensilsC105185DAD01-Choose Appropriate UtensilsDisability Assessment for Dementia - Choose appropriate utensils and seasonings when eating?DAD - Choose Appropriate Utensils and Seasonings When Eating
DAD01-Complete Household ChoresC105208DAD01-Complete Household ChoresDisability Assessment for Dementia - Complete household chores adequately as he/she used to perform in the past?DAD - Complete Household Chores Adequately as in the Past
DAD01-Decide That He/She Needs to EatC105184DAD01-Decide That He/She Needs to EatDisability Assessment for Dementia - Decide that he/she needs to eat?DAD - Decide That He/She Needs to Eat
DAD01-Decide to Brush Teeth DenturesC105171DAD01-Decide to Brush Teeth DenturesDisability Assessment for Dementia - Decide to brush his/her teeth or care for his/her dentures?DAD - Decide to Brush Teeth or Care for Dentures
DAD01-Decide to Care For HairC105172DAD01-Decide to Care For HairDisability Assessment for Dementia - Decide to care for his/her hair (wash and comb)?DAD - Decide to Care for His/Her Hair
DAD01-Decide to DressC105177DAD01-Decide to DressDisability Assessment for Dementia - Decide to dress himself/herself?DAD - Decide to Dress Himself/Herself
DAD01-Decide to Go OutC105194DAD01-Decide to Go OutDisability Assessment for Dementia - Decide to go out (walk, visit, shop) at an appropriate time?DAD - Decide to Go Out at an Appropriate Time
DAD01-Decide to Prepare Meal SnackC105187DAD01-Decide to Prepare Meal SnackDisability Assessment for Dementia - Decide to prepare a light meal or snack for himself/herself?DAD - Decide to Prepare a Light Meal or Snack for Himself/Herself
DAD01-Decide to WashC105170DAD01-Decide to WashDisability Assessment for Dementia - Decide to wash himself/herself or to take a bath or shower?DAD - Decide to Wash or Take a Bath or Shower
DAD01-Dress CompletelyC105180DAD01-Dress CompletelyDisability Assessment for Dementia - Dress himself/herself completely?DAD - Dress Himself/Herself Completely
DAD01-Dress in Appropriate OrderC105179DAD01-Dress in Appropriate OrderDisability Assessment for Dementia - Dress himself/herself in the appropriate order (undergarments, pant/dress, shoes)?DAD - Dress in the Appropriate Order
DAD01-Eat at Normal Pace With MannersC105186DAD01-Eat at Normal Pace With MannersDisability Assessment for Dementia - Eat his/her meals at a normal pace and with appropriate manners?DAD - Eat Meals at a Normal Pace and with Appropriate Manners
DAD01-Effective Perf Num Applic ItemsC111581DAD01-Effective Perf Num Applic ItemsDisability Assessment for Dementia - Sub-Total Effective Performance Number of Applicable Items.DAD - Sub-Total Effective Performance Number of Applicable Items
DAD01-Find and Dial Telephone NumberC105191DAD01-Find and Dial Telephone NumberDisability Assessment for Dementia - Find and dial a telephone number correctly?DAD - Find and Dial a Telephone Number Correctly
DAD01-Go Out Without Getting LostC105196DAD01-Go Out Without Getting LostDisability Assessment for Dementia - Go out and reach a familiar destination without getting lost?DAD - Go Out and Reach a Familiar Destination Without Getting Lost
DAD01-Handle Money AdequatelyC105202DAD01-Handle Money AdequatelyDisability Assessment for Dementia - Handle his/her money adequately (deal with cash)?DAD - Handle Money Adequately
DAD01-Initiation Num Applic ItemsC111578DAD01-Initiation Num Applic ItemsDisability Assessment for Dementia - Sub-Total Initiation Number of Applicable Items.DAD - Total Initiation Number of Applicable Items
DAD01-Organize Finances to Pay BillsC105200DAD01-Organize Finances to Pay BillsDisability Assessment for Dementia - Organize his/her finances to pay his/her bills (checks, bank statement, bills)?DAD - Organize Finances to Pay Bills
DAD01-Plan & Org Num Applic ItemsC111617DAD01-Plan & Org Num Applic ItemsDisability Assessment for Dementia - Sub-Total Planning & Organization Number of Applicable Items.DAD - Plan and Organize Number of Applicable Items
DAD01-Plan Organize Household ChoresC105207DAD01-Plan Organize Household ChoresDisability Assessment for Dementia - Plan and organize adequately household chores that he/she used to perform in the past?DAD - Plan and Organize Adequately Household Chores as in the Past
DAD01-Prepare For Washing Bath ShowerC105173DAD01-Prepare For Washing Bath ShowerDisability Assessment for Dementia - Prepare the water, towels, and soap for washing, taking a bath or a shower?DAD - Prepare the Water, Towels, and Soap for Washing, Taking a Bath or Shower
DAD01-Prepare or Cook Light Meal SnackC105189DAD01-Prepare or Cook Light Meal SnackDisability Assessment for Dementia - Prepare or cook a light meal or a snack safely?DAD - Safely Prepare or Cook a Light Meal or Snack
DAD01-Return From Store With ItemsC105198DAD01-Return From Store With ItemsDisability Assessment for Dementia - Return from the store with the appropriate items?DAD - Return From the Store with Appropriate Items
DAD01-Safely Take TransportationC105197DAD01-Safely Take TransportationDisability Assessment for Dementia - Safely take the adequate mode of transportation (car, bus, taxi)?DAD - Safely Take the Adequate Mode of Transportation
DAD01-Show Interest in Leisure ActivityC105205DAD01-Show Interest in Leisure ActivityDisability Assessment for Dementia - Show an interest in leisure activity(ies)?DAD - Show an Interest in Leisure Activities
DAD01-Show Interest in Personal AffairsC105199DAD01-Show Interest in Personal AffairsDisability Assessment for Dementia - Show an interest in his/her personal affairs such as his/her finances and written correspondence?DAD - Show an Interest in Personal Affairs such as Finances and Written Correspondence
DAD01-Stay Safely at Home When NeededC105209DAD01-Stay Safely at Home When NeededDisability Assessment for Dementia - Stay safely at home by himself/herself when needed?DAD - Stay Safely at Home When Needed
DAD01-Sub-Total Effective PerformanceC111580DAD01-Sub-Total Effective PerformanceDisability Assessment for Dementia - Sub-Total Effective Performance.DAD - Sub-Total Effective Performance
DAD01-Sub-Total InitiationC111577DAD01-Sub-Total InitiationDisability Assessment for Dementia - Sub-Total Initiation.DAD - Sub-Total Initiation
DAD01-Sub-Total Planning & OrganizationC111579DAD01-Sub-Total Planning & OrganizationDisability Assessment for Dementia - Sub-Total Planning & Organization.DAD - Sub-Total Planning and Organization
DAD01-Take Care of HairC105176DAD01-Take Care of HairDisability Assessment for Dementia - Take care of his/her hair (wash and comb)?DAD - Take Care of His/Her Hair
DAD01-Take Interest in Household ChoresC105206DAD01-Take Interest in Household ChoresDisability Assessment for Dementia - Take an interest in household chores that he/she used to perform in the past?DAD - Take an Interest in Household Chores as in the Past
DAD01-Take Medications as PrescribedC105204DAD01-Take Medications as PrescribedDisability Assessment for Dementia - Take his/her medications as prescribed (according to the right dosage)?DAD - Take Medications as Prescribed
DAD01-Take Medications at Correct TimeC105203DAD01-Take Medications at Correct TimeDisability Assessment for Dementia - Decide to take his/her medications at the correct time?DAD - Decide to Take Medications at the Correct Time
DAD01-Telephone Someone at Suitable TimeC105190DAD01-Telephone Someone at Suitable TimeDisability Assessment for Dementia - Attempt to telephone someone at a suitable time?DAD - Attempt to Telephone Someone at a Suitable Time
DAD01-Total %C111584DAD01-Total %Disability Assessment for Dementia - Total %.DAD - Total Percent
DAD01-Total Num of Applic ItemsC111583DAD01-Total Num of Applic ItemsDisability Assessment for Dementia - Total Number of Applicable Items.DAD - Total Number of Applicable Items
DAD01-Total ScoreC111582DAD01-Total ScoreDisability Assessment for Dementia - Total Score.DAD - Total Score
DAD01-Undress CompletelyC105181DAD01-Undress CompletelyDisability Assessment for Dementia - Undress himself/herself completely?DAD - Undress Himself/Herself Completely
DAD01-Use Toilet at Appropriate TimesC105182DAD01-Use Toilet at Appropriate TimesDisability Assessment for Dementia - Decide to use the toilet at appropriate times?DAD - Decide to Use the Toilet at Appropriate Times
DAD01-Use Toilet Without AccidentsC105183DAD01-Use Toilet Without AccidentsDisability Assessment for Dementia - Use the toilet without 'accidents'?DAD - Use the Toilet Without Accidents
DAD01-Wash and Dry Body SafelyC105174DAD01-Wash and Dry Body SafelyDisability Assessment for Dementia - Wash and dry all parts of his/her body safely and completely?DAD - Wash and Dry All Parts of Body Safely and Completely
DAD01-Write Convey Telephone MessageC105193DAD01-Write Convey Telephone MessageDisability Assessment for Dementia - Write and convey a telephone message adequately?DAD - Write and Convey a Telephone Message Adequately
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CL.C115402.DRS01TCDisability Rating Scale Clinical Classification Test Code
(DRS01TC)
text
Extensible: No
C115402Disability Rating Scale Clinical Classification Test CodeDisability Rating Scale test code.CDISC Clinical Classification DRS Test Code Terminology
DRS0101C115820DRS01-Eye OpeningDisability Rating Scale - Eye opening.DRS - Eye Opening
DRS0102C115821DRS01-Communication AbilityDisability Rating Scale - Communication ability.DRS - Communication Ability
DRS0103C115822DRS01-Motor ResponseDisability Rating Scale - Motor response.DRS - Motor Response
DRS0104C115823DRS01-FeedingDisability Rating Scale - Feeding (cognitive ability only).DRS - Feeding
DRS0105C115824DRS01-ToiletingDisability Rating Scale - Toileting (cognitive ability only).DRS - Toileting
DRS0106C115825DRS01-GroomingDisability Rating Scale - Grooming (cognitive ability only).DRS - Grooming
DRS0107C115826DRS01-Level of FunctioningDisability Rating Scale - Level of functioning (physical, mental, emotional or social function).DRS - Level of Functioning
DRS0108C115827DRS01-EmployabilityDisability Rating Scale - Employability (as a full time worker, homemaker, or student).DRS - Employability
DRS0109C176220DRS01-Total ScoreDisability Rating Scale - Total score.DRS - Total Score
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CL.C115401.DRS01TNDisability Rating Scale Clinical Classification Test Name
(DRS01TN)
text
Extensible: No
C115401Disability Rating Scale Clinical Classification Test NameDisability Rating Scale test name.CDISC Clinical Classification DRS Test Name Terminology
DRS01-Communication AbilityC115821DRS01-Communication AbilityDisability Rating Scale - Communication ability.DRS - Communication Ability
DRS01-EmployabilityC115827DRS01-EmployabilityDisability Rating Scale - Employability (as a full time worker, homemaker, or student).DRS - Employability
DRS01-Eye OpeningC115820DRS01-Eye OpeningDisability Rating Scale - Eye opening.DRS - Eye Opening
DRS01-FeedingC115823DRS01-FeedingDisability Rating Scale - Feeding (cognitive ability only).DRS - Feeding
DRS01-GroomingC115825DRS01-GroomingDisability Rating Scale - Grooming (cognitive ability only).DRS - Grooming
DRS01-Level of FunctioningC115826DRS01-Level of FunctioningDisability Rating Scale - Level of functioning (physical, mental, emotional or social function).DRS - Level of Functioning
DRS01-Motor ResponseC115822DRS01-Motor ResponseDisability Rating Scale - Motor response.DRS - Motor Response
DRS01-ToiletingC115824DRS01-ToiletingDisability Rating Scale - Toileting (cognitive ability only).DRS - Toileting
DRS01-Total ScoreC176220DRS01-Total ScoreDisability Rating Scale - Total score.DRS - Total Score
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CL.C112437.DS01TCDisease Steps Clinical Classification Test Code
(DS01TC)
text
Extensible: No
C112437Disease Steps Clinical Classification Test CodeDisease Steps test code.CDISC Clinical Classification DS Test Code Terminology
DS0101C112549DS01-Disease Steps ClassificationDisease Steps - Methods: For Disease Steps, classification of a patient is determined by history and neurologic examination as well as course of MS.DS - Disease Steps Classification
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CL.C112436.DS01TNDisease Steps Clinical Classification Test Name
(DS01TN)
text
Extensible: No
C112436Disease Steps Clinical Classification Test NameDisease Steps test name.CDISC Clinical Classification DS Test Name Terminology
DS01-Disease Steps ClassificationC112549DS01-Disease Steps ClassificationDisease Steps - Methods: For Disease Steps, classification of a patient is determined by history and neurologic examination as well as course of MS.DS - Disease Steps Classification
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CL.C179943.ECOG101OREastern Cooperative Oncology Group Performance Status Clinical Classification ORRES for ECOG101 TN/TC
(ECOG101OR)
text
Extensible: No
C179943Eastern Cooperative Oncology Group Performance Status Clinical Classification ORRES for ECOG101 TN/TCEastern Cooperative Oncology Group Performance Status original result for ECOG101 test and test code.CDISC Clinical Classification Eastern Cooperative Oncology Group Performance Status ECOG101 Original Response Terminology
Ambulatory and capable of all selfcare but unable to carry out any work activities. Up and about more than 50% of waking hoursC180251ECOG101-Ambulatory and capable of all selfcare but unable to carry out any work activities. Up and about more than 50% of waking hoursEastern Cooperative Oncology Group Performance Status original result for ECOG101-Ambulatory and capable of all selfcare but unable to carry out any work activities. Up and about more than 50% of waking hours.Eastern Cooperative Oncology Group Performance Status ECOG101 Original Result - Ambulatory And Capable Of All Selfcare But Unable To Carry Out Any Work Activities. Up And About More Than 50% Of Waking Hours
Capable of only limited selfcare, confined to bed or chair more than 50% of waking hoursC180252ECOG101-Capable of only limited selfcare, confined to bed or chair more than 50% of waking hoursEastern Cooperative Oncology Group Performance Status original result for ECOG101-Capable of only limited selfcare, confined to bed or chair more than 50% of waking hours.Eastern Cooperative Oncology Group Performance Status ECOG101 Original Result - Capable Of Only Limited Selfcare, Confined To Bed Or Chair More Than 50% Of Waking Hours
Completely disabled. Cannot carry on any selfcare. Totally confined to bed or chairC180253ECOG101-Completely disabled. Cannot carry on any selfcare. Totally confined to bed or chairEastern Cooperative Oncology Group Performance Status original result for ECOG101-Completely disabled. Cannot carry on any selfcare. Totally confined to bed or chair.Eastern Cooperative Oncology Group Performance Status ECOG101 Original Result - Completely Disabled. Cannot Carry On Any Selfcare. Totally Confined To Bed Or Chair
DeadC180254ECOG101-DeadEastern Cooperative Oncology Group Performance Status original result for ECOG101-Dead.Eastern Cooperative Oncology Group Performance Status ECOG101 Original Result - Dead
Fully active, able to carry on all pre-disease performance without restrictionC180249ECOG101-Fully active, able to carry on all pre-disease performance without restrictionEastern Cooperative Oncology Group Performance Status original result for ECOG101-Fully active, able to carry on all pre-disease performance without restriction.Eastern Cooperative Oncology Group Performance Status ECOG101 Original Result - Fully Active, Able To Carry On All Pre-Disease Performance Without Restriction
Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature, e.g., light house work, office workC180250ECOG101-Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature, e.g., light house work, office workEastern Cooperative Oncology Group Performance Status original result for ECOG101-Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature, e.g., light house work, office work.Eastern Cooperative Oncology Group Performance Status ECOG101 Original Result - Restricted In Physically Strenuous Activity But Ambulatory And Able To Carry Out Work Of A Light Or Sedentary Nature, E.G., Light House Work, Office Work
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CL.C179944.ECOG101STREastern Cooperative Oncology Group Performance Status Clinical Classification STRESC for ECOG101 TN/TC
(ECOG101STR)
text
Extensible: No
C179944Eastern Cooperative Oncology Group Performance Status Clinical Classification STRESC for ECOG101 TN/TCEastern Cooperative Oncology Group Performance Status standardized character result for ECOG101 test and test code.CDISC Clinical Classification Eastern Cooperative Oncology Group Performance Status ECOG101 Standardized Character Response Terminology
0C180255ECOG101-0Eastern Cooperative Oncology Group Performance Status standardized character result for ECOG101-Fully active, able to carry on all pre-disease performance without restriction.Eastern Cooperative Oncology Group Performance Status ECOG101 Standardized Character Result 0
1C180256ECOG101-1Eastern Cooperative Oncology Group Performance Status standardized character result for ECOG101-Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature, e.g., light house work, office work.Eastern Cooperative Oncology Group Performance Status ECOG101 Standardized Character Result 1
2C180257ECOG101-2Eastern Cooperative Oncology Group Performance Status standardized character result for ECOG101-Ambulatory and capable of all selfcare but unable to carry out any work activities. Up and about more than 50% of waking hours.Eastern Cooperative Oncology Group Performance Status ECOG101 Standardized Character Result 2
3C180258ECOG101-3Eastern Cooperative Oncology Group Performance Status standardized character result for ECOG101-Capable of only limited selfcare, confined to bed or chair more than 50% of waking hours.Eastern Cooperative Oncology Group Performance Status ECOG101 Standardized Character Result 3
4C180259ECOG101-4Eastern Cooperative Oncology Group Performance Status standardized character result for ECOG101-Completely disabled. Cannot carry on any selfcare. Totally confined to bed or chair.Eastern Cooperative Oncology Group Performance Status ECOG101 Standardized Character Result 4
5C180260ECOG101-5Eastern Cooperative Oncology Group Performance Status standardized character result for ECOG101-Dead.Eastern Cooperative Oncology Group Performance Status ECOG101 Standardized Character Result 5
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CL.C101815.ECOG1TCEastern Cooperative Oncology Group Performance Status Clinical Classification Test Code
(ECOG1TC)
text
Extensible: No
C101815Eastern Cooperative Oncology Group Performance Status Clinical Classification Test CodeEastern Cooperative Oncology Group Performance Status test code.CDISC Clinical Classification ECOG Test Code Terminology
ECOG101C102408ECOG1-Performance StatusECOG Performance Status - Performance Status.ECOG - Performance Status
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CL.C101816.ECOG1TNEastern Cooperative Oncology Group Performance Status Clinical Classification Test Name
(ECOG1TN)
text
Extensible: No
C101816Eastern Cooperative Oncology Group Performance Status Clinical Classification Test NameEastern Cooperative Oncology Group Performance Status test name.CDISC Clinical Classification ECOG Test Name Terminology
ECOG1-Performance StatusC102408ECOG1-Performance StatusECOG Performance Status - Performance Status.ECOG - Performance Status
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CL.C132521.EPDS01TCEdinburgh Postnatal Depression Scale Questionnaire Test Code
(EPDS01TC)
text
Extensible: No
C132521Edinburgh Postnatal Depression Scale Questionnaire Test CodeEdinburgh Postnatal Depression Scale test code.CDISC Questionnaire EPDS Test Code Terminology
EPDS0101C132563EPDS01-Able to Laugh and See Funny SideEdinburgh Postnatal Depression Scale - I have been able to laugh and see the funny side of things.EPDS - Able to Laugh and See Funny Side
EPDS0102C132564EPDS01-Looked Forward With EnjoymentEdinburgh Postnatal Depression Scale - I have looked forward with enjoyment to things.EPDS - Looked Forward With Enjoyment
EPDS0103C132565EPDS01-Blamed Myself UnnecessarilyEdinburgh Postnatal Depression Scale - I have blamed myself unnecessarily when things went wrong.EPDS - Blamed Myself Unnecessarily
EPDS0104C132566EPDS01-Anxious/Worried No Good ReasonEdinburgh Postnatal Depression Scale - I have been anxious or worried for no good reason.EPDS - Anxious or Worried No Good Reason
EPDS0105C132567EPDS01-Scared/Panicky for No Good ReasonEdinburgh Postnatal Depression Scale - I have felt scared or panicky for no very good reason.EPDS - Scared or Panicky for No Good Reason
EPDS0106C132568EPDS01-Things Getting on Top of MeEdinburgh Postnatal Depression Scale - Things have been getting on top of me.EPDS - Things Getting on Top of Me
EPDS0107C132569EPDS01-Unhappy Had Difficulty SleepingEdinburgh Postnatal Depression Scale - I have been so unhappy that I have had difficulty sleeping.EPDS - Unhappy Had Difficulty Sleeping
EPDS0108C132570EPDS01-I Have Felt Sad or MiserableEdinburgh Postnatal Depression Scale - I have felt sad or miserable.EPDS - I Have Felt Sad or Miserable
EPDS0109C132571EPDS01-So Unhappy I Have Been CryingEdinburgh Postnatal Depression Scale - I have been so unhappy that I have been crying.EPDS - So Unhappy I Have Been Crying
EPDS0110C132572EPDS01-Thought of Harming MyselfEdinburgh Postnatal Depression Scale - The thought of harming myself has occurred to me.EPDS - Thought of Harming Myself
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CL.C132520.EPDS01TNEdinburgh Postnatal Depression Scale Questionnaire Test Name
(EPDS01TN)
text
Extensible: No
C132520Edinburgh Postnatal Depression Scale Questionnaire Test NameEdinburgh Postnatal Depression Scale test name.CDISC Questionnaire EPDS Test Name Terminology
EPDS01-Able to Laugh and See Funny SideC132563EPDS01-Able to Laugh and See Funny SideEdinburgh Postnatal Depression Scale - I have been able to laugh and see the funny side of things.EPDS - Able to Laugh and See Funny Side
EPDS01-Anxious/Worried No Good ReasonC132566EPDS01-Anxious/Worried No Good ReasonEdinburgh Postnatal Depression Scale - I have been anxious or worried for no good reason.EPDS - Anxious or Worried No Good Reason
EPDS01-Blamed Myself UnnecessarilyC132565EPDS01-Blamed Myself UnnecessarilyEdinburgh Postnatal Depression Scale - I have blamed myself unnecessarily when things went wrong.EPDS - Blamed Myself Unnecessarily
EPDS01-I Have Felt Sad or MiserableC132570EPDS01-I Have Felt Sad or MiserableEdinburgh Postnatal Depression Scale - I have felt sad or miserable.EPDS - I Have Felt Sad or Miserable
EPDS01-Looked Forward With EnjoymentC132564EPDS01-Looked Forward With EnjoymentEdinburgh Postnatal Depression Scale - I have looked forward with enjoyment to things.EPDS - Looked Forward With Enjoyment
EPDS01-Scared/Panicky for No Good ReasonC132567EPDS01-Scared/Panicky for No Good ReasonEdinburgh Postnatal Depression Scale - I have felt scared or panicky for no very good reason.EPDS - Scared or Panicky for No Good Reason
EPDS01-So Unhappy I Have Been CryingC132571EPDS01-So Unhappy I Have Been CryingEdinburgh Postnatal Depression Scale - I have been so unhappy that I have been crying.EPDS - So Unhappy I Have Been Crying
EPDS01-Things Getting on Top of MeC132568EPDS01-Things Getting on Top of MeEdinburgh Postnatal Depression Scale - Things have been getting on top of me.EPDS - Things Getting on Top of Me
EPDS01-Thought of Harming MyselfC132572EPDS01-Thought of Harming MyselfEdinburgh Postnatal Depression Scale - The thought of harming myself has occurred to me.EPDS - Thought of Harming Myself
EPDS01-Unhappy Had Difficulty SleepingC132569EPDS01-Unhappy Had Difficulty SleepingEdinburgh Postnatal Depression Scale - I have been so unhappy that I have had difficulty sleeping.EPDS - Unhappy Had Difficulty Sleeping
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CL.C161627.ETRP01TCEmory Treatment Resistance Interview for PTSD Clinical Classification Test Code
(ETRP01TC)
text
Extensible: No
C161627Emory Treatment Resistance Interview for PTSD Clinical Classification Test CodeEmory Treatment Resistance Interview for PTSD test code.CDISC Clinical Classification E-TRIP Test Code Terminology
ETRP0101C161760ETRP01-Medication Total PointsEmory Treatment Resistance Interview for PTSD - Medication total points.E-TRIP - Medication Total Points
ETRP0102C161761ETRP01-Psychotherapy Total PointsEmory Treatment Resistance Interview for PTSD - Psychotherapy total points.E-TRIP - Psychotherapy Total Points
ETRP0103C161762ETRP01-Total PointsEmory Treatment Resistance Interview for PTSD - Total points.E-TRIP - Total Points
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CL.C161626.ETRP01TNEmory Treatment Resistance Interview for PTSD Clinical Classification Test Name
(ETRP01TN)
text
Extensible: No
C161626Emory Treatment Resistance Interview for PTSD Clinical Classification Test NameEmory Treatment Resistance Interview for PTSD test name.CDISC Clinical Classification E-TRIP Test Name Terminology
ETRP01-Medication Total PointsC161760ETRP01-Medication Total PointsEmory Treatment Resistance Interview for PTSD - Medication total points.E-TRIP - Medication Total Points
ETRP01-Psychotherapy Total PointsC161761ETRP01-Psychotherapy Total PointsEmory Treatment Resistance Interview for PTSD - Psychotherapy total points.E-TRIP - Psychotherapy Total Points
ETRP01-Total PointsC161762ETRP01-Total PointsEmory Treatment Resistance Interview for PTSD - Total points.E-TRIP - Total Points
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CL.C150768.EMO1TCEmotion Recognition Functional Test Test Code
(EMO1TC)
text
Extensible: No
C150768Emotion Recognition Functional Test Test CodeEmotion Recognition test code.CDISC Functional Test ERT Test Code Terminology
EMO101C150926EMO1-Total Stimuli ExpectedEmotion Recognition - Total number of stimuli (face images) expected to be administered in the task.ERT - Total Stimuli Expected
EMO102C150927EMO1-Total Stimuli AdministeredEmotion Recognition - Total number of stimuli (face images) actually administered in the task.ERT - Total Stimuli Administered
EMO103C150928EMO1-Total Stimuli CompletedEmotion Recognition - Total number of stimuli (face images) actually completed in the task.ERT - Total Stimuli Completed
EMO103AC150929EMO1-Total Stimuli Response CorrectEmotion Recognition - Total number of stimuli (face images) for which the participant's response was correct.ERT - Total Stimuli Response Correct
EMO103BC150930EMO1-Total Stimuli Response IncorrectEmotion Recognition - Total number of stimuli (face images) for which the participant's response was incorrect.ERT - Total Stimuli Response Incorrect
EMO103CC150931EMO1-Total Stimuli Not RespondedEmotion Recognition - Total number of stimuli (face images) for which the participant has not responded.ERT - Total Stimuli Not Responded
EMO104C150932EMO1-Total Negative Stimuli ExpectedEmotion Recognition - Total number of negative emotion stimuli (face images) expected to be administered in the task.ERT - Total Negative Stimuli Expected
EMO105C150933EMO1-Total Negative Stimuli AdministeredEmotion Recognition - Total number of negative emotion stimuli (face images) actually administered in the task.ERT - Total Negative Stimuli Administered
EMO106C150934EMO1-Total Negative Stimuli CompletedEmotion Recognition - Total number of negative emotion stimuli (face images) actually completed in the task.ERT - Total Negative Stimuli Completed
EMO106AC150935EMO1-Total Negative Stimuli CorrectEmotion Recognition - Total number of negative emotion stimuli (face images) for which the participant's response was correct.ERT - Total Negative Stimuli Correct
EMO106BC150936EMO1-Total Negative Stimuli IncorrectEmotion Recognition - Total number of negative emotion stimuli (face images) for which the participant's response was incorrect.ERT - Total Negative Stimuli Incorrect
EMO106CC150937EMO1-Total Negative Stimuli Not RespondEmotion Recognition - Total number of negative emotion stimuli (face images) for which the participant has not responded.ERT - Total Negative Stimuli Not Respond
EMO107C150938EMO1-Number Stimuli Portraying AngerEmotion Recognition - Number of stimuli defined as portraying anger.ERT - Number Stimuli Portraying Anger
EMO107AC150939EMO1-Anger Responded as AngerEmotion Recognition - Number of anger stimuli responded to as anger.ERT - Anger Responded as Anger
EMO107BC150940EMO1-Anger Responded as DisgustEmotion Recognition - Number of anger stimuli responded to as disgust.ERT - Anger Responded as Disgust
EMO107CC150941EMO1-Anger Responded as FearEmotion Recognition - Number of anger stimuli responded to as fear.ERT - Anger Responded as Fear
EMO107DC150942EMO1-Anger Responded as HappinessEmotion Recognition - Number of anger stimuli responded to as happiness.ERT - Anger Responded as Happiness
EMO107EC150943EMO1-Anger Responded as NeutralEmotion Recognition - Number of anger stimuli responded to as neutral.ERT - Anger Responded as Neutral
EMO107FC150944EMO1-Anger Responded as SadnessEmotion Recognition - Number of anger stimuli responded to as sadness.ERT - Anger Responded as Sadness
EMO107GC150945EMO1-Anger Responded as SurpriseEmotion Recognition - Number of anger stimuli responded to as surprise.ERT - Anger Responded as Surprise
EMO108C150946EMO1-Number Stimuli Portraying DisgustEmotion Recognition - Number of stimuli defined as portraying disgust.ERT - Number Stimuli Portraying Disgust
EMO108AC150947EMO1-Disgust Responded as AngerEmotion Recognition - Number of disgust stimuli responded to as anger.ERT - Disgust Responded as Anger
EMO108BC150948EMO1-Disgust Responded as DisgustEmotion Recognition - Number of disgust stimuli responded to as disgust.ERT - Disgust Responded as Disgust
EMO108CC150949EMO1-Disgust Responded as FearEmotion Recognition - Number of disgust stimuli responded to as fear.ERT - Disgust Responded as Fear
EMO108DC150950EMO1-Disgust Responded as HappinessEmotion Recognition - Number of disgust stimuli responded to as happiness.ERT - Disgust Responded as Happiness
EMO108EC150951EMO1-Disgust Responded as NeutralEmotion Recognition - Number of disgust stimuli responded to as neutral.ERT - Disgust Responded as Neutral
EMO108FC150952EMO1-Disgust Responded as SadnessEmotion Recognition - Number of disgust stimuli responded to as sadness.ERT - Disgust Responded as Sadness
EMO108GC150953EMO1-Disgust Responded as SurpriseEmotion Recognition - Number of disgust stimuli responded to as surprise.ERT - Disgust Responded as Surprise
EMO109C150954EMO1-Number Stimuli Portraying FearEmotion Recognition - Number of stimuli defined as portraying fear.ERT - Number Stimuli Portraying Fear
EMO109AC150955EMO1-Fear Responded as AngerEmotion Recognition - Number of fear stimuli responded to as anger.ERT - Fear Responded as Anger
EMO109BC150956EMO1-Fear Responded as DisgustEmotion Recognition - Number of fear stimuli responded to as disgust.ERT - Fear Responded as Disgust
EMO109CC150957EMO1-Fear Responded as FearEmotion Recognition - Number of fear stimuli responded to as fear.ERT - Fear Responded as Fear
EMO109DC150958EMO1-Fear Responded as HappinessEmotion Recognition - Number of fear stimuli responded to as happiness.ERT - Fear Responded as Happiness
EMO109EC150959EMO1-Fear Responded as NeutralEmotion Recognition - Number of fear stimuli responded to as neutral.ERT - Fear Responded as Neutral
EMO109FC150960EMO1-Fear Responded as SadnessEmotion Recognition - Number of fear stimuli responded to as sadness.ERT - Fear Responded as Sadness
EMO109GC150961EMO1-Fear Responded as SurpriseEmotion Recognition - Number of fear stimuli responded to as surprise.ERT - Fear Responded as Surprise
EMO110C150962EMO1-Number Stimuli Portraying HappinessEmotion Recognition - Number of stimuli defined as portraying happiness.ERT - Number Stimuli Portraying Happiness
EMO110AC150963EMO1-Happiness Responded as AngerEmotion Recognition - Number of happiness stimuli responded to as anger.ERT - Happiness Responded as Anger
EMO110BC150964EMO1-Happiness Responded as DisgustEmotion Recognition - Number of happiness stimuli responded to as disgust.ERT - Happiness Responded as Disgust
EMO110CC150965EMO1-Happiness Responded as FearEmotion Recognition - Number of happiness stimuli responded to as fear.ERT - Happiness Responded as Fear
EMO110DC150966EMO1-Happiness Responded as HappinessEmotion Recognition - Number of happiness stimuli responded to as happiness.ERT - Happiness Responded as Happiness
EMO110EC150967EMO1-Happiness Responded as NeutralEmotion Recognition - Number of happiness stimuli responded to as neutral.ERT - Happiness Responded as Neutral
EMO110FC150968EMO1-Happiness Responded as SadnessEmotion Recognition - Number of happiness stimuli responded to as sadness.ERT - Happiness Responded as Sadness
EMO110GC150969EMO1-Happiness Responded as SurpriseEmotion Recognition - Number of happiness stimuli responded to as surprise.ERT - Happiness Responded as Surprise
EMO111C150970EMO1-Number Stimuli Portraying NeutralEmotion Recognition - Number of stimuli defined as portraying a neutral expression.ERT - Number Stimuli Portraying Neutral
EMO111AC150971EMO1-Neutral Responded as AngerEmotion Recognition - Number of neutral stimuli responded to as anger.ERT - Neutral Responded as Anger
EMO111BC150972EMO1-Neutral Responded as DisgustEmotion Recognition - Number of neutral stimuli responded to as disgust.ERT - Neutral Responded as Disgust
EMO111CC150973EMO1-Neutral Responded as FearEmotion Recognition - Number of neutral stimuli responded to as fear.ERT - Neutral Responded as Fear
EMO111DC150974EMO1-Neutral Responded as HappinessEmotion Recognition - Number of neutral stimuli responded to as happiness.ERT - Neutral Responded as Happiness
EMO111EC150975EMO1-Neutral Responded as NeutralEmotion Recognition - Number of neutral stimuli responded to as neutral.ERT - Neutral Responded as Neutral
EMO111FC150976EMO1-Neutral Responded as SadnessEmotion Recognition - Number of neutral stimuli responded to as sadness.ERT - Neutral Responded as Sadness
EMO111GC150977EMO1-Neutral Responded as SurpriseEmotion Recognition - Number of neutral stimuli responded to as surprise.ERT - Neutral Responded as Surprise
EMO112C150978EMO1-Number Stimuli Portraying SadnessEmotion Recognition - Number of stimuli defined as portraying sadness.ERT - Number Stimuli Portraying Sadness
EMO112AC150979EMO1-Sadness Responded as AngerEmotion Recognition - Number of sadness stimuli responded to as anger.ERT - Sadness Responded as Anger
EMO112BC150980EMO1-Sadness Responded as DisgustEmotion Recognition - Number of sadness stimuli responded to as disgust.ERT - Sadness Responded as Disgust
EMO112CC150981EMO1-Sadness Responded as FearEmotion Recognition - Number of sadness stimuli responded to as fear.ERT - Sadness Responded as Fear
EMO112DC150982EMO1-Sadness Responded as HappinessEmotion Recognition - Number of sadness stimuli responded to as happiness.ERT - Sadness Responded as Happiness
EMO112EC150983EMO1-Sadness Responded as NeutralEmotion Recognition - Number of sadness stimuli responded to as neutral.ERT - Sadness Responded as Neutral
EMO112FC150984EMO1-Sadness Responded as SadnessEmotion Recognition - Number of sadness stimuli responded to as sadness.ERT - Sadness Responded as Sadness
EMO112GC150985EMO1-Sadness Responded as SurpriseEmotion Recognition - Number of sadness stimuli responded to as surprise.ERT - Sadness Responded as Surprise
EMO113C150986EMO1-Number Stimuli Portraying SurpriseEmotion Recognition - Number of stimuli defined as portraying surprise.ERT - Number Stimuli Portraying Surprise
EMO113AC150987EMO1-Surprise Responded as AngerEmotion Recognition - Number of surprise stimuli responded to as anger.ERT - Surprise Responded as Anger
EMO113BC150988EMO1-Surprise Responded as DisgustEmotion Recognition - Number of surprise stimuli responded to as disgust.ERT - Surprise Responded as Disgust
EMO113CC150989EMO1-Surprise Responded as FearEmotion Recognition - Number of surprise stimuli responded to as fear.ERT - Surprise Responded as Fear
EMO113DC150990EMO1-Surprise Responded as HappinessEmotion Recognition - Number of surprise stimuli responded to as happiness.ERT - Surprise Responded as Happiness
EMO113EC150991EMO1-Surprise Responded as NeutralEmotion Recognition - Number of surprise stimuli responded to as neutral.ERT - Surprise Responded as Neutral
EMO113FC150992EMO1-Surprise Responded as SadnessEmotion Recognition - Number of surprise stimuli responded to as sadness.ERT - Surprise Responded as Sadness
EMO113GC150993EMO1-Surprise Responded as SurpriseEmotion Recognition - Number of surprise stimuli responded to as surprise.ERT - Surprise Responded as Surprise
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CL.C150767.EMO1TNEmotion Recognition Functional Test Test Name
(EMO1TN)
text
Extensible: No
C150767Emotion Recognition Functional Test Test NameEmotion Recognition test name.CDISC Functional Test ERT Test Name Terminology
EMO1-Anger Responded as AngerC150939EMO1-Anger Responded as AngerEmotion Recognition - Number of anger stimuli responded to as anger.ERT - Anger Responded as Anger
EMO1-Anger Responded as DisgustC150940EMO1-Anger Responded as DisgustEmotion Recognition - Number of anger stimuli responded to as disgust.ERT - Anger Responded as Disgust
EMO1-Anger Responded as FearC150941EMO1-Anger Responded as FearEmotion Recognition - Number of anger stimuli responded to as fear.ERT - Anger Responded as Fear
EMO1-Anger Responded as HappinessC150942EMO1-Anger Responded as HappinessEmotion Recognition - Number of anger stimuli responded to as happiness.ERT - Anger Responded as Happiness
EMO1-Anger Responded as NeutralC150943EMO1-Anger Responded as NeutralEmotion Recognition - Number of anger stimuli responded to as neutral.ERT - Anger Responded as Neutral
EMO1-Anger Responded as SadnessC150944EMO1-Anger Responded as SadnessEmotion Recognition - Number of anger stimuli responded to as sadness.ERT - Anger Responded as Sadness
EMO1-Anger Responded as SurpriseC150945EMO1-Anger Responded as SurpriseEmotion Recognition - Number of anger stimuli responded to as surprise.ERT - Anger Responded as Surprise
EMO1-Disgust Responded as AngerC150947EMO1-Disgust Responded as AngerEmotion Recognition - Number of disgust stimuli responded to as anger.ERT - Disgust Responded as Anger
EMO1-Disgust Responded as DisgustC150948EMO1-Disgust Responded as DisgustEmotion Recognition - Number of disgust stimuli responded to as disgust.ERT - Disgust Responded as Disgust
EMO1-Disgust Responded as FearC150949EMO1-Disgust Responded as FearEmotion Recognition - Number of disgust stimuli responded to as fear.ERT - Disgust Responded as Fear
EMO1-Disgust Responded as HappinessC150950EMO1-Disgust Responded as HappinessEmotion Recognition - Number of disgust stimuli responded to as happiness.ERT - Disgust Responded as Happiness
EMO1-Disgust Responded as NeutralC150951EMO1-Disgust Responded as NeutralEmotion Recognition - Number of disgust stimuli responded to as neutral.ERT - Disgust Responded as Neutral
EMO1-Disgust Responded as SadnessC150952EMO1-Disgust Responded as SadnessEmotion Recognition - Number of disgust stimuli responded to as sadness.ERT - Disgust Responded as Sadness
EMO1-Disgust Responded as SurpriseC150953EMO1-Disgust Responded as SurpriseEmotion Recognition - Number of disgust stimuli responded to as surprise.ERT - Disgust Responded as Surprise
EMO1-Fear Responded as AngerC150955EMO1-Fear Responded as AngerEmotion Recognition - Number of fear stimuli responded to as anger.ERT - Fear Responded as Anger
EMO1-Fear Responded as DisgustC150956EMO1-Fear Responded as DisgustEmotion Recognition - Number of fear stimuli responded to as disgust.ERT - Fear Responded as Disgust
EMO1-Fear Responded as FearC150957EMO1-Fear Responded as FearEmotion Recognition - Number of fear stimuli responded to as fear.ERT - Fear Responded as Fear
EMO1-Fear Responded as HappinessC150958EMO1-Fear Responded as HappinessEmotion Recognition - Number of fear stimuli responded to as happiness.ERT - Fear Responded as Happiness
EMO1-Fear Responded as NeutralC150959EMO1-Fear Responded as NeutralEmotion Recognition - Number of fear stimuli responded to as neutral.ERT - Fear Responded as Neutral
EMO1-Fear Responded as SadnessC150960EMO1-Fear Responded as SadnessEmotion Recognition - Number of fear stimuli responded to as sadness.ERT - Fear Responded as Sadness
EMO1-Fear Responded as SurpriseC150961EMO1-Fear Responded as SurpriseEmotion Recognition - Number of fear stimuli responded to as surprise.ERT - Fear Responded as Surprise
EMO1-Happiness Responded as AngerC150963EMO1-Happiness Responded as AngerEmotion Recognition - Number of happiness stimuli responded to as anger.ERT - Happiness Responded as Anger
EMO1-Happiness Responded as DisgustC150964EMO1-Happiness Responded as DisgustEmotion Recognition - Number of happiness stimuli responded to as disgust.ERT - Happiness Responded as Disgust
EMO1-Happiness Responded as FearC150965EMO1-Happiness Responded as FearEmotion Recognition - Number of happiness stimuli responded to as fear.ERT - Happiness Responded as Fear
EMO1-Happiness Responded as HappinessC150966EMO1-Happiness Responded as HappinessEmotion Recognition - Number of happiness stimuli responded to as happiness.ERT - Happiness Responded as Happiness
EMO1-Happiness Responded as NeutralC150967EMO1-Happiness Responded as NeutralEmotion Recognition - Number of happiness stimuli responded to as neutral.ERT - Happiness Responded as Neutral
EMO1-Happiness Responded as SadnessC150968EMO1-Happiness Responded as SadnessEmotion Recognition - Number of happiness stimuli responded to as sadness.ERT - Happiness Responded as Sadness
EMO1-Happiness Responded as SurpriseC150969EMO1-Happiness Responded as SurpriseEmotion Recognition - Number of happiness stimuli responded to as surprise.ERT - Happiness Responded as Surprise
EMO1-Neutral Responded as AngerC150971EMO1-Neutral Responded as AngerEmotion Recognition - Number of neutral stimuli responded to as anger.ERT - Neutral Responded as Anger
EMO1-Neutral Responded as DisgustC150972EMO1-Neutral Responded as DisgustEmotion Recognition - Number of neutral stimuli responded to as disgust.ERT - Neutral Responded as Disgust
EMO1-Neutral Responded as FearC150973EMO1-Neutral Responded as FearEmotion Recognition - Number of neutral stimuli responded to as fear.ERT - Neutral Responded as Fear
EMO1-Neutral Responded as HappinessC150974EMO1-Neutral Responded as HappinessEmotion Recognition - Number of neutral stimuli responded to as happiness.ERT - Neutral Responded as Happiness
EMO1-Neutral Responded as NeutralC150975EMO1-Neutral Responded as NeutralEmotion Recognition - Number of neutral stimuli responded to as neutral.ERT - Neutral Responded as Neutral
EMO1-Neutral Responded as SadnessC150976EMO1-Neutral Responded as SadnessEmotion Recognition - Number of neutral stimuli responded to as sadness.ERT - Neutral Responded as Sadness
EMO1-Neutral Responded as SurpriseC150977EMO1-Neutral Responded as SurpriseEmotion Recognition - Number of neutral stimuli responded to as surprise.ERT - Neutral Responded as Surprise
EMO1-Number Stimuli Portraying AngerC150938EMO1-Number Stimuli Portraying AngerEmotion Recognition - Number of stimuli defined as portraying anger.ERT - Number Stimuli Portraying Anger
EMO1-Number Stimuli Portraying DisgustC150946EMO1-Number Stimuli Portraying DisgustEmotion Recognition - Number of stimuli defined as portraying disgust.ERT - Number Stimuli Portraying Disgust
EMO1-Number Stimuli Portraying FearC150954EMO1-Number Stimuli Portraying FearEmotion Recognition - Number of stimuli defined as portraying fear.ERT - Number Stimuli Portraying Fear
EMO1-Number Stimuli Portraying HappinessC150962EMO1-Number Stimuli Portraying HappinessEmotion Recognition - Number of stimuli defined as portraying happiness.ERT - Number Stimuli Portraying Happiness
EMO1-Number Stimuli Portraying NeutralC150970EMO1-Number Stimuli Portraying NeutralEmotion Recognition - Number of stimuli defined as portraying a neutral expression.ERT - Number Stimuli Portraying Neutral
EMO1-Number Stimuli Portraying SadnessC150978EMO1-Number Stimuli Portraying SadnessEmotion Recognition - Number of stimuli defined as portraying sadness.ERT - Number Stimuli Portraying Sadness
EMO1-Number Stimuli Portraying SurpriseC150986EMO1-Number Stimuli Portraying SurpriseEmotion Recognition - Number of stimuli defined as portraying surprise.ERT - Number Stimuli Portraying Surprise
EMO1-Sadness Responded as AngerC150979EMO1-Sadness Responded as AngerEmotion Recognition - Number of sadness stimuli responded to as anger.ERT - Sadness Responded as Anger
EMO1-Sadness Responded as DisgustC150980EMO1-Sadness Responded as DisgustEmotion Recognition - Number of sadness stimuli responded to as disgust.ERT - Sadness Responded as Disgust
EMO1-Sadness Responded as FearC150981EMO1-Sadness Responded as FearEmotion Recognition - Number of sadness stimuli responded to as fear.ERT - Sadness Responded as Fear
EMO1-Sadness Responded as HappinessC150982EMO1-Sadness Responded as HappinessEmotion Recognition - Number of sadness stimuli responded to as happiness.ERT - Sadness Responded as Happiness
EMO1-Sadness Responded as NeutralC150983EMO1-Sadness Responded as NeutralEmotion Recognition - Number of sadness stimuli responded to as neutral.ERT - Sadness Responded as Neutral
EMO1-Sadness Responded as SadnessC150984EMO1-Sadness Responded as SadnessEmotion Recognition - Number of sadness stimuli responded to as sadness.ERT - Sadness Responded as Sadness
EMO1-Sadness Responded as SurpriseC150985EMO1-Sadness Responded as SurpriseEmotion Recognition - Number of sadness stimuli responded to as surprise.ERT - Sadness Responded as Surprise
EMO1-Surprise Responded as AngerC150987EMO1-Surprise Responded as AngerEmotion Recognition - Number of surprise stimuli responded to as anger.ERT - Surprise Responded as Anger
EMO1-Surprise Responded as DisgustC150988EMO1-Surprise Responded as DisgustEmotion Recognition - Number of surprise stimuli responded to as disgust.ERT - Surprise Responded as Disgust
EMO1-Surprise Responded as FearC150989EMO1-Surprise Responded as FearEmotion Recognition - Number of surprise stimuli responded to as fear.ERT - Surprise Responded as Fear
EMO1-Surprise Responded as HappinessC150990EMO1-Surprise Responded as HappinessEmotion Recognition - Number of surprise stimuli responded to as happiness.ERT - Surprise Responded as Happiness
EMO1-Surprise Responded as NeutralC150991EMO1-Surprise Responded as NeutralEmotion Recognition - Number of surprise stimuli responded to as neutral.ERT - Surprise Responded as Neutral
EMO1-Surprise Responded as SadnessC150992EMO1-Surprise Responded as SadnessEmotion Recognition - Number of surprise stimuli responded to as sadness.ERT - Surprise Responded as Sadness
EMO1-Surprise Responded as SurpriseC150993EMO1-Surprise Responded as SurpriseEmotion Recognition - Number of surprise stimuli responded to as surprise.ERT - Surprise Responded as Surprise
EMO1-Total Negative Stimuli AdministeredC150933EMO1-Total Negative Stimuli AdministeredEmotion Recognition - Total number of negative emotion stimuli (face images) actually administered in the task.ERT - Total Negative Stimuli Administered
EMO1-Total Negative Stimuli CompletedC150934EMO1-Total Negative Stimuli CompletedEmotion Recognition - Total number of negative emotion stimuli (face images) actually completed in the task.ERT - Total Negative Stimuli Completed
EMO1-Total Negative Stimuli CorrectC150935EMO1-Total Negative Stimuli CorrectEmotion Recognition - Total number of negative emotion stimuli (face images) for which the participant's response was correct.ERT - Total Negative Stimuli Correct
EMO1-Total Negative Stimuli ExpectedC150932EMO1-Total Negative Stimuli ExpectedEmotion Recognition - Total number of negative emotion stimuli (face images) expected to be administered in the task.ERT - Total Negative Stimuli Expected
EMO1-Total Negative Stimuli IncorrectC150936EMO1-Total Negative Stimuli IncorrectEmotion Recognition - Total number of negative emotion stimuli (face images) for which the participant's response was incorrect.ERT - Total Negative Stimuli Incorrect
EMO1-Total Negative Stimuli Not RespondC150937EMO1-Total Negative Stimuli Not RespondEmotion Recognition - Total number of negative emotion stimuli (face images) for which the participant has not responded.ERT - Total Negative Stimuli Not Respond
EMO1-Total Stimuli AdministeredC150927EMO1-Total Stimuli AdministeredEmotion Recognition - Total number of stimuli (face images) actually administered in the task.ERT - Total Stimuli Administered
EMO1-Total Stimuli CompletedC150928EMO1-Total Stimuli CompletedEmotion Recognition - Total number of stimuli (face images) actually completed in the task.ERT - Total Stimuli Completed
EMO1-Total Stimuli ExpectedC150926EMO1-Total Stimuli ExpectedEmotion Recognition - Total number of stimuli (face images) expected to be administered in the task.ERT - Total Stimuli Expected
EMO1-Total Stimuli Not RespondedC150931EMO1-Total Stimuli Not RespondedEmotion Recognition - Total number of stimuli (face images) for which the participant has not responded.ERT - Total Stimuli Not Responded
EMO1-Total Stimuli Response CorrectC150929EMO1-Total Stimuli Response CorrectEmotion Recognition - Total number of stimuli (face images) for which the participant's response was correct.ERT - Total Stimuli Response Correct
EMO1-Total Stimuli Response IncorrectC150930EMO1-Total Stimuli Response IncorrectEmotion Recognition - Total number of stimuli (face images) for which the participant's response was incorrect.ERT - Total Stimuli Response Incorrect
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CL.C103463.ESS01TCEpworth Sleepiness Scale Questionnaire Test Code
(ESS01TC)
text
Extensible: No
C103463Epworth Sleepiness Scale Questionnaire Test CodeEpworth Sleepiness Scale test code.CDISC Questionnaire ESS Test Code Terminology
ESS0101C103536ESS01-Sitting and ReadingEpworth Sleepiness Scale - Sitting and reading.ESS - Sitting and Reading
ESS0102C103537ESS01-Watching TVEpworth Sleepiness Scale - Watching TV.ESS - Watching TV
ESS0103C103538ESS01-Sitting Inactive in a Public PlaceEpworth Sleepiness Scale - Sitting, inactive in a public place (e.g. a theatre or a meeting).ESS - Sitting, Inactive in a Public Place
ESS0104C103539ESS01-Passenger for Hour Without BreakEpworth Sleepiness Scale - As a passenger in a car for an hour without a break.ESS - As a Passenger in a Car for an Hour Without a Break
ESS0105C103540ESS01-Lying Down to Rest In AfternoonEpworth Sleepiness Scale - Lying down to rest in the afternoon when circumstances permit.ESS - Lying Down to Rest in the Afternoon When Circumstances Permit
ESS0106C103541ESS01-Sitting and Talking to SomeoneEpworth Sleepiness Scale - Sitting and talking to someone.ESS - Sitting and Talking to Someone
ESS0107C103542ESS01-Sitting Quietly After LunchEpworth Sleepiness Scale - Sitting quietly after a lunch without alcohol.ESS - Sitting Quietly After a Lunch without Alcohol
ESS0108C103543ESS01-In Car Stopped Few Minutes TrafficEpworth Sleepiness Scale - In a car, while stopped for a few minutes in the traffic.ESS - In a car, While Stopped for a Few Minutes in the Traffic
ESS0109C157731ESS01-Total ScoreEpworth Sleepiness Scale - Total score.ESS - Total Score
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CL.C103462.ESS01TNEpworth Sleepiness Scale Questionnaire Test Name
(ESS01TN)
text
Extensible: No
C103462Epworth Sleepiness Scale Questionnaire Test NameEpworth Sleepiness Scale test name.CDISC Questionnaire ESS Test Name Terminology
ESS01-In Car Stopped Few Minutes TrafficC103543ESS01-In Car Stopped Few Minutes TrafficEpworth Sleepiness Scale - In a car, while stopped for a few minutes in the traffic.ESS - In a car, While Stopped for a Few Minutes in the Traffic
ESS01-Lying Down to Rest In AfternoonC103540ESS01-Lying Down to Rest In AfternoonEpworth Sleepiness Scale - Lying down to rest in the afternoon when circumstances permit.ESS - Lying Down to Rest in the Afternoon When Circumstances Permit
ESS01-Passenger for Hour Without BreakC103539ESS01-Passenger for Hour Without BreakEpworth Sleepiness Scale - As a passenger in a car for an hour without a break.ESS - As a Passenger in a Car for an Hour Without a Break
ESS01-Sitting and ReadingC103536ESS01-Sitting and ReadingEpworth Sleepiness Scale - Sitting and reading.ESS - Sitting and Reading
ESS01-Sitting and Talking to SomeoneC103541ESS01-Sitting and Talking to SomeoneEpworth Sleepiness Scale - Sitting and talking to someone.ESS - Sitting and Talking to Someone
ESS01-Sitting Inactive in a Public PlaceC103538ESS01-Sitting Inactive in a Public PlaceEpworth Sleepiness Scale - Sitting, inactive in a public place (e.g. a theatre or a meeting).ESS - Sitting, Inactive in a Public Place
ESS01-Sitting Quietly After LunchC103542ESS01-Sitting Quietly After LunchEpworth Sleepiness Scale - Sitting quietly after a lunch without alcohol.ESS - Sitting Quietly After a Lunch without Alcohol
ESS01-Total ScoreC157731ESS01-Total ScoreEpworth Sleepiness Scale - Total score.ESS - Total Score
ESS01-Watching TVC103537ESS01-Watching TVEpworth Sleepiness Scale - Watching TV.ESS - Watching TV
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CL.C170525.EOR06TCEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 Questionnaire Test Code
(EOR06TC)
text
Extensible: No
C170525European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 Questionnaire Test CodeEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 test code.CDISC Questionnaire EORTC QLQ-CR29 Version 2.1 Test Code Terminology
EOR0631C170657EOR06-Urinate Frequently During DayEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did you urinate frequently during the day?EORTC QLQ-CR29 Version 2.1 - Urinate Frequently During Day
EOR0632C170658EOR06-Urinate Frequently During NightEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did you urinate frequently during the night?EORTC QLQ-CR29 Version 2.1 - Urinate Frequently During Night
EOR0633C170659EOR06-Unintentional Release of UrineEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you had any unintentional release (leakage) of urine?EORTC QLQ-CR29 Version 2.1 - Unintentional Release of Urine
EOR0634C170660EOR06-Pain When You UrinatedEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did you have pain when you urinated?EORTC QLQ-CR29 Version 2.1 - Pain When You Urinated
EOR0635C170661EOR06-Did You Have Abdominal PainEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did you have abdominal pain?EORTC QLQ-CR29 Version 2.1 - Did You Have Abdominal Pain
EOR0636C170662EOR06-Pain in Buttocks/Anal Area/RectumEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did you have pain in your buttocks/anal area/rectum?EORTC QLQ-CR29 Version 2.1 - Pain in Buttocks/Anal Area/Rectum
EOR0637C170663EOR06-Bloated Feeling in Your AbdomenEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did you have a bloated feeling in your abdomen?EORTC QLQ-CR29 Version 2.1 - Bloated Feeling in Your Abdomen
EOR0638C170664EOR06-Have You Had Blood in Your StoolsEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you had blood in your stools?EORTC QLQ-CR29 Version 2.1 - Have You Had Blood in Your Stools
EOR0639C170665EOR06-Have You Had Mucus in Your StoolsEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you had mucus in your stools?EORTC QLQ-CR29 Version 2.1 - Have You Had Mucus in Your Stools
EOR0640C170666EOR06-Did You Have a Dry MouthEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did you have a dry mouth?EORTC QLQ-CR29 Version 2.1 - Did You Have a Dry Mouth
EOR0641C170667EOR06-Lost Hair as Result of TreatmentEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you lost hair as a result of your treatment?EORTC QLQ-CR29 Version 2.1 - Lost Hair as Result of Treatment
EOR0642C170668EOR06-Problems With Your Sense of TasteEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you had problems with your sense of taste?EORTC QLQ-CR29 Version 2.1 - Problems With Your Sense of Taste
EOR0643C170669EOR06-Worried About Your Health FutureEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Were you worried about your health in the future?EORTC QLQ-CR29 Version 2.1 - Worried About Your Health Future
EOR0644C170670EOR06-Worried About Your WeightEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you worried about your weight?EORTC QLQ-CR29 Version 2.1 - Worried About Your Weight
EOR0645C170671EOR06-Felt Physically Less AttractiveEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you felt physically less attractive as a result of your disease or treatment?EORTC QLQ-CR29 Version 2.1 - Felt Physically Less Attractive
EOR0646C170672EOR06-Feeling Less Feminine/MasculineEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you been feeling less feminine/masculine as a result of your disease or treatment?EORTC QLQ-CR29 Version 2.1 - Feeling Less Feminine/Masculine
EOR0647C170673EOR06-Been Dissatisfied With Your BodyEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you been dissatisfied with your body?EORTC QLQ-CR29 Version 2.1 - Been Dissatisfied With Your Body
EOR0648C170674EOR06-Do You Have Stoma BagEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Do you have a stoma bag (colostomy/ileostomy)?EORTC QLQ-CR29 Version 2.1 - Do You Have Stoma Bag
EOR06491C170675EOR06-Unintentional Gas From Stoma BagEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you had unintentional release of gas/flatulence from your stoma bag?EORTC QLQ-CR29 Version 2.1 - Unintentional Gas From Stoma Bag
EOR06492C170682EOR06-Unintentional Gas Back PassageEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you had unintentional release of gas/flatulence from your back passage?EORTC QLQ-CR29 Version 2.1 - Unintentional Gas Back Passage
EOR06501C170676EOR06-Leakage of Stools From Stoma BagEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you had leakage of stools from your stoma bag?EORTC QLQ-CR29 Version 2.1 - Leakage of Stools From Stoma Bag
EOR06502C170683EOR06-Leakage of Stools Back PassageEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you had leakage of stools from your back passage?EORTC QLQ-CR29 Version 2.1 - Leakage of Stools Back Passage
EOR06511C170677EOR06-Sore Skin Around Your StomaEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you had sore skin around your stoma?EORTC QLQ-CR29 Version 2.1 - Sore Skin Around Your Stoma
EOR06512C170684EOR06-Sore Skin Around Your Anal AreaEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you had sore skin around your anal area?EORTC QLQ-CR29 Version 2.1 - Sore Skin Around Your Anal Area
EOR06521C170678EOR06-Frequent Bag Changes During DayEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did frequent bag changes occur during the day?EORTC QLQ-CR29 Version 2.1 - Frequent Bag Changes During Day
EOR06522C170685EOR06-Frequent Bowel Movements DayEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did frequent bowel movements occur during the day?EORTC QLQ-CR29 Version 2.1 - Frequent Bowel Movements Day
EOR06531C170679EOR06-Frequent Bag Changes During NightEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did frequent bag changes occur during the night?EORTC QLQ-CR29 Version 2.1 - Frequent Bag Changes During Night
EOR06532C170686EOR06-Frequent Bowel Movements NightEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did frequent bowel movements occur during the night?EORTC QLQ-CR29 Version 2.1 - Frequent Bowel Movements Night
EOR06541C170680EOR06-Feel Embarrassed Because of StomaEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did you feel embarrassed because of your stoma?EORTC QLQ-CR29 Version 2.1 - Feel Embarrassed Because of Stoma
EOR06542C170687EOR06-Embarrassed Because Bowel MovementEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did you feel embarrassed because of your bowel movement?EORTC QLQ-CR29 Version 2.1 - Embarrassed Because Bowel Movement
EOR06551C170681EOR06-Problems Caring for Your StomaEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did you have problems caring for your stoma?EORTC QLQ-CR29 Version 2.1 - Problems Caring for Your Stoma
EOR0656C170688EOR06-Men: Extent Interested in SexEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past 4 weeks: For men only: To what extent were you interested in sex?EORTC QLQ-CR29 Version 2.1 - Men: Extent Interested in Sex
EOR0657C170689EOR06-Men: Difficulty Getting ErectionEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past 4 weeks: For men only: Did you have difficulty getting or maintaining an erection?EORTC QLQ-CR29 Version 2.1 - Men: Difficulty Getting Erection
EOR0658C170690EOR06-Women: Extent Interested in SexEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past 4 weeks: For women only: To what extent were you interested in sex?EORTC QLQ-CR29 Version 2.1 - Women: Extent Interested in Sex
EOR0659C170691EOR06-Women: Pain/Discomfort IntercourseEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past 4 weeks: For women only: Did you have pain or discomfort during intercourse?EORTC QLQ-CR29 Version 2.1 - Women: Pain or Discomfort Intercourse
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CL.C170524.EOR06TNEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 Questionnaire Test Name
(EOR06TN)
text
Extensible: No
C170524European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 Questionnaire Test NameEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 test name.CDISC Questionnaire EORTC QLQ-CR29 Version 2.1 Test Name Terminology
EOR06-Been Dissatisfied With Your BodyC170673EOR06-Been Dissatisfied With Your BodyEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you been dissatisfied with your body?EORTC QLQ-CR29 Version 2.1 - Been Dissatisfied With Your Body
EOR06-Bloated Feeling in Your AbdomenC170663EOR06-Bloated Feeling in Your AbdomenEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did you have a bloated feeling in your abdomen?EORTC QLQ-CR29 Version 2.1 - Bloated Feeling in Your Abdomen
EOR06-Did You Have a Dry MouthC170666EOR06-Did You Have a Dry MouthEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did you have a dry mouth?EORTC QLQ-CR29 Version 2.1 - Did You Have a Dry Mouth
EOR06-Did You Have Abdominal PainC170661EOR06-Did You Have Abdominal PainEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did you have abdominal pain?EORTC QLQ-CR29 Version 2.1 - Did You Have Abdominal Pain
EOR06-Do You Have Stoma BagC170674EOR06-Do You Have Stoma BagEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Do you have a stoma bag (colostomy/ileostomy)?EORTC QLQ-CR29 Version 2.1 - Do You Have Stoma Bag
EOR06-Embarrassed Because Bowel MovementC170687EOR06-Embarrassed Because Bowel MovementEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did you feel embarrassed because of your bowel movement?EORTC QLQ-CR29 Version 2.1 - Embarrassed Because Bowel Movement
EOR06-Feel Embarrassed Because of StomaC170680EOR06-Feel Embarrassed Because of StomaEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did you feel embarrassed because of your stoma?EORTC QLQ-CR29 Version 2.1 - Feel Embarrassed Because of Stoma
EOR06-Feeling Less Feminine/MasculineC170672EOR06-Feeling Less Feminine/MasculineEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you been feeling less feminine/masculine as a result of your disease or treatment?EORTC QLQ-CR29 Version 2.1 - Feeling Less Feminine/Masculine
EOR06-Felt Physically Less AttractiveC170671EOR06-Felt Physically Less AttractiveEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you felt physically less attractive as a result of your disease or treatment?EORTC QLQ-CR29 Version 2.1 - Felt Physically Less Attractive
EOR06-Frequent Bag Changes During DayC170678EOR06-Frequent Bag Changes During DayEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did frequent bag changes occur during the day?EORTC QLQ-CR29 Version 2.1 - Frequent Bag Changes During Day
EOR06-Frequent Bag Changes During NightC170679EOR06-Frequent Bag Changes During NightEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did frequent bag changes occur during the night?EORTC QLQ-CR29 Version 2.1 - Frequent Bag Changes During Night
EOR06-Frequent Bowel Movements DayC170685EOR06-Frequent Bowel Movements DayEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did frequent bowel movements occur during the day?EORTC QLQ-CR29 Version 2.1 - Frequent Bowel Movements Day
EOR06-Frequent Bowel Movements NightC170686EOR06-Frequent Bowel Movements NightEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did frequent bowel movements occur during the night?EORTC QLQ-CR29 Version 2.1 - Frequent Bowel Movements Night
EOR06-Have You Had Blood in Your StoolsC170664EOR06-Have You Had Blood in Your StoolsEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you had blood in your stools?EORTC QLQ-CR29 Version 2.1 - Have You Had Blood in Your Stools
EOR06-Have You Had Mucus in Your StoolsC170665EOR06-Have You Had Mucus in Your StoolsEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you had mucus in your stools?EORTC QLQ-CR29 Version 2.1 - Have You Had Mucus in Your Stools
EOR06-Leakage of Stools Back PassageC170683EOR06-Leakage of Stools Back PassageEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you had leakage of stools from your back passage?EORTC QLQ-CR29 Version 2.1 - Leakage of Stools Back Passage
EOR06-Leakage of Stools From Stoma BagC170676EOR06-Leakage of Stools From Stoma BagEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you had leakage of stools from your stoma bag?EORTC QLQ-CR29 Version 2.1 - Leakage of Stools From Stoma Bag
EOR06-Lost Hair as Result of TreatmentC170667EOR06-Lost Hair as Result of TreatmentEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you lost hair as a result of your treatment?EORTC QLQ-CR29 Version 2.1 - Lost Hair as Result of Treatment
EOR06-Men: Difficulty Getting ErectionC170689EOR06-Men: Difficulty Getting ErectionEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past 4 weeks: For men only: Did you have difficulty getting or maintaining an erection?EORTC QLQ-CR29 Version 2.1 - Men: Difficulty Getting Erection
EOR06-Men: Extent Interested in SexC170688EOR06-Men: Extent Interested in SexEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past 4 weeks: For men only: To what extent were you interested in sex?EORTC QLQ-CR29 Version 2.1 - Men: Extent Interested in Sex
EOR06-Pain in Buttocks/Anal Area/RectumC170662EOR06-Pain in Buttocks/Anal Area/RectumEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did you have pain in your buttocks/anal area/rectum?EORTC QLQ-CR29 Version 2.1 - Pain in Buttocks/Anal Area/Rectum
EOR06-Pain When You UrinatedC170660EOR06-Pain When You UrinatedEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did you have pain when you urinated?EORTC QLQ-CR29 Version 2.1 - Pain When You Urinated
EOR06-Problems Caring for Your StomaC170681EOR06-Problems Caring for Your StomaEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did you have problems caring for your stoma?EORTC QLQ-CR29 Version 2.1 - Problems Caring for Your Stoma
EOR06-Problems With Your Sense of TasteC170668EOR06-Problems With Your Sense of TasteEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you had problems with your sense of taste?EORTC QLQ-CR29 Version 2.1 - Problems With Your Sense of Taste
EOR06-Sore Skin Around Your Anal AreaC170684EOR06-Sore Skin Around Your Anal AreaEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you had sore skin around your anal area?EORTC QLQ-CR29 Version 2.1 - Sore Skin Around Your Anal Area
EOR06-Sore Skin Around Your StomaC170677EOR06-Sore Skin Around Your StomaEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you had sore skin around your stoma?EORTC QLQ-CR29 Version 2.1 - Sore Skin Around Your Stoma
EOR06-Unintentional Gas Back PassageC170682EOR06-Unintentional Gas Back PassageEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you had unintentional release of gas/flatulence from your back passage?EORTC QLQ-CR29 Version 2.1 - Unintentional Gas Back Passage
EOR06-Unintentional Gas From Stoma BagC170675EOR06-Unintentional Gas From Stoma BagEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you had unintentional release of gas/flatulence from your stoma bag?EORTC QLQ-CR29 Version 2.1 - Unintentional Gas From Stoma Bag
EOR06-Unintentional Release of UrineC170659EOR06-Unintentional Release of UrineEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you had any unintentional release (leakage) of urine?EORTC QLQ-CR29 Version 2.1 - Unintentional Release of Urine
EOR06-Urinate Frequently During DayC170657EOR06-Urinate Frequently During DayEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did you urinate frequently during the day?EORTC QLQ-CR29 Version 2.1 - Urinate Frequently During Day
EOR06-Urinate Frequently During NightC170658EOR06-Urinate Frequently During NightEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Did you urinate frequently during the night?EORTC QLQ-CR29 Version 2.1 - Urinate Frequently During Night
EOR06-Women: Extent Interested in SexC170690EOR06-Women: Extent Interested in SexEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past 4 weeks: For women only: To what extent were you interested in sex?EORTC QLQ-CR29 Version 2.1 - Women: Extent Interested in Sex
EOR06-Women: Pain/Discomfort IntercourseC170691EOR06-Women: Pain/Discomfort IntercourseEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past 4 weeks: For women only: Did you have pain or discomfort during intercourse?EORTC QLQ-CR29 Version 2.1 - Women: Pain or Discomfort Intercourse
EOR06-Worried About Your Health FutureC170669EOR06-Worried About Your Health FutureEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Were you worried about your health in the future?EORTC QLQ-CR29 Version 2.1 - Worried About Your Health Future
EOR06-Worried About Your WeightC170670EOR06-Worried About Your WeightEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Colorectal Version 2.1 - During the past week: Have you worried about your weight?EORTC QLQ-CR29 Version 2.1 - Worried About Your Weight
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CL.C161619.EOR01TCEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 Questionnaire Test Code
(EOR01TC)
text
Extensible: No
C161619European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 Questionnaire Test CodeEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 test code.CDISC Questionnaire EORTC QLQ-C30 Version 3 Test Code Terminology
EOR0101C161674EOR01-Trouble Doing Strenuous ActivitiesEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Do you have any trouble doing strenuous activities, like carrying a heavy shopping bag or a suitcase?EORTC QLQ-C30 Version 3 - Trouble Doing Strenuous Activities
EOR0102C161675EOR01-Trouble Taking Long WalkEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Do you have any trouble taking a long walk?EORTC QLQ-C30 Version 3 - Trouble Taking Long Walk
EOR0103C161676EOR01-Trouble Taking Short Walk OutsideEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Do you have any trouble taking a short walk outside of the house?EORTC QLQ-C30 Version 3 - Trouble Taking Short Walk Outside
EOR0104C161677EOR01-Stay in Bed/Chair During the DayEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Do you need to stay in bed or a chair during the day?EORTC QLQ-C30 Version 3 - Stay in Bed or Chair During the Day
EOR0105C161678EOR01-Need Help Eating/Dressing/WashingEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Do you need help with eating, dressing, washing yourself or using the toilet?EORTC QLQ-C30 Version 3 - Need Help Eating, Dressing, Washing
EOR0106C161679EOR01-Limited in Work/Daily ActivitiesEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Were you limited in doing either your work or other daily activities?EORTC QLQ-C30 Version 3 - Limited in Work or Daily Activities
EOR0107C161680EOR01-Limited Hobbies/Leisure ActivitiesEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Were you limited in pursuing your hobbies or other leisure time activities?EORTC QLQ-C30 Version 3 - Limited Hobbies or Leisure Activities
EOR0108C161681EOR01-Were You Short of BreathEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Were you short of breath?EORTC QLQ-C30 Version 3 - Were You Short of Breath
EOR0109C161682EOR01-Have You Had PainEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Have you had pain?EORTC QLQ-C30 Version 3 - Have You Had Pain
EOR0110C161683EOR01-Did You Need to RestEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Did you need to rest?EORTC QLQ-C30 Version 3 - Did You Need to Rest
EOR0111C161684EOR01-Have You Had Trouble SleepingEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Have you had trouble sleeping?EORTC QLQ-C30 Version 3 - Have You Had Trouble Sleeping
EOR0112C161685EOR01-Have You Felt WeakEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Have you felt weak?EORTC QLQ-C30 Version 3 - Have You Felt Weak
EOR0113C161686EOR01-Have You Lacked AppetiteEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Have you lacked appetite?EORTC QLQ-C30 Version 3 - Have You Lacked Appetite
EOR0114C161687EOR01-Have You Felt NauseatedEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Have you felt nauseated?EORTC QLQ-C30 Version 3 - Have You Felt Nauseated
EOR0115C161688EOR01-Have You VomitedEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Have you vomited?EORTC QLQ-C30 Version 3 - Have You Vomited
EOR0116C161689EOR01-Have You Been ConstipatedEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Have you been constipated?EORTC QLQ-C30 Version 3 - Have You Been Constipated
EOR0117C161690EOR01-Have You Had DiarrheaEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Have you had diarrhea?EORTC QLQ-C30 Version 3 - Have You Had Diarrhea
EOR0118C161691EOR01-Were You TiredEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Were you tired?EORTC QLQ-C30 Version 3 - Were You Tired
EOR0119C161692EOR01-Pain Interfere Daily ActivitiesEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Did pain interfere with your daily activities?EORTC QLQ-C30 Version 3 - Pain Interfere Daily Activities
EOR0120C161693EOR01-Difficulty Concentrating on ThingsEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Have you had difficulty in concentrating on things, like reading a newspaper or watching television?EORTC QLQ-C30 Version 3 - Difficulty Concentrating on Things
EOR0121C161694EOR01-Did You Feel TenseEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Did you feel tense?EORTC QLQ-C30 Version 3 - Did You Feel Tense
EOR0122C161695EOR01-Did You WorryEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Did you worry?EORTC QLQ-C30 Version 3 - Did You Worry
EOR0123C161696EOR01-Did You Feel IrritableEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Did you feel irritable?EORTC QLQ-C30 Version 3 - Did You Feel Irritable
EOR0124C161697EOR01-Did You Feel DepressedEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Did you feel depressed?EORTC QLQ-C30 Version 3 - Did You Feel Depressed
EOR0125C161698EOR01-Had Difficulty Remembering ThingsEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Have you had difficulty remembering things?EORTC QLQ-C30 Version 3 - Had Difficulty Remembering Things
EOR0126C161699EOR01-Condition Interfered Family LifeEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Has your physical condition or medical treatment interfered with your family life?EORTC QLQ-C30 Version 3 - Condition Interfered Family Life
EOR0127C161700EOR01-Condition Interfered Social ActivEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Has your physical condition or medical treatment interfered with your social activities?EORTC QLQ-C30 Version 3 - Condition Interfered Social Activities
EOR0128C161701EOR01-Condition Caused Financial DiffEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Has your physical condition or medical treatment caused you financial difficulties?EORTC QLQ-C30 Version 3 - Condition Caused Financial Difficulties
EOR0129C161702EOR01-Rate Your Overall HealthEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - How would you rate your overall health during the past week?EORTC QLQ-C30 Version 3 - Rate Your Overall Health
EOR0130C161703EOR01-Rate Your Overall Quality of LifeEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - How would you rate your overall quality of life during the past week?EORTC QLQ-C30 Version 3 - Rate Your Overall Quality of Life
EOR0131C181142EOR01-Global Health Status/QoLEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Global health status/QoL.EORTC QLQ-C30 Version 3 - EOR01-Global Health Status/QoL
EOR0132C181143EOR01-FS:Physical FunctioningEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Functional scale: physical functioning.EORTC QLQ-C30 Version 3 - EOR01-FS:Physical Functioning
EOR0133C181144EOR01-FS:Role FunctioningEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Functional scale: role functioning.EORTC QLQ-C30 Version 3 - EOR01-FS:Role Functioning
EOR0134C181145EOR01-FS:Emotional FunctioningEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Functional scale: emotional functioning.EORTC QLQ-C30 Version 3 - EOR01-FS:Emotional Functioning
EOR0135C181146EOR01-FS:Cognitive FunctioningEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Functional scale: cognitive functioning.EORTC QLQ-C30 Version 3 - EOR01-FS:Cognitive Functioning
EOR0136C181147EOR01-FS:Social FunctioningEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Functional scale: social functioning.EORTC QLQ-C30 Version 3 - EOR01-FS:Social Functioning
EOR0137C181148EOR01-SS:FatigueEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Symptom scale: fatigue.EORTC QLQ-C30 Version 3 - EOR01-SS:Fatigue
EOR0138C181149EOR01-SS:Nausea and VomitingEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Symptom scale: nausea and vomiting.EORTC QLQ-C30 Version 3 - EOR01-SS:Nausea and Vomiting
EOR0139C181150EOR01-SS:PainEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Symptom scale: pain.EORTC QLQ-C30 Version 3 - EOR01-SS:Pain
EOR0140C181151EOR01-SS:DyspnoeaEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Symptom scale: dyspnoea.EORTC QLQ-C30 Version 3 - EOR01-SS:Dyspnoea
EOR0141C181152EOR01-SS:InsomniaEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Symptom scale: insomnia.EORTC QLQ-C30 Version 3 - EOR01-SS:Insomnia
EOR0142C181153EOR01-SS:Appetite LossEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Symptom scale: appetite loss.EORTC QLQ-C30 Version 3 - EOR01-SS:Appetite Loss
EOR0143C181154EOR01-SS:ConstipationEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Symptom scale: constipation.EORTC QLQ-C30 Version 3 - EOR01-SS:Constipation
EOR0144C181155EOR01-SS:DiarrhoeaEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Symptom scale: diarrhoea.EORTC QLQ-C30 Version 3 - EOR01-SS:Diarrhoea
EOR0145C181156EOR01-SS:Financial DifficultiesEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Symptom scale: financial difficulties.EORTC QLQ-C30 Version 3 - EOR01-SS:Financial Difficulties
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CL.C161618.EOR01TNEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 Questionnaire Test Name
(EOR01TN)
text
Extensible: No
C161618European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 Questionnaire Test NameEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 test name.CDISC Questionnaire EORTC QLQ-C30 Version 3 Test Name Terminology
EOR01-Condition Caused Financial DiffC161701EOR01-Condition Caused Financial DiffEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Has your physical condition or medical treatment caused you financial difficulties?EORTC QLQ-C30 Version 3 - Condition Caused Financial Difficulties
EOR01-Condition Interfered Family LifeC161699EOR01-Condition Interfered Family LifeEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Has your physical condition or medical treatment interfered with your family life?EORTC QLQ-C30 Version 3 - Condition Interfered Family Life
EOR01-Condition Interfered Social ActivC161700EOR01-Condition Interfered Social ActivEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Has your physical condition or medical treatment interfered with your social activities?EORTC QLQ-C30 Version 3 - Condition Interfered Social Activities
EOR01-Did You Feel DepressedC161697EOR01-Did You Feel DepressedEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Did you feel depressed?EORTC QLQ-C30 Version 3 - Did You Feel Depressed
EOR01-Did You Feel IrritableC161696EOR01-Did You Feel IrritableEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Did you feel irritable?EORTC QLQ-C30 Version 3 - Did You Feel Irritable
EOR01-Did You Feel TenseC161694EOR01-Did You Feel TenseEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Did you feel tense?EORTC QLQ-C30 Version 3 - Did You Feel Tense
EOR01-Did You Need to RestC161683EOR01-Did You Need to RestEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Did you need to rest?EORTC QLQ-C30 Version 3 - Did You Need to Rest
EOR01-Did You WorryC161695EOR01-Did You WorryEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Did you worry?EORTC QLQ-C30 Version 3 - Did You Worry
EOR01-Difficulty Concentrating on ThingsC161693EOR01-Difficulty Concentrating on ThingsEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Have you had difficulty in concentrating on things, like reading a newspaper or watching television?EORTC QLQ-C30 Version 3 - Difficulty Concentrating on Things
EOR01-FS:Cognitive FunctioningC181146EOR01-FS:Cognitive FunctioningEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Functional scale: cognitive functioning.EORTC QLQ-C30 Version 3 - EOR01-FS:Cognitive Functioning
EOR01-FS:Emotional FunctioningC181145EOR01-FS:Emotional FunctioningEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Functional scale: emotional functioning.EORTC QLQ-C30 Version 3 - EOR01-FS:Emotional Functioning
EOR01-FS:Physical FunctioningC181143EOR01-FS:Physical FunctioningEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Functional scale: physical functioning.EORTC QLQ-C30 Version 3 - EOR01-FS:Physical Functioning
EOR01-FS:Role FunctioningC181144EOR01-FS:Role FunctioningEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Functional scale: role functioning.EORTC QLQ-C30 Version 3 - EOR01-FS:Role Functioning
EOR01-FS:Social FunctioningC181147EOR01-FS:Social FunctioningEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Functional scale: social functioning.EORTC QLQ-C30 Version 3 - EOR01-FS:Social Functioning
EOR01-Global Health Status/QoLC181142EOR01-Global Health Status/QoLEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Global health status/QoL.EORTC QLQ-C30 Version 3 - EOR01-Global Health Status/QoL
EOR01-Had Difficulty Remembering ThingsC161698EOR01-Had Difficulty Remembering ThingsEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Have you had difficulty remembering things?EORTC QLQ-C30 Version 3 - Had Difficulty Remembering Things
EOR01-Have You Been ConstipatedC161689EOR01-Have You Been ConstipatedEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Have you been constipated?EORTC QLQ-C30 Version 3 - Have You Been Constipated
EOR01-Have You Felt NauseatedC161687EOR01-Have You Felt NauseatedEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Have you felt nauseated?EORTC QLQ-C30 Version 3 - Have You Felt Nauseated
EOR01-Have You Felt WeakC161685EOR01-Have You Felt WeakEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Have you felt weak?EORTC QLQ-C30 Version 3 - Have You Felt Weak
EOR01-Have You Had DiarrheaC161690EOR01-Have You Had DiarrheaEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Have you had diarrhea?EORTC QLQ-C30 Version 3 - Have You Had Diarrhea
EOR01-Have You Had PainC161682EOR01-Have You Had PainEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Have you had pain?EORTC QLQ-C30 Version 3 - Have You Had Pain
EOR01-Have You Had Trouble SleepingC161684EOR01-Have You Had Trouble SleepingEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Have you had trouble sleeping?EORTC QLQ-C30 Version 3 - Have You Had Trouble Sleeping
EOR01-Have You Lacked AppetiteC161686EOR01-Have You Lacked AppetiteEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Have you lacked appetite?EORTC QLQ-C30 Version 3 - Have You Lacked Appetite
EOR01-Have You VomitedC161688EOR01-Have You VomitedEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Have you vomited?EORTC QLQ-C30 Version 3 - Have You Vomited
EOR01-Limited Hobbies/Leisure ActivitiesC161680EOR01-Limited Hobbies/Leisure ActivitiesEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Were you limited in pursuing your hobbies or other leisure time activities?EORTC QLQ-C30 Version 3 - Limited Hobbies or Leisure Activities
EOR01-Limited in Work/Daily ActivitiesC161679EOR01-Limited in Work/Daily ActivitiesEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Were you limited in doing either your work or other daily activities?EORTC QLQ-C30 Version 3 - Limited in Work or Daily Activities
EOR01-Need Help Eating/Dressing/WashingC161678EOR01-Need Help Eating/Dressing/WashingEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Do you need help with eating, dressing, washing yourself or using the toilet?EORTC QLQ-C30 Version 3 - Need Help Eating, Dressing, Washing
EOR01-Pain Interfere Daily ActivitiesC161692EOR01-Pain Interfere Daily ActivitiesEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Did pain interfere with your daily activities?EORTC QLQ-C30 Version 3 - Pain Interfere Daily Activities
EOR01-Rate Your Overall HealthC161702EOR01-Rate Your Overall HealthEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - How would you rate your overall health during the past week?EORTC QLQ-C30 Version 3 - Rate Your Overall Health
EOR01-Rate Your Overall Quality of LifeC161703EOR01-Rate Your Overall Quality of LifeEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - How would you rate your overall quality of life during the past week?EORTC QLQ-C30 Version 3 - Rate Your Overall Quality of Life
EOR01-SS:Appetite LossC181153EOR01-SS:Appetite LossEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Symptom scale: appetite loss.EORTC QLQ-C30 Version 3 - EOR01-SS:Appetite Loss
EOR01-SS:ConstipationC181154EOR01-SS:ConstipationEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Symptom scale: constipation.EORTC QLQ-C30 Version 3 - EOR01-SS:Constipation
EOR01-SS:DiarrhoeaC181155EOR01-SS:DiarrhoeaEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Symptom scale: diarrhoea.EORTC QLQ-C30 Version 3 - EOR01-SS:Diarrhoea
EOR01-SS:DyspnoeaC181151EOR01-SS:DyspnoeaEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Symptom scale: dyspnoea.EORTC QLQ-C30 Version 3 - EOR01-SS:Dyspnoea
EOR01-SS:FatigueC181148EOR01-SS:FatigueEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Symptom scale: fatigue.EORTC QLQ-C30 Version 3 - EOR01-SS:Fatigue
EOR01-SS:Financial DifficultiesC181156EOR01-SS:Financial DifficultiesEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Symptom scale: financial difficulties.EORTC QLQ-C30 Version 3 - EOR01-SS:Financial Difficulties
EOR01-SS:InsomniaC181152EOR01-SS:InsomniaEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Symptom scale: insomnia.EORTC QLQ-C30 Version 3 - EOR01-SS:Insomnia
EOR01-SS:Nausea and VomitingC181149EOR01-SS:Nausea and VomitingEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Symptom scale: nausea and vomiting.EORTC QLQ-C30 Version 3 - EOR01-SS:Nausea and Vomiting
EOR01-SS:PainC181150EOR01-SS:PainEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Symptom scale: pain.EORTC QLQ-C30 Version 3 - EOR01-SS:Pain
EOR01-Stay in Bed/Chair During the DayC161677EOR01-Stay in Bed/Chair During the DayEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Do you need to stay in bed or a chair during the day?EORTC QLQ-C30 Version 3 - Stay in Bed or Chair During the Day
EOR01-Trouble Doing Strenuous ActivitiesC161674EOR01-Trouble Doing Strenuous ActivitiesEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Do you have any trouble doing strenuous activities, like carrying a heavy shopping bag or a suitcase?EORTC QLQ-C30 Version 3 - Trouble Doing Strenuous Activities
EOR01-Trouble Taking Long WalkC161675EOR01-Trouble Taking Long WalkEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Do you have any trouble taking a long walk?EORTC QLQ-C30 Version 3 - Trouble Taking Long Walk
EOR01-Trouble Taking Short Walk OutsideC161676EOR01-Trouble Taking Short Walk OutsideEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - Do you have any trouble taking a short walk outside of the house?EORTC QLQ-C30 Version 3 - Trouble Taking Short Walk Outside
EOR01-Were You Short of BreathC161681EOR01-Were You Short of BreathEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Were you short of breath?EORTC QLQ-C30 Version 3 - Were You Short of Breath
EOR01-Were You TiredC161691EOR01-Were You TiredEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 Version 3.0 - During the past week: Were you tired?EORTC QLQ-C30 Version 3 - Were You Tired
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CL.C172400.EOR18TCEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module Questionnaire Test Code
(EOR18TC)
text
Extensible: No
C172400European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module Questionnaire Test CodeEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module test code.CDISC Questionnaire EORTC QLQ-LC13 Test Code Terminology
EOR1831C172403EOR18-How Much Did You CoughEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - How much did you cough?EORTC QLQ-LC13 - How Much Did You Cough
EOR1832C172404EOR18-Did You Cough Up BloodEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - Did you cough up blood?EORTC QLQ-LC13 - Did You Cough Up Blood
EOR1833C172405EOR18-Short of Breath When RestedEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - Were you short of breath when you rested?EORTC QLQ-LC13 - Short of Breath When Rested
EOR1834C172406EOR18-Short of Breath When WalkedEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - Were you short of breath when you walked?EORTC QLQ-LC13 - Short of Breath When Walked
EOR1835C172407EOR18-Short of Breath Climbed StairsEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - Were you short of breath when you climbed stairs?EORTC QLQ-LC13 - Short of Breath Climbed Stairs
EOR1836C172408EOR18-Had a Sore Mouth or TongueEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - Have you had a sore mouth or tongue?EORTC QLQ-LC13 - Had a Sore Mouth or Tongue
EOR1837C172409EOR18-Have You Had Trouble SwallowingEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - Have you had trouble swallowing?EORTC QLQ-LC13 - Have You Had Trouble Swallowing
EOR1838C172410EOR18-Had Tingling Hands or FeetEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - Have you had tingling hands or feet?EORTC QLQ-LC13 - Had Tingling Hands or Feet
EOR1839C172411EOR18-Have You Had Hair LossEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - Have you had hair loss?EORTC QLQ-LC13 - Have You Had Hair Loss
EOR1840C172412EOR18-Have You Had Pain in Your ChestEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - Have you had pain in your chest?EORTC QLQ-LC13 - Have You Had Pain in Your Chest
EOR1841C172413EOR18-Had Pain in Your Arm or ShoulderEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - Have you had pain in your arm or shoulder?EORTC QLQ-LC13 - Had Pain in Your Arm or Shoulder
EOR1842C172414EOR18-Had Pain in Other Parts of BodyEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - Have you had pain in other parts of your body?EORTC QLQ-LC13 - Had Pain in Other Parts of Body
EOR1842AC172415EOR18-If Yes, WhereEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - If yes, where.EORTC QLQ-LC13 - If Yes, Where
EOR1843C172416EOR18-Did You Take Any Medicine for PainEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - Did you take any medicine for pain?EORTC QLQ-LC13 - Did You Take Any Medicine for Pain
EOR1843AC172417EOR18-If Yes, How Much Did It HelpEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - If yes, how much did it help?EORTC QLQ-LC13 - If Yes, How Much Did It Help
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CL.C172399.EOR18TNEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module Questionnaire Test Name
(EOR18TN)
text
Extensible: No
C172399European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module Questionnaire Test NameEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module test name.CDISC Questionnaire EORTC QLQ-LC13 Test Name Terminology
EOR18-Did You Cough Up BloodC172404EOR18-Did You Cough Up BloodEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - Did you cough up blood?EORTC QLQ-LC13 - Did You Cough Up Blood
EOR18-Did You Take Any Medicine for PainC172416EOR18-Did You Take Any Medicine for PainEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - Did you take any medicine for pain?EORTC QLQ-LC13 - Did You Take Any Medicine for Pain
EOR18-Had a Sore Mouth or TongueC172408EOR18-Had a Sore Mouth or TongueEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - Have you had a sore mouth or tongue?EORTC QLQ-LC13 - Had a Sore Mouth or Tongue
EOR18-Had Pain in Other Parts of BodyC172414EOR18-Had Pain in Other Parts of BodyEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - Have you had pain in other parts of your body?EORTC QLQ-LC13 - Had Pain in Other Parts of Body
EOR18-Had Pain in Your Arm or ShoulderC172413EOR18-Had Pain in Your Arm or ShoulderEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - Have you had pain in your arm or shoulder?EORTC QLQ-LC13 - Had Pain in Your Arm or Shoulder
EOR18-Had Tingling Hands or FeetC172410EOR18-Had Tingling Hands or FeetEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - Have you had tingling hands or feet?EORTC QLQ-LC13 - Had Tingling Hands or Feet
EOR18-Have You Had Hair LossC172411EOR18-Have You Had Hair LossEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - Have you had hair loss?EORTC QLQ-LC13 - Have You Had Hair Loss
EOR18-Have You Had Pain in Your ChestC172412EOR18-Have You Had Pain in Your ChestEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - Have you had pain in your chest?EORTC QLQ-LC13 - Have You Had Pain in Your Chest
EOR18-Have You Had Trouble SwallowingC172409EOR18-Have You Had Trouble SwallowingEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - Have you had trouble swallowing?EORTC QLQ-LC13 - Have You Had Trouble Swallowing
EOR18-How Much Did You CoughC172403EOR18-How Much Did You CoughEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - How much did you cough?EORTC QLQ-LC13 - How Much Did You Cough
EOR18-If Yes, How Much Did It HelpC172417EOR18-If Yes, How Much Did It HelpEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - If yes, how much did it help?EORTC QLQ-LC13 - If Yes, How Much Did It Help
EOR18-If Yes, WhereC172415EOR18-If Yes, WhereEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - If yes, where.EORTC QLQ-LC13 - If Yes, Where
EOR18-Short of Breath Climbed StairsC172407EOR18-Short of Breath Climbed StairsEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - Were you short of breath when you climbed stairs?EORTC QLQ-LC13 - Short of Breath Climbed Stairs
EOR18-Short of Breath When RestedC172405EOR18-Short of Breath When RestedEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - Were you short of breath when you rested?EORTC QLQ-LC13 - Short of Breath When Rested
EOR18-Short of Breath When WalkedC172406EOR18-Short of Breath When WalkedEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer Module - Were you short of breath when you walked?EORTC QLQ-LC13 - Short of Breath When Walked
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CL.C161617.EOR02TCEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 Questionnaire Test Code
(EOR02TC)
text
Extensible: No
C161617European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 Questionnaire Test CodeEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 test code.CDISC Questionnaire EORTC QLQ-C15-PAL Version 1 Test Code Terminology
EOR0201C161659EOR02-Trouble Taking Short Walk OutsideEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - Do you have any trouble taking a short walk outside of the house?EORTC QLQ-C15-PAL Version 1 - Trouble Taking Short Walk Outside
EOR0202C161660EOR02-Stay in Bed/Chair During the DayEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - Do you need to stay in bed or a chair during the day?EORTC QLQ-C15-PAL Version 1 - Stay in Bed or Chair During the Day
EOR0203C161661EOR02-Need Help Eating/Dressing/WashingEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - Do you need help with eating, dressing, washing yourself or using the toilet?EORTC QLQ-C15-PAL Version 1 - Need Help Eating, Dressing, Washing
EOR0204C161662EOR02-Were You Short of BreathEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - During the past week: Were you short of breath?EORTC QLQ-C15-PAL Version 1 - Were You Short of Breath
EOR0205C161663EOR02-Have You Had PainEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - During the past week: Have you had pain?EORTC QLQ-C15-PAL Version 1 - Have You Had Pain
EOR0206C161664EOR02-Have You Had Trouble SleepingEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - During the past week: Have you had trouble sleeping?EORTC QLQ-C15-PAL Version 1 - Have You Had Trouble Sleeping
EOR0207C161665EOR02-Have You Felt WeakEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - During the past week: Have you felt weak?EORTC QLQ-C15-PAL Version 1 - Have You Felt Weak
EOR0208C161666EOR02-Have You Lacked AppetiteEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - During the past week: Have you lacked appetite?EORTC QLQ-C15-PAL Version 1 - Have You Lacked Appetite
EOR0209C161667EOR02-Have You Felt NauseatedEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - During the past week: Have you felt nauseated?EORTC QLQ-C15-PAL Version 1 - Have You Felt Nauseated
EOR0210C161668EOR02-Have You Been ConstipatedEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - During the past week: Have you been constipated?EORTC QLQ-C15-PAL Version 1 - Have You Been Constipated
EOR0211C161669EOR02-Were You TiredEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - During the past week: Were you tired?EORTC QLQ-C15-PAL Version 1 - Were You Tired
EOR0212C161670EOR02-Pain Interfere Daily ActivitiesEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - During the past week: Did pain interfere with your daily activities?EORTC QLQ-C15-PAL Version 1 - Pain Interfere Daily Activities
EOR0213C161671EOR02-Did You Feel TenseEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - During the past week: Did you feel tense?EORTC QLQ-C15-PAL Version 1 - Did You Feel Tense
EOR0214C161672EOR02-Did You Feel DepressedEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - During the past week: Did you feel depressed?EORTC QLQ-C15-PAL Version 1 - Did You Feel Depressed
EOR0215C161673EOR02-Rate Your Overall Quality of LifeEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - How would you rate your overall quality of life during the past week?EORTC QLQ-C15-PAL Version 1 - Rate Your Overall Quality of Life
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CL.C161616.EOR02TNEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 Questionnaire Test Name
(EOR02TN)
text
Extensible: No
C161616European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 Questionnaire Test NameEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 test name.CDISC Questionnaire EORTC QLQ-C15-PAL Version 1 Test Name Terminology
EOR02-Did You Feel DepressedC161672EOR02-Did You Feel DepressedEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - During the past week: Did you feel depressed?EORTC QLQ-C15-PAL Version 1 - Did You Feel Depressed
EOR02-Did You Feel TenseC161671EOR02-Did You Feel TenseEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - During the past week: Did you feel tense?EORTC QLQ-C15-PAL Version 1 - Did You Feel Tense
EOR02-Have You Been ConstipatedC161668EOR02-Have You Been ConstipatedEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - During the past week: Have you been constipated?EORTC QLQ-C15-PAL Version 1 - Have You Been Constipated
EOR02-Have You Felt NauseatedC161667EOR02-Have You Felt NauseatedEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - During the past week: Have you felt nauseated?EORTC QLQ-C15-PAL Version 1 - Have You Felt Nauseated
EOR02-Have You Felt WeakC161665EOR02-Have You Felt WeakEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - During the past week: Have you felt weak?EORTC QLQ-C15-PAL Version 1 - Have You Felt Weak
EOR02-Have You Had PainC161663EOR02-Have You Had PainEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - During the past week: Have you had pain?EORTC QLQ-C15-PAL Version 1 - Have You Had Pain
EOR02-Have You Had Trouble SleepingC161664EOR02-Have You Had Trouble SleepingEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - During the past week: Have you had trouble sleeping?EORTC QLQ-C15-PAL Version 1 - Have You Had Trouble Sleeping
EOR02-Have You Lacked AppetiteC161666EOR02-Have You Lacked AppetiteEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - During the past week: Have you lacked appetite?EORTC QLQ-C15-PAL Version 1 - Have You Lacked Appetite
EOR02-Need Help Eating/Dressing/WashingC161661EOR02-Need Help Eating/Dressing/WashingEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - Do you need help with eating, dressing, washing yourself or using the toilet?EORTC QLQ-C15-PAL Version 1 - Need Help Eating, Dressing, Washing
EOR02-Pain Interfere Daily ActivitiesC161670EOR02-Pain Interfere Daily ActivitiesEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - During the past week: Did pain interfere with your daily activities?EORTC QLQ-C15-PAL Version 1 - Pain Interfere Daily Activities
EOR02-Rate Your Overall Quality of LifeC161673EOR02-Rate Your Overall Quality of LifeEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - How would you rate your overall quality of life during the past week?EORTC QLQ-C15-PAL Version 1 - Rate Your Overall Quality of Life
EOR02-Stay in Bed/Chair During the DayC161660EOR02-Stay in Bed/Chair During the DayEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - Do you need to stay in bed or a chair during the day?EORTC QLQ-C15-PAL Version 1 - Stay in Bed or Chair During the Day
EOR02-Trouble Taking Short Walk OutsideC161659EOR02-Trouble Taking Short Walk OutsideEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - Do you have any trouble taking a short walk outside of the house?EORTC QLQ-C15-PAL Version 1 - Trouble Taking Short Walk Outside
EOR02-Were You Short of BreathC161662EOR02-Were You Short of BreathEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - During the past week: Were you short of breath?EORTC QLQ-C15-PAL Version 1 - Were You Short of Breath
EOR02-Were You TiredC161669EOR02-Were You TiredEuropean Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire - Palliative Care Version 1.0 - During the past week: Were you tired?EORTC QLQ-C15-PAL Version 1 - Were You Tired
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CL.C101817.EQ5D02TCEuropean Quality of Life Five Dimension Five Level Scale Questionnaire Test Code
(EQ5D02TC)
text
Extensible: No
C101817European Quality of Life Five Dimension Five Level Scale Questionnaire Test CodeEuropean Quality of Life Five Dimension Five Level Scale test code.CDISC Questionnaire EQ-5D-5L Test Code Terminology
EQ5D0201C102067EQ5D02-MobilityEuropean Quality of Life Five Dimension Five Level Scale - Check the one box that best describes your health today: Mobility.EQ-5D-5L - Mobility
EQ5D0202C102068EQ5D02-Self-CareEuropean Quality of Life Five Dimension Five Level Scale - Check the one box that best describes your health today: Self-care.EQ-5D-5L - Self-Care
EQ5D0203C102069EQ5D02-Usual ActivitiesEuropean Quality of Life Five Dimension Five Level Scale - Check the one box that best describes your health today: Usual activities.EQ-5D-5L - Usual Activities
EQ5D0204C102070EQ5D02-Pain/DiscomfortEuropean Quality of Life Five Dimension Five Level Scale - Check the one box that best describes your health today: Pain/discomfort.EQ-5D-5L - Pain or Discomfort
EQ5D0205C102071EQ5D02-Anxiety/DepressionEuropean Quality of Life Five Dimension Five Level Scale - Check the one box that best describes your health today: Anxiety/depression.EQ-5D-5L - Anxiety or Depression
EQ5D0206C102072EQ5D02-EQ VAS ScoreEuropean Quality of Life Five Dimension Five Level Scale - Indicate how your health is today.EQ-5D-5L - EQ VAS Score
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CL.C101818.EQ5D02TNEuropean Quality of Life Five Dimension Five Level Scale Questionnaire Test Name
(EQ5D02TN)
text
Extensible: No
C101818European Quality of Life Five Dimension Five Level Scale Questionnaire Test NameEuropean Quality of Life Five Dimension Five Level Scale test name.CDISC Questionnaire EQ-5D-5L Test Name Terminology
EQ5D02-Anxiety/DepressionC102071EQ5D02-Anxiety/DepressionEuropean Quality of Life Five Dimension Five Level Scale - Check the one box that best describes your health today: Anxiety/depression.EQ-5D-5L - Anxiety or Depression
EQ5D02-EQ VAS ScoreC102072EQ5D02-EQ VAS ScoreEuropean Quality of Life Five Dimension Five Level Scale - Indicate how your health is today.EQ-5D-5L - EQ VAS Score
EQ5D02-MobilityC102067EQ5D02-MobilityEuropean Quality of Life Five Dimension Five Level Scale - Check the one box that best describes your health today: Mobility.EQ-5D-5L - Mobility
EQ5D02-Pain/DiscomfortC102070EQ5D02-Pain/DiscomfortEuropean Quality of Life Five Dimension Five Level Scale - Check the one box that best describes your health today: Pain/discomfort.EQ-5D-5L - Pain or Discomfort
EQ5D02-Self-CareC102068EQ5D02-Self-CareEuropean Quality of Life Five Dimension Five Level Scale - Check the one box that best describes your health today: Self-care.EQ-5D-5L - Self-Care
EQ5D02-Usual ActivitiesC102069EQ5D02-Usual ActivitiesEuropean Quality of Life Five Dimension Five Level Scale - Check the one box that best describes your health today: Usual activities.EQ-5D-5L - Usual Activities
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CL.C100136.EQ5D01TCEuropean Quality of Life Five Dimension Three Level Scale Questionnaire Test Code
(EQ5D01TC)
text
Extensible: No
C100136European Quality of Life Five Dimension Three Level Scale Questionnaire Test CodeEuropean Quality of Life Five Dimension Three Level Scale test code.CDISC Questionnaire EQ-5D-3L Test Code Terminology
EQ5D0101C100392EQ5D01-MobilityEuropean Quality of Life Five Dimension Three Level Scale - Indicate which statements best describe your own health state today: Mobility.EQ-5D-3L - Mobility
EQ5D0102C100393EQ5D01-Self-CareEuropean Quality of Life Five Dimension Three Level Scale - Indicate which statements best describe your own health state today: Self-care.EQ-5D-3L - Self-Care
EQ5D0103C100394EQ5D01-Usual ActivitiesEuropean Quality of Life Five Dimension Three Level Scale - Indicate which statements best describe your own health state today: Usual activities.EQ-5D-3L - Usual Activities
EQ5D0104C100395EQ5D01-Pain/DiscomfortEuropean Quality of Life Five Dimension Three Level Scale - Indicate which statements best describe your own health state today: Pain/discomfort.EQ-5D-3L - Pain or Discomfort
EQ5D0105C100396EQ5D01-Anxiety/DepressionEuropean Quality of Life Five Dimension Three Level Scale - Indicate which statements best describe your own health state today: Anxiety/depression.EQ-5D-3L - Anxiety or Depression
EQ5D0106C100397EQ5D01-EQ VAS ScoreEuropean Quality of Life Five Dimension Three Level Scale - Indicate on this scale how good or bad your own health is today, in your opinion.EQ-5D-3L - EQ VAS Score
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CL.C100135.EQ5D01TNEuropean Quality of Life Five Dimension Three Level Scale Questionnaire Test Name
(EQ5D01TN)
text
Extensible: No
C100135European Quality of Life Five Dimension Three Level Scale Questionnaire Test NameEuropean Quality of Life Five Dimension Three Level Scale test name.CDISC Questionnaire EQ-5D-3L Test Name Terminology
EQ5D01-Anxiety/DepressionC100396EQ5D01-Anxiety/DepressionEuropean Quality of Life Five Dimension Three Level Scale - Indicate which statements best describe your own health state today: Anxiety/depression.EQ-5D-3L - Anxiety or Depression
EQ5D01-EQ VAS ScoreC100397EQ5D01-EQ VAS ScoreEuropean Quality of Life Five Dimension Three Level Scale - Indicate on this scale how good or bad your own health is today, in your opinion.EQ-5D-3L - EQ VAS Score
EQ5D01-MobilityC100392EQ5D01-MobilityEuropean Quality of Life Five Dimension Three Level Scale - Indicate which statements best describe your own health state today: Mobility.EQ-5D-3L - Mobility
EQ5D01-Pain/DiscomfortC100395EQ5D01-Pain/DiscomfortEuropean Quality of Life Five Dimension Three Level Scale - Indicate which statements best describe your own health state today: Pain/discomfort.EQ-5D-3L - Pain or Discomfort
EQ5D01-Self-CareC100393EQ5D01-Self-CareEuropean Quality of Life Five Dimension Three Level Scale - Indicate which statements best describe your own health state today: Self-care.EQ-5D-3L - Self-Care
EQ5D01-Usual ActivitiesC100394EQ5D01-Usual ActivitiesEuropean Quality of Life Five Dimension Three Level Scale - Indicate which statements best describe your own health state today: Usual activities.EQ-5D-3L - Usual Activities
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CL.C123653.EXACT1TCExacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome Questionnaire Test Code
(EXACT1TC)
text
Extensible: No
C123653Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome Questionnaire Test CodeExacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome test code.CDISC Questionnaire EXACT Test Code Terminology
EXACT101C123669EXACT1-Chest Feel CongestedExacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Did your chest feel congested today?EXACT - Chest Feel Congested
EXACT102C123670EXACT1-How Often CoughExacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - How often did you cough today?EXACT - How Often Cough Today
EXACT103C123671EXACT1-Bring Up Mucus When CoughingExacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - How much mucus (phlegm) did you bring up when coughing today?EXACT - Bring Up Mucus When Coughing
EXACT104C123672EXACT1-Difficult to Bring Up MucusExacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - How difficult was it to bring up mucus (phlegm) today?EXACT - Difficult to Bring Up Mucus
EXACT105C123673EXACT1-Chest DiscomfortExacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Did you have chest discomfort today?EXACT - Have Chest Discomfort
EXACT106C123674EXACT1-Chest Feel TightExacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Did your chest feel tight today?EXACT - Chest Feel Tight
EXACT107C123675EXACT1-BreathlessExacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Were you breathless today?EXACT - Were You Breathless
EXACT108C123676EXACT1-Describe How BreathlessExacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Describe how breathless you were today.EXACT - Describe How Breathless
EXACT109C123677EXACT1-Short Breath Personal CareExacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Were you short of breath today when performing your usual personal care activities like washing or dressing?EXACT - Short of Breath When Performing Usual Personal Care
EXACT110C123678EXACT1-Short Breath Indoor ActivitiesExacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Were you short of breath today when performing your usual indoor activities like cleaning or household work?EXACT - Short of Breath When Performing Usual Indoor Activities
EXACT111C123679EXACT1-Short Breath Outside ActivitiesExacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Were you short of breath today when performing your usual activities outside the home such as yard work or errands?EXACT - Short of Breath When Performing Usual Activities Outside
EXACT112C123680EXACT1-Tired or WeakExacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Were you tired or weak today?EXACT - Tired or Weak
EXACT113C123681EXACT1-Night Sleep DisturbedExacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Last night, was your sleep disturbed?EXACT - Night Sleep Disturbed
EXACT114C123682EXACT1-Worried About Lung ProblemsExacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - How scared or worried were you about your lung problems today?EXACT - Worried About Lung Problems
EXACT115C177803EXACT1-Breathlessness Raw ScoreExacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Breathlessness raw score.EXACT - Breathlessness Raw Score
EXACT116C177804EXACT1-Cough & Sputum Raw ScoreExacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Cough & sputum raw score.EXACT - Cough & Sputum Raw Score
EXACT117C177805EXACT1-Chest Symptoms Raw ScoreExacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Chest symptoms raw score.EXACT - Chest Symptoms Raw Score
EXACT118C177806EXACT1-EXACT Total Raw ScoreExacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Exact total raw score.EXACT - EXACT Total Raw Score
EXACT119C177807EXACT1-Breathlessness Domain ScoreExacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Breathlessness domain score.EXACT - Breathlessness Domain Score
EXACT120C177808EXACT1-Cough & Sputum Domain ScoreExacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Cough & sputum domain score.EXACT - Cough & Sputum Domain Score
EXACT121C177809EXACT1-Chest Symptoms Domain ScoreExacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Chest symptoms domain score.EXACT - Chest Symptoms Domain Score
EXACT122C177810EXACT1-EXACT Total ScoreExacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Exact total domain score.EXACT - EXACT Total Score
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CL.C123652.EXACT1TNExacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome Questionnaire Test Name
(EXACT1TN)
text
Extensible: No
C123652Exacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome Questionnaire Test NameExacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome test name.CDISC Questionnaire EXACT Test Name Terminology
EXACT1-BreathlessC123675EXACT1-BreathlessExacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Were you breathless today?EXACT - Were You Breathless
EXACT1-Breathlessness Domain ScoreC177807EXACT1-Breathlessness Domain ScoreExacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Breathlessness domain score.EXACT - Breathlessness Domain Score
EXACT1-Breathlessness Raw ScoreC177803EXACT1-Breathlessness Raw ScoreExacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Breathlessness raw score.EXACT - Breathlessness Raw Score
EXACT1-Bring Up Mucus When CoughingC123671EXACT1-Bring Up Mucus When CoughingExacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - How much mucus (phlegm) did you bring up when coughing today?EXACT - Bring Up Mucus When Coughing
EXACT1-Chest DiscomfortC123673EXACT1-Chest DiscomfortExacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Did you have chest discomfort today?EXACT - Have Chest Discomfort
EXACT1-Chest Feel CongestedC123669EXACT1-Chest Feel CongestedExacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Did your chest feel congested today?EXACT - Chest Feel Congested
EXACT1-Chest Feel TightC123674EXACT1-Chest Feel TightExacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Did your chest feel tight today?EXACT - Chest Feel Tight
EXACT1-Chest Symptoms Domain ScoreC177809EXACT1-Chest Symptoms Domain ScoreExacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Chest symptoms domain score.EXACT - Chest Symptoms Domain Score
EXACT1-Chest Symptoms Raw ScoreC177805EXACT1-Chest Symptoms Raw ScoreExacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Chest symptoms raw score.EXACT - Chest Symptoms Raw Score
EXACT1-Cough & Sputum Domain ScoreC177808EXACT1-Cough & Sputum Domain ScoreExacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Cough & sputum domain score.EXACT - Cough & Sputum Domain Score
EXACT1-Cough & Sputum Raw ScoreC177804EXACT1-Cough & Sputum Raw ScoreExacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Cough & sputum raw score.EXACT - Cough & Sputum Raw Score
EXACT1-Describe How BreathlessC123676EXACT1-Describe How BreathlessExacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Describe how breathless you were today.EXACT - Describe How Breathless
EXACT1-Difficult to Bring Up MucusC123672EXACT1-Difficult to Bring Up MucusExacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - How difficult was it to bring up mucus (phlegm) today?EXACT - Difficult to Bring Up Mucus
EXACT1-EXACT Total Raw ScoreC177806EXACT1-EXACT Total Raw ScoreExacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Exact total raw score.EXACT - EXACT Total Raw Score
EXACT1-EXACT Total ScoreC177810EXACT1-EXACT Total ScoreExacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Exact total domain score.EXACT - EXACT Total Score
EXACT1-How Often CoughC123670EXACT1-How Often CoughExacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - How often did you cough today?EXACT - How Often Cough Today
EXACT1-Night Sleep DisturbedC123681EXACT1-Night Sleep DisturbedExacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Last night, was your sleep disturbed?EXACT - Night Sleep Disturbed
EXACT1-Short Breath Indoor ActivitiesC123678EXACT1-Short Breath Indoor ActivitiesExacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Were you short of breath today when performing your usual indoor activities like cleaning or household work?EXACT - Short of Breath When Performing Usual Indoor Activities
EXACT1-Short Breath Outside ActivitiesC123679EXACT1-Short Breath Outside ActivitiesExacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Were you short of breath today when performing your usual activities outside the home such as yard work or errands?EXACT - Short of Breath When Performing Usual Activities Outside
EXACT1-Short Breath Personal CareC123677EXACT1-Short Breath Personal CareExacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Were you short of breath today when performing your usual personal care activities like washing or dressing?EXACT - Short of Breath When Performing Usual Personal Care
EXACT1-Tired or WeakC123680EXACT1-Tired or WeakExacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - Were you tired or weak today?EXACT - Tired or Weak
EXACT1-Worried About Lung ProblemsC123682EXACT1-Worried About Lung ProblemsExacerbations of Chronic Pulmonary Disease Tool Patient-Reported Outcome - How scared or worried were you about your lung problems today?EXACT - Worried About Lung Problems
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CL.C125745.ED1TCExpanded Disability Rating Scale - Postacute Interview Caregiver Version Questionnaire Test Code
(ED1TC)
text
Extensible: No
C125745Expanded Disability Rating Scale - Postacute Interview Caregiver Version Questionnaire Test CodeExpanded Disability Rating Scale - Postacute Interview Caregiver Version test code.CDISC Questionnaire Expanded DRS-PI Caregiver Version Test Code Terminology
ED102_1C125773ED1-Able to Communicate ClearlyExpanded Disability Rating Scale - Postacute Interview Caregiver Version - Is [name] able to communicate with you in a way that you and others clearly understand?Expanded DRS-PI Caregiver Version - Able to Communicate Clearly
ED102_2C125774ED1-How They Communicate PrimarilyExpanded Disability Rating Scale - Postacute Interview Caregiver Version - How do they communicate primarily?Expanded DRS-PI Caregiver Version - How They Communicate Primarily
ED102_3C125775ED1-Correct Date and TimeExpanded Disability Rating Scale - Postacute Interview Caregiver Version - Is [name] able to give the correct date and time within a few seconds of being asked?Expanded DRS-PI Caregiver Version - Give Correct Date and Time When Asked
ED102_4C125776ED1-Few Words or Random Answers/ShoutingExpanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [name] have only a few words that [s/he] uses over and over or does [s/he] express him/herself only through random answers, shouting or swearing?Expanded DRS-PI Caregiver Version - Use Few Words or Random Shouting
ED102_5C125777ED1-Moan/Groan/Sounds Not UnderstandableExpanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [name] only moan, groan or make other sounds that are not understandable?Expanded DRS-PI Caregiver Version - Make Sounds Not Understandable
ED104_1C125778ED1-Feed Independently Without HelpExpanded Disability Rating Scale - Postacute Interview Caregiver Version - Can [name] feed him/herself independently or manage tube feedings appropriately without help or reminders?Expanded DRS-PI Caregiver Version - Feed Independently Without Help
ED104_2C125779ED1-Understand Feeding UtensilsExpanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [name] understand what eating or feeding utensils or equipment are for and how they should be used?Expanded DRS-PI Caregiver Version - Understand Feeding Utensils
ED104_3C125780ED1-Know Meal TimesExpanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [name] know when meal or feeding times are?Expanded DRS-PI Caregiver Version - Know Meal Times
ED105_1C125781ED1-Use Toilet IndependentlyExpanded Disability Rating Scale - Postacute Interview Caregiver Version - Can [name] use the toilet or manage their bowel and bladder routine independently and appropriately without help or reminders?Expanded DRS-PI Caregiver Version - Use Toilet Independently
ED105_2C125782ED1-Manage Clothing When ToiletingExpanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [name] understand how to manage their clothing or special equipment when toileting or in bowel and bladder management?Expanded DRS-PI Caregiver Version - Manage Clothing When Toileting
ED105_3C125783ED1-Know When to Use ToiletExpanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [name] know when to use the toilet or to conduct bowel and bladder management?Expanded DRS-PI Caregiver Version - Know When to Use Toilet
ED106_1C125784ED1-Can Dress/Groom IndependentlyExpanded Disability Rating Scale - Postacute Interview Caregiver Version - Can [name] dress and groom him/herself independently and appropriately or direct someone else in these activities without help or reminders?Expanded DRS-PI Caregiver Version - Can Dress and Groom Self Independently
ED106_2C125785ED1-Know How to Bathe/WashExpanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [s/he] know how to bathe and wash?Expanded DRS-PI Caregiver Version - Know How to Bathe and Wash
ED106_3C125786ED1-Understand How to Get DressedExpanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [s/he] understand how to get dressed?Expanded DRS-PI Caregiver Version - Understand How to Get Dressed
ED106_4C125787ED1-Start/Finish Grooming ActivitiesExpanded Disability Rating Scale - Postacute Interview Caregiver Version - Can [s/he] start and finish these grooming activities without prompting?Expanded DRS-PI Caregiver Version - Start and Finish Grooming Activities
ED107_1C125788ED1-Function Completely IndependentlyExpanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [name] function completely independently? That is, [s/he] does not require any physical assistance, supervision, equipment, devices or reminders for cognitive, social, behavioral, emotional, and physical function?Expanded DRS-PI Caregiver Version - Function Completely Independently
ED107_2C125789ED1-Require Specific Aids/EquipmentExpanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [name] REQUIRE special aids or equipment such as a brace, walker, wheelchair, memory notebook, day planner, verbal reminders, prompts, cues, or alarm watch because of a disability?Expanded DRS-PI Caregiver Version - Require Special Aids or Equipment
ED107_3C125790ED1-Require Physical AssistanceExpanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [name] require physical assistance from another person to meet daily needs?Expanded DRS-PI Caregiver Version - Require Physical Assistance
ED107_4C125791ED1-Require Assistance Thinking TasksExpanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [s/he] require assistance from another person in tasks that require thinking abilities?Expanded DRS-PI Caregiver Version - Require Assistance Thinking Tasks
ED107_5C125792ED1-Require Assistance Managing EmotionsExpanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [s/he] require assistance from another person to manage emotions and behavior?Expanded DRS-PI Caregiver Version - Require Assistance Managing Emotions
ED107_6AC125793ED1-Need a Helper Always Close ByExpanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [s/he] take care of some of their needs but also need a helper who is always close by?Expanded DRS-PI Caregiver Version - Need a Helper Always Close By
ED107_6BC125794ED1-Need Help With All Major ActivitiesExpanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [s/he] need help with all major activities and the assistance of another person all the time?Expanded DRS-PI Caregiver Version - Need Help With All Major Activities
ED107_6CC125795ED1-Need 24-Hour CareExpanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [s/he] need 24-hour care and is not able to help with their own care at all?Expanded DRS-PI Caregiver Version - Need 24-Hour Care
ED108_1C125796ED1-Independent Work/Social SituationsExpanded Disability Rating Scale - Postacute Interview Caregiver Version - Can [name] function with complete independence in work or social situations?Expanded DRS-PI Caregiver Version - Function With Independent Work or Social Situations
ED108_2C125797ED1-Understand/Follow DirectionsExpanded Disability Rating Scale - Postacute Interview Caregiver Version - Can [name] understand, remember, and follow directions?Expanded DRS-PI Caregiver Version - Understand and Follow Directions
ED108_3C125798ED1-Keep Track of Time/SchedulesExpanded Disability Rating Scale - Postacute Interview Caregiver Version - Can [name] keep track of time, schedules and appointments?Expanded DRS-PI Caregiver Version - Keep Track of Time
ED108_4C125799ED1-Perform Jobs, Manage Home/SchoolExpanded Disability Rating Scale - Postacute Interview Caregiver Version - How certain are you that [name] can perform in a wide variety of jobs of [his/her] choosing or manage a home independently or participate in school full-time?Expanded DRS-PI Caregiver Version - Perform Jobs or Manage a Home Independently
ED108_5C125800ED1-Successful With AccommodationsExpanded Disability Rating Scale - Postacute Interview Caregiver Version - How certain are you that [name] can be successful at work, school or in home management with some reduction in the work load or with other accommodations due to disabilities?Expanded DRS-PI Caregiver Version - Successful With Accommodations
ED108_6C125801ED1-Successful With Limited ChoicesExpanded Disability Rating Scale - Postacute Interview Caregiver Version - How certain are you that [name] can be successful at work, school or in home management but with limited choices in jobs or school courses due to disabilities?Expanded DRS-PI Caregiver Version - Successful With Limited Choices
ED108_7C125802ED1-Work With Frequent SupportExpanded Disability Rating Scale - Postacute Interview Caregiver Version - How certain are you that [name] can be able to work at home or in a special setting like a sheltered workshop in which the work is very routine and there is very frequent supervision and support?Expanded DRS-PI Caregiver Version - Work With Frequent Supervision and Support
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CL.C125744.ED1TNExpanded Disability Rating Scale - Postacute Interview Caregiver Version Questionnaire Test Name
(ED1TN)
text
Extensible: No
C125744Expanded Disability Rating Scale - Postacute Interview Caregiver Version Questionnaire Test NameExpanded Disability Rating Scale - Postacute Interview Caregiver Version test name.CDISC Questionnaire Expanded DRS-PI Caregiver Version Test Name Terminology
ED1-Able to Communicate ClearlyC125773ED1-Able to Communicate ClearlyExpanded Disability Rating Scale - Postacute Interview Caregiver Version - Is [name] able to communicate with you in a way that you and others clearly understand?Expanded DRS-PI Caregiver Version - Able to Communicate Clearly
ED1-Can Dress/Groom IndependentlyC125784ED1-Can Dress/Groom IndependentlyExpanded Disability Rating Scale - Postacute Interview Caregiver Version - Can [name] dress and groom him/herself independently and appropriately or direct someone else in these activities without help or reminders?Expanded DRS-PI Caregiver Version - Can Dress and Groom Self Independently
ED1-Correct Date and TimeC125775ED1-Correct Date and TimeExpanded Disability Rating Scale - Postacute Interview Caregiver Version - Is [name] able to give the correct date and time within a few seconds of being asked?Expanded DRS-PI Caregiver Version - Give Correct Date and Time When Asked
ED1-Feed Independently Without HelpC125778ED1-Feed Independently Without HelpExpanded Disability Rating Scale - Postacute Interview Caregiver Version - Can [name] feed him/herself independently or manage tube feedings appropriately without help or reminders?Expanded DRS-PI Caregiver Version - Feed Independently Without Help
ED1-Few Words or Random Answers/ShoutingC125776ED1-Few Words or Random Answers/ShoutingExpanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [name] have only a few words that [s/he] uses over and over or does [s/he] express him/herself only through random answers, shouting or swearing?Expanded DRS-PI Caregiver Version - Use Few Words or Random Shouting
ED1-Function Completely IndependentlyC125788ED1-Function Completely IndependentlyExpanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [name] function completely independently? That is, [s/he] does not require any physical assistance, supervision, equipment, devices or reminders for cognitive, social, behavioral, emotional, and physical function?Expanded DRS-PI Caregiver Version - Function Completely Independently
ED1-How They Communicate PrimarilyC125774ED1-How They Communicate PrimarilyExpanded Disability Rating Scale - Postacute Interview Caregiver Version - How do they communicate primarily?Expanded DRS-PI Caregiver Version - How They Communicate Primarily
ED1-Independent Work/Social SituationsC125796ED1-Independent Work/Social SituationsExpanded Disability Rating Scale - Postacute Interview Caregiver Version - Can [name] function with complete independence in work or social situations?Expanded DRS-PI Caregiver Version - Function With Independent Work or Social Situations
ED1-Keep Track of Time/SchedulesC125798ED1-Keep Track of Time/SchedulesExpanded Disability Rating Scale - Postacute Interview Caregiver Version - Can [name] keep track of time, schedules and appointments?Expanded DRS-PI Caregiver Version - Keep Track of Time
ED1-Know How to Bathe/WashC125785ED1-Know How to Bathe/WashExpanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [s/he] know how to bathe and wash?Expanded DRS-PI Caregiver Version - Know How to Bathe and Wash
ED1-Know Meal TimesC125780ED1-Know Meal TimesExpanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [name] know when meal or feeding times are?Expanded DRS-PI Caregiver Version - Know Meal Times
ED1-Know When to Use ToiletC125783ED1-Know When to Use ToiletExpanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [name] know when to use the toilet or to conduct bowel and bladder management?Expanded DRS-PI Caregiver Version - Know When to Use Toilet
ED1-Manage Clothing When ToiletingC125782ED1-Manage Clothing When ToiletingExpanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [name] understand how to manage their clothing or special equipment when toileting or in bowel and bladder management?Expanded DRS-PI Caregiver Version - Manage Clothing When Toileting
ED1-Moan/Groan/Sounds Not UnderstandableC125777ED1-Moan/Groan/Sounds Not UnderstandableExpanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [name] only moan, groan or make other sounds that are not understandable?Expanded DRS-PI Caregiver Version - Make Sounds Not Understandable
ED1-Need 24-Hour CareC125795ED1-Need 24-Hour CareExpanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [s/he] need 24-hour care and is not able to help with their own care at all?Expanded DRS-PI Caregiver Version - Need 24-Hour Care
ED1-Need a Helper Always Close ByC125793ED1-Need a Helper Always Close ByExpanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [s/he] take care of some of their needs but also need a helper who is always close by?Expanded DRS-PI Caregiver Version - Need a Helper Always Close By
ED1-Need Help With All Major ActivitiesC125794ED1-Need Help With All Major ActivitiesExpanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [s/he] need help with all major activities and the assistance of another person all the time?Expanded DRS-PI Caregiver Version - Need Help With All Major Activities
ED1-Perform Jobs, Manage Home/SchoolC125799ED1-Perform Jobs, Manage Home/SchoolExpanded Disability Rating Scale - Postacute Interview Caregiver Version - How certain are you that [name] can perform in a wide variety of jobs of [his/her] choosing or manage a home independently or participate in school full-time?Expanded DRS-PI Caregiver Version - Perform Jobs or Manage a Home Independently
ED1-Require Assistance Managing EmotionsC125792ED1-Require Assistance Managing EmotionsExpanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [s/he] require assistance from another person to manage emotions and behavior?Expanded DRS-PI Caregiver Version - Require Assistance Managing Emotions
ED1-Require Assistance Thinking TasksC125791ED1-Require Assistance Thinking TasksExpanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [s/he] require assistance from another person in tasks that require thinking abilities?Expanded DRS-PI Caregiver Version - Require Assistance Thinking Tasks
ED1-Require Physical AssistanceC125790ED1-Require Physical AssistanceExpanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [name] require physical assistance from another person to meet daily needs?Expanded DRS-PI Caregiver Version - Require Physical Assistance
ED1-Require Specific Aids/EquipmentC125789ED1-Require Specific Aids/EquipmentExpanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [name] REQUIRE special aids or equipment such as a brace, walker, wheelchair, memory notebook, day planner, verbal reminders, prompts, cues, or alarm watch because of a disability?Expanded DRS-PI Caregiver Version - Require Special Aids or Equipment
ED1-Start/Finish Grooming ActivitiesC125787ED1-Start/Finish Grooming ActivitiesExpanded Disability Rating Scale - Postacute Interview Caregiver Version - Can [s/he] start and finish these grooming activities without prompting?Expanded DRS-PI Caregiver Version - Start and Finish Grooming Activities
ED1-Successful With AccommodationsC125800ED1-Successful With AccommodationsExpanded Disability Rating Scale - Postacute Interview Caregiver Version - How certain are you that [name] can be successful at work, school or in home management with some reduction in the work load or with other accommodations due to disabilities?Expanded DRS-PI Caregiver Version - Successful With Accommodations
ED1-Successful With Limited ChoicesC125801ED1-Successful With Limited ChoicesExpanded Disability Rating Scale - Postacute Interview Caregiver Version - How certain are you that [name] can be successful at work, school or in home management but with limited choices in jobs or school courses due to disabilities?Expanded DRS-PI Caregiver Version - Successful With Limited Choices
ED1-Understand Feeding UtensilsC125779ED1-Understand Feeding UtensilsExpanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [name] understand what eating or feeding utensils or equipment are for and how they should be used?Expanded DRS-PI Caregiver Version - Understand Feeding Utensils
ED1-Understand How to Get DressedC125786ED1-Understand How to Get DressedExpanded Disability Rating Scale - Postacute Interview Caregiver Version - Does [s/he] understand how to get dressed?Expanded DRS-PI Caregiver Version - Understand How to Get Dressed
ED1-Understand/Follow DirectionsC125797ED1-Understand/Follow DirectionsExpanded Disability Rating Scale - Postacute Interview Caregiver Version - Can [name] understand, remember, and follow directions?Expanded DRS-PI Caregiver Version - Understand and Follow Directions
ED1-Use Toilet IndependentlyC125781ED1-Use Toilet IndependentlyExpanded Disability Rating Scale - Postacute Interview Caregiver Version - Can [name] use the toilet or manage their bowel and bladder routine independently and appropriately without help or reminders?Expanded DRS-PI Caregiver Version - Use Toilet Independently
ED1-Work With Frequent SupportC125802ED1-Work With Frequent SupportExpanded Disability Rating Scale - Postacute Interview Caregiver Version - How certain are you that [name] can be able to work at home or in a special setting like a sheltered workshop in which the work is very routine and there is very frequent supervision and support?Expanded DRS-PI Caregiver Version - Work With Frequent Supervision and Support
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CL.C125747.ED2TCExpanded Disability Rating Scale - Postacute Interview Survivor Version Questionnaire Test Code
(ED2TC)
text
Extensible: No
C125747Expanded Disability Rating Scale - Postacute Interview Survivor Version Questionnaire Test CodeExpanded Disability Rating Scale - Postacute Interview Survivor Version test code.CDISC Questionnaire Expanded DRS-PI Survivor Version Test Code Terminology
ED202_3C125803ED2-Correct Date and TimeExpanded Disability Rating Scale - Postacute Interview Survivor Version - Are you able to give the correct date and time within a few seconds of being asked?Expanded DRS-PI Survivor Version - Give Correct Date and Time When Asked
ED204_1C125804ED2-Feed Independently Without HelpExpanded Disability Rating Scale - Postacute Interview Survivor Version - Can you feed yourself independently or manage tube feedings appropriately without help or reminders?Expanded DRS-PI Survivor Version - Feed Yourself Independently Without Help
ED204_2C125805ED2-Understand Feeding UtensilsExpanded Disability Rating Scale - Postacute Interview Survivor Version - Do you understand what eating or feeding utensils or equipment are for and how they should be used?Expanded DRS-PI Survivor Version - Understand Feeding Utensils
ED204_3C125806ED2-Know Meal TimesExpanded Disability Rating Scale - Postacute Interview Survivor Version - Do you know when meal or feeding times are?Expanded DRS-PI Survivor Version - Know Meal Times
ED205_1C125807ED2-Use Toilet IndependentlyExpanded Disability Rating Scale - Postacute Interview Survivor Version - Can you use the toilet or manage your bowel and bladder routine independently and appropriately without help or reminders?Expanded DRS-PI Survivor Version - Use Toilet Independently
ED205_2C125808ED2-Manage Clothing When ToiletingExpanded Disability Rating Scale - Postacute Interview Survivor Version - Do you understand how to manage your clothing or special equipment when toileting or in bowel and bladder management?Expanded DRS-PI Survivor Version - Manage Clothing When Toileting
ED205_3C125809ED2-Know When to Use ToiletExpanded Disability Rating Scale - Postacute Interview Survivor Version - Do you know when to use the toilet or to conduct bowel and bladder management?Expanded DRS-PI Survivor Version - Know When to Use Toilet
ED206_1C125810ED2-Can Dress/Groom IndependentlyExpanded Disability Rating Scale - Postacute Interview Survivor Version - Can you dress and groom yourself independently and appropriately or direct someone else in these activities without help or reminders?Expanded DRS-PI Survivor Version - Can Dress and Groom Self Independently
ED206_2C125811ED2-Know How to Bathe/WashExpanded Disability Rating Scale - Postacute Interview Survivor Version - Do you know how to bathe and wash?Expanded DRS-PI Survivor Version - Know How to Bathe and Wash
ED206_3C125812ED2-Understand How to Get DressedExpanded Disability Rating Scale - Postacute Interview Survivor Version - Do you understand how to get dressed?Expanded DRS-PI Survivor Version - Understand How to Get Dressed
ED206_4C125813ED2-Start/Finish Grooming ActivitiesExpanded Disability Rating Scale - Postacute Interview Survivor Version - Can you start and finish these grooming activities without prompting?Expanded DRS-PI Survivor Version - Start and Finish Grooming Activities
ED207_1C125814ED2-Function Completely IndependentlyExpanded Disability Rating Scale - Postacute Interview Survivor Version - Do you function completely independently? That is, you do not require any physical assistance, supervision, equipment, devices, or reminders for cognitive, social, behavioral, emotional, and physical function?Expanded DRS-PI Survivor Version - Function Completely Independently
ED207_2C125815ED2-Require Specific Aids/EquipmentExpanded Disability Rating Scale - Postacute Interview Survivor Version - Do you REQUIRE special aids or equipment, such as, a brace, walker, wheelchair, memory notebook, day planner, verbal reminders, prompts, cues, or alarm watch because of a disability?Expanded DRS-PI Survivor Version - Require Special Aids or Equipment
ED207_3C125816ED2-Require Physical AssistanceExpanded Disability Rating Scale - Postacute Interview Survivor Version - Do you require physical assistance from another person to meet daily needs?Expanded DRS-PI Survivor Version - Require Physical Assistance
ED207_4C125817ED2-Require Assistance Thinking TasksExpanded Disability Rating Scale - Postacute Interview Survivor Version - Do you require assistance from another person in tasks that require thinking abilities?Expanded DRS-PI Survivor Version - Require Assistance Thinking Tasks
ED207_5C125818ED2-Require Assistance Managing EmotionsExpanded Disability Rating Scale - Postacute Interview Survivor Version - Do you require assistance from another person to manage emotions and behavior?Expanded DRS-PI Survivor Version - Require Assistance Managing Emotions
ED207_6AC125819ED2-Need a Helper Always Close ByExpanded Disability Rating Scale - Postacute Interview Survivor Version - Do you take care of some of your needs but also need a helper who is always close by?Expanded DRS-PI Survivor Version - Need a Helper Always Close By
ED207_6BC125820ED2-Need Help With All Major ActivitiesExpanded Disability Rating Scale - Postacute Interview Survivor Version - Do you need help with all major activities and the assistance of another person all the time?Expanded DRS-PI Survivor Version - Need Help With All Major Activities
ED207_6CC125821ED2-Need 24-Hour CareExpanded Disability Rating Scale - Postacute Interview Survivor Version - Do you need 24-hour care and are not able to help with your own care at all?Expanded DRS-PI Survivor Version - Need 24-Hour Care
ED208_1C125822ED2-Independent Work/Social SituationsExpanded Disability Rating Scale - Postacute Interview Survivor Version - Can you function with complete independence in work or social situations?Expanded DRS-PI Survivor Version - Function With Independent Work or Social Situations
ED208_2C125823ED2-Understand/Follow DirectionsExpanded Disability Rating Scale - Postacute Interview Survivor Version - Can you understand, remember, and follow directions?Expanded DRS-PI Survivor Version - Understand and Follow Directions
ED208_3C125824ED2-Keep Track of Time/SchedulesExpanded Disability Rating Scale - Postacute Interview Survivor Version - Can you keep track of time, schedules and appointments?Expanded DRS-PI Survivor Version - Keep Track of Time
ED208_4C125825ED2-Perform Jobs, Manage Home/SchoolExpanded Disability Rating Scale - Postacute Interview Survivor Version - How certain are you that you can perform in a wide variety of jobs of your choosing or manage a home independently or participate in school full-time?Expanded DRS-PI Survivor Version - Perform Jobs or Manage a Home Independently
ED208_5C125826ED2-Successful With AccommodationsExpanded Disability Rating Scale - Postacute Interview Survivor Version - How certain are you that you can be successful at work, school or in home management with some reduction in the work load or with other accommodations due to disabilities?Expanded DRS-PI Survivor Version - Successful With Accommodations
ED208_6C125827ED2-Successful With Limited ChoicesExpanded Disability Rating Scale - Postacute Interview Survivor Version - How certain are you that you can be successful at work, school or in home management but with limited choices in jobs or school courses due to disabilities?Expanded DRS-PI Survivor Version - Successful With Limited Choices
ED208_7C125828ED2-Work With Frequent SupportExpanded Disability Rating Scale - Postacute Interview Survivor Version - How certain are you that you can be able to work at home or in a special setting like a sheltered workshop in which the work is very routine and there is very frequent supervision and support?Expanded DRS-PI Survivor Version - Work With Frequent Supervision and Support
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CL.C125746.ED2TNExpanded Disability Rating Scale - Postacute Interview Survivor Version Questionnaire Test Name
(ED2TN)
text
Extensible: No
C125746Expanded Disability Rating Scale - Postacute Interview Survivor Version Questionnaire Test NameExpanded Disability Rating Scale - Postacute Interview Survivor Version test name.CDISC Questionnaire Expanded DRS-PI Survivor Version Test Name Terminology
ED2-Can Dress/Groom IndependentlyC125810ED2-Can Dress/Groom IndependentlyExpanded Disability Rating Scale - Postacute Interview Survivor Version - Can you dress and groom yourself independently and appropriately or direct someone else in these activities without help or reminders?Expanded DRS-PI Survivor Version - Can Dress and Groom Self Independently
ED2-Correct Date and TimeC125803ED2-Correct Date and TimeExpanded Disability Rating Scale - Postacute Interview Survivor Version - Are you able to give the correct date and time within a few seconds of being asked?Expanded DRS-PI Survivor Version - Give Correct Date and Time When Asked
ED2-Feed Independently Without HelpC125804ED2-Feed Independently Without HelpExpanded Disability Rating Scale - Postacute Interview Survivor Version - Can you feed yourself independently or manage tube feedings appropriately without help or reminders?Expanded DRS-PI Survivor Version - Feed Yourself Independently Without Help
ED2-Function Completely IndependentlyC125814ED2-Function Completely IndependentlyExpanded Disability Rating Scale - Postacute Interview Survivor Version - Do you function completely independently? That is, you do not require any physical assistance, supervision, equipment, devices, or reminders for cognitive, social, behavioral, emotional, and physical function?Expanded DRS-PI Survivor Version - Function Completely Independently
ED2-Independent Work/Social SituationsC125822ED2-Independent Work/Social SituationsExpanded Disability Rating Scale - Postacute Interview Survivor Version - Can you function with complete independence in work or social situations?Expanded DRS-PI Survivor Version - Function With Independent Work or Social Situations
ED2-Keep Track of Time/SchedulesC125824ED2-Keep Track of Time/SchedulesExpanded Disability Rating Scale - Postacute Interview Survivor Version - Can you keep track of time, schedules and appointments?Expanded DRS-PI Survivor Version - Keep Track of Time
ED2-Know How to Bathe/WashC125811ED2-Know How to Bathe/WashExpanded Disability Rating Scale - Postacute Interview Survivor Version - Do you know how to bathe and wash?Expanded DRS-PI Survivor Version - Know How to Bathe and Wash
ED2-Know Meal TimesC125806ED2-Know Meal TimesExpanded Disability Rating Scale - Postacute Interview Survivor Version - Do you know when meal or feeding times are?Expanded DRS-PI Survivor Version - Know Meal Times
ED2-Know When to Use ToiletC125809ED2-Know When to Use ToiletExpanded Disability Rating Scale - Postacute Interview Survivor Version - Do you know when to use the toilet or to conduct bowel and bladder management?Expanded DRS-PI Survivor Version - Know When to Use Toilet
ED2-Manage Clothing When ToiletingC125808ED2-Manage Clothing When ToiletingExpanded Disability Rating Scale - Postacute Interview Survivor Version - Do you understand how to manage your clothing or special equipment when toileting or in bowel and bladder management?Expanded DRS-PI Survivor Version - Manage Clothing When Toileting
ED2-Need 24-Hour CareC125821ED2-Need 24-Hour CareExpanded Disability Rating Scale - Postacute Interview Survivor Version - Do you need 24-hour care and are not able to help with your own care at all?Expanded DRS-PI Survivor Version - Need 24-Hour Care
ED2-Need a Helper Always Close ByC125819ED2-Need a Helper Always Close ByExpanded Disability Rating Scale - Postacute Interview Survivor Version - Do you take care of some of your needs but also need a helper who is always close by?Expanded DRS-PI Survivor Version - Need a Helper Always Close By
ED2-Need Help With All Major ActivitiesC125820ED2-Need Help With All Major ActivitiesExpanded Disability Rating Scale - Postacute Interview Survivor Version - Do you need help with all major activities and the assistance of another person all the time?Expanded DRS-PI Survivor Version - Need Help With All Major Activities
ED2-Perform Jobs, Manage Home/SchoolC125825ED2-Perform Jobs, Manage Home/SchoolExpanded Disability Rating Scale - Postacute Interview Survivor Version - How certain are you that you can perform in a wide variety of jobs of your choosing or manage a home independently or participate in school full-time?Expanded DRS-PI Survivor Version - Perform Jobs or Manage a Home Independently
ED2-Require Assistance Managing EmotionsC125818ED2-Require Assistance Managing EmotionsExpanded Disability Rating Scale - Postacute Interview Survivor Version - Do you require assistance from another person to manage emotions and behavior?Expanded DRS-PI Survivor Version - Require Assistance Managing Emotions
ED2-Require Assistance Thinking TasksC125817ED2-Require Assistance Thinking TasksExpanded Disability Rating Scale - Postacute Interview Survivor Version - Do you require assistance from another person in tasks that require thinking abilities?Expanded DRS-PI Survivor Version - Require Assistance Thinking Tasks
ED2-Require Physical AssistanceC125816ED2-Require Physical AssistanceExpanded Disability Rating Scale - Postacute Interview Survivor Version - Do you require physical assistance from another person to meet daily needs?Expanded DRS-PI Survivor Version - Require Physical Assistance
ED2-Require Specific Aids/EquipmentC125815ED2-Require Specific Aids/EquipmentExpanded Disability Rating Scale - Postacute Interview Survivor Version - Do you REQUIRE special aids or equipment, such as, a brace, walker, wheelchair, memory notebook, day planner, verbal reminders, prompts, cues, or alarm watch because of a disability?Expanded DRS-PI Survivor Version - Require Special Aids or Equipment
ED2-Start/Finish Grooming ActivitiesC125813ED2-Start/Finish Grooming ActivitiesExpanded Disability Rating Scale - Postacute Interview Survivor Version - Can you start and finish these grooming activities without prompting?Expanded DRS-PI Survivor Version - Start and Finish Grooming Activities
ED2-Successful With AccommodationsC125826ED2-Successful With AccommodationsExpanded Disability Rating Scale - Postacute Interview Survivor Version - How certain are you that you can be successful at work, school or in home management with some reduction in the work load or with other accommodations due to disabilities?Expanded DRS-PI Survivor Version - Successful With Accommodations
ED2-Successful With Limited ChoicesC125827ED2-Successful With Limited ChoicesExpanded Disability Rating Scale - Postacute Interview Survivor Version - How certain are you that you can be successful at work, school or in home management but with limited choices in jobs or school courses due to disabilities?Expanded DRS-PI Survivor Version - Successful With Limited Choices
ED2-Understand Feeding UtensilsC125805ED2-Understand Feeding UtensilsExpanded Disability Rating Scale - Postacute Interview Survivor Version - Do you understand what eating or feeding utensils or equipment are for and how they should be used?Expanded DRS-PI Survivor Version - Understand Feeding Utensils
ED2-Understand How to Get DressedC125812ED2-Understand How to Get DressedExpanded Disability Rating Scale - Postacute Interview Survivor Version - Do you understand how to get dressed?Expanded DRS-PI Survivor Version - Understand How to Get Dressed
ED2-Understand/Follow DirectionsC125823ED2-Understand/Follow DirectionsExpanded Disability Rating Scale - Postacute Interview Survivor Version - Can you understand, remember, and follow directions?Expanded DRS-PI Survivor Version - Understand and Follow Directions
ED2-Use Toilet IndependentlyC125807ED2-Use Toilet IndependentlyExpanded Disability Rating Scale - Postacute Interview Survivor Version - Can you use the toilet or manage your bowel and bladder routine independently and appropriately without help or reminders?Expanded DRS-PI Survivor Version - Use Toilet Independently
ED2-Work With Frequent SupportC125828ED2-Work With Frequent SupportExpanded Disability Rating Scale - Postacute Interview Survivor Version - How certain are you that you can be able to work at home or in a special setting like a sheltered workshop in which the work is very routine and there is very frequent supervision and support?Expanded DRS-PI Survivor Version - Work With Frequent Supervision and Support
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CL.C115404.GOSE1TCExtended Glasgow Outcome Scale Questionnaire Test Code
(GOSE1TC)
text
Extensible: No
C115404Extended Glasgow Outcome Scale Questionnaire Test CodeExtended Glasgow Outcome Scale test code.CDISC Questionnaire GOSE Test Code Terminology
GOSE101C115828GOSE1-Obey Simple Commands or Say WordsExtended Glasgow Outcome Scale - Is the head injured person able to obey simple commands, or say any words?GOSE - Consciousness: Obey Simple Commands
GOSE102AC115829GOSE1-Daily Assistance at Home EssentialExtended Glasgow Outcome Scale - Is the assistance of another person at home essential every day for some activities of daily living?GOSE - Independence in the Home: Assistance Essential for Daily Living
GOSE102BC115830GOSE1-Need Frequent Help at HomeExtended Glasgow Outcome Scale - Do they need frequent help or someone to be around at home most of the time?GOSE - Independence in the Home: Need Frequent Help at Home
GOSE102CC115831GOSE1-Assistance at Home Before InjuryExtended Glasgow Outcome Scale - Was assistance at home essential before the injury?GOSE - Independence in the Home: Assistance at Home Before Injury
GOSE103AC115832GOSE1-Shop Without AssistanceExtended Glasgow Outcome Scale - Are they able to shop without assistance?GOSE - Independence Outside the Home: Able to Shop Without Assistance
GOSE103BC115833GOSE1-Shop Without Assist Before InjuryExtended Glasgow Outcome Scale - Were they able to shop without assistance before the injury?GOSE - Independence Outside the Home: Able to Shop Without Assistance Before Injury
GOSE104AC115834GOSE1-Travel Locally Without AssistanceExtended Glasgow Outcome Scale - Are they able to travel locally without assistance?GOSE - Independence Outside the Home: Travel Locally Without Assistance
GOSE104BC115835GOSE1-Travel Without Assist Before InjExtended Glasgow Outcome Scale - Were they able to travel without assistance before the injury?GOSE - Independence Outside the Home: Travel Locally Without Assistance Before Injury
GOSE105AC115836GOSE1-Able to Work to Previous CapacityExtended Glasgow Outcome Scale - Are they currently able to work to their previous capacity?GOSE - Work: Able to Work to Previous Capacity
GOSE105BC115837GOSE1-How Restricted Are TheyExtended Glasgow Outcome Scale - How restricted are they?GOSE - Work: How Restricted Are They
GOSE105CC115838GOSE1-Working Before InjuryExtended Glasgow Outcome Scale - Were they either working or seeking employment before the injury (answer 'yes') or were they doing neither (answer 'no')?GOSE - Work: Working or Seeking Employment Before the Injury
GOSE106AC115839GOSE1-Resume Social/Leisure Outside HomeExtended Glasgow Outcome Scale - Are they able to resume regular social and leisure activities outside home?GOSE - Social and Leisure Activities: Resume Regular Social and Leisure Activities
GOSE106BC115840GOSE1-Extent Social/Leisure RestrictionExtended Glasgow Outcome Scale - What is the extent of restriction on their social and leisure activities?GOSE - Social and Leisure Activities: Extent of Restriction on Social and Leisure Activities
GOSE106CC115841GOSE1-Engage Social/Leisure Before InjExtended Glasgow Outcome Scale - Did they engage in regular social and leisure activities outside home before the injury?GOSE - Social and Leisure Activities: Engage Regular Social and Leisure Activities Before Injury
GOSE107AC115842GOSE1-Disruptive Psychological ProblemsExtended Glasgow Outcome Scale - Have there been psychological problems which have resulted in ongoing family disruption or disruption to friendships?GOSE - Family and Friendships: Disruptive Psychological Problems
GOSE107BC115843GOSE1-Extent of DisruptionExtended Glasgow Outcome Scale - What has been the extent of disruption or strain?GOSE - Family and Friendships: Extent of Disruption or Strain
GOSE107CC115844GOSE1-Family/Friends Probs Before InjuryExtended Glasgow Outcome Scale - Were there problems with family or friends before the injury?GOSE - Family and Friendships: Problems with Family or Friends Before Injury
GOSE108AC115845GOSE1-Other Problems Related to InjuryExtended Glasgow Outcome Scale - Are there any other current problems relating to the injury which affect daily life?GOSE - Return to Normal Life: Other Current Problems Relating to Injury
GOSE108BC115846GOSE1-Similar Problems Before InjuryExtended Glasgow Outcome Scale - Were similar problems present before the injury?GOSE - Return to Normal Life: Similar Problems Before Injury
GOSE109C115847GOSE1-Since Injury Any Epileptic FitsExtended Glasgow Outcome Scale - Since the injury has the head injured person had any epileptic fits?GOSE - Epilepsy: Since Injury Any Epileptic Fits
GOSE110C115848GOSE1-At Risk of Developing EpilepsyExtended Glasgow Outcome Scale - Have they been told that they are currently at risk of developing epilepsy?GOSE - Epilepsy: At Risk of Developing Epilepsy
GOSE111C115849GOSE1-Most Important Factor in OutcomeExtended Glasgow Outcome Scale - What is the most important factor in outcome?GOSE - Epilepsy: Most Important Factor in Outcome
GOSE112C115850GOSE1-GOSE Overall ScoreExtended Glasgow Outcome Scale - Scoring: The patient's overall rating is based on the lowest outcome category indicated on the scale.GOSE - GOSE Overall Score
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CL.C115403.GOSE1TNExtended Glasgow Outcome Scale Questionnaire Test Name
(GOSE1TN)
text
Extensible: No
C115403Extended Glasgow Outcome Scale Questionnaire Test NameExtended Glasgow Outcome Scale test name.CDISC Questionnaire GOSE Test Name Terminology
GOSE1-Able to Work to Previous CapacityC115836GOSE1-Able to Work to Previous CapacityExtended Glasgow Outcome Scale - Are they currently able to work to their previous capacity?GOSE - Work: Able to Work to Previous Capacity
GOSE1-Assistance at Home Before InjuryC115831GOSE1-Assistance at Home Before InjuryExtended Glasgow Outcome Scale - Was assistance at home essential before the injury?GOSE - Independence in the Home: Assistance at Home Before Injury
GOSE1-At Risk of Developing EpilepsyC115848GOSE1-At Risk of Developing EpilepsyExtended Glasgow Outcome Scale - Have they been told that they are currently at risk of developing epilepsy?GOSE - Epilepsy: At Risk of Developing Epilepsy
GOSE1-Daily Assistance at Home EssentialC115829GOSE1-Daily Assistance at Home EssentialExtended Glasgow Outcome Scale - Is the assistance of another person at home essential every day for some activities of daily living?GOSE - Independence in the Home: Assistance Essential for Daily Living
GOSE1-Disruptive Psychological ProblemsC115842GOSE1-Disruptive Psychological ProblemsExtended Glasgow Outcome Scale - Have there been psychological problems which have resulted in ongoing family disruption or disruption to friendships?GOSE - Family and Friendships: Disruptive Psychological Problems
GOSE1-Engage Social/Leisure Before InjC115841GOSE1-Engage Social/Leisure Before InjExtended Glasgow Outcome Scale - Did they engage in regular social and leisure activities outside home before the injury?GOSE - Social and Leisure Activities: Engage Regular Social and Leisure Activities Before Injury
GOSE1-Extent of DisruptionC115843GOSE1-Extent of DisruptionExtended Glasgow Outcome Scale - What has been the extent of disruption or strain?GOSE - Family and Friendships: Extent of Disruption or Strain
GOSE1-Extent Social/Leisure RestrictionC115840GOSE1-Extent Social/Leisure RestrictionExtended Glasgow Outcome Scale - What is the extent of restriction on their social and leisure activities?GOSE - Social and Leisure Activities: Extent of Restriction on Social and Leisure Activities
GOSE1-Family/Friends Probs Before InjuryC115844GOSE1-Family/Friends Probs Before InjuryExtended Glasgow Outcome Scale - Were there problems with family or friends before the injury?GOSE - Family and Friendships: Problems with Family or Friends Before Injury
GOSE1-GOSE Overall ScoreC115850GOSE1-GOSE Overall ScoreExtended Glasgow Outcome Scale - Scoring: The patient's overall rating is based on the lowest outcome category indicated on the scale.GOSE - GOSE Overall Score
GOSE1-How Restricted Are TheyC115837GOSE1-How Restricted Are TheyExtended Glasgow Outcome Scale - How restricted are they?GOSE - Work: How Restricted Are They
GOSE1-Most Important Factor in OutcomeC115849GOSE1-Most Important Factor in OutcomeExtended Glasgow Outcome Scale - What is the most important factor in outcome?GOSE - Epilepsy: Most Important Factor in Outcome
GOSE1-Need Frequent Help at HomeC115830GOSE1-Need Frequent Help at HomeExtended Glasgow Outcome Scale - Do they need frequent help or someone to be around at home most of the time?GOSE - Independence in the Home: Need Frequent Help at Home
GOSE1-Obey Simple Commands or Say WordsC115828GOSE1-Obey Simple Commands or Say WordsExtended Glasgow Outcome Scale - Is the head injured person able to obey simple commands, or say any words?GOSE - Consciousness: Obey Simple Commands
GOSE1-Other Problems Related to InjuryC115845GOSE1-Other Problems Related to InjuryExtended Glasgow Outcome Scale - Are there any other current problems relating to the injury which affect daily life?GOSE - Return to Normal Life: Other Current Problems Relating to Injury
GOSE1-Resume Social/Leisure Outside HomeC115839GOSE1-Resume Social/Leisure Outside HomeExtended Glasgow Outcome Scale - Are they able to resume regular social and leisure activities outside home?GOSE - Social and Leisure Activities: Resume Regular Social and Leisure Activities
GOSE1-Shop Without Assist Before InjuryC115833GOSE1-Shop Without Assist Before InjuryExtended Glasgow Outcome Scale - Were they able to shop without assistance before the injury?GOSE - Independence Outside the Home: Able to Shop Without Assistance Before Injury
GOSE1-Shop Without AssistanceC115832GOSE1-Shop Without AssistanceExtended Glasgow Outcome Scale - Are they able to shop without assistance?GOSE - Independence Outside the Home: Able to Shop Without Assistance
GOSE1-Similar Problems Before InjuryC115846GOSE1-Similar Problems Before InjuryExtended Glasgow Outcome Scale - Were similar problems present before the injury?GOSE - Return to Normal Life: Similar Problems Before Injury
GOSE1-Since Injury Any Epileptic FitsC115847GOSE1-Since Injury Any Epileptic FitsExtended Glasgow Outcome Scale - Since the injury has the head injured person had any epileptic fits?GOSE - Epilepsy: Since Injury Any Epileptic Fits
GOSE1-Travel Locally Without AssistanceC115834GOSE1-Travel Locally Without AssistanceExtended Glasgow Outcome Scale - Are they able to travel locally without assistance?GOSE - Independence Outside the Home: Travel Locally Without Assistance
GOSE1-Travel Without Assist Before InjC115835GOSE1-Travel Without Assist Before InjExtended Glasgow Outcome Scale - Were they able to travel without assistance before the injury?GOSE - Independence Outside the Home: Travel Locally Without Assistance Before Injury
GOSE1-Working Before InjuryC115838GOSE1-Working Before InjuryExtended Glasgow Outcome Scale - Were they either working or seeking employment before the injury (answer 'yes') or were they doing neither (answer 'no')?GOSE - Work: Working or Seeking Employment Before the Injury
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CL.C117991.ESRSA1TCExtrapyramidal Symptom Rating Scale-Abbreviated Clinical Classification Test Code
(ESRSA1TC)
text
Extensible: No
C117991Extrapyramidal Symptom Rating Scale-Abbreviated Clinical Classification Test CodeExtrapyramidal Symptom Rating Scale-Abbreviated test code.CDISC Clinical Classification ESRS-A Test Code Terminology
ESRSA101C118079ESRSA1-Rigidity: Upper LimbsExtrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Rigidity: Upper limbs.ESRS-A - Rigidity: Upper Limbs
ESRSA102C118080ESRSA1-Rigidity: Lower LimbsExtrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Rigidity: Lower limbs.ESRS-A - Rigidity: Lower Limbs
ESRSA103C118081ESRSA1-Rigidity: NeckExtrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Rigidity: Neck.ESRS-A - Rigidity: Neck
ESRSA104C118082ESRSA1-Tremor: Face/Jaw/Chin/Lips/HeadExtrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Tremor: Face, jaw/chin, lips, head.ESRS-A - Tremor: Face/Jaw/Chin/Lips/Head
ESRSA105C118083ESRSA1-Tremor: Upper Limbs/HandsExtrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Tremor: Upper limbs/hands.ESRS-A - Tremor: Upper Limbs/Hands
ESRSA106C118084ESRSA1-Tremor: Lower Limbs/FeetExtrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Tremor: Lower limbs/feet.ESRS-A - Tremor: Lower Limbs/Feet
ESRSA107C118085ESRSA1-Reduced Facial Expression/SpeechExtrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Reduced facial expression/speech.ESRS-A - Reduced Facial Expression/Speech
ESRSA108C118086ESRSA1-Impaired Gait/PostureExtrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Impaired gait/posture.ESRS-A - Impaired Gait/Posture
ESRSA109C118087ESRSA1-Postural InstabilityExtrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Postural instability.ESRS-A - Postural Instability
ESRSA110C118088ESRSA1-Bradykinesia/HypokinesiaExtrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Bradykinesia/hypokinesia.ESRS-A - Bradykinesia/Hypokinesia
ESRSA111C118089ESRSA1-Dystonia: TongueExtrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Tongue.ESRS-A - Dystonia: Tongue
ESRSA112C118090ESRSA1-Dystonia: JawExtrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Jaw.ESRS-A - Dystonia: Jaw
ESRSA113C118091ESRSA1-Dystonia: Eyes/Face/LarynxExtrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Eyes, upper face, lower face, larynx.ESRS-A - Dystonia: Eyes/Upper and Lower Face/Larynx
ESRSA114C118092ESRSA1-Dystonia: Shoulder/Up Limb/HandExtrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Shoulders, upper limbs, hands.ESRS-A - Dystonia: Shoulder/Upper Limbs/Hands
ESRSA115C118093ESRSA1-Dystonia: Hips/Lower Limbs/FeetExtrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Hips, lower limbs, feet.ESRS-A - Dystonia: Hips/Lower Limbs/Feet
ESRSA116C118094ESRSA1-Dystonia: Trunk/NeckExtrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Trunk, neck.ESRS-A - Dystonia: Trunk/Neck
ESRSA117C118095ESRSA1-Dyskinesia: TongueExtrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Tongue.ESRS-A - Dyskinesia: Tongue
ESRSA118C118096ESRSA1-Dyskinesia: JawExtrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Jaw.ESRS-A - Dyskinesia: Jaw
ESRSA119C118097ESRSA1-Dyskinesia: Eyes/Up Face/Low FaceExtrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Eyes, upper face, lower face.ESRS-A - Dyskinesia: Eyes/Upper Face/Lower Face
ESRSA120C118098ESRSA1-Dyskinesia: Shoulder/Up Limb/HandExtrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Shoulders, upper limbs, hands.ESRS-A - Dyskinesia: Shoulder/Upper Limbs/Hands
ESRSA121C118099ESRSA1-Dyskinesia: Hips/Lower Limbs/FeetExtrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Hips, lower limbs, feet.ESRS-A - Dyskinesia: Hips/Lower Limbs/Feet
ESRSA122C118100ESRSA1-Dyskinesia: Trunk/NeckExtrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Trunk, neck.ESRS-A - Dyskinesia: Trunk/Neck
ESRSA123C118101ESRSA1-Akathisia: SubjectiveExtrapyramidal Symptom Rating Scale-Abbreviated - Akathisia: Subjective.ESRS-A - Akathisia: Subjective
ESRSA124C118102ESRSA1-Akathisia: ObjectiveExtrapyramidal Symptom Rating Scale-Abbreviated - Akathisia: Objective.ESRS-A - Akathisia: Objective
ESRSA125C118103ESRSA1-CGI-S ParkinsonismExtrapyramidal Symptom Rating Scale-Abbreviated - Clinical Global Impression (CGI-S): Parkinsonism.ESRS-A - CGI-S Parkinsonism
ESRSA126C118104ESRSA1-CGI-S DystoniaExtrapyramidal Symptom Rating Scale-Abbreviated - Clinical Global Impression (CGI-S): Dystonia.ESRS-A - CGI-S Dystonia
ESRSA127C118105ESRSA1-CGI-S DyskinesiaExtrapyramidal Symptom Rating Scale-Abbreviated - Clinical Global Impression (CGI-S): Dyskinesia.ESRS-A - CGI-S Dyskinesia
ESRSA128C118106ESRSA1-CGI-S AkathisiaExtrapyramidal Symptom Rating Scale-Abbreviated - Clinical Global Impression (CGI-S): Akathisia.ESRS-A - CGI-S Akathisia
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CL.C117990.ESRSA1TNExtrapyramidal Symptom Rating Scale-Abbreviated Clinical Classification Test Name
(ESRSA1TN)
text
Extensible: No
C117990Extrapyramidal Symptom Rating Scale-Abbreviated Clinical Classification Test NameExtrapyramidal Symptom Rating Scale-Abbreviated test name.CDISC Clinical Classification ESRS-A Test Name Terminology
ESRSA1-Akathisia: ObjectiveC118102ESRSA1-Akathisia: ObjectiveExtrapyramidal Symptom Rating Scale-Abbreviated - Akathisia: Objective.ESRS-A - Akathisia: Objective
ESRSA1-Akathisia: SubjectiveC118101ESRSA1-Akathisia: SubjectiveExtrapyramidal Symptom Rating Scale-Abbreviated - Akathisia: Subjective.ESRS-A - Akathisia: Subjective
ESRSA1-Bradykinesia/HypokinesiaC118088ESRSA1-Bradykinesia/HypokinesiaExtrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Bradykinesia/hypokinesia.ESRS-A - Bradykinesia/Hypokinesia
ESRSA1-CGI-S AkathisiaC118106ESRSA1-CGI-S AkathisiaExtrapyramidal Symptom Rating Scale-Abbreviated - Clinical Global Impression (CGI-S): Akathisia.ESRS-A - CGI-S Akathisia
ESRSA1-CGI-S DyskinesiaC118105ESRSA1-CGI-S DyskinesiaExtrapyramidal Symptom Rating Scale-Abbreviated - Clinical Global Impression (CGI-S): Dyskinesia.ESRS-A - CGI-S Dyskinesia
ESRSA1-CGI-S DystoniaC118104ESRSA1-CGI-S DystoniaExtrapyramidal Symptom Rating Scale-Abbreviated - Clinical Global Impression (CGI-S): Dystonia.ESRS-A - CGI-S Dystonia
ESRSA1-CGI-S ParkinsonismC118103ESRSA1-CGI-S ParkinsonismExtrapyramidal Symptom Rating Scale-Abbreviated - Clinical Global Impression (CGI-S): Parkinsonism.ESRS-A - CGI-S Parkinsonism
ESRSA1-Dyskinesia: Eyes/Up Face/Low FaceC118097ESRSA1-Dyskinesia: Eyes/Up Face/Low FaceExtrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Eyes, upper face, lower face.ESRS-A - Dyskinesia: Eyes/Upper Face/Lower Face
ESRSA1-Dyskinesia: Hips/Lower Limbs/FeetC118099ESRSA1-Dyskinesia: Hips/Lower Limbs/FeetExtrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Hips, lower limbs, feet.ESRS-A - Dyskinesia: Hips/Lower Limbs/Feet
ESRSA1-Dyskinesia: JawC118096ESRSA1-Dyskinesia: JawExtrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Jaw.ESRS-A - Dyskinesia: Jaw
ESRSA1-Dyskinesia: Shoulder/Up Limb/HandC118098ESRSA1-Dyskinesia: Shoulder/Up Limb/HandExtrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Shoulders, upper limbs, hands.ESRS-A - Dyskinesia: Shoulder/Upper Limbs/Hands
ESRSA1-Dyskinesia: TongueC118095ESRSA1-Dyskinesia: TongueExtrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Tongue.ESRS-A - Dyskinesia: Tongue
ESRSA1-Dyskinesia: Trunk/NeckC118100ESRSA1-Dyskinesia: Trunk/NeckExtrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Trunk, neck.ESRS-A - Dyskinesia: Trunk/Neck
ESRSA1-Dystonia: Eyes/Face/LarynxC118091ESRSA1-Dystonia: Eyes/Face/LarynxExtrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Eyes, upper face, lower face, larynx.ESRS-A - Dystonia: Eyes/Upper and Lower Face/Larynx
ESRSA1-Dystonia: Hips/Lower Limbs/FeetC118093ESRSA1-Dystonia: Hips/Lower Limbs/FeetExtrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Hips, lower limbs, feet.ESRS-A - Dystonia: Hips/Lower Limbs/Feet
ESRSA1-Dystonia: JawC118090ESRSA1-Dystonia: JawExtrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Jaw.ESRS-A - Dystonia: Jaw
ESRSA1-Dystonia: Shoulder/Up Limb/HandC118092ESRSA1-Dystonia: Shoulder/Up Limb/HandExtrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Shoulders, upper limbs, hands.ESRS-A - Dystonia: Shoulder/Upper Limbs/Hands
ESRSA1-Dystonia: TongueC118089ESRSA1-Dystonia: TongueExtrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Tongue.ESRS-A - Dystonia: Tongue
ESRSA1-Dystonia: Trunk/NeckC118094ESRSA1-Dystonia: Trunk/NeckExtrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Trunk, neck.ESRS-A - Dystonia: Trunk/Neck
ESRSA1-Impaired Gait/PostureC118086ESRSA1-Impaired Gait/PostureExtrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Impaired gait/posture.ESRS-A - Impaired Gait/Posture
ESRSA1-Postural InstabilityC118087ESRSA1-Postural InstabilityExtrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Postural instability.ESRS-A - Postural Instability
ESRSA1-Reduced Facial Expression/SpeechC118085ESRSA1-Reduced Facial Expression/SpeechExtrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Reduced facial expression/speech.ESRS-A - Reduced Facial Expression/Speech
ESRSA1-Rigidity: Lower LimbsC118080ESRSA1-Rigidity: Lower LimbsExtrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Rigidity: Lower limbs.ESRS-A - Rigidity: Lower Limbs
ESRSA1-Rigidity: NeckC118081ESRSA1-Rigidity: NeckExtrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Rigidity: Neck.ESRS-A - Rigidity: Neck
ESRSA1-Rigidity: Upper LimbsC118079ESRSA1-Rigidity: Upper LimbsExtrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Rigidity: Upper limbs.ESRS-A - Rigidity: Upper Limbs
ESRSA1-Tremor: Face/Jaw/Chin/Lips/HeadC118082ESRSA1-Tremor: Face/Jaw/Chin/Lips/HeadExtrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Tremor: Face, jaw/chin, lips, head.ESRS-A - Tremor: Face/Jaw/Chin/Lips/Head
ESRSA1-Tremor: Lower Limbs/FeetC118084ESRSA1-Tremor: Lower Limbs/FeetExtrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Tremor: Lower limbs/feet.ESRS-A - Tremor: Lower Limbs/Feet
ESRSA1-Tremor: Upper Limbs/HandsC118083ESRSA1-Tremor: Upper Limbs/HandsExtrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Tremor: Upper limbs/hands.ESRS-A - Tremor: Upper Limbs/Hands
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CL.C100154.FPSR1TCFaces Pain Scale - Revised Questionnaire Test Code
(FPSR1TC)
text
Extensible: No
C100154Faces Pain Scale - Revised Questionnaire Test CodeFaces Pain Scale - Revised test code.CDISC Questionnaire FPSR Test Code Terminology
FPSR101C101013FPSR1-How Much Do You HurtFaces Pain Scale - Revised - Point to the face that shows how much you hurt [right now].FPSR - How Much Do You Hurt
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CL.C100153.FPSR1TNFaces Pain Scale - Revised Questionnaire Test Name
(FPSR1TN)
text
Extensible: No
C100153Faces Pain Scale - Revised Questionnaire Test NameFaces Pain Scale - Revised test name.CDISC Questionnaire FPSR Test Name Terminology
FPSR1-How Much Do You HurtC101013FPSR1-How Much Do You HurtFaces Pain Scale - Revised - Point to the face that shows how much you hurt [right now].FPSR - How Much Do You Hurt
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CL.C113850.FSS01TCFatigue Severity Scale Questionnaire Test Code
(FSS01TC)
text
Extensible: No
C113850Fatigue Severity Scale Questionnaire Test CodeFatigue Severity Scale test code.CDISC Questionnaire Fatigue Severity Scale Test Code Terminology
FSS0101C113944FSS01-Motivation Is Lower When FatiguedFatigue Severity Scale - My motivation is lower when I am fatigued.FSS - Motivation is Lower When Fatigued
FSS0102C113945FSS01-Exercise Brings on My FatigueFatigue Severity Scale - Exercise brings on my fatigue.FSS - Exercise Brings on My Fatigue
FSS0103C113946FSS01-I Am Easily FatiguedFatigue Severity Scale - I am easily fatigued.FSS - I Am Easily Fatigued
FSS0104C113947FSS01-Interferes With Phys FunctionFatigue Severity Scale - Fatigue interferes with my physical functioning.FSS - Fatigue Interferes With Physical Functioning
FSS0105C113948FSS01-Fatigue Causes Frequent ProblemsFatigue Severity Scale - Fatigue causes frequent problems for me.FSS - Fatigue Causes Frequent Problems
FSS0106C113949FSS01-Prevents Sustained Phys FunctionFatigue Severity Scale - My fatigue prevents sustained physical functioning.FSS - Fatigue Prevents Sustained Physical Functioning
FSS0107C113950FSS01-Fatigue Interferes With DutiesFatigue Severity Scale - Fatigue interferes with carrying out certain duties and responsibilities.FSS - Fatigue Interferes With Carrying Out Duties
FSS0108C113951FSS01-Among My 3 Most Disabling SymptomsFatigue Severity Scale - Fatigue is among my three most disabling symptoms.FSS - Fatigue is Among Most Disabling Symptoms
FSS0109C113952FSS01-Fatigue Interferes With My LifeFatigue Severity Scale - Fatigue interferes with my work, family, or social life.FSS - Fatigue Interferes With Work
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CL.C113849.FSS01TNFatigue Severity Scale Questionnaire Test Name
(FSS01TN)
text
Extensible: No
C113849Fatigue Severity Scale Questionnaire Test NameFatigue Severity Scale test name.CDISC Questionnaire Fatigue Severity Scale Test Name Terminology
FSS01-Among My 3 Most Disabling SymptomsC113951FSS01-Among My 3 Most Disabling SymptomsFatigue Severity Scale - Fatigue is among my three most disabling symptoms.FSS - Fatigue is Among Most Disabling Symptoms
FSS01-Exercise Brings on My FatigueC113945FSS01-Exercise Brings on My FatigueFatigue Severity Scale - Exercise brings on my fatigue.FSS - Exercise Brings on My Fatigue
FSS01-Fatigue Causes Frequent ProblemsC113948FSS01-Fatigue Causes Frequent ProblemsFatigue Severity Scale - Fatigue causes frequent problems for me.FSS - Fatigue Causes Frequent Problems
FSS01-Fatigue Interferes With DutiesC113950FSS01-Fatigue Interferes With DutiesFatigue Severity Scale - Fatigue interferes with carrying out certain duties and responsibilities.FSS - Fatigue Interferes With Carrying Out Duties
FSS01-Fatigue Interferes With My LifeC113952FSS01-Fatigue Interferes With My LifeFatigue Severity Scale - Fatigue interferes with my work, family, or social life.FSS - Fatigue Interferes With Work
FSS01-I Am Easily FatiguedC113946FSS01-I Am Easily FatiguedFatigue Severity Scale - I am easily fatigued.FSS - I Am Easily Fatigued
FSS01-Interferes With Phys FunctionC113947FSS01-Interferes With Phys FunctionFatigue Severity Scale - Fatigue interferes with my physical functioning.FSS - Fatigue Interferes With Physical Functioning
FSS01-Motivation Is Lower When FatiguedC113944FSS01-Motivation Is Lower When FatiguedFatigue Severity Scale - My motivation is lower when I am fatigued.FSS - Motivation is Lower When Fatigued
FSS01-Prevents Sustained Phys FunctionC113949FSS01-Prevents Sustained Phys FunctionFatigue Severity Scale - My fatigue prevents sustained physical functioning.FSS - Fatigue Prevents Sustained Physical Functioning
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CL.C124670.FCVD1TCFramingham Heart Study Cardiovascular Disease 10-Year Risk Score Clinical Classification Test Code
(FCVD1TC)
text
Extensible: No
C124670Framingham Heart Study Cardiovascular Disease 10-Year Risk Score Clinical Classification Test CodeFramingham Heart Study Cardiovascular Disease 10-Year Risk Score test code.CDISC Clinical Classification FHS CVD 10-Year Risk Score Test Code Terminology
FCVD101C124722FCVD1-Framingham CVD 10-Year Risk ScoreFramingham Heart Study Cardiovascular Disease 10-Year Risk Score - Cardiovascular disease 10-year risk score.FHS CVD 10-Year Risk Score - Risk Score
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CL.C124669.FCVD1TNFramingham Heart Study Cardiovascular Disease 10-Year Risk Score Clinical Classification Test Name
(FCVD1TN)
text
Extensible: No
C124669Framingham Heart Study Cardiovascular Disease 10-Year Risk Score Clinical Classification Test NameFramingham Heart Study Cardiovascular Disease 10-Year Risk Score test name.CDISC Clinical Classification FHS CVD 10-Year Risk Score Test Name Terminology
FCVD1-Framingham CVD 10-Year Risk ScoreC124722FCVD1-Framingham CVD 10-Year Risk ScoreFramingham Heart Study Cardiovascular Disease 10-Year Risk Score - Cardiovascular disease 10-year risk score.FHS CVD 10-Year Risk Score - Risk Score
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CL.C111344.FAQ01TCFunctional Activities Questionnaire Clinical Classification Test Code
(FAQ01TC)
text
Extensible: No
C111344Functional Activities Questionnaire Clinical Classification Test CodeFunctional Activities Questionnaire test code.CDISC Clinical Classification FAQ Test Code Terminology
FAQ0101C111499FAQ01-Write Checks/Pay Bills/CheckbookFunctional Activities Questionnaire - Writing checks, paying bills, balancing checkbook.FAQ - Write checks, Pay bills, Balance checkbook
FAQ0102C111500FAQ01-AssemblingFunctional Activities Questionnaire - Assembling tax records, business affairs, or papers.FAQ - Assemble
FAQ0103C111501FAQ01-Shopping AloneFunctional Activities Questionnaire - Shopping alone for clothes, household necessities, or groceries.FAQ - Shop Alone
FAQ0104C111502FAQ01-Playing a Game of SkillFunctional Activities Questionnaire - Playing a game of skill, working on a hobby.FAQ - Play Game of Skill, Work on Hobby
FAQ0105C111503FAQ01-Heat Water/Make Coffee/Stove OffFunctional Activities Questionnaire - Heating water, making a cup of coffee, turning off stove after use.FAQ - Heat water, Make Coffee, Turn Off Stove
FAQ0106C111504FAQ01-Preparing a Balanced MealFunctional Activities Questionnaire - Preparing a balanced meal.FAQ - Prepare a Meal
FAQ0107C111505FAQ01-Keeping Track of Current EventsFunctional Activities Questionnaire - Keeping track of current events.FAQ - Keep Track of Current Events
FAQ0108C111506FAQ01-Paying AttentionFunctional Activities Questionnaire - Paying attention to, understanding, discussing TV, book, magazine.FAQ - Pay Attention, Understand, Discuss
FAQ0109C111507FAQ01-RememberingFunctional Activities Questionnaire - Remembering appointments, family occasions, holidays, medications.FAQ - Remember
FAQ0110C111508FAQ01-TravelingFunctional Activities Questionnaire - Traveling out of neighborhood, driving, arranging to take buses.FAQ - Travel
FAQ0111C111509FAQ01-Total ScoreFunctional Activities Questionnaire - Total Score.FAQ - Total Score
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CL.C111343.FAQ01TNFunctional Activities Questionnaire Clinical Classification Test Name
(FAQ01TN)
text
Extensible: No
C111343Functional Activities Questionnaire Clinical Classification Test NameFunctional Activities Questionnaire test name.CDISC Clinical Classification FAQ Test Name Terminology
FAQ01-AssemblingC111500FAQ01-AssemblingFunctional Activities Questionnaire - Assembling tax records, business affairs, or papers.FAQ - Assemble
FAQ01-Heat Water/Make Coffee/Stove OffC111503FAQ01-Heat Water/Make Coffee/Stove OffFunctional Activities Questionnaire - Heating water, making a cup of coffee, turning off stove after use.FAQ - Heat water, Make Coffee, Turn Off Stove
FAQ01-Keeping Track of Current EventsC111505FAQ01-Keeping Track of Current EventsFunctional Activities Questionnaire - Keeping track of current events.FAQ - Keep Track of Current Events
FAQ01-Paying AttentionC111506FAQ01-Paying AttentionFunctional Activities Questionnaire - Paying attention to, understanding, discussing TV, book, magazine.FAQ - Pay Attention, Understand, Discuss
FAQ01-Playing a Game of SkillC111502FAQ01-Playing a Game of SkillFunctional Activities Questionnaire - Playing a game of skill, working on a hobby.FAQ - Play Game of Skill, Work on Hobby
FAQ01-Preparing a Balanced MealC111504FAQ01-Preparing a Balanced MealFunctional Activities Questionnaire - Preparing a balanced meal.FAQ - Prepare a Meal
FAQ01-RememberingC111507FAQ01-RememberingFunctional Activities Questionnaire - Remembering appointments, family occasions, holidays, medications.FAQ - Remember
FAQ01-Shopping AloneC111501FAQ01-Shopping AloneFunctional Activities Questionnaire - Shopping alone for clothes, household necessities, or groceries.FAQ - Shop Alone
FAQ01-Total ScoreC111509FAQ01-Total ScoreFunctional Activities Questionnaire - Total Score.FAQ - Total Score
FAQ01-TravelingC111508FAQ01-TravelingFunctional Activities Questionnaire - Traveling out of neighborhood, driving, arranging to take buses.FAQ - Travel
FAQ01-Write Checks/Pay Bills/CheckbookC111499FAQ01-Write Checks/Pay Bills/CheckbookFunctional Activities Questionnaire - Writing checks, paying bills, balancing checkbook.FAQ - Write checks, Pay bills, Balance checkbook
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CL.C179938.FAC065TCFunctional Assessment of Anorexia/Cachexia Treatment Version 4 Questionnaire Test Code
(FAC065TC)
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Extensible: No
C179938Functional Assessment of Anorexia/Cachexia Treatment Version 4 Questionnaire Test CodeFunctional Assessment of Anorexia/Cachexia Treatment Version 4 test code.CDISC Questionnaire FAACT Version 4 Test Code Terminology
FAC06501C179976FAC065-I Have a Lack of EnergyFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I have a lack of energy.FAACT Version 4 - I Have a Lack of Energy
FAC06502C179977FAC065-I Have NauseaFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I have nausea.FAACT Version 4 - I Have Nausea
FAC06503C179978FAC065-Trouble Meeting Needs of FamilyFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - Because of my physical condition, I have trouble meeting the needs of my family.FAACT Version 4 - Trouble Meeting Needs of Family
FAC06504C179979FAC065-I Have PainFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I have pain.FAACT Version 4 - I Have Pain
FAC06505C179980FAC065-Bothered by Treatment Side EffectFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I am bothered by side effects of treatment.FAACT Version 4 - Bothered by Treatment Side Effect
FAC06506C179981FAC065-I Feel IllFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I feel ill.FAACT Version 4 - I Feel Ill
FAC06507C179982FAC065-I Am Forced to Spend Time in BedFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I am forced to spend time in bed.FAACT Version 4 - I Am Forced to Spend Time in Bed
FAC06508C179983FAC065-I Feel Close to My FriendsFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I feel close to my friends.FAACT Version 4 - I Feel Close to My Friends
FAC06509C179984FAC065-Get Emotional Support From FamilyFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I get emotional support from my family.FAACT Version 4 - Get Emotional Support From Family
FAC06510C179985FAC065-I Get Support From My FriendsFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I get support from my friends.FAACT Version 4 - I Get Support From My Friends
FAC06511C179986FAC065-My Family Has Accepted My IllnessFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - My family accepts my illness.FAACT Version 4 - My Family Has Accepted My Illness
FAC06512C179987FAC065-Satisfied Communication IllnessFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I am satisfied with family communication about my illness.FAACT Version 4 - Satisfied Communication Illness
FAC06513C179988FAC065-I Feel Close to My PartnerFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I feel close to my partner (or the person who is my main support).FAACT Version 4 - I Feel Close to My Partner
FAC06514C179989FAC065-I Am Satisfied With My Sex LifeFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I am satisfied with my sex life.FAACT Version 4 - I Am Satisfied With My Sex Life
FAC06515C179990FAC065-I Feel SadFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I feel sad.FAACT Version 4 - I Feel Sad
FAC06516C179991FAC065-Satisfied With How I Am CopingFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I am satisfied with how I am coping with my illness.FAACT Version 4 - Satisfied With How I Am Coping
FAC06517C179992FAC065-Losing Hope Against IllnessFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I am losing hope in the fight against my illness.FAACT Version 4 - Losing Hope Against Illness
FAC06518C179993FAC065-I Feel NervousFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I feel nervous.FAACT Version 4 - I Feel Nervous
FAC06519C179994FAC065-I Worry About DyingFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I worry about dying.FAACT Version 4 - I Worry About Dying
FAC06520C179995FAC065-Worry My Condition Will Get WorseFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I worry that my condition will get worse.FAACT Version 4 - Worry My Condition Will Get Worse
FAC06521C179996FAC065-I Am Able to WorkFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I am able to work (include work at home).FAACT Version 4 - I Am Able to Work
FAC06522C179997FAC065-My Work Is FulfillingFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - My work (include work at home) is fulfilling.FAACT Version 4 - My Work Is Fulfilling
FAC06523C179998FAC065-I Am Able to Enjoy LifeFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I am able to enjoy life.FAACT Version 4 - I Am Able to Enjoy Life
FAC06524C179999FAC065-I Have Accepted My IllnessFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I have accepted my illness.FAACT Version 4 - I Have Accepted My Illness
FAC06525C180000FAC065-I Am Sleeping WellFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I am sleeping well.FAACT Version 4 - I Am Sleeping Well
FAC06526C180001FAC065-Enjoy Things I Usually Do for FunFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I am enjoying the things I usually do for fun.FAACT Version 4 - Enjoy Things I Usually Do for Fun
FAC06527C180002FAC065-Content With Quality of My LifeFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I am content with the quality of my life right now.FAACT Version 4 - Content With Quality of My Life
FAC06528C180003FAC065-I Have a Good AppetiteFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I have a good appetite.FAACT Version 4 - I Have a Good Appetite
FAC06529C180004FAC065-Amount I Eat Is SufficientFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - The amount I eat is sufficient to meet my needs.FAACT Version 4 - Amount I Eat Is Sufficient
FAC06530C180005FAC065-I Am Worried About My WeightFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I am worried about my weight.FAACT Version 4 - I Am Worried About My Weight
FAC06531C180006FAC065-Most Food Tastes Unpleasant to MeFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - Most food tastes unpleasant to me.FAACT Version 4 - Most Food Tastes Unpleasant to Me
FAC06532C180007FAC065-I Am Concerned How Thin I LookFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I am concerned about how thin I look.FAACT Version 4 - I Am Concerned How Thin I Look
FAC06533C180008FAC065-Interest in Food Drops Try to EatFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - My interest in food drops as soon as I try to eat.FAACT Version 4 - Interest in Food Drops Try to Eat
FAC06534C180009FAC065-Have Difficulty Eating Rich FoodsFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I have difficulty eating rich or "heavy" foods.FAACT Version 4 - Have Difficulty Eating Rich Foods
FAC06535C180010FAC065-My Family Pressuring Me to EatFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - My family or friends are pressuring me to eat.FAACT Version 4 - My Family Pressuring Me to Eat
FAC06536C180011FAC065-I Have Been VomitingFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I have been vomiting.FAACT Version 4 - I Have Been Vomiting
FAC06537C180012FAC065-I Seem to Get Full QuicklyFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - When I eat, I seem to get full quickly.FAACT Version 4 - I Seem to Get Full Quickly
FAC06538C180013FAC065-I Have Pain in My Stomach AreaFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I have pain in my stomach area.FAACT Version 4 - I Have Pain in My Stomach Area
FAC06539C180014FAC065-My General Health Is ImprovingFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - My general health is improving.FAACT Version 4 - My General Health Is Improving
FAC06540C180015FAC065-Physical Subscale ScoreFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - Physical Well-Being: Subscale score.FAACT Version 4 - Physical Subscale Score
FAC06541C180016FAC065-Social/Family Subscale ScoreFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - Social/Family Well-Being: Subscale score.FAACT Version 4 - Social/Family Subscale Score
FAC06542C180017FAC065-Emotional Subscale ScoreFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - Emotional Well-Being: Subscale score.FAACT Version 4 - Emotional Subscale Score
FAC06543C180018FAC065-Functional Subscale ScoreFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - Functional Well-Being: Subscale score.FAACT Version 4 - Functional Subscale Score
FAC06544C180019FAC065-Additional Concern Subscale ScoreFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - Additional Concerns: Well-Being subscale score.FAACT Version 4 - Additional Concern Subscale Score
FAC06545C180020FAC065-Trial Outcome Index ScoreFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - FAACT trial outcome index.FAACT Version 4 - Trial Outcome Index Score
FAC06546C180021FAC065-FACT-G Total ScoreFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - FACT-G total score.FAACT Version 4 - FACT-G Total Score
FAC06547C180022FAC065-Total ScoreFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - Total score.FAACT Version 4 - Total Score
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CL.C179937.FAC065TNFunctional Assessment of Anorexia/Cachexia Treatment Version 4 Questionnaire Test Name
(FAC065TN)
text
Extensible: No
C179937Functional Assessment of Anorexia/Cachexia Treatment Version 4 Questionnaire Test NameFunctional Assessment of Anorexia/Cachexia Treatment Version 4 test name.CDISC Questionnaire FAACT Version 4 Test Name Terminology
FAC065-Additional Concern Subscale ScoreC180019FAC065-Additional Concern Subscale ScoreFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - Additional Concerns: Well-Being subscale score.FAACT Version 4 - Additional Concern Subscale Score
FAC065-Amount I Eat Is SufficientC180004FAC065-Amount I Eat Is SufficientFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - The amount I eat is sufficient to meet my needs.FAACT Version 4 - Amount I Eat Is Sufficient
FAC065-Bothered by Treatment Side EffectC179980FAC065-Bothered by Treatment Side EffectFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I am bothered by side effects of treatment.FAACT Version 4 - Bothered by Treatment Side Effect
FAC065-Content With Quality of My LifeC180002FAC065-Content With Quality of My LifeFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I am content with the quality of my life right now.FAACT Version 4 - Content With Quality of My Life
FAC065-Emotional Subscale ScoreC180017FAC065-Emotional Subscale ScoreFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - Emotional Well-Being: Subscale score.FAACT Version 4 - Emotional Subscale Score
FAC065-Enjoy Things I Usually Do for FunC180001FAC065-Enjoy Things I Usually Do for FunFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I am enjoying the things I usually do for fun.FAACT Version 4 - Enjoy Things I Usually Do for Fun
FAC065-FACT-G Total ScoreC180021FAC065-FACT-G Total ScoreFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - FACT-G total score.FAACT Version 4 - FACT-G Total Score
FAC065-Functional Subscale ScoreC180018FAC065-Functional Subscale ScoreFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - Functional Well-Being: Subscale score.FAACT Version 4 - Functional Subscale Score
FAC065-Get Emotional Support From FamilyC179984FAC065-Get Emotional Support From FamilyFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I get emotional support from my family.FAACT Version 4 - Get Emotional Support From Family
FAC065-Have Difficulty Eating Rich FoodsC180009FAC065-Have Difficulty Eating Rich FoodsFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I have difficulty eating rich or "heavy" foods.FAACT Version 4 - Have Difficulty Eating Rich Foods
FAC065-I Am Able to Enjoy LifeC179998FAC065-I Am Able to Enjoy LifeFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I am able to enjoy life.FAACT Version 4 - I Am Able to Enjoy Life
FAC065-I Am Able to WorkC179996FAC065-I Am Able to WorkFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I am able to work (include work at home).FAACT Version 4 - I Am Able to Work
FAC065-I Am Concerned How Thin I LookC180007FAC065-I Am Concerned How Thin I LookFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I am concerned about how thin I look.FAACT Version 4 - I Am Concerned How Thin I Look
FAC065-I Am Forced to Spend Time in BedC179982FAC065-I Am Forced to Spend Time in BedFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I am forced to spend time in bed.FAACT Version 4 - I Am Forced to Spend Time in Bed
FAC065-I Am Satisfied With My Sex LifeC179989FAC065-I Am Satisfied With My Sex LifeFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I am satisfied with my sex life.FAACT Version 4 - I Am Satisfied With My Sex Life
FAC065-I Am Sleeping WellC180000FAC065-I Am Sleeping WellFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I am sleeping well.FAACT Version 4 - I Am Sleeping Well
FAC065-I Am Worried About My WeightC180005FAC065-I Am Worried About My WeightFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I am worried about my weight.FAACT Version 4 - I Am Worried About My Weight
FAC065-I Feel Close to My FriendsC179983FAC065-I Feel Close to My FriendsFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I feel close to my friends.FAACT Version 4 - I Feel Close to My Friends
FAC065-I Feel Close to My PartnerC179988FAC065-I Feel Close to My PartnerFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I feel close to my partner (or the person who is my main support).FAACT Version 4 - I Feel Close to My Partner
FAC065-I Feel IllC179981FAC065-I Feel IllFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I feel ill.FAACT Version 4 - I Feel Ill
FAC065-I Feel NervousC179993FAC065-I Feel NervousFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I feel nervous.FAACT Version 4 - I Feel Nervous
FAC065-I Feel SadC179990FAC065-I Feel SadFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I feel sad.FAACT Version 4 - I Feel Sad
FAC065-I Get Support From My FriendsC179985FAC065-I Get Support From My FriendsFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I get support from my friends.FAACT Version 4 - I Get Support From My Friends
FAC065-I Have a Good AppetiteC180003FAC065-I Have a Good AppetiteFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I have a good appetite.FAACT Version 4 - I Have a Good Appetite
FAC065-I Have a Lack of EnergyC179976FAC065-I Have a Lack of EnergyFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I have a lack of energy.FAACT Version 4 - I Have a Lack of Energy
FAC065-I Have Accepted My IllnessC179999FAC065-I Have Accepted My IllnessFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I have accepted my illness.FAACT Version 4 - I Have Accepted My Illness
FAC065-I Have Been VomitingC180011FAC065-I Have Been VomitingFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I have been vomiting.FAACT Version 4 - I Have Been Vomiting
FAC065-I Have NauseaC179977FAC065-I Have NauseaFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I have nausea.FAACT Version 4 - I Have Nausea
FAC065-I Have Pain in My Stomach AreaC180013FAC065-I Have Pain in My Stomach AreaFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I have pain in my stomach area.FAACT Version 4 - I Have Pain in My Stomach Area
FAC065-I Have PainC179979FAC065-I Have PainFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I have pain.FAACT Version 4 - I Have Pain
FAC065-I Seem to Get Full QuicklyC180012FAC065-I Seem to Get Full QuicklyFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - When I eat, I seem to get full quickly.FAACT Version 4 - I Seem to Get Full Quickly
FAC065-I Worry About DyingC179994FAC065-I Worry About DyingFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I worry about dying.FAACT Version 4 - I Worry About Dying
FAC065-Interest in Food Drops Try to EatC180008FAC065-Interest in Food Drops Try to EatFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - My interest in food drops as soon as I try to eat.FAACT Version 4 - Interest in Food Drops Try to Eat
FAC065-Losing Hope Against IllnessC179992FAC065-Losing Hope Against IllnessFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I am losing hope in the fight against my illness.FAACT Version 4 - Losing Hope Against Illness
FAC065-Most Food Tastes Unpleasant to MeC180006FAC065-Most Food Tastes Unpleasant to MeFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - Most food tastes unpleasant to me.FAACT Version 4 - Most Food Tastes Unpleasant to Me
FAC065-My Family Has Accepted My IllnessC179986FAC065-My Family Has Accepted My IllnessFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - My family accepts my illness.FAACT Version 4 - My Family Has Accepted My Illness
FAC065-My Family Pressuring Me to EatC180010FAC065-My Family Pressuring Me to EatFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - My family or friends are pressuring me to eat.FAACT Version 4 - My Family Pressuring Me to Eat
FAC065-My General Health Is ImprovingC180014FAC065-My General Health Is ImprovingFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - My general health is improving.FAACT Version 4 - My General Health Is Improving
FAC065-My Work Is FulfillingC179997FAC065-My Work Is FulfillingFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - My work (include work at home) is fulfilling.FAACT Version 4 - My Work Is Fulfilling
FAC065-Physical Subscale ScoreC180015FAC065-Physical Subscale ScoreFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - Physical Well-Being: Subscale score.FAACT Version 4 - Physical Subscale Score
FAC065-Satisfied Communication IllnessC179987FAC065-Satisfied Communication IllnessFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I am satisfied with family communication about my illness.FAACT Version 4 - Satisfied Communication Illness
FAC065-Satisfied With How I Am CopingC179991FAC065-Satisfied With How I Am CopingFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I am satisfied with how I am coping with my illness.FAACT Version 4 - Satisfied With How I Am Coping
FAC065-Social/Family Subscale ScoreC180016FAC065-Social/Family Subscale ScoreFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - Social/Family Well-Being: Subscale score.FAACT Version 4 - Social/Family Subscale Score
FAC065-Total ScoreC180022FAC065-Total ScoreFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - Total score.FAACT Version 4 - Total Score
FAC065-Trial Outcome Index ScoreC180020FAC065-Trial Outcome Index ScoreFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - FAACT trial outcome index.FAACT Version 4 - Trial Outcome Index Score
FAC065-Trouble Meeting Needs of FamilyC179978FAC065-Trouble Meeting Needs of FamilyFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - Because of my physical condition, I have trouble meeting the needs of my family.FAACT Version 4 - Trouble Meeting Needs of Family
FAC065-Worry My Condition Will Get WorseC179995FAC065-Worry My Condition Will Get WorseFunctional Assessment of Anorexia/Cachexia Treatment Version 4 - I worry that my condition will get worse.FAACT Version 4 - Worry My Condition Will Get Worse
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CL.C150778.FAC062TCFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 Questionnaire Test Code
(FAC062TC)
text
Extensible: No
C150778Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 Questionnaire Test CodeFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 test code.CDISC Questionnaire FACT-BRM Version 4 Test Code Terminology
FAC06201C151156FAC062-I Have a Lack of EnergyFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Physical Well-Being: I have a lack of energy.FACT-BRM Version 4 - I Have a Lack of Energy
FAC06202C151157FAC062-I Have NauseaFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Physical Well-Being: I have nausea.FACT-BRM Version 4 - I Have Nausea
FAC06203C151158FAC062-Trouble Meeting Needs of FamilyFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family.FACT-BRM Version 4 - Trouble Meeting Needs of Family
FAC06204C151159FAC062-I Have PainFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Physical Well-Being: I have pain.FACT-BRM Version 4 - I Have Pain
FAC06205C151160FAC062-Bothered by Treatment Side EffectFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Physical Well-Being: I am bothered by side effects of treatment.FACT-BRM Version 4 - Bothered by Treatment Side Effect
FAC06206C151161FAC062-I Feel IllFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Physical Well-Being: I feel ill.FACT-BRM Version 4 - I Feel Ill
FAC06207C151162FAC062-I Am Forced to Spend Time in BedFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Physical Well-Being: I am forced to spend time in bed.FACT-BRM Version 4 - I Am Forced to Spend Time in Bed
FAC06208C151163FAC062-I Feel Close to My FriendsFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Social/Family Well-Being: I feel close to my friends.FACT-BRM Version 4 - I Feel Close to My Friends
FAC06209C151164FAC062-Get Emotional Support From FamilyFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Social/Family Well-Being: I get emotional support from my family.FACT-BRM Version 4 - Get Emotional Support From Family
FAC06210C151165FAC062-I Get Support From My FriendsFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Social/Family Well-Being: I get support from my friends.FACT-BRM Version 4 - I Get Support From My Friends
FAC06211C151166FAC062-My Family Has Accepted My IllnessFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Social/Family Well-Being: My family has accepted my illness.FACT-BRM Version 4 - My Family Has Accepted My Illness
FAC06212C151167FAC062-Satisfied Communication IllnessFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness.FACT-BRM Version 4 - Satisfied Communication Illness
FAC06213C151168FAC062-I Feel Close to My PartnerFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support).FACT-BRM Version 4 - I Feel Close to My Partner
FAC06214C151169FAC062-I Am Satisfied With My Sex LifeFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Social/Family Well-Being: I am satisfied with my sex life.FACT-BRM Version 4 - I Am Satisfied With My Sex Life
FAC06215C151170FAC062-I Feel SadFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Emotional Well-Being: I feel sad.FACT-BRM Version 4 - I Feel Sad
FAC06216C151171FAC062-Satisfied With How I Am CopingFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness.FACT-BRM Version 4 - Satisfied With How I Am Coping
FAC06217C151172FAC062-Losing Hope Against IllnessFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness.FACT-BRM Version 4 - Losing Hope Against Illness
FAC06218C151173FAC062-I Feel NervousFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Emotional Well-Being: I feel nervous.FACT-BRM Version 4 - I Feel Nervous
FAC06219C151174FAC062-I Worry About DyingFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Emotional Well-Being: I worry about dying.FACT-BRM Version 4 - I Worry About Dying
FAC06220C151175FAC062-Worry My Condition Will Get WorseFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Emotional Well-Being: I worry that my condition will get worse.FACT-BRM Version 4 - Worry My Condition Will Get Worse
FAC06221C151176FAC062-I Am Able to WorkFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Functional Well-Being: I am able to work (include work at home).FACT-BRM Version 4 - I Am Able to Work
FAC06222C151177FAC062-My Work Is FulfillingFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Functional Well-Being: My work (include work at home) is fulfilling.FACT-BRM Version 4 - My Work Is Fulfilling
FAC06223C151178FAC062-I Am Able to Enjoy LifeFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Functional Well-Being: I am able to enjoy life.FACT-BRM Version 4 - I Am Able to Enjoy Life
FAC06224C151179FAC062-I Have Accepted My IllnessFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Functional Well-Being: I have accepted my illness.FACT-BRM Version 4 - I Have Accepted My Illness
FAC06225C151180FAC062-I Am Sleeping WellFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Functional Well-Being: I am sleeping well.FACT-BRM Version 4 - I Am Sleeping Well
FAC06226C151181FAC062-Enjoy Things I Usually Do for FunFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun.FACT-BRM Version 4 - Enjoy Things I Usually Do for Fun
FAC06227C151182FAC062-Content With Quality of My LifeFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Functional Well-Being: I am content with the quality of my life right now.FACT-BRM Version 4 - Content With Quality of My Life
FAC06228C151183FAC062-I Get Tired EasilyFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Physical: I get tired easily.FACT-BRM Version 4 - I Get Tired Easily
FAC06229C151184FAC062-I Feel Weak All OverFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Physical: I feel weak all over.FACT-BRM Version 4 - I Feel Weak All Over
FAC06230C151185FAC062-I Have a Good AppetiteFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Physical: I have a good appetite.FACT-BRM Version 4 - I Have a Good Appetite
FAC06231C151186FAC062-I Have Pain in My JointsFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Physical: I have pain in my joints.FACT-BRM Version 4 - I Have Pain in My Joints
FAC06232C151187FAC062-I Am Bothered by the ChillsFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Physical: I am bothered by the chills.FACT-BRM Version 4 - I Am Bothered by the Chills
FAC06233C151188FAC062-I Am Bothered by FeversFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Physical: I am bothered by fevers (episodes of high body temperature).FACT-BRM Version 4 - I Am Bothered by Fevers
FAC06234C151189FAC062-I Am Bothered by SweatingFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Physical: I am bothered by sweating.FACT-BRM Version 4 - I Am Bothered by Sweating
FAC06235C151190FAC062-I Have Trouble ConcentratingFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Mental: I have trouble concentrating.FACT-BRM Version 4 - I Have Trouble Concentrating
FAC06236C151191FAC062-I Have Trouble Remembering ThingsFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Mental: I have trouble remembering things.FACT-BRM Version 4 - I Have Trouble Remembering Things
FAC06237C151192FAC062-I Get Depressed EasilyFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Mental: I get depressed easily.FACT-BRM Version 4 - I Get Depressed Easily
FAC06238C151193FAC062-I Get Annoyed EasilyFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Mental: I get annoyed easily.FACT-BRM Version 4 - I Get Annoyed Easily
FAC06239C151194FAC062-I Have Emotional Ups and DownsFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Mental: I have emotional ups and downs.FACT-BRM Version 4 - I Have Emotional Ups and Downs
FAC06240C151195FAC062-I Feel Motivated to Do ThingsFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Mental: I feel motivated to do things.FACT-BRM Version 4 - I Feel Motivated to Do Things
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CL.C150777.FAC062TNFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 Questionnaire Test Name
(FAC062TN)
text
Extensible: No
C150777Functional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 Questionnaire Test NameFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 test name.CDISC Questionnaire FACT-BRM Version 4 Test Name Terminology
FAC062-Bothered by Treatment Side EffectC151160FAC062-Bothered by Treatment Side EffectFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Physical Well-Being: I am bothered by side effects of treatment.FACT-BRM Version 4 - Bothered by Treatment Side Effect
FAC062-Content With Quality of My LifeC151182FAC062-Content With Quality of My LifeFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Functional Well-Being: I am content with the quality of my life right now.FACT-BRM Version 4 - Content With Quality of My Life
FAC062-Enjoy Things I Usually Do for FunC151181FAC062-Enjoy Things I Usually Do for FunFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun.FACT-BRM Version 4 - Enjoy Things I Usually Do for Fun
FAC062-Get Emotional Support From FamilyC151164FAC062-Get Emotional Support From FamilyFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Social/Family Well-Being: I get emotional support from my family.FACT-BRM Version 4 - Get Emotional Support From Family
FAC062-I Am Able to Enjoy LifeC151178FAC062-I Am Able to Enjoy LifeFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Functional Well-Being: I am able to enjoy life.FACT-BRM Version 4 - I Am Able to Enjoy Life
FAC062-I Am Able to WorkC151176FAC062-I Am Able to WorkFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Functional Well-Being: I am able to work (include work at home).FACT-BRM Version 4 - I Am Able to Work
FAC062-I Am Bothered by FeversC151188FAC062-I Am Bothered by FeversFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Physical: I am bothered by fevers (episodes of high body temperature).FACT-BRM Version 4 - I Am Bothered by Fevers
FAC062-I Am Bothered by SweatingC151189FAC062-I Am Bothered by SweatingFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Physical: I am bothered by sweating.FACT-BRM Version 4 - I Am Bothered by Sweating
FAC062-I Am Bothered by the ChillsC151187FAC062-I Am Bothered by the ChillsFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Physical: I am bothered by the chills.FACT-BRM Version 4 - I Am Bothered by the Chills
FAC062-I Am Forced to Spend Time in BedC151162FAC062-I Am Forced to Spend Time in BedFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Physical Well-Being: I am forced to spend time in bed.FACT-BRM Version 4 - I Am Forced to Spend Time in Bed
FAC062-I Am Satisfied With My Sex LifeC151169FAC062-I Am Satisfied With My Sex LifeFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Social/Family Well-Being: I am satisfied with my sex life.FACT-BRM Version 4 - I Am Satisfied With My Sex Life
FAC062-I Am Sleeping WellC151180FAC062-I Am Sleeping WellFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Functional Well-Being: I am sleeping well.FACT-BRM Version 4 - I Am Sleeping Well
FAC062-I Feel Close to My FriendsC151163FAC062-I Feel Close to My FriendsFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Social/Family Well-Being: I feel close to my friends.FACT-BRM Version 4 - I Feel Close to My Friends
FAC062-I Feel Close to My PartnerC151168FAC062-I Feel Close to My PartnerFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support).FACT-BRM Version 4 - I Feel Close to My Partner
FAC062-I Feel IllC151161FAC062-I Feel IllFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Physical Well-Being: I feel ill.FACT-BRM Version 4 - I Feel Ill
FAC062-I Feel Motivated to Do ThingsC151195FAC062-I Feel Motivated to Do ThingsFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Mental: I feel motivated to do things.FACT-BRM Version 4 - I Feel Motivated to Do Things
FAC062-I Feel NervousC151173FAC062-I Feel NervousFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Emotional Well-Being: I feel nervous.FACT-BRM Version 4 - I Feel Nervous
FAC062-I Feel SadC151170FAC062-I Feel SadFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Emotional Well-Being: I feel sad.FACT-BRM Version 4 - I Feel Sad
FAC062-I Feel Weak All OverC151184FAC062-I Feel Weak All OverFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Physical: I feel weak all over.FACT-BRM Version 4 - I Feel Weak All Over
FAC062-I Get Annoyed EasilyC151193FAC062-I Get Annoyed EasilyFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Mental: I get annoyed easily.FACT-BRM Version 4 - I Get Annoyed Easily
FAC062-I Get Depressed EasilyC151192FAC062-I Get Depressed EasilyFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Mental: I get depressed easily.FACT-BRM Version 4 - I Get Depressed Easily
FAC062-I Get Support From My FriendsC151165FAC062-I Get Support From My FriendsFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Social/Family Well-Being: I get support from my friends.FACT-BRM Version 4 - I Get Support From My Friends
FAC062-I Get Tired EasilyC151183FAC062-I Get Tired EasilyFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Physical: I get tired easily.FACT-BRM Version 4 - I Get Tired Easily
FAC062-I Have a Good AppetiteC151185FAC062-I Have a Good AppetiteFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Physical: I have a good appetite.FACT-BRM Version 4 - I Have a Good Appetite
FAC062-I Have a Lack of EnergyC151156FAC062-I Have a Lack of EnergyFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Physical Well-Being: I have a lack of energy.FACT-BRM Version 4 - I Have a Lack of Energy
FAC062-I Have Accepted My IllnessC151179FAC062-I Have Accepted My IllnessFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Functional Well-Being: I have accepted my illness.FACT-BRM Version 4 - I Have Accepted My Illness
FAC062-I Have Emotional Ups and DownsC151194FAC062-I Have Emotional Ups and DownsFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Mental: I have emotional ups and downs.FACT-BRM Version 4 - I Have Emotional Ups and Downs
FAC062-I Have NauseaC151157FAC062-I Have NauseaFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Physical Well-Being: I have nausea.FACT-BRM Version 4 - I Have Nausea
FAC062-I Have Pain in My JointsC151186FAC062-I Have Pain in My JointsFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Physical: I have pain in my joints.FACT-BRM Version 4 - I Have Pain in My Joints
FAC062-I Have PainC151159FAC062-I Have PainFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Physical Well-Being: I have pain.FACT-BRM Version 4 - I Have Pain
FAC062-I Have Trouble ConcentratingC151190FAC062-I Have Trouble ConcentratingFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Mental: I have trouble concentrating.FACT-BRM Version 4 - I Have Trouble Concentrating
FAC062-I Have Trouble Remembering ThingsC151191FAC062-I Have Trouble Remembering ThingsFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Additional Concerns-Mental: I have trouble remembering things.FACT-BRM Version 4 - I Have Trouble Remembering Things
FAC062-I Worry About DyingC151174FAC062-I Worry About DyingFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Emotional Well-Being: I worry about dying.FACT-BRM Version 4 - I Worry About Dying
FAC062-Losing Hope Against IllnessC151172FAC062-Losing Hope Against IllnessFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness.FACT-BRM Version 4 - Losing Hope Against Illness
FAC062-My Family Has Accepted My IllnessC151166FAC062-My Family Has Accepted My IllnessFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Social/Family Well-Being: My family has accepted my illness.FACT-BRM Version 4 - My Family Has Accepted My Illness
FAC062-My Work Is FulfillingC151177FAC062-My Work Is FulfillingFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Functional Well-Being: My work (include work at home) is fulfilling.FACT-BRM Version 4 - My Work Is Fulfilling
FAC062-Satisfied Communication IllnessC151167FAC062-Satisfied Communication IllnessFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness.FACT-BRM Version 4 - Satisfied Communication Illness
FAC062-Satisfied With How I Am CopingC151171FAC062-Satisfied With How I Am CopingFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness.FACT-BRM Version 4 - Satisfied With How I Am Coping
FAC062-Trouble Meeting Needs of FamilyC151158FAC062-Trouble Meeting Needs of FamilyFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family.FACT-BRM Version 4 - Trouble Meeting Needs of Family
FAC062-Worry My Condition Will Get WorseC151175FAC062-Worry My Condition Will Get WorseFunctional Assessment of Cancer Therapy-Biologic Response Modifiers Version 4 - Emotional Well-Being: I worry that my condition will get worse.FACT-BRM Version 4 - Worry My Condition Will Get Worse
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CL.C154453.FAC006TCFunctional Assessment of Cancer Therapy-Bladder Version 4 Questionnaire Test Code
(FAC006TC)
text
Extensible: No
C154453Functional Assessment of Cancer Therapy-Bladder Version 4 Questionnaire Test CodeFunctional Assessment of Cancer Therapy-Bladder Version 4 test code.CDISC Questionnaire FACT-BL Version 4 Test Code Terminology
FAC00601C155581FAC006-I Have a Lack of EnergyFunctional Assessment of Cancer Therapy-Bladder Version 4 - Physical Well-Being: I have a lack of energy.FACT-BL Version 4 - I Have a Lack of Energy
FAC00602C155582FAC006-I Have NauseaFunctional Assessment of Cancer Therapy-Bladder Version 4 - Physical Well-Being: I have nausea.FACT-BL Version 4 - I Have Nausea
FAC00603C155583FAC006-Trouble Meeting Needs of FamilyFunctional Assessment of Cancer Therapy-Bladder Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family.FACT-BL Version 4 - Trouble Meeting Needs of Family
FAC00604C155584FAC006-I Have PainFunctional Assessment of Cancer Therapy-Bladder Version 4 - Physical Well-Being: I have pain.FACT-BL Version 4 - I Have Pain
FAC00605C155585FAC006-Bothered by Treatment Side EffectFunctional Assessment of Cancer Therapy-Bladder Version 4 - Physical Well-Being: I am bothered by side effects of treatment.FACT-BL Version 4 - Bothered by Treatment Side Effect
FAC00606C155586FAC006-I Feel IllFunctional Assessment of Cancer Therapy-Bladder Version 4 - Physical Well-Being: I feel ill.FACT-BL Version 4 - I Feel Ill
FAC00607C155587FAC006-I Am Forced to Spend Time in BedFunctional Assessment of Cancer Therapy-Bladder Version 4 - Physical Well-Being: I am forced to spend time in bed.FACT-BL Version 4 - I Am Forced to Spend Time in Bed
FAC00608C155588FAC006-I Feel Close to My FriendsFunctional Assessment of Cancer Therapy-Bladder Version 4 - Social/Family Well-Being: I feel close to my friends.FACT-BL Version 4 - I Feel Close to My Friends
FAC00609C155589FAC006-Get Emotional Support From FamilyFunctional Assessment of Cancer Therapy-Bladder Version 4 - Social/Family Well-Being: I get emotional support from my family.FACT-BL Version 4 - Get Emotional Support From Family
FAC00610C155590FAC006-I Get Support From My FriendsFunctional Assessment of Cancer Therapy-Bladder Version 4 - Social/Family Well-Being: I get support from my friends.FACT-BL Version 4 - I Get Support From My Friends
FAC00611C155591FAC006-My Family Has Accepted My IllnessFunctional Assessment of Cancer Therapy-Bladder Version 4 - Social/Family Well-Being: My family has accepted my illness.FACT-BL Version 4 - My Family Has Accepted My Illness
FAC00612C155592FAC006-Satisfied Communication IllnessFunctional Assessment of Cancer Therapy-Bladder Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness.FACT-BL Version 4 - Satisfied Communication Illness
FAC00613C155593FAC006-I Feel Close to My PartnerFunctional Assessment of Cancer Therapy-Bladder Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support).FACT-BL Version 4 - I Feel Close to My Partner
FAC00614C155594FAC006-I Am Satisfied With My Sex LifeFunctional Assessment of Cancer Therapy-Bladder Version 4 - Social/Family Well-Being: I am satisfied with my sex life.FACT-BL Version 4 - I Am Satisfied With My Sex Life
FAC00615C155595FAC006-I Feel SadFunctional Assessment of Cancer Therapy-Bladder Version 4 - Emotional Well-Being: I feel sad.FACT-BL Version 4 - I Feel Sad
FAC00616C155596FAC006-Satisfied With How I Am CopingFunctional Assessment of Cancer Therapy-Bladder Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness.FACT-BL Version 4 - Satisfied With How I Am Coping
FAC00617C155597FAC006-Losing Hope Against IllnessFunctional Assessment of Cancer Therapy-Bladder Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness.FACT-BL Version 4 - Losing Hope Against Illness
FAC00618C155598FAC006-I Feel NervousFunctional Assessment of Cancer Therapy-Bladder Version 4 - Emotional Well-Being: I feel nervous.FACT-BL Version 4 - I Feel Nervous
FAC00619C155599FAC006-I Worry About DyingFunctional Assessment of Cancer Therapy-Bladder Version 4 - Emotional Well-Being: I worry about dying.FACT-BL Version 4 - I Worry About Dying
FAC00620C155600FAC006-Worry My Condition Will Get WorseFunctional Assessment of Cancer Therapy-Bladder Version 4 - Emotional Well-Being: I worry that my condition will get worse.FACT-BL Version 4 - Worry My Condition Will Get Worse
FAC00621C155601FAC006-I Am Able to WorkFunctional Assessment of Cancer Therapy-Bladder Version 4 - Functional Well-Being: I am able to work (include work at home).FACT-BL Version 4 - I Am Able to Work
FAC00622C155602FAC006-My Work Is FulfillingFunctional Assessment of Cancer Therapy-Bladder Version 4 - Functional Well-Being: My work (include work at home) is fulfilling.FACT-BL Version 4 - My Work Is Fulfilling
FAC00623C155603FAC006-I Am Able to Enjoy LifeFunctional Assessment of Cancer Therapy-Bladder Version 4 - Functional Well-Being: I am able to enjoy life.FACT-BL Version 4 - I Am Able to Enjoy Life
FAC00624C155604FAC006-I Have Accepted My IllnessFunctional Assessment of Cancer Therapy-Bladder Version 4 - Functional Well-Being: I have accepted my illness.FACT-BL Version 4 - I Have Accepted My Illness
FAC00625C155605FAC006-I Am Sleeping WellFunctional Assessment of Cancer Therapy-Bladder Version 4 - Functional Well-Being: I am sleeping well.FACT-BL Version 4 - I Am Sleeping Well
FAC00626C155606FAC006-Enjoy Things I Usually Do for FunFunctional Assessment of Cancer Therapy-Bladder Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun.FACT-BL Version 4 - Enjoy Things I Usually Do for Fun
FAC00627C155607FAC006-Content With Quality of My LifeFunctional Assessment of Cancer Therapy-Bladder Version 4 - Functional Well-Being: I am content with the quality of my life right now.FACT-BL Version 4 - Content With Quality of My Life
FAC00628C155608FAC006-Trouble Controlling My UrineFunctional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: I have trouble controlling my urine.FACT-BL Version 4 - Trouble Controlling My Urine
FAC00629C155609FAC006-I Am Losing WeightFunctional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: I am losing weight.FACT-BL Version 4 - I Am Losing Weight
FAC00630C155610FAC006-I Have Control of My BowelsFunctional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: I have control of my bowels.FACT-BL Version 4 - I Have Control of My Bowels
FAC00631C155611FAC006-I Urinate More FrequentlyFunctional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: I urinate more frequently than usual.FACT-BL Version 4 - I Urinate More Frequently
FAC00632C155612FAC006-I Have DiarrheaFunctional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: I have diarrhea (diarrhoea).FACT-BL Version 4 - I Have Diarrhea
FAC00633C155613FAC006-I Have a Good AppetiteFunctional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: I have a good appetite.FACT-BL Version 4 - I Have a Good Appetite
FAC00634C155614FAC006-I Like the Appearance of My BodyFunctional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: I like the appearance of my body.FACT-BL Version 4 - I Like the Appearance of My Body
FAC00635C155615FAC006-It Burns When I UrinateFunctional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: It burns when I urinate.FACT-BL Version 4 - It Burns When I Urinate
FAC00636C155616FAC006-I Am Interested in SexFunctional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: I am interested in sex.FACT-BL Version 4 - I Am Interested in Sex
FAC00637C155617FAC006-Able to Have/Maintain ErectionFunctional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: (For men only) I am able to have and maintain an erection.FACT-BL Version 4 - Able to Have/Maintain Erection
FAC00638C155618FAC006-Do You Have an Ostomy ApplianceFunctional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: Do you have an ostomy appliance?FACT-BL Version 4 - Do You Have an Ostomy Appliance
FAC00639C155619FAC006-Embarrassed by Ostomy ApplianceFunctional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: I am embarrassed by my ostomy appliance.FACT-BL Version 4 - Embarrassed by Ostomy Appliance
FAC00640C155620FAC006-Caring for Ostomy Is DifficultFunctional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: Caring for my ostomy appliance is difficult.FACT-BL Version 4 - Caring for Ostomy Appliance Is Difficult
FAC00641C180202FAC006-Physical Subscale ScoreFunctional Assessment of Cancer Therapy-Bladder Version 4 - Physical Well-Being: Subscale score.FACT-BL Version 4 - Physical Subscale Score
FAC00642C180203FAC006-Social/Family Subscale ScoreFunctional Assessment of Cancer Therapy-Bladder Version 4 - Social/Family Well-Being: Subscale score.FACT-BL Version 4 - Social/Family Subscale Score
FAC00643C180204FAC006-Emotional Subscale ScoreFunctional Assessment of Cancer Therapy-Bladder Version 4 - Emotional Well-Being: Subscale score.FACT-BL Version 4 - Emotional Subscale Score
FAC00644C180205FAC006-Functional Subscale ScoreFunctional Assessment of Cancer Therapy-Bladder Version 4 - Functional Well-Being: Subscale score.FACT-BL Version 4 - Functional Subscale Score
FAC00645C180206FAC006-Additional Concern Subscale ScoreFunctional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: Subscale score.FACT-BL Version 4 - Additional Concern Subscale Score
FAC00646C180207FAC006-Trial Outcome Index ScoreFunctional Assessment of Cancer Therapy-Bladder Version 4 - Trial outcome index score.FACT-BL Version 4 - Trial Outcome Index Score
FAC00647C180208FAC006-FACT-G Total ScoreFunctional Assessment of Cancer Therapy-Bladder Version 4 - FACT-G total score.FACT-BL Version 4 - FACT-G Total Score
FAC00648C180209FAC006-Total ScoreFunctional Assessment of Cancer Therapy-Bladder Version 4 - Total score.FACT-BL Version 4 - Total Score
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CL.C154452.FAC006TNFunctional Assessment of Cancer Therapy-Bladder Version 4 Questionnaire Test Name
(FAC006TN)
text
Extensible: No
C154452Functional Assessment of Cancer Therapy-Bladder Version 4 Questionnaire Test NameFunctional Assessment of Cancer Therapy-Bladder Version 4 test name.CDISC Questionnaire FACT-BL Version 4 Test Name Terminology
FAC006-Able to Have/Maintain ErectionC155617FAC006-Able to Have/Maintain ErectionFunctional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: (For men only) I am able to have and maintain an erection.FACT-BL Version 4 - Able to Have/Maintain Erection
FAC006-Additional Concern Subscale ScoreC180206FAC006-Additional Concern Subscale ScoreFunctional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: Subscale score.FACT-BL Version 4 - Additional Concern Subscale Score
FAC006-Bothered by Treatment Side EffectC155585FAC006-Bothered by Treatment Side EffectFunctional Assessment of Cancer Therapy-Bladder Version 4 - Physical Well-Being: I am bothered by side effects of treatment.FACT-BL Version 4 - Bothered by Treatment Side Effect
FAC006-Caring for Ostomy Is DifficultC155620FAC006-Caring for Ostomy Is DifficultFunctional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: Caring for my ostomy appliance is difficult.FACT-BL Version 4 - Caring for Ostomy Appliance Is Difficult
FAC006-Content With Quality of My LifeC155607FAC006-Content With Quality of My LifeFunctional Assessment of Cancer Therapy-Bladder Version 4 - Functional Well-Being: I am content with the quality of my life right now.FACT-BL Version 4 - Content With Quality of My Life
FAC006-Do You Have an Ostomy ApplianceC155618FAC006-Do You Have an Ostomy ApplianceFunctional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: Do you have an ostomy appliance?FACT-BL Version 4 - Do You Have an Ostomy Appliance
FAC006-Embarrassed by Ostomy ApplianceC155619FAC006-Embarrassed by Ostomy ApplianceFunctional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: I am embarrassed by my ostomy appliance.FACT-BL Version 4 - Embarrassed by Ostomy Appliance
FAC006-Emotional Subscale ScoreC180204FAC006-Emotional Subscale ScoreFunctional Assessment of Cancer Therapy-Bladder Version 4 - Emotional Well-Being: Subscale score.FACT-BL Version 4 - Emotional Subscale Score
FAC006-Enjoy Things I Usually Do for FunC155606FAC006-Enjoy Things I Usually Do for FunFunctional Assessment of Cancer Therapy-Bladder Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun.FACT-BL Version 4 - Enjoy Things I Usually Do for Fun
FAC006-FACT-G Total ScoreC180208FAC006-FACT-G Total ScoreFunctional Assessment of Cancer Therapy-Bladder Version 4 - FACT-G total score.FACT-BL Version 4 - FACT-G Total Score
FAC006-Functional Subscale ScoreC180205FAC006-Functional Subscale ScoreFunctional Assessment of Cancer Therapy-Bladder Version 4 - Functional Well-Being: Subscale score.FACT-BL Version 4 - Functional Subscale Score
FAC006-Get Emotional Support From FamilyC155589FAC006-Get Emotional Support From FamilyFunctional Assessment of Cancer Therapy-Bladder Version 4 - Social/Family Well-Being: I get emotional support from my family.FACT-BL Version 4 - Get Emotional Support From Family
FAC006-I Am Able to Enjoy LifeC155603FAC006-I Am Able to Enjoy LifeFunctional Assessment of Cancer Therapy-Bladder Version 4 - Functional Well-Being: I am able to enjoy life.FACT-BL Version 4 - I Am Able to Enjoy Life
FAC006-I Am Able to WorkC155601FAC006-I Am Able to WorkFunctional Assessment of Cancer Therapy-Bladder Version 4 - Functional Well-Being: I am able to work (include work at home).FACT-BL Version 4 - I Am Able to Work
FAC006-I Am Forced to Spend Time in BedC155587FAC006-I Am Forced to Spend Time in BedFunctional Assessment of Cancer Therapy-Bladder Version 4 - Physical Well-Being: I am forced to spend time in bed.FACT-BL Version 4 - I Am Forced to Spend Time in Bed
FAC006-I Am Interested in SexC155616FAC006-I Am Interested in SexFunctional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: I am interested in sex.FACT-BL Version 4 - I Am Interested in Sex
FAC006-I Am Losing WeightC155609FAC006-I Am Losing WeightFunctional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: I am losing weight.FACT-BL Version 4 - I Am Losing Weight
FAC006-I Am Satisfied With My Sex LifeC155594FAC006-I Am Satisfied With My Sex LifeFunctional Assessment of Cancer Therapy-Bladder Version 4 - Social/Family Well-Being: I am satisfied with my sex life.FACT-BL Version 4 - I Am Satisfied With My Sex Life
FAC006-I Am Sleeping WellC155605FAC006-I Am Sleeping WellFunctional Assessment of Cancer Therapy-Bladder Version 4 - Functional Well-Being: I am sleeping well.FACT-BL Version 4 - I Am Sleeping Well
FAC006-I Feel Close to My FriendsC155588FAC006-I Feel Close to My FriendsFunctional Assessment of Cancer Therapy-Bladder Version 4 - Social/Family Well-Being: I feel close to my friends.FACT-BL Version 4 - I Feel Close to My Friends
FAC006-I Feel Close to My PartnerC155593FAC006-I Feel Close to My PartnerFunctional Assessment of Cancer Therapy-Bladder Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support).FACT-BL Version 4 - I Feel Close to My Partner
FAC006-I Feel IllC155586FAC006-I Feel IllFunctional Assessment of Cancer Therapy-Bladder Version 4 - Physical Well-Being: I feel ill.FACT-BL Version 4 - I Feel Ill
FAC006-I Feel NervousC155598FAC006-I Feel NervousFunctional Assessment of Cancer Therapy-Bladder Version 4 - Emotional Well-Being: I feel nervous.FACT-BL Version 4 - I Feel Nervous
FAC006-I Feel SadC155595FAC006-I Feel SadFunctional Assessment of Cancer Therapy-Bladder Version 4 - Emotional Well-Being: I feel sad.FACT-BL Version 4 - I Feel Sad
FAC006-I Get Support From My FriendsC155590FAC006-I Get Support From My FriendsFunctional Assessment of Cancer Therapy-Bladder Version 4 - Social/Family Well-Being: I get support from my friends.FACT-BL Version 4 - I Get Support From My Friends
FAC006-I Have a Good AppetiteC155613FAC006-I Have a Good AppetiteFunctional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: I have a good appetite.FACT-BL Version 4 - I Have a Good Appetite
FAC006-I Have a Lack of EnergyC155581FAC006-I Have a Lack of EnergyFunctional Assessment of Cancer Therapy-Bladder Version 4 - Physical Well-Being: I have a lack of energy.FACT-BL Version 4 - I Have a Lack of Energy
FAC006-I Have Accepted My IllnessC155604FAC006-I Have Accepted My IllnessFunctional Assessment of Cancer Therapy-Bladder Version 4 - Functional Well-Being: I have accepted my illness.FACT-BL Version 4 - I Have Accepted My Illness
FAC006-I Have Control of My BowelsC155610FAC006-I Have Control of My BowelsFunctional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: I have control of my bowels.FACT-BL Version 4 - I Have Control of My Bowels
FAC006-I Have DiarrheaC155612FAC006-I Have DiarrheaFunctional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: I have diarrhea (diarrhoea).FACT-BL Version 4 - I Have Diarrhea
FAC006-I Have NauseaC155582FAC006-I Have NauseaFunctional Assessment of Cancer Therapy-Bladder Version 4 - Physical Well-Being: I have nausea.FACT-BL Version 4 - I Have Nausea
FAC006-I Have PainC155584FAC006-I Have PainFunctional Assessment of Cancer Therapy-Bladder Version 4 - Physical Well-Being: I have pain.FACT-BL Version 4 - I Have Pain
FAC006-I Like the Appearance of My BodyC155614FAC006-I Like the Appearance of My BodyFunctional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: I like the appearance of my body.FACT-BL Version 4 - I Like the Appearance of My Body
FAC006-I Urinate More FrequentlyC155611FAC006-I Urinate More FrequentlyFunctional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: I urinate more frequently than usual.FACT-BL Version 4 - I Urinate More Frequently
FAC006-I Worry About DyingC155599FAC006-I Worry About DyingFunctional Assessment of Cancer Therapy-Bladder Version 4 - Emotional Well-Being: I worry about dying.FACT-BL Version 4 - I Worry About Dying
FAC006-It Burns When I UrinateC155615FAC006-It Burns When I UrinateFunctional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: It burns when I urinate.FACT-BL Version 4 - It Burns When I Urinate
FAC006-Losing Hope Against IllnessC155597FAC006-Losing Hope Against IllnessFunctional Assessment of Cancer Therapy-Bladder Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness.FACT-BL Version 4 - Losing Hope Against Illness
FAC006-My Family Has Accepted My IllnessC155591FAC006-My Family Has Accepted My IllnessFunctional Assessment of Cancer Therapy-Bladder Version 4 - Social/Family Well-Being: My family has accepted my illness.FACT-BL Version 4 - My Family Has Accepted My Illness
FAC006-My Work Is FulfillingC155602FAC006-My Work Is FulfillingFunctional Assessment of Cancer Therapy-Bladder Version 4 - Functional Well-Being: My work (include work at home) is fulfilling.FACT-BL Version 4 - My Work Is Fulfilling
FAC006-Physical Subscale ScoreC180202FAC006-Physical Subscale ScoreFunctional Assessment of Cancer Therapy-Bladder Version 4 - Physical Well-Being: Subscale score.FACT-BL Version 4 - Physical Subscale Score
FAC006-Satisfied Communication IllnessC155592FAC006-Satisfied Communication IllnessFunctional Assessment of Cancer Therapy-Bladder Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness.FACT-BL Version 4 - Satisfied Communication Illness
FAC006-Satisfied With How I Am CopingC155596FAC006-Satisfied With How I Am CopingFunctional Assessment of Cancer Therapy-Bladder Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness.FACT-BL Version 4 - Satisfied With How I Am Coping
FAC006-Social/Family Subscale ScoreC180203FAC006-Social/Family Subscale ScoreFunctional Assessment of Cancer Therapy-Bladder Version 4 - Social/Family Well-Being: Subscale score.FACT-BL Version 4 - Social/Family Subscale Score
FAC006-Total ScoreC180209FAC006-Total ScoreFunctional Assessment of Cancer Therapy-Bladder Version 4 - Total score.FACT-BL Version 4 - Total Score
FAC006-Trial Outcome Index ScoreC180207FAC006-Trial Outcome Index ScoreFunctional Assessment of Cancer Therapy-Bladder Version 4 - Trial outcome index score.FACT-BL Version 4 - Trial Outcome Index Score
FAC006-Trouble Controlling My UrineC155608FAC006-Trouble Controlling My UrineFunctional Assessment of Cancer Therapy-Bladder Version 4 - Additional Concerns: I have trouble controlling my urine.FACT-BL Version 4 - Trouble Controlling My Urine
FAC006-Trouble Meeting Needs of FamilyC155583FAC006-Trouble Meeting Needs of FamilyFunctional Assessment of Cancer Therapy-Bladder Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family.FACT-BL Version 4 - Trouble Meeting Needs of Family
FAC006-Worry My Condition Will Get WorseC155600FAC006-Worry My Condition Will Get WorseFunctional Assessment of Cancer Therapy-Bladder Version 4 - Emotional Well-Being: I worry that my condition will get worse.FACT-BL Version 4 - Worry My Condition Will Get Worse
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CL.C147540.FAC061TCFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 Questionnaire Test Code
(FAC061TC)
text
Extensible: No
C147540Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 Questionnaire Test CodeFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 test code.CDISC Questionnaire FACT-BMT Version 4 Test Code Terminology
FAC06101C147593FAC061-I Have a Lack of EnergyFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I have a lack of energy.FACT-BMT Version 4 - I Have a Lack of Energy
FAC06102C147594FAC061-I Have NauseaFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I have nausea.FACT-BMT Version 4 - I Have Nausea
FAC06103C147595FAC061-Trouble Meeting Needs of FamilyFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - Because of my physical condition, I have trouble meeting the needs of my family.FACT-BMT Version 4 - Trouble Meeting Needs of Family
FAC06104C147596FAC061-I Have PainFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I have pain.FACT-BMT Version 4 - I Have Pain
FAC06105C147597FAC061-Bothered by Treatment Side EffectFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am bothered by side effects of treatment.FACT-BMT Version 4 - Bothered by Treatment Side Effect
FAC06106C147598FAC061-I Feel IllFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I feel ill.FACT-BMT Version 4 - I Feel Ill
FAC06107C147599FAC061-I Am Forced to Spend Time in BedFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am forced to spend time in bed.FACT-BMT Version 4 - I Am Forced to Spend Time in Bed
FAC06108C147600FAC061-I Feel Close to My FriendsFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I feel close to my friends.FACT-BMT Version 4 - I Feel Close to My Friends
FAC06109C147601FAC061-Get Emotional Support From FamilyFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I get emotional support from my family.FACT-BMT Version 4 - Get Emotional Support From Family
FAC06110C147602FAC061-I Get Support From My FriendsFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I get support from my friends.FACT-BMT Version 4 - I Get Support From My Friends
FAC06111C147603FAC061-My Family Has Accepted My IllnessFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - My family has accepted my illness.FACT-BMT Version 4 - My Family Has Accepted My Illness
FAC06112C147604FAC061-Satisfied Communication IllnessFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am satisfied with family communication about my illness.FACT-BMT Version 4 - Satisfied Communication Illness
FAC06113C147605FAC061-I Feel Close to My PartnerFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I feel close to my partner (or the person who is my main support).FACT-BMT Version 4 - I Feel Close to My Partner
FAC06114C147606FAC061-I Am Satisfied With My Sex LifeFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am satisfied with my sex life.FACT-BMT Version 4 - I Am Satisfied With My Sex Life
FAC06115C147607FAC061-I Feel SadFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I feel sad.FACT-BMT Version 4 - I Feel Sad
FAC06116C147608FAC061-Satisfied With How I Am CopingFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am satisfied with how I am coping with my illness.FACT-BMT Version 4 - Satisfied With How I Am Coping
FAC06117C147609FAC061-Losing Hope Against IllnessFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am losing hope in the fight against my illness.FACT-BMT Version 4 - Losing Hope Against Illness
FAC06118C147610FAC061-I Feel NervousFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I feel nervous.FACT-BMT Version 4 - I Feel Nervous
FAC06119C147611FAC061-I Worry About DyingFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I worry about dying.FACT-BMT Version 4 - I Worry About Dying
FAC06120C147612FAC061-Worry My Condition Will Get WorseFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I worry that my condition will get worse.FACT-BMT Version 4 - Worry My Condition Will Get Worse
FAC06121C147613FAC061-I Am Able to WorkFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am able to work (include work at home).FACT-BMT Version 4 - I Am Able to Work
FAC06122C147614FAC061-My Work Is FulfillingFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - My work (include work at home) is fulfilling.FACT-BMT Version 4 - My Work Is Fulfilling
FAC06123C147615FAC061-I Am Able to Enjoy LifeFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am able to enjoy life.FACT-BMT Version 4 - I Am Able to Enjoy Life
FAC06124C147616FAC061-I Have Accepted My IllnessFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I have accepted my illness.FACT-BMT Version 4 - I Have Accepted My Illness
FAC06125C147617FAC061-I Am Sleeping WellFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am sleeping well.FACT-BMT Version 4 - I Am Sleeping Well
FAC06126C147618FAC061-Enjoy Things I Usually Do for FunFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am enjoying the things I usually do for fun.FACT-BMT Version 4 - Enjoy Things I Usually Do for Fun
FAC06127C147619FAC061-Content With Quality of My LifeFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am content with the quality of my life right now.FACT-BMT Version 4 - Content With Quality of My Life
FAC06128C147620FAC061-I Am Concerned About Keeping JobFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am concerned about keeping my job (include work at home).FACT-BMT Version 4 - I Am Concerned About Keeping Job
FAC06129C147621FAC061-I Feel Distant From Other PeopleFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I feel distant from other people.FACT-BMT Version 4 - I Feel Distant From Other People
FAC06130C147622FAC061-I Worry Transplant Will Not WorkFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I worry that the transplant will not work.FACT-BMT Version 4 - I Worry Transplant Will Not Work
FAC06131C147623FAC061-Side Effect of Treatment WorseFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - The side effects of treatment are worse than I had imagined.FACT-BMT Version 4 - Side Effect of Treatment Worse
FAC06132C147624FAC061-I Have a Good AppetiteFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I have a good appetite.FACT-BMT Version 4 - I Have a Good Appetite
FAC06133C147625FAC061-I Like the Appearance of My BodyFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I like the appearance of my body.FACT-BMT Version 4 - I Like the Appearance of My Body
FAC06134C147626FAC061-I Am Able to Get Around by MyselfFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am able to get around by myself.FACT-BMT Version 4 - I Am Able to Get Around by Myself
FAC06135C147627FAC061-I Get Tired EasilyFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I get tired easily.FACT-BMT Version 4 - I Get Tired Easily
FAC06136C147628FAC061-I Am Interested in SexFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am interested in sex.FACT-BMT Version 4 - I Am Interested in Sex
FAC06137C147629FAC061-Concerns Ability to Have ChildrenFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I have concerns about my ability to have children.FACT-BMT Version 4 - Concerns Ability to Have Children
FAC06138C147630FAC061-Confidence in My Nurse(s)Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I have confidence in my nurse(s).FACT-BMT Version 4 - Confidence in My Nurse(s)
FAC06139C147631FAC061-I Regret Bone Marrow TransplantFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I regret having the bone marrow transplant.FACT-BMT Version 4 - I Regret Bone Marrow Transplant
FAC06140C147632FAC061-I Can Remember ThingsFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I can remember things.FACT-BMT Version 4 - I Can Remember Things
FAC06141C147633FAC061-I Am Able to ConcentrateFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am able to concentrate.FACT-BMT Version 4 - I Am Able to Concentrate
FAC06142C147634FAC061-I Have Frequent Colds/InfectionsFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I have frequent colds/infections.FACT-BMT Version 4 - I Have Frequent Colds/Infections
FAC06143C147635FAC061-My Eyesight Is BlurryFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - My eyesight is blurry.FACT-BMT Version 4 - My Eyesight Is Blurry
FAC06144C147636FAC061-Bothered by Change in Food TastesFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am bothered by a change in the way food tastes.FACT-BMT Version 4 - Bothered by Change in Food Tastes
FAC06145C147637FAC061-I Have TremorsFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I have tremors.FACT-BMT Version 4 - I Have Tremors
FAC06146C147638FAC061-I Have Been Short of BreathFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I have been short of breath.FACT-BMT Version 4 - I Have Been Short of Breath
FAC06147C147639FAC061-I Am Bothered by Skin ProblemsFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am bothered by skin problems.FACT-BMT Version 4 - I Am Bothered by Skin Problems
FAC06148C147640FAC061-I Have Trouble With My BowelsFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I have trouble with my bowels.FACT-BMT Version 4 - I Have Trouble With My Bowels
FAC06149C147641FAC061-Illness Is Hardship for My FamilyFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - My illness is a personal hardship for my close family members.FACT-BMT Version 4 - Illness Is Hardship for My Family
FAC06150C147642FAC061-Cost of Treatment Is Burden on MeFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - The cost of my treatment is a burden on me or my family.FACT-BMT Version 4 - Cost of Treatment Is Burden on Me
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CL.C147539.FAC061TNFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 Questionnaire Test Name
(FAC061TN)
text
Extensible: No
C147539Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 Questionnaire Test NameFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 test name.CDISC Questionnaire FACT-BMT Version 4 Test Name Terminology
FAC061-Bothered by Change in Food TastesC147636FAC061-Bothered by Change in Food TastesFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am bothered by a change in the way food tastes.FACT-BMT Version 4 - Bothered by Change in Food Tastes
FAC061-Bothered by Treatment Side EffectC147597FAC061-Bothered by Treatment Side EffectFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am bothered by side effects of treatment.FACT-BMT Version 4 - Bothered by Treatment Side Effect
FAC061-Concerns Ability to Have ChildrenC147629FAC061-Concerns Ability to Have ChildrenFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I have concerns about my ability to have children.FACT-BMT Version 4 - Concerns Ability to Have Children
FAC061-Confidence in My Nurse(s)C147630FAC061-Confidence in My Nurse(s)Functional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I have confidence in my nurse(s).FACT-BMT Version 4 - Confidence in My Nurse(s)
FAC061-Content With Quality of My LifeC147619FAC061-Content With Quality of My LifeFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am content with the quality of my life right now.FACT-BMT Version 4 - Content With Quality of My Life
FAC061-Cost of Treatment Is Burden on MeC147642FAC061-Cost of Treatment Is Burden on MeFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - The cost of my treatment is a burden on me or my family.FACT-BMT Version 4 - Cost of Treatment Is Burden on Me
FAC061-Enjoy Things I Usually Do for FunC147618FAC061-Enjoy Things I Usually Do for FunFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am enjoying the things I usually do for fun.FACT-BMT Version 4 - Enjoy Things I Usually Do for Fun
FAC061-Get Emotional Support From FamilyC147601FAC061-Get Emotional Support From FamilyFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I get emotional support from my family.FACT-BMT Version 4 - Get Emotional Support From Family
FAC061-I Am Able to ConcentrateC147633FAC061-I Am Able to ConcentrateFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am able to concentrate.FACT-BMT Version 4 - I Am Able to Concentrate
FAC061-I Am Able to Enjoy LifeC147615FAC061-I Am Able to Enjoy LifeFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am able to enjoy life.FACT-BMT Version 4 - I Am Able to Enjoy Life
FAC061-I Am Able to Get Around by MyselfC147626FAC061-I Am Able to Get Around by MyselfFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am able to get around by myself.FACT-BMT Version 4 - I Am Able to Get Around by Myself
FAC061-I Am Able to WorkC147613FAC061-I Am Able to WorkFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am able to work (include work at home).FACT-BMT Version 4 - I Am Able to Work
FAC061-I Am Bothered by Skin ProblemsC147639FAC061-I Am Bothered by Skin ProblemsFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am bothered by skin problems.FACT-BMT Version 4 - I Am Bothered by Skin Problems
FAC061-I Am Concerned About Keeping JobC147620FAC061-I Am Concerned About Keeping JobFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am concerned about keeping my job (include work at home).FACT-BMT Version 4 - I Am Concerned About Keeping Job
FAC061-I Am Forced to Spend Time in BedC147599FAC061-I Am Forced to Spend Time in BedFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am forced to spend time in bed.FACT-BMT Version 4 - I Am Forced to Spend Time in Bed
FAC061-I Am Interested in SexC147628FAC061-I Am Interested in SexFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am interested in sex.FACT-BMT Version 4 - I Am Interested in Sex
FAC061-I Am Satisfied With My Sex LifeC147606FAC061-I Am Satisfied With My Sex LifeFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am satisfied with my sex life.FACT-BMT Version 4 - I Am Satisfied With My Sex Life
FAC061-I Am Sleeping WellC147617FAC061-I Am Sleeping WellFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am sleeping well.FACT-BMT Version 4 - I Am Sleeping Well
FAC061-I Can Remember ThingsC147632FAC061-I Can Remember ThingsFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I can remember things.FACT-BMT Version 4 - I Can Remember Things
FAC061-I Feel Close to My FriendsC147600FAC061-I Feel Close to My FriendsFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I feel close to my friends.FACT-BMT Version 4 - I Feel Close to My Friends
FAC061-I Feel Close to My PartnerC147605FAC061-I Feel Close to My PartnerFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I feel close to my partner (or the person who is my main support).FACT-BMT Version 4 - I Feel Close to My Partner
FAC061-I Feel Distant From Other PeopleC147621FAC061-I Feel Distant From Other PeopleFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I feel distant from other people.FACT-BMT Version 4 - I Feel Distant From Other People
FAC061-I Feel IllC147598FAC061-I Feel IllFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I feel ill.FACT-BMT Version 4 - I Feel Ill
FAC061-I Feel NervousC147610FAC061-I Feel NervousFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I feel nervous.FACT-BMT Version 4 - I Feel Nervous
FAC061-I Feel SadC147607FAC061-I Feel SadFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I feel sad.FACT-BMT Version 4 - I Feel Sad
FAC061-I Get Support From My FriendsC147602FAC061-I Get Support From My FriendsFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I get support from my friends.FACT-BMT Version 4 - I Get Support From My Friends
FAC061-I Get Tired EasilyC147627FAC061-I Get Tired EasilyFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I get tired easily.FACT-BMT Version 4 - I Get Tired Easily
FAC061-I Have a Good AppetiteC147624FAC061-I Have a Good AppetiteFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I have a good appetite.FACT-BMT Version 4 - I Have a Good Appetite
FAC061-I Have a Lack of EnergyC147593FAC061-I Have a Lack of EnergyFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I have a lack of energy.FACT-BMT Version 4 - I Have a Lack of Energy
FAC061-I Have Accepted My IllnessC147616FAC061-I Have Accepted My IllnessFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I have accepted my illness.FACT-BMT Version 4 - I Have Accepted My Illness
FAC061-I Have Been Short of BreathC147638FAC061-I Have Been Short of BreathFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I have been short of breath.FACT-BMT Version 4 - I Have Been Short of Breath
FAC061-I Have Frequent Colds/InfectionsC147634FAC061-I Have Frequent Colds/InfectionsFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I have frequent colds/infections.FACT-BMT Version 4 - I Have Frequent Colds/Infections
FAC061-I Have NauseaC147594FAC061-I Have NauseaFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I have nausea.FACT-BMT Version 4 - I Have Nausea
FAC061-I Have PainC147596FAC061-I Have PainFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I have pain.FACT-BMT Version 4 - I Have Pain
FAC061-I Have TremorsC147637FAC061-I Have TremorsFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I have tremors.FACT-BMT Version 4 - I Have Tremors
FAC061-I Have Trouble With My BowelsC147640FAC061-I Have Trouble With My BowelsFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I have trouble with my bowels.FACT-BMT Version 4 - I Have Trouble With My Bowels
FAC061-I Like the Appearance of My BodyC147625FAC061-I Like the Appearance of My BodyFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I like the appearance of my body.FACT-BMT Version 4 - I Like the Appearance of My Body
FAC061-I Regret Bone Marrow TransplantC147631FAC061-I Regret Bone Marrow TransplantFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I regret having the bone marrow transplant.FACT-BMT Version 4 - I Regret Bone Marrow Transplant
FAC061-I Worry About DyingC147611FAC061-I Worry About DyingFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I worry about dying.FACT-BMT Version 4 - I Worry About Dying
FAC061-I Worry Transplant Will Not WorkC147622FAC061-I Worry Transplant Will Not WorkFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I worry that the transplant will not work.FACT-BMT Version 4 - I Worry Transplant Will Not Work
FAC061-Illness Is Hardship for My FamilyC147641FAC061-Illness Is Hardship for My FamilyFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - My illness is a personal hardship for my close family members.FACT-BMT Version 4 - Illness Is Hardship for My Family
FAC061-Losing Hope Against IllnessC147609FAC061-Losing Hope Against IllnessFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am losing hope in the fight against my illness.FACT-BMT Version 4 - Losing Hope Against Illness
FAC061-My Eyesight Is BlurryC147635FAC061-My Eyesight Is BlurryFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - My eyesight is blurry.FACT-BMT Version 4 - My Eyesight Is Blurry
FAC061-My Family Has Accepted My IllnessC147603FAC061-My Family Has Accepted My IllnessFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - My family has accepted my illness.FACT-BMT Version 4 - My Family Has Accepted My Illness
FAC061-My Work Is FulfillingC147614FAC061-My Work Is FulfillingFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - My work (include work at home) is fulfilling.FACT-BMT Version 4 - My Work Is Fulfilling
FAC061-Satisfied Communication IllnessC147604FAC061-Satisfied Communication IllnessFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am satisfied with family communication about my illness.FACT-BMT Version 4 - Satisfied Communication Illness
FAC061-Satisfied With How I Am CopingC147608FAC061-Satisfied With How I Am CopingFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I am satisfied with how I am coping with my illness.FACT-BMT Version 4 - Satisfied With How I Am Coping
FAC061-Side Effect of Treatment WorseC147623FAC061-Side Effect of Treatment WorseFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - The side effects of treatment are worse than I had imagined.FACT-BMT Version 4 - Side Effect of Treatment Worse
FAC061-Trouble Meeting Needs of FamilyC147595FAC061-Trouble Meeting Needs of FamilyFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - Because of my physical condition, I have trouble meeting the needs of my family.FACT-BMT Version 4 - Trouble Meeting Needs of Family
FAC061-Worry My Condition Will Get WorseC147612FAC061-Worry My Condition Will Get WorseFunctional Assessment of Cancer Therapy-Bone Marrow Transplant Version 4 - I worry that my condition will get worse.FACT-BMT Version 4 - Worry My Condition Will Get Worse
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CL.C179940.FAC074TCFunctional Assessment of Cancer Therapy-Bone Pain Version 4 Questionnaire Test Code
(FAC074TC)
text
Extensible: No
C179940Functional Assessment of Cancer Therapy-Bone Pain Version 4 Questionnaire Test CodeFunctional Assessment of Cancer Therapy-Bone Pain Version 4 test code.CDISC Questionnaire FACT-BP Version 4 Test Code Terminology
FAC07401C180023FAC074-How Many Places in Body Felt PainFunctional Assessment of Cancer Therapy - BP: for patients with bone pain: In how many places in your body have you felt bone pain.FACT-BP Version 4 - How Many Places in Body Felt Pain
FAC07402C180024FAC074-Certain Parts of Body Have PainFunctional Assessment of Cancer Therapy - BP: for patients with bone pain: I have certain parts of my body where I experience pain.FACT-BP Version 4 - Certain Parts of Body Have Pain
FAC07403C180025FAC074-I Have Bone PainFunctional Assessment of Cancer Therapy - BP: for patients with bone pain: I have bone pain.FACT-BP Version 4 - I Have Bone Pain
FAC07404C180026FAC074-Hurts When Put Weight/Pressure onFunctional Assessment of Cancer Therapy - BP: for patients with bone pain: It hurts when I put weight or pressure on the place where I have bone pain.FACT-BP Version 4 - Hurts When Put Weight/Pressure on
FAC07405C180027FAC074-Bone Pain Even When I Sit StillFunctional Assessment of Cancer Therapy - BP: for patients with bone pain: I have bone pain even when I sit stil.FACT-BP Version 4 - Bone Pain Even When I Sit Still
FAC07406C180028FAC074-Need Help Doing Usual ActivitiesFunctional Assessment of Cancer Therapy - BP: for patients with bone pain: I need help doing my usual activities because of bone pain.FACT-BP Version 4 - Need Help Doing Usual Activities
FAC07407C180029FAC074-Rest During Day Due to Bone PainFunctional Assessment of Cancer Therapy - BP: for patients with bone pain: I am forced to rest during the day due to bone pain.FACT-BP Version 4 - Rest During Day Due to Bone Pain
FAC07408C180030FAC074-Trouble Walking Because Bone PainFunctional Assessment of Cancer Therapy - BP: for patients with bone pain: I have trouble walking because of bone pain.FACT-BP Version 4 - Trouble Walking Because Bone Pain
FAC07409C180031FAC074-Bone Pain Interferes Care MyselfFunctional Assessment of Cancer Therapy - BP: for patients with bone pain: Bone pain interferes with my ability to care for myself (bathing, dressing, eating, etc.).FACT-BP Version 4 - Bone Pain Interferes Care Myself
FAC07410C180032FAC074-Bone Pain Interferes w/SocialFunctional Assessment of Cancer Therapy - BP: for patients with bone pain: Bone pain interferes with my social activities.FACT-BP Version 4 - Bone Pain Interferes w/Social
FAC07411C180033FAC074-Bone Pain Interferes w/My SleepFunctional Assessment of Cancer Therapy - BP: for patients with bone pain: Bone pain interferes with my sleep.FACT-BP Version 4 - Bone Pain Interferes w/My Sleep
FAC07412C180034FAC074-I am Frustrated by My Bone PainFunctional Assessment of Cancer Therapy - BP: for patients with bone pain: I am frustrated by my bone pain.FACT-BP Version 4 - I am Frustrated by My Bone Pain
FAC07413C180035FAC074-I Feel Depressed about Bone PainFunctional Assessment of Cancer Therapy - BP: for patients with bone pain: I feel depressed about my bone pain.FACT-BP Version 4 - I Feel Depressed about Bone Pain
FAC07414C180036FAC074-I Worry Bone Pain Will Get WorseFunctional Assessment of Cancer Therapy - BP: for patients with bone pain: I worry that my bone pain will get worse.FACT-BP Version 4 - I Worry Bone Pain Will Get Worse
FAC07415C180037FAC074-Bone Pain Interferes w/My FamilyFunctional Assessment of Cancer Therapy - BP: for patients with bone pain: My bone pain interferes with my family life.FACT-BP Version 4 - Bone Pain Interferes w/My Family
FAC07416C180038FAC074-Pain Interferes Vigorous ActivityFunctional Assessment of Cancer Therapy - BP: for patients with bone pain: Bone pain interferes with my ability to do vigorous activity (exercise, heavy lifting, etc.).FACT-BP Version 4 - Pain Interferes Vigorous Activity
FAC07417C180039FAC074-Trouble Concentrating Due to PainFunctional Assessment of Cancer Therapy - BP: for patients with bone pain: I have trouble concentrating due to my bone pain.FACT-BP Version 4 - Trouble Concentrating Due to Pain
FAC07418C180040FAC074-Difficulty Coping w/My Bone PainFunctional Assessment of Cancer Therapy - BP: for patients with bone pain: I have difficulty coping with my bone pain.FACT-BP Version 4 - Difficulty Coping w/My Bone Pain
FAC07419C180041FAC074-Difficulty Working Due to PainFunctional Assessment of Cancer Therapy - BP: for patients with bone pain: I have difficulty working due to my bone pain (including work at home)FACT-BP Version 4 - Difficulty Working Due to Pain
FAC07420C180042FAC074-Content With Quality of My LifeFunctional Assessment of Cancer Therapy - BP: for patients with bone pain: I am content with the quality of my life right now.FACT-BP Version 4 - Content With Quality of My Life
FAC07421C180043FAC074-Total ScoreFunctional Assessment of Cancer therapy - BP: BP subscale score.FACT-BP Version 4 - Total Score
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CL.C179939.FAC074TNFunctional Assessment of Cancer Therapy-Bone Pain Version 4 Questionnaire Test Name
(FAC074TN)
text
Extensible: No
C179939Functional Assessment of Cancer Therapy-Bone Pain Version 4 Questionnaire Test NameFunctional Assessment of Cancer Therapy-Bone Pain Version 4 test name.CDISC Questionnaire FACT-BP Version 4 Test Name Terminology
FAC074-Bone Pain Even When I Sit StillC180027FAC074-Bone Pain Even When I Sit StillFunctional Assessment of Cancer Therapy - BP: for patients with bone pain: I have bone pain even when I sit stil.FACT-BP Version 4 - Bone Pain Even When I Sit Still
FAC074-Bone Pain Interferes Care MyselfC180031FAC074-Bone Pain Interferes Care MyselfFunctional Assessment of Cancer Therapy - BP: for patients with bone pain: Bone pain interferes with my ability to care for myself (bathing, dressing, eating, etc.).FACT-BP Version 4 - Bone Pain Interferes Care Myself
FAC074-Bone Pain Interferes w/My FamilyC180037FAC074-Bone Pain Interferes w/My FamilyFunctional Assessment of Cancer Therapy - BP: for patients with bone pain: My bone pain interferes with my family life.FACT-BP Version 4 - Bone Pain Interferes w/My Family
FAC074-Bone Pain Interferes w/My SleepC180033FAC074-Bone Pain Interferes w/My SleepFunctional Assessment of Cancer Therapy - BP: for patients with bone pain: Bone pain interferes with my sleep.FACT-BP Version 4 - Bone Pain Interferes w/My Sleep
FAC074-Bone Pain Interferes w/SocialC180032FAC074-Bone Pain Interferes w/SocialFunctional Assessment of Cancer Therapy - BP: for patients with bone pain: Bone pain interferes with my social activities.FACT-BP Version 4 - Bone Pain Interferes w/Social
FAC074-Certain Parts of Body Have PainC180024FAC074-Certain Parts of Body Have PainFunctional Assessment of Cancer Therapy - BP: for patients with bone pain: I have certain parts of my body where I experience pain.FACT-BP Version 4 - Certain Parts of Body Have Pain
FAC074-Content With Quality of My LifeC180042FAC074-Content With Quality of My LifeFunctional Assessment of Cancer Therapy - BP: for patients with bone pain: I am content with the quality of my life right now.FACT-BP Version 4 - Content With Quality of My Life
FAC074-Difficulty Coping w/My Bone PainC180040FAC074-Difficulty Coping w/My Bone PainFunctional Assessment of Cancer Therapy - BP: for patients with bone pain: I have difficulty coping with my bone pain.FACT-BP Version 4 - Difficulty Coping w/My Bone Pain
FAC074-Difficulty Working Due to PainC180041FAC074-Difficulty Working Due to PainFunctional Assessment of Cancer Therapy - BP: for patients with bone pain: I have difficulty working due to my bone pain (including work at home)FACT-BP Version 4 - Difficulty Working Due to Pain
FAC074-How Many Places in Body Felt PainC180023FAC074-How Many Places in Body Felt PainFunctional Assessment of Cancer Therapy - BP: for patients with bone pain: In how many places in your body have you felt bone pain.FACT-BP Version 4 - How Many Places in Body Felt Pain
FAC074-Hurts When Put Weight/Pressure onC180026FAC074-Hurts When Put Weight/Pressure onFunctional Assessment of Cancer Therapy - BP: for patients with bone pain: It hurts when I put weight or pressure on the place where I have bone pain.FACT-BP Version 4 - Hurts When Put Weight/Pressure on
FAC074-I am Frustrated by My Bone PainC180034FAC074-I am Frustrated by My Bone PainFunctional Assessment of Cancer Therapy - BP: for patients with bone pain: I am frustrated by my bone pain.FACT-BP Version 4 - I am Frustrated by My Bone Pain
FAC074-I Feel Depressed about Bone PainC180035FAC074-I Feel Depressed about Bone PainFunctional Assessment of Cancer Therapy - BP: for patients with bone pain: I feel depressed about my bone pain.FACT-BP Version 4 - I Feel Depressed about Bone Pain
FAC074-I Have Bone PainC180025FAC074-I Have Bone PainFunctional Assessment of Cancer Therapy - BP: for patients with bone pain: I have bone pain.FACT-BP Version 4 - I Have Bone Pain
FAC074-I Worry Bone Pain Will Get WorseC180036FAC074-I Worry Bone Pain Will Get WorseFunctional Assessment of Cancer Therapy - BP: for patients with bone pain: I worry that my bone pain will get worse.FACT-BP Version 4 - I Worry Bone Pain Will Get Worse
FAC074-Need Help Doing Usual ActivitiesC180028FAC074-Need Help Doing Usual ActivitiesFunctional Assessment of Cancer Therapy - BP: for patients with bone pain: I need help doing my usual activities because of bone pain.FACT-BP Version 4 - Need Help Doing Usual Activities
FAC074-Pain Interferes Vigorous ActivityC180038FAC074-Pain Interferes Vigorous ActivityFunctional Assessment of Cancer Therapy - BP: for patients with bone pain: Bone pain interferes with my ability to do vigorous activity (exercise, heavy lifting, etc.).FACT-BP Version 4 - Pain Interferes Vigorous Activity
FAC074-Rest During Day Due to Bone PainC180029FAC074-Rest During Day Due to Bone PainFunctional Assessment of Cancer Therapy - BP: for patients with bone pain: I am forced to rest during the day due to bone pain.FACT-BP Version 4 - Rest During Day Due to Bone Pain
FAC074-Total ScoreC180043FAC074-Total ScoreFunctional Assessment of Cancer therapy - BP: BP subscale score.FACT-BP Version 4 - Total Score
FAC074-Trouble Concentrating Due to PainC180039FAC074-Trouble Concentrating Due to PainFunctional Assessment of Cancer Therapy - BP: for patients with bone pain: I have trouble concentrating due to my bone pain.FACT-BP Version 4 - Trouble Concentrating Due to Pain
FAC074-Trouble Walking Because Bone PainC180030FAC074-Trouble Walking Because Bone PainFunctional Assessment of Cancer Therapy - BP: for patients with bone pain: I have trouble walking because of bone pain.FACT-BP Version 4 - Trouble Walking Because Bone Pain
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CL.C138221.FAC029TCFunctional Assessment of Cancer Therapy-Brain Symptom Index Questionnaire Test Code
(FAC029TC)
text
Extensible: No
C138221Functional Assessment of Cancer Therapy-Brain Symptom Index Questionnaire Test CodeFunctional Assessment of Cancer Therapy-Brain Symptom Index test code.CDISC Questionnaire FBRSI Test Code Terminology
FAC02901C138429FAC029-I Get HeadachesFunctional Assessment of Cancer Therapy-Brain Symptom Index - I get headaches.FBRSI - I Get Headaches
FAC02902C138430FAC029-I Have Had SeizuresFunctional Assessment of Cancer Therapy-Brain Symptom Index - I have had seizures (convulsions).FBRSI - I Have Had Seizures
FAC02903C138431FAC029-Have Weakness in My Arms or LegsFunctional Assessment of Cancer Therapy-Brain Symptom Index - I have weakness in my arms or legs.FBRSI - Have Weakness in My Arms or Legs
FAC02904C138432FAC029-I Need Help in Caring for MyselfFunctional Assessment of Cancer Therapy-Brain Symptom Index - I need help in caring for myself (bathing, dressing, eating, etc.).FBRSI - I Need Help in Caring for Myself
FAC02905C138433FAC029-I Have a Lack of EnergyFunctional Assessment of Cancer Therapy-Brain Symptom Index - I have a lack of energy.FBRSI - I Have a Lack of Energy
FAC02906C138434FAC029-Difficulty Expressing My ThoughtsFunctional Assessment of Cancer Therapy-Brain Symptom Index - I have difficulty expressing my thoughts.FBRSI - Difficulty Expressing My Thoughts
FAC02907C138435FAC029-I Have Trouble With CoordinationFunctional Assessment of Cancer Therapy-Brain Symptom Index - I have trouble with coordination.FBRSI - I Have Trouble With Coordination
FAC02908C138436FAC029-Frustrated I Cannot Do ThingsFunctional Assessment of Cancer Therapy-Brain Symptom Index - I get frustrated that I cannot do things I used to.FBRSI - Frustrated I Cannot Do Things
FAC02909C138437FAC029-I Have NauseaFunctional Assessment of Cancer Therapy-Brain Symptom Index - I have nausea.FBRSI - I Have Nausea
FAC02910C138438FAC029-Able to Find the Right WordsFunctional Assessment of Cancer Therapy-Brain Symptom Index - I am able to find the right word(s) to say what I mean.FBRSI - Able to Find the Right Words
FAC02911C138439FAC029-Losing Hope Against IllnessFunctional Assessment of Cancer Therapy-Brain Symptom Index - I am losing hope in the fight against my illness.FBRSI - Losing Hope Against Illness
FAC02912C138440FAC029-Trouble Meeting Needs of FamilyFunctional Assessment of Cancer Therapy-Brain Symptom Index - Because of my physical condition, I have trouble meeting the needs of my family.FBRSI - Trouble Meeting Needs of Family
FAC02913C138441FAC029-Worry My Condition Will Get WorseFunctional Assessment of Cancer Therapy-Brain Symptom Index - I worry that my condition will get worse.FBRSI - Worry My Condition Will Get Worse
FAC02914C138442FAC029-I Am Afraid of Having a SeizureFunctional Assessment of Cancer Therapy-Brain Symptom Index - I am afraid of having a seizure (convulsion).FBRSI - I Am Afraid of Having a Seizure
FAC02915C138443FAC029-I Am Able to Enjoy LifeFunctional Assessment of Cancer Therapy-Brain Symptom Index - I am able to enjoy life.FBRSI - I Am Able to Enjoy Life
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CL.C138220.FAC029TNFunctional Assessment of Cancer Therapy-Brain Symptom Index Questionnaire Test Name
(FAC029TN)
text
Extensible: No
C138220Functional Assessment of Cancer Therapy-Brain Symptom Index Questionnaire Test NameFunctional Assessment of Cancer Therapy-Brain Symptom Index test name.CDISC Questionnaire FBRSI Test Name Terminology
FAC029-Able to Find the Right WordsC138438FAC029-Able to Find the Right WordsFunctional Assessment of Cancer Therapy-Brain Symptom Index - I am able to find the right word(s) to say what I mean.FBRSI - Able to Find the Right Words
FAC029-Difficulty Expressing My ThoughtsC138434FAC029-Difficulty Expressing My ThoughtsFunctional Assessment of Cancer Therapy-Brain Symptom Index - I have difficulty expressing my thoughts.FBRSI - Difficulty Expressing My Thoughts
FAC029-Frustrated I Cannot Do ThingsC138436FAC029-Frustrated I Cannot Do ThingsFunctional Assessment of Cancer Therapy-Brain Symptom Index - I get frustrated that I cannot do things I used to.FBRSI - Frustrated I Cannot Do Things
FAC029-Have Weakness in My Arms or LegsC138431FAC029-Have Weakness in My Arms or LegsFunctional Assessment of Cancer Therapy-Brain Symptom Index - I have weakness in my arms or legs.FBRSI - Have Weakness in My Arms or Legs
FAC029-I Am Able to Enjoy LifeC138443FAC029-I Am Able to Enjoy LifeFunctional Assessment of Cancer Therapy-Brain Symptom Index - I am able to enjoy life.FBRSI - I Am Able to Enjoy Life
FAC029-I Am Afraid of Having a SeizureC138442FAC029-I Am Afraid of Having a SeizureFunctional Assessment of Cancer Therapy-Brain Symptom Index - I am afraid of having a seizure (convulsion).FBRSI - I Am Afraid of Having a Seizure
FAC029-I Get HeadachesC138429FAC029-I Get HeadachesFunctional Assessment of Cancer Therapy-Brain Symptom Index - I get headaches.FBRSI - I Get Headaches
FAC029-I Have a Lack of EnergyC138433FAC029-I Have a Lack of EnergyFunctional Assessment of Cancer Therapy-Brain Symptom Index - I have a lack of energy.FBRSI - I Have a Lack of Energy
FAC029-I Have Had SeizuresC138430FAC029-I Have Had SeizuresFunctional Assessment of Cancer Therapy-Brain Symptom Index - I have had seizures (convulsions).FBRSI - I Have Had Seizures
FAC029-I Have NauseaC138437FAC029-I Have NauseaFunctional Assessment of Cancer Therapy-Brain Symptom Index - I have nausea.FBRSI - I Have Nausea
FAC029-I Have Trouble With CoordinationC138435FAC029-I Have Trouble With CoordinationFunctional Assessment of Cancer Therapy-Brain Symptom Index - I have trouble with coordination.FBRSI - I Have Trouble With Coordination
FAC029-I Need Help in Caring for MyselfC138432FAC029-I Need Help in Caring for MyselfFunctional Assessment of Cancer Therapy-Brain Symptom Index - I need help in caring for myself (bathing, dressing, eating, etc.).FBRSI - I Need Help in Caring for Myself
FAC029-Losing Hope Against IllnessC138439FAC029-Losing Hope Against IllnessFunctional Assessment of Cancer Therapy-Brain Symptom Index - I am losing hope in the fight against my illness.FBRSI - Losing Hope Against Illness
FAC029-Trouble Meeting Needs of FamilyC138440FAC029-Trouble Meeting Needs of FamilyFunctional Assessment of Cancer Therapy-Brain Symptom Index - Because of my physical condition, I have trouble meeting the needs of my family.FBRSI - Trouble Meeting Needs of Family
FAC029-Worry My Condition Will Get WorseC138441FAC029-Worry My Condition Will Get WorseFunctional Assessment of Cancer Therapy-Brain Symptom Index - I worry that my condition will get worse.FBRSI - Worry My Condition Will Get Worse
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CL.C129094.FAC005TCFunctional Assessment of Cancer Therapy-Breast Version 4 Questionnaire Test Code
(FAC005TC)
text
Extensible: No
C129094Functional Assessment of Cancer Therapy-Breast Version 4 Questionnaire Test CodeFunctional Assessment of Cancer Therapy-Breast Version 4 test code.CDISC Questionnaire FACT-B Version 4 Test Code Terminology
FAC00501C129188FAC005-I Have a Lack of EnergyFunctional Assessment of Cancer Therapy-Breast Version 4 - Physical Well-Being: I have a lack of energy.FACT-B Version 4 - I Have a Lack of Energy
FAC00502C129189FAC005-I Have NauseaFunctional Assessment of Cancer Therapy-Breast Version 4 - Physical Well-Being: I have nausea.FACT-B Version 4 - I Have Nausea
FAC00503C129190FAC005-Trouble Meeting Needs of FamilyFunctional Assessment of Cancer Therapy-Breast Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family.FACT-B Version 4 - Trouble Meeting Needs of Family
FAC00504C129191FAC005-I Have PainFunctional Assessment of Cancer Therapy-Breast Version 4 - Physical Well-Being: I have pain.FACT-B Version 4 - I Have Pain
FAC00505C129192FAC005-Bothered by Treatment Side EffectFunctional Assessment of Cancer Therapy-Breast Version 4 - Physical Well-Being: I am bothered by side effects of treatment.FACT-B Version 4 - Bothered by Treatment Side Effect
FAC00506C129193FAC005-I Feel IllFunctional Assessment of Cancer Therapy-Breast Version 4 - Physical Well-Being: I feel ill.FACT-B Version 4 - I Feel Ill
FAC00507C129194FAC005-I Am Forced to Spend Time in BedFunctional Assessment of Cancer Therapy-Breast Version 4 - Physical Well-Being: I am forced to spend time in bed.FACT-B Version 4 - I Am Forced to Spend Time in Bed
FAC00508C129195FAC005-I Feel Close to My FriendsFunctional Assessment of Cancer Therapy-Breast Version 4 - Social/Family Well-Being: I feel close to my friends.FACT-B Version 4 - I Feel Close to My Friends
FAC00509C129196FAC005-Get Emotional Support From FamilyFunctional Assessment of Cancer Therapy-Breast Version 4 - Social/Family Well-Being: I get emotional support from my family.FACT-B Version 4 - Get Emotional Support From Family
FAC00510C129197FAC005-I Get Support From My FriendsFunctional Assessment of Cancer Therapy-Breast Version 4 - Social/Family Well-Being: I get support from my friends.FACT-B Version 4 - I Get Support From My Friends
FAC00511C129198FAC005-My Family Has Accepted My IllnessFunctional Assessment of Cancer Therapy-Breast Version 4 - Social/Family Well-Being: My family has accepted my illness.FACT-B Version 4 - My Family Has Accepted My Illness
FAC00512C129199FAC005-Satisfied Communication IllnessFunctional Assessment of Cancer Therapy-Breast Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness.FACT-B Version 4 - Satisfied Family Communication of Illness
FAC00513C129200FAC005-I Feel Close to My PartnerFunctional Assessment of Cancer Therapy-Breast Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support).FACT-B Version 4 - I Feel Close to My Partner
FAC00514C129201FAC005-I Am Satisfied With My Sex LifeFunctional Assessment of Cancer Therapy-Breast Version 4 - Social/Family Well-Being: I am satisfied with my sex life.FACT-B Version 4 - I Am Satisfied With My Sex Life
FAC00515C129202FAC005-I Feel SadFunctional Assessment of Cancer Therapy-Breast Version 4 - Emotional Well-Being: I feel sad.FACT-B Version 4 - I Feel Sad
FAC00516C129203FAC005-Satisfied With How I Am CopingFunctional Assessment of Cancer Therapy-Breast Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness.FACT-B Version 4 - Satisfied With How I Am Coping
FAC00517C129204FAC005-Losing Hope Against IllnessFunctional Assessment of Cancer Therapy-Breast Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness.FACT-B Version 4 - Losing Hope Against Illness
FAC00518C129205FAC005-I Feel NervousFunctional Assessment of Cancer Therapy-Breast Version 4 - Emotional Well-Being: I feel nervous.FACT-B Version 4 - I Feel Nervous
FAC00519C129206FAC005-I Worry About DyingFunctional Assessment of Cancer Therapy-Breast Version 4 - Emotional Well-Being: I worry about dying.FACT-B Version 4 - I Worry About Dying
FAC00520C129207FAC005-Worry My Condition Will Get WorseFunctional Assessment of Cancer Therapy-Breast Version 4 - Emotional Well-Being: I worry that my condition will get worse.FACT-B Version 4 - Worry My Condition Will Get Worse
FAC00521C129208FAC005-I Am Able to WorkFunctional Assessment of Cancer Therapy-Breast Version 4 - Functional Well-Being: I am able to work (include work at home).FACT-B Version 4 - I Am Able to Work
FAC00522C129209FAC005-My Work Is FulfillingFunctional Assessment of Cancer Therapy-Breast Version 4 - Functional Well-Being: My work (include work at home) is fulfilling.FACT-B Version 4 - My Work Is Fulfilling
FAC00523C129210FAC005-I Am Able to Enjoy LifeFunctional Assessment of Cancer Therapy-Breast Version 4 - Functional Well-Being: I am able to enjoy life.FACT-B Version 4 - I Am Able to Enjoy Life
FAC00524C129211FAC005-I Have Accepted My IllnessFunctional Assessment of Cancer Therapy-Breast Version 4 - Functional Well-Being: I have accepted my illness.FACT-B Version 4 - I Have Accepted My Illness
FAC00525C129212FAC005-I Am Sleeping WellFunctional Assessment of Cancer Therapy-Breast Version 4 - Functional Well-Being: I am sleeping well.FACT-B Version 4 - I Am Sleeping Well
FAC00526C129213FAC005-Enjoy Things I Usually Do for FunFunctional Assessment of Cancer Therapy-Breast Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun.FACT-B Version 4 - Enjoy Things I Usually Do for Fun
FAC00527C129214FAC005-Content With Quality of My LifeFunctional Assessment of Cancer Therapy-Breast Version 4 - Functional Well-Being: I am content with the quality of my life right now.FACT-B Version 4 - Content With Quality of My Life
FAC00528C129215FAC005-I Have Been Short of BreathFunctional Assessment of Cancer Therapy-Breast Version 4 - Additional Concerns: I have been short of breath.FACT-B Version 4 - I Have Been Short of Breath
FAC00529C129216FAC005-Self-conscious About Way I DressFunctional Assessment of Cancer Therapy-Breast Version 4 - Additional Concerns: I am self-conscious about the way I dress.FACT-B Version 4 - Self-conscious About Way I Dress
FAC00530C129217FAC005-One/Both Arms Are Swollen/TenderFunctional Assessment of Cancer Therapy-Breast Version 4 - Additional Concerns: One or both of my arms are swollen or tender.FACT-B Version 4 - One or Both Arms Are Swollen or Tender
FAC00531C129218FAC005-I Feel Sexually AttractiveFunctional Assessment of Cancer Therapy-Breast Version 4 - Additional Concerns: I feel sexually attractive.FACT-B Version 4 - I Feel Sexually Attractive
FAC00532C129219FAC005-I Am Bothered by Hair LossFunctional Assessment of Cancer Therapy-Breast Version 4 - Additional Concerns: I am bothered by hair loss.FACT-B Version 4 - I Am Bothered by Hair Loss
FAC00533C129220FAC005-Worry Family Will Get IllnessFunctional Assessment of Cancer Therapy-Breast Version 4 - Additional Concerns: I worry that other members of my family might someday get the same illness I have.FACT-B Version 4 - Worry Family Will Get Illness
FAC00534C129221FAC005-Worry About the Effect of StressFunctional Assessment of Cancer Therapy-Breast Version 4 - Additional Concerns: I worry about the effect of stress on my illness.FACT-B Version 4 - Worry About the Effect of Stress
FAC00535C129222FAC005-I Am Bothered by Change in WeightFunctional Assessment of Cancer Therapy-Breast Version 4 - Additional Concerns: I am bothered by a change in weight.FACT-B Version 4 - I Am Bothered by Change in Weight
FAC00536C129223FAC005-I Am Able to Feel Like a WomanFunctional Assessment of Cancer Therapy-Breast Version 4 - Additional Concerns: I am able to feel like a woman.FACT-B Version 4 - I Am Able to Feel Like a Woman
FAC00537C129224FAC005-Certain Parts of Body Have PainFunctional Assessment of Cancer Therapy-Breast Version 4 - Additional Concerns: I have certain parts of my body where I experience pain.FACT-B Version 4 - Certain Parts of Body Have Pain
FAC00538C180194FAC005-Physical Subscale ScoreFunctional Assessment of Cancer Therapy-Breast Version 4 - Physical Well-Being: Subscale score.FACT-B Version 4 - Physical Subscale Score
FAC00539C180195FAC005-Social/Family Subscale ScoreFunctional Assessment of Cancer Therapy-Breast Version 4 - Social/Family Well-Being: Subscale score.FACT-B Version 4 - Social/Family Subscale Score
FAC00540C180196FAC005-Emotional Subscale ScoreFunctional Assessment of Cancer Therapy-Breast Version 4 - Emotional Well-Being: Subscale score.FACT-B Version 4 - Emotional Subscale Score
FAC00541C180197FAC005-Functional Subscale ScoreFunctional Assessment of Cancer Therapy-Breast Version 4 - Functional Well-Being: Subscale score.FACT-B Version 4 - Functional Subscale Score
FAC00542C180198FAC005-Additional Concern Subscale ScoreFunctional Assessment of Cancer Therapy-Breast Version 4 - Additional Concerns: Subscale score.FACT-B Version 4 - Additional Concern Subscale Score
FAC00543C180199FAC005-Trial Outcome Index ScoreFunctional Assessment of Cancer Therapy-Breast Version 4 - Trial outcome index score.FACT-B Version 4 - Trial Outcome Index Score
FAC00544C180200FAC005-FACT-G Total ScoreFunctional Assessment of Cancer Therapy-Breast Version 4 - FACT-G total score.FACT-B Version 4 - FACT-G Total Score
FAC00545C180201FAC005-Total ScoreFunctional Assessment of Cancer Therapy-Breast Version 4 - Total score.FACT-B Version 4 - Total Score
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CL.C129093.FAC005TNFunctional Assessment of Cancer Therapy-Breast Version 4 Questionnaire Test Name
(FAC005TN)
text
Extensible: No
C129093Functional Assessment of Cancer Therapy-Breast Version 4 Questionnaire Test NameFunctional Assessment of Cancer Therapy-Breast Version 4 test name.CDISC Questionnaire FACT-B Version 4 Test Name Terminology
FAC005-Additional Concern Subscale ScoreC180198FAC005-Additional Concern Subscale ScoreFunctional Assessment of Cancer Therapy-Breast Version 4 - Additional Concerns: Subscale score.FACT-B Version 4 - Additional Concern Subscale Score
FAC005-Bothered by Treatment Side EffectC129192FAC005-Bothered by Treatment Side EffectFunctional Assessment of Cancer Therapy-Breast Version 4 - Physical Well-Being: I am bothered by side effects of treatment.FACT-B Version 4 - Bothered by Treatment Side Effect
FAC005-Certain Parts of Body Have PainC129224FAC005-Certain Parts of Body Have PainFunctional Assessment of Cancer Therapy-Breast Version 4 - Additional Concerns: I have certain parts of my body where I experience pain.FACT-B Version 4 - Certain Parts of Body Have Pain
FAC005-Content With Quality of My LifeC129214FAC005-Content With Quality of My LifeFunctional Assessment of Cancer Therapy-Breast Version 4 - Functional Well-Being: I am content with the quality of my life right now.FACT-B Version 4 - Content With Quality of My Life
FAC005-Emotional Subscale ScoreC180196FAC005-Emotional Subscale ScoreFunctional Assessment of Cancer Therapy-Breast Version 4 - Emotional Well-Being: Subscale score.FACT-B Version 4 - Emotional Subscale Score
FAC005-Enjoy Things I Usually Do for FunC129213FAC005-Enjoy Things I Usually Do for FunFunctional Assessment of Cancer Therapy-Breast Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun.FACT-B Version 4 - Enjoy Things I Usually Do for Fun
FAC005-FACT-G Total ScoreC180200FAC005-FACT-G Total ScoreFunctional Assessment of Cancer Therapy-Breast Version 4 - FACT-G total score.FACT-B Version 4 - FACT-G Total Score
FAC005-Functional Subscale ScoreC180197FAC005-Functional Subscale ScoreFunctional Assessment of Cancer Therapy-Breast Version 4 - Functional Well-Being: Subscale score.FACT-B Version 4 - Functional Subscale Score
FAC005-Get Emotional Support From FamilyC129196FAC005-Get Emotional Support From FamilyFunctional Assessment of Cancer Therapy-Breast Version 4 - Social/Family Well-Being: I get emotional support from my family.FACT-B Version 4 - Get Emotional Support From Family
FAC005-I Am Able to Enjoy LifeC129210FAC005-I Am Able to Enjoy LifeFunctional Assessment of Cancer Therapy-Breast Version 4 - Functional Well-Being: I am able to enjoy life.FACT-B Version 4 - I Am Able to Enjoy Life
FAC005-I Am Able to Feel Like a WomanC129223FAC005-I Am Able to Feel Like a WomanFunctional Assessment of Cancer Therapy-Breast Version 4 - Additional Concerns: I am able to feel like a woman.FACT-B Version 4 - I Am Able to Feel Like a Woman
FAC005-I Am Able to WorkC129208FAC005-I Am Able to WorkFunctional Assessment of Cancer Therapy-Breast Version 4 - Functional Well-Being: I am able to work (include work at home).FACT-B Version 4 - I Am Able to Work
FAC005-I Am Bothered by Change in WeightC129222FAC005-I Am Bothered by Change in WeightFunctional Assessment of Cancer Therapy-Breast Version 4 - Additional Concerns: I am bothered by a change in weight.FACT-B Version 4 - I Am Bothered by Change in Weight
FAC005-I Am Bothered by Hair LossC129219FAC005-I Am Bothered by Hair LossFunctional Assessment of Cancer Therapy-Breast Version 4 - Additional Concerns: I am bothered by hair loss.FACT-B Version 4 - I Am Bothered by Hair Loss
FAC005-I Am Forced to Spend Time in BedC129194FAC005-I Am Forced to Spend Time in BedFunctional Assessment of Cancer Therapy-Breast Version 4 - Physical Well-Being: I am forced to spend time in bed.FACT-B Version 4 - I Am Forced to Spend Time in Bed
FAC005-I Am Satisfied With My Sex LifeC129201FAC005-I Am Satisfied With My Sex LifeFunctional Assessment of Cancer Therapy-Breast Version 4 - Social/Family Well-Being: I am satisfied with my sex life.FACT-B Version 4 - I Am Satisfied With My Sex Life
FAC005-I Am Sleeping WellC129212FAC005-I Am Sleeping WellFunctional Assessment of Cancer Therapy-Breast Version 4 - Functional Well-Being: I am sleeping well.FACT-B Version 4 - I Am Sleeping Well
FAC005-I Feel Close to My FriendsC129195FAC005-I Feel Close to My FriendsFunctional Assessment of Cancer Therapy-Breast Version 4 - Social/Family Well-Being: I feel close to my friends.FACT-B Version 4 - I Feel Close to My Friends
FAC005-I Feel Close to My PartnerC129200FAC005-I Feel Close to My PartnerFunctional Assessment of Cancer Therapy-Breast Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support).FACT-B Version 4 - I Feel Close to My Partner
FAC005-I Feel IllC129193FAC005-I Feel IllFunctional Assessment of Cancer Therapy-Breast Version 4 - Physical Well-Being: I feel ill.FACT-B Version 4 - I Feel Ill
FAC005-I Feel NervousC129205FAC005-I Feel NervousFunctional Assessment of Cancer Therapy-Breast Version 4 - Emotional Well-Being: I feel nervous.FACT-B Version 4 - I Feel Nervous
FAC005-I Feel SadC129202FAC005-I Feel SadFunctional Assessment of Cancer Therapy-Breast Version 4 - Emotional Well-Being: I feel sad.FACT-B Version 4 - I Feel Sad
FAC005-I Feel Sexually AttractiveC129218FAC005-I Feel Sexually AttractiveFunctional Assessment of Cancer Therapy-Breast Version 4 - Additional Concerns: I feel sexually attractive.FACT-B Version 4 - I Feel Sexually Attractive
FAC005-I Get Support From My FriendsC129197FAC005-I Get Support From My FriendsFunctional Assessment of Cancer Therapy-Breast Version 4 - Social/Family Well-Being: I get support from my friends.FACT-B Version 4 - I Get Support From My Friends
FAC005-I Have a Lack of EnergyC129188FAC005-I Have a Lack of EnergyFunctional Assessment of Cancer Therapy-Breast Version 4 - Physical Well-Being: I have a lack of energy.FACT-B Version 4 - I Have a Lack of Energy
FAC005-I Have Accepted My IllnessC129211FAC005-I Have Accepted My IllnessFunctional Assessment of Cancer Therapy-Breast Version 4 - Functional Well-Being: I have accepted my illness.FACT-B Version 4 - I Have Accepted My Illness
FAC005-I Have Been Short of BreathC129215FAC005-I Have Been Short of BreathFunctional Assessment of Cancer Therapy-Breast Version 4 - Additional Concerns: I have been short of breath.FACT-B Version 4 - I Have Been Short of Breath
FAC005-I Have NauseaC129189FAC005-I Have NauseaFunctional Assessment of Cancer Therapy-Breast Version 4 - Physical Well-Being: I have nausea.FACT-B Version 4 - I Have Nausea
FAC005-I Have PainC129191FAC005-I Have PainFunctional Assessment of Cancer Therapy-Breast Version 4 - Physical Well-Being: I have pain.FACT-B Version 4 - I Have Pain
FAC005-I Worry About DyingC129206FAC005-I Worry About DyingFunctional Assessment of Cancer Therapy-Breast Version 4 - Emotional Well-Being: I worry about dying.FACT-B Version 4 - I Worry About Dying
FAC005-Losing Hope Against IllnessC129204FAC005-Losing Hope Against IllnessFunctional Assessment of Cancer Therapy-Breast Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness.FACT-B Version 4 - Losing Hope Against Illness
FAC005-My Family Has Accepted My IllnessC129198FAC005-My Family Has Accepted My IllnessFunctional Assessment of Cancer Therapy-Breast Version 4 - Social/Family Well-Being: My family has accepted my illness.FACT-B Version 4 - My Family Has Accepted My Illness
FAC005-My Work Is FulfillingC129209FAC005-My Work Is FulfillingFunctional Assessment of Cancer Therapy-Breast Version 4 - Functional Well-Being: My work (include work at home) is fulfilling.FACT-B Version 4 - My Work Is Fulfilling
FAC005-One/Both Arms Are Swollen/TenderC129217FAC005-One/Both Arms Are Swollen/TenderFunctional Assessment of Cancer Therapy-Breast Version 4 - Additional Concerns: One or both of my arms are swollen or tender.FACT-B Version 4 - One or Both Arms Are Swollen or Tender
FAC005-Physical Subscale ScoreC180194FAC005-Physical Subscale ScoreFunctional Assessment of Cancer Therapy-Breast Version 4 - Physical Well-Being: Subscale score.FACT-B Version 4 - Physical Subscale Score
FAC005-Satisfied Communication IllnessC129199FAC005-Satisfied Communication IllnessFunctional Assessment of Cancer Therapy-Breast Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness.FACT-B Version 4 - Satisfied Family Communication of Illness
FAC005-Satisfied With How I Am CopingC129203FAC005-Satisfied With How I Am CopingFunctional Assessment of Cancer Therapy-Breast Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness.FACT-B Version 4 - Satisfied With How I Am Coping
FAC005-Self-conscious About Way I DressC129216FAC005-Self-conscious About Way I DressFunctional Assessment of Cancer Therapy-Breast Version 4 - Additional Concerns: I am self-conscious about the way I dress.FACT-B Version 4 - Self-conscious About Way I Dress
FAC005-Social/Family Subscale ScoreC180195FAC005-Social/Family Subscale ScoreFunctional Assessment of Cancer Therapy-Breast Version 4 - Social/Family Well-Being: Subscale score.FACT-B Version 4 - Social/Family Subscale Score
FAC005-Total ScoreC180201FAC005-Total ScoreFunctional Assessment of Cancer Therapy-Breast Version 4 - Total score.FACT-B Version 4 - Total Score
FAC005-Trial Outcome Index ScoreC180199FAC005-Trial Outcome Index ScoreFunctional Assessment of Cancer Therapy-Breast Version 4 - Trial outcome index score.FACT-B Version 4 - Trial Outcome Index Score
FAC005-Trouble Meeting Needs of FamilyC129190FAC005-Trouble Meeting Needs of FamilyFunctional Assessment of Cancer Therapy-Breast Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family.FACT-B Version 4 - Trouble Meeting Needs of Family
FAC005-Worry About the Effect of StressC129221FAC005-Worry About the Effect of StressFunctional Assessment of Cancer Therapy-Breast Version 4 - Additional Concerns: I worry about the effect of stress on my illness.FACT-B Version 4 - Worry About the Effect of Stress
FAC005-Worry Family Will Get IllnessC129220FAC005-Worry Family Will Get IllnessFunctional Assessment of Cancer Therapy-Breast Version 4 - Additional Concerns: I worry that other members of my family might someday get the same illness I have.FACT-B Version 4 - Worry Family Will Get Illness
FAC005-Worry My Condition Will Get WorseC129207FAC005-Worry My Condition Will Get WorseFunctional Assessment of Cancer Therapy-Breast Version 4 - Emotional Well-Being: I worry that my condition will get worse.FACT-B Version 4 - Worry My Condition Will Get Worse
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CL.C166184.FAC075TCFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 Questionnaire Test Code
(FAC075TC)
text
Extensible: No
C166184Functional Assessment of Cancer Therapy-Cognitive Function Version 3 Questionnaire Test CodeFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 test code.CDISC Questionnaire FACT-COG Version 3 Test Code Terminology
FAC07501C166280FAC075-I Have Trouble Forming ThoughtsFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have had trouble forming thoughts.FACT-COG Version 3 - I Have Trouble Forming Thoughts
FAC07502C166281FAC075-My Thinking Has Been SlowFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: My thinking has been slow.FACT-COG Version 3 - My Thinking Has Been Slow
FAC07503C166282FAC075-I Have Had Trouble ConcentratingFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have had trouble concentrating.FACT-COG Version 3 - I Have Had Trouble Concentrating
FAC07504C166283FAC075-Trouble Finding Familiar PlaceFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have had trouble finding my way to a familiar place.FACT-COG Version 3 - Trouble Finding Familiar Place
FAC07505C166284FAC075-Trouble Remember Where Put ThingsFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have had trouble remembering where I put things, like my keys or my wallet.FACT-COG Version 3 - Trouble Remember Where Put Things
FAC07506C166285FAC075-Trouble Remembering New InfoFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have had trouble remembering new information, like phone numbers or simple instructions.FACT-COG Version 3 - Trouble Remembering New Info
FAC07507C166286FAC075-Trouble Recalling Name of ObjectFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have had trouble recalling the name of an object while talking to someone.FACT-COG Version 3 - Trouble Recalling Name of Object
FAC07508C166287FAC075-Trouble Finding Right WordsFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have had trouble finding the right word(s) to express myself.FACT-COG Version 3 - Trouble Finding Right Words
FAC07509C166288FAC075-Used Wrong Word When Refer ObjectFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have used the wrong word when I referred to an object.FACT-COG Version 3 - Used Wrong Word When Refer Object
FAC07510C166289FAC075-Trouble Saying What I MeanFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have had trouble saying what I mean in conversations with others.FACT-COG Version 3 - Trouble Saying What I Mean
FAC07511C166290FAC075-Walked Into a Room and ForgottenFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have walked into a room and forgotten what I meant to get or do there.FACT-COG Version 3 - Walked Into a Room and Forgotten
FAC07512C166291FAC075-Work Hard to Pay AttentionFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have had to work really hard to pay attention or I would make a mistake.FACT-COG Version 3 - Work Hard to Pay Attention
FAC07513C166292FAC075-Forgotten Names After IntroducedFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have forgotten names of people soon after being introduced.FACT-COG Version 3 - Forgotten Names After Introduced
FAC07514C166293FAC075-Reaction Everyday Situations SlowFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: My reactions in everyday situations have been slow.FACT-COG Version 3 - Reaction Everyday Situations Slow
FAC07515C166294FAC075-Work Harder Than Usual to TrackFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have had to work harder than usual to keep track of what I was doing.FACT-COG Version 3 - Work Harder Than Usual to Track
FAC07516C166295FAC075-My Thinking Slower Than UsualFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: My thinking has been slower than usual.FACT-COG Version 3 - My Thinking Slower Than Usual
FAC07517C166296FAC075-Work Harder Than Usual to ExpressFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have had to work harder than usual to express myself clearly.FACT-COG Version 3 - Work Harder Than Usual to Express
FAC07518C166297FAC075-Use Written Lists More OftenFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have had to use written lists more often than usual so I would not forget things.FACT-COG Version 3 - Use Written Lists More Often
FAC07519C166298FAC075-Trouble Keeping Track InterruptedFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have trouble keeping track of what I am doing if I am interrupted.FACT-COG Version 3 - Trouble Keeping Track Interrupted
FAC07520C166299FAC075-Trouble Shifting Back and ForthFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have trouble shifting back and forth between different activities that require thinking.FACT-COG Version 3 - Trouble Shifting Back and Forth
FAC07521C166300FAC075-Told Me Trouble Remembering InfoFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Comments From Others: Other people have told me I seemed to have trouble remembering information.FACT-COG Version 3 - Told Me Trouble Remembering Info
FAC07522C166301FAC075-Told Me Trouble Speaking ClearlyFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Comments From Others: Other people have told me I seemed to have trouble speaking clearly.FACT-COG Version 3 - Told Me Trouble Speaking Clearly
FAC07523C166302FAC075-Told Me Trouble Thinking ClearlyFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Comments From Others: Other people have told me I seemed to have trouble thinking clearly.FACT-COG Version 3 - Told Me Trouble Thinking Clearly
FAC07524C166303FAC075-People Told Me I Seemed ConfusedFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Comments From Others: Other people have told me I seemed confused.FACT-COG Version 3 - People Told Me I Seemed Confused
FAC07525C166304FAC075-I Have Been Able to ConcentrateFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Abilities: I have been able to concentrate.FACT-COG Version 3 - I Have Been Able to Concentrate
FAC07526C166305FAC075-Able to Bring to Mind WordsFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Abilities: I have been able to bring to mind words that I wanted to use while talking to someone.FACT-COG Version 3 - Able to Bring to Mind Words
FAC07527C166306FAC075-Able Remember Things Where LeftFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Abilities: I have been able to remember things, like where I left my keys or wallet.FACT-COG Version 3 - Able Remember Things Where Left
FAC07528C166307FAC075-Able Remember to Do ThingsFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Abilities: I have been able to remember to do things, like take medicine or buy something I needed.FACT-COG Version 3 - Able Remember to Do Things
FAC07529C166308FAC075-Able to Pay Attention w/o EffortFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Abilities: I am able to pay attention and keep track of what I am doing without extra effort.FACT-COG Version 3 - Able to Pay Attention Without Effort
FAC07530C166309FAC075-Mind Is as Sharp as Always BeenFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Abilities: My mind is as sharp as it has always been.FACT-COG Version 3 - Mind Is as Sharp as Always Been
FAC07531C166310FAC075-Memory Is as Good as Always BeenFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Abilities: My memory is as good as it has always been.FACT-COG Version 3 - Memory Is as Good as Always Been
FAC07532C166311FAC075-Able to Shift Between ActivitiesFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Abilities: I am able to shift back and forth between two activities that require thinking.FACT-COG Version 3 - Able to Shift Between Activities
FAC07533C166312FAC075-Able to Track What I Am DoingFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Abilities: I am able to keep track of what I am doing, even if I am interrupted.FACT-COG Version 3 - Able to Track What I Am Doing
FAC07534C166313FAC075-Been Upset about These ProblemsFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Impact on Quality of Life: I have been upset about these problems.FACT-COG Version 3 - Been Upset about These Problems
FAC07535C166314FAC075-Problems Interfered Ability WorkFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Impact on Quality of Life: These problems have interfered with my ability to work.FACT-COG Version 3 - Problems Interfered Ability Work
FAC07536C166315FAC075-Problems Interfered Ability EnjoyFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Impact on Quality of Life: These problems have interfered with my ability to do things I enjoy.FACT-COG Version 3 - Problems Interfered Ability Enjoy
FAC07537C166316FAC075-Problems Interfered Quality LifeFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Impact on Quality of Life: These problems have interfered with the quality of my life.FACT-COG Version 3 - Problems Interfered Quality Life
FAC07538C166317FAC075-Cognitive Impairments ScoreFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: Subscale score.FACT-COG Version 3 - Cognitive Impairments Score
FAC07539C166318FAC075-Comments From Others ScoreFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Comments From Others: Subscale score.FACT-COG Version 3 - Comments From Others Score
FAC07540C166319FAC075-Cognitive Abilities ScoreFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Abilities: Subscale score.FACT-COG Version 3 - Cognitive Abilities Score
FAC07541C166320FAC075-Impact on Quality of Life ScoreFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Impact on Quality of Life: Subscale score.FACT-COG Version 3 - Impact on Quality of Life Score
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CL.C166183.FAC075TNFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 Questionnaire Test Name
(FAC075TN)
text
Extensible: No
C166183Functional Assessment of Cancer Therapy-Cognitive Function Version 3 Questionnaire Test NameFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 test name.CDISC Questionnaire FACT-COG Version 3 Test Name Terminology
FAC075-Able Remember Things Where LeftC166306FAC075-Able Remember Things Where LeftFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Abilities: I have been able to remember things, like where I left my keys or wallet.FACT-COG Version 3 - Able Remember Things Where Left
FAC075-Able Remember to Do ThingsC166307FAC075-Able Remember to Do ThingsFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Abilities: I have been able to remember to do things, like take medicine or buy something I needed.FACT-COG Version 3 - Able Remember to Do Things
FAC075-Able to Bring to Mind WordsC166305FAC075-Able to Bring to Mind WordsFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Abilities: I have been able to bring to mind words that I wanted to use while talking to someone.FACT-COG Version 3 - Able to Bring to Mind Words
FAC075-Able to Pay Attention w/o EffortC166308FAC075-Able to Pay Attention w/o EffortFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Abilities: I am able to pay attention and keep track of what I am doing without extra effort.FACT-COG Version 3 - Able to Pay Attention Without Effort
FAC075-Able to Shift Between ActivitiesC166311FAC075-Able to Shift Between ActivitiesFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Abilities: I am able to shift back and forth between two activities that require thinking.FACT-COG Version 3 - Able to Shift Between Activities
FAC075-Able to Track What I Am DoingC166312FAC075-Able to Track What I Am DoingFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Abilities: I am able to keep track of what I am doing, even if I am interrupted.FACT-COG Version 3 - Able to Track What I Am Doing
FAC075-Been Upset about These ProblemsC166313FAC075-Been Upset about These ProblemsFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Impact on Quality of Life: I have been upset about these problems.FACT-COG Version 3 - Been Upset about These Problems
FAC075-Cognitive Abilities ScoreC166319FAC075-Cognitive Abilities ScoreFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Abilities: Subscale score.FACT-COG Version 3 - Cognitive Abilities Score
FAC075-Cognitive Impairments ScoreC166317FAC075-Cognitive Impairments ScoreFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: Subscale score.FACT-COG Version 3 - Cognitive Impairments Score
FAC075-Comments From Others ScoreC166318FAC075-Comments From Others ScoreFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Comments From Others: Subscale score.FACT-COG Version 3 - Comments From Others Score
FAC075-Forgotten Names After IntroducedC166292FAC075-Forgotten Names After IntroducedFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have forgotten names of people soon after being introduced.FACT-COG Version 3 - Forgotten Names After Introduced
FAC075-I Have Been Able to ConcentrateC166304FAC075-I Have Been Able to ConcentrateFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Abilities: I have been able to concentrate.FACT-COG Version 3 - I Have Been Able to Concentrate
FAC075-I Have Had Trouble ConcentratingC166282FAC075-I Have Had Trouble ConcentratingFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have had trouble concentrating.FACT-COG Version 3 - I Have Had Trouble Concentrating
FAC075-I Have Trouble Forming ThoughtsC166280FAC075-I Have Trouble Forming ThoughtsFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have had trouble forming thoughts.FACT-COG Version 3 - I Have Trouble Forming Thoughts
FAC075-Impact on Quality of Life ScoreC166320FAC075-Impact on Quality of Life ScoreFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Impact on Quality of Life: Subscale score.FACT-COG Version 3 - Impact on Quality of Life Score
FAC075-Memory Is as Good as Always BeenC166310FAC075-Memory Is as Good as Always BeenFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Abilities: My memory is as good as it has always been.FACT-COG Version 3 - Memory Is as Good as Always Been
FAC075-Mind Is as Sharp as Always BeenC166309FAC075-Mind Is as Sharp as Always BeenFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Abilities: My mind is as sharp as it has always been.FACT-COG Version 3 - Mind Is as Sharp as Always Been
FAC075-My Thinking Has Been SlowC166281FAC075-My Thinking Has Been SlowFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: My thinking has been slow.FACT-COG Version 3 - My Thinking Has Been Slow
FAC075-My Thinking Slower Than UsualC166295FAC075-My Thinking Slower Than UsualFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: My thinking has been slower than usual.FACT-COG Version 3 - My Thinking Slower Than Usual
FAC075-People Told Me I Seemed ConfusedC166303FAC075-People Told Me I Seemed ConfusedFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Comments From Others: Other people have told me I seemed confused.FACT-COG Version 3 - People Told Me I Seemed Confused
FAC075-Problems Interfered Ability EnjoyC166315FAC075-Problems Interfered Ability EnjoyFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Impact on Quality of Life: These problems have interfered with my ability to do things I enjoy.FACT-COG Version 3 - Problems Interfered Ability Enjoy
FAC075-Problems Interfered Ability WorkC166314FAC075-Problems Interfered Ability WorkFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Impact on Quality of Life: These problems have interfered with my ability to work.FACT-COG Version 3 - Problems Interfered Ability Work
FAC075-Problems Interfered Quality LifeC166316FAC075-Problems Interfered Quality LifeFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Impact on Quality of Life: These problems have interfered with the quality of my life.FACT-COG Version 3 - Problems Interfered Quality Life
FAC075-Reaction Everyday Situations SlowC166293FAC075-Reaction Everyday Situations SlowFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: My reactions in everyday situations have been slow.FACT-COG Version 3 - Reaction Everyday Situations Slow
FAC075-Told Me Trouble Remembering InfoC166300FAC075-Told Me Trouble Remembering InfoFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Comments From Others: Other people have told me I seemed to have trouble remembering information.FACT-COG Version 3 - Told Me Trouble Remembering Info
FAC075-Told Me Trouble Speaking ClearlyC166301FAC075-Told Me Trouble Speaking ClearlyFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Comments From Others: Other people have told me I seemed to have trouble speaking clearly.FACT-COG Version 3 - Told Me Trouble Speaking Clearly
FAC075-Told Me Trouble Thinking ClearlyC166302FAC075-Told Me Trouble Thinking ClearlyFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Comments From Others: Other people have told me I seemed to have trouble thinking clearly.FACT-COG Version 3 - Told Me Trouble Thinking Clearly
FAC075-Trouble Finding Familiar PlaceC166283FAC075-Trouble Finding Familiar PlaceFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have had trouble finding my way to a familiar place.FACT-COG Version 3 - Trouble Finding Familiar Place
FAC075-Trouble Finding Right WordsC166287FAC075-Trouble Finding Right WordsFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have had trouble finding the right word(s) to express myself.FACT-COG Version 3 - Trouble Finding Right Words
FAC075-Trouble Keeping Track InterruptedC166298FAC075-Trouble Keeping Track InterruptedFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have trouble keeping track of what I am doing if I am interrupted.FACT-COG Version 3 - Trouble Keeping Track Interrupted
FAC075-Trouble Recalling Name of ObjectC166286FAC075-Trouble Recalling Name of ObjectFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have had trouble recalling the name of an object while talking to someone.FACT-COG Version 3 - Trouble Recalling Name of Object
FAC075-Trouble Remember Where Put ThingsC166284FAC075-Trouble Remember Where Put ThingsFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have had trouble remembering where I put things, like my keys or my wallet.FACT-COG Version 3 - Trouble Remember Where Put Things
FAC075-Trouble Remembering New InfoC166285FAC075-Trouble Remembering New InfoFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have had trouble remembering new information, like phone numbers or simple instructions.FACT-COG Version 3 - Trouble Remembering New Info
FAC075-Trouble Saying What I MeanC166289FAC075-Trouble Saying What I MeanFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have had trouble saying what I mean in conversations with others.FACT-COG Version 3 - Trouble Saying What I Mean
FAC075-Trouble Shifting Back and ForthC166299FAC075-Trouble Shifting Back and ForthFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have trouble shifting back and forth between different activities that require thinking.FACT-COG Version 3 - Trouble Shifting Back and Forth
FAC075-Use Written Lists More OftenC166297FAC075-Use Written Lists More OftenFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have had to use written lists more often than usual so I would not forget things.FACT-COG Version 3 - Use Written Lists More Often
FAC075-Used Wrong Word When Refer ObjectC166288FAC075-Used Wrong Word When Refer ObjectFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have used the wrong word when I referred to an object.FACT-COG Version 3 - Used Wrong Word When Refer Object
FAC075-Walked Into a Room and ForgottenC166290FAC075-Walked Into a Room and ForgottenFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have walked into a room and forgotten what I meant to get or do there.FACT-COG Version 3 - Walked Into a Room and Forgotten
FAC075-Work Hard to Pay AttentionC166291FAC075-Work Hard to Pay AttentionFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have had to work really hard to pay attention or I would make a mistake.FACT-COG Version 3 - Work Hard to Pay Attention
FAC075-Work Harder Than Usual to ExpressC166296FAC075-Work Harder Than Usual to ExpressFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have had to work harder than usual to express myself clearly.FACT-COG Version 3 - Work Harder Than Usual to Express
FAC075-Work Harder Than Usual to TrackC166294FAC075-Work Harder Than Usual to TrackFunctional Assessment of Cancer Therapy-Cognitive Function Version 3 - Perceived Cognitive Impairments: I have had to work harder than usual to keep track of what I was doing.FACT-COG Version 3 - Work Harder Than Usual to Track
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CL.C150774.FAC008TCFunctional Assessment of Cancer Therapy-Colorectal Version 4 Questionnaire Test Code
(FAC008TC)
text
Extensible: No
C150774Functional Assessment of Cancer Therapy-Colorectal Version 4 Questionnaire Test CodeFunctional Assessment of Cancer Therapy-Colorectal Version 4 test code.CDISC Questionnaire FACT-C Version 4 Test Code Terminology
FAC00801C151076FAC008-I Have a Lack of EnergyFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Physical Well-Being: I have a lack of energy.FACT-C Version 4 - I Have a Lack of Energy
FAC00802C151077FAC008-I Have NauseaFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Physical Well-Being: I have nausea.FACT-C Version 4 - I Have Nausea
FAC00803C151078FAC008-Trouble Meeting Needs of FamilyFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family.FACT-C Version 4 - Trouble Meeting Needs of Family
FAC00804C151079FAC008-I Have PainFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Physical Well-Being: I have pain.FACT-C Version 4 - I Have Pain
FAC00805C151080FAC008-Bothered by Treatment Side EffectFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Physical Well-Being: I am bothered by side effects of treatment.FACT-C Version 4 - Bothered by Treatment Side Effect
FAC00806C151081FAC008-I Feel IllFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Physical Well-Being: I feel ill.FACT-C Version 4 - I Feel Ill
FAC00807C151082FAC008-I Am Forced to Spend Time in BedFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Physical Well-Being: I am forced to spend time in bed.FACT-C Version 4 - I Am Forced to Spend Time in Bed
FAC00808C151083FAC008-I Feel Close to My FriendsFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Social/Family Well-Being: I feel close to my friends.FACT-C Version 4 - I Feel Close to My Friends
FAC00809C151084FAC008-Get Emotional Support From FamilyFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Social/Family Well-Being: I get emotional support from my family.FACT-C Version 4 - Get Emotional Support From Family
FAC00810C151085FAC008-I Get Support From My FriendsFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Social/Family Well-Being: I get support from my friends.FACT-C Version 4 - I Get Support From My Friends
FAC00811C151086FAC008-My Family Has Accepted My IllnessFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Social/Family Well-Being: My family has accepted my illness.FACT-C Version 4 - My Family Has Accepted My Illness
FAC00812C151087FAC008-Satisfied Communication IllnessFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness.FACT-C Version 4 - Satisfied Communication Illness
FAC00813C151088FAC008-I Feel Close to My PartnerFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support).FACT-C Version 4 - I Feel Close to My Partner
FAC00814C151089FAC008-I Am Satisfied With My Sex LifeFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Social/Family Well-Being: I am satisfied with my sex life.FACT-C Version 4 - I Am Satisfied With My Sex Life
FAC00815C151090FAC008-I Feel SadFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Emotional Well-Being: I feel sad.FACT-C Version 4 - I Feel Sad
FAC00816C151091FAC008-Satisfied With How I Am CopingFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness.FACT-C Version 4 - Satisfied With How I Am Coping
FAC00817C151092FAC008-Losing Hope Against IllnessFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness.FACT-C Version 4 - Losing Hope Against Illness
FAC00818C151093FAC008-I Feel NervousFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Emotional Well-Being: I feel nervous.FACT-C Version 4 - I Feel Nervous
FAC00819C151094FAC008-I Worry About DyingFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Emotional Well-Being: I worry about dying.FACT-C Version 4 - I Worry About Dying
FAC00820C151095FAC008-Worry My Condition Will Get WorseFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Emotional Well-Being: I worry that my condition will get worse.FACT-C Version 4 - Worry My Condition Will Get Worse
FAC00821C151096FAC008-I Am Able to WorkFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Functional Well-Being: I am able to work (include work at home).FACT-C Version 4 - I Am Able to Work
FAC00822C151097FAC008-My Work Is FulfillingFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Functional Well-Being: My work (include work at home) is fulfilling.FACT-C Version 4 - My Work Is Fulfilling
FAC00823C151098FAC008-I Am Able to Enjoy LifeFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Functional Well-Being: I am able to enjoy life.FACT-C Version 4 - I Am Able to Enjoy Life
FAC00824C151099FAC008-I Have Accepted My IllnessFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Functional Well-Being: I have accepted my illness.FACT-C Version 4 - I Have Accepted My Illness
FAC00825C151100FAC008-I Am Sleeping WellFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Functional Well-Being: I am sleeping well.FACT-C Version 4 - I Am Sleeping Well
FAC00826C151101FAC008-Enjoy Things I Usually Do for FunFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun.FACT-C Version 4 - Enjoy Things I Usually Do for Fun
FAC00827C151102FAC008-Content With Quality of My LifeFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Functional Well-Being: I am content with the quality of my life right now.FACT-C Version 4 - Content With Quality of My Life
FAC00828C151103FAC008-Swelling/Cramps in Stomach AreaFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Additional Concerns: I have swelling or cramps in my stomach area.FACT-C Version 4 - Swelling/Cramps in Stomach Area
FAC00829C151104FAC008-I Am Losing WeightFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Additional Concerns: I am losing weight.FACT-C Version 4 - I Am Losing Weight
FAC00830C151105FAC008-I Have Control of My BowelsFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Additional Concerns: I have control of my bowels.FACT-C Version 4 - I Have Control of My Bowels
FAC00831C151106FAC008-I Can Digest My Food WellFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Additional Concerns: I can digest my food well.FACT-C Version 4 - I Can Digest My Food Well
FAC00832C151107FAC008-I Have DiarrheaFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Additional Concerns: I have diarrhea (diarrhoea).FACT-C Version 4 - I Have Diarrhea
FAC00833C151108FAC008-I Have a Good AppetiteFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Additional Concerns: I have a good appetite.FACT-C Version 4 - I Have a Good Appetite
FAC00834C151109FAC008-I Like the Appearance of My BodyFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Additional Concerns: I like the appearance of my body.FACT-C Version 4 - I Like the Appearance of My Body
FAC00835C151110FAC008-Do You Have an Ostomy ApplianceFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Additional Concerns: Do you have an ostomy appliance?FACT-C Version 4 - Do You Have an Ostomy Appliance
FAC00836C151111FAC008-Embarrassed by Ostomy ApplianceFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Additional Concerns: I am embarrassed by my ostomy appliance.FACT-C Version 4 - Embarrassed by Ostomy Appliance
FAC00837C151112FAC008-Caring for Ostomy Is DifficultFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Additional Concerns: Caring for my ostomy appliance is difficult.FACT-C Version 4 - Caring for Ostomy Is Difficult
FAC00838C163941FAC008-Physical Subscale ScoreFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Physical Well-Being: Subscale score.FACT-C Version 4 - Physical Subscale Score
FAC00839C163942FAC008-Social/Family Subscale ScoreFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Social/Family Well-Being: Subscale score.FACT-C Version 4 - Social/Family Subscale Score
FAC00840C163943FAC008-Emotional Subscale ScoreFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Emotional Well-Being: Subscale score.FACT-C Version 4 - Emotional Subscale Score
FAC00841C163944FAC008-Functional Subscale ScoreFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Functional Well-Being: Subscale score.FACT-C Version 4 - Functional Subscale Score
FAC00842C163945FAC008-Additional Concern Subscale ScoreFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Additional Concerns: Subscale score.FACT-C Version 4 - Additional Concern Subscale Score
FAC00843C166339FAC008-Trial Outcome Index ScoreFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Trial outcome index score.FACT-C Version 4 - Trial Outcome Index Score
FAC00844C166340FAC008-FACT-G Total ScoreFunctional Assessment of Cancer Therapy-Colorectal Version 4 - FACT-G total score.FACT-C Version 4 - FACT-G Total Score
FAC00845C163946FAC008-Total ScoreFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Total score.FACT-C Version 4 - Total Score
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CL.C150773.FAC008TNFunctional Assessment of Cancer Therapy-Colorectal Version 4 Questionnaire Test Name
(FAC008TN)
text
Extensible: No
C150773Functional Assessment of Cancer Therapy-Colorectal Version 4 Questionnaire Test NameFunctional Assessment of Cancer Therapy-Colorectal Version 4 test name.CDISC Questionnaire FACT-C Version 4 Test Name Terminology
FAC008-Additional Concern Subscale ScoreC163945FAC008-Additional Concern Subscale ScoreFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Additional Concerns: Subscale score.FACT-C Version 4 - Additional Concern Subscale Score
FAC008-Bothered by Treatment Side EffectC151080FAC008-Bothered by Treatment Side EffectFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Physical Well-Being: I am bothered by side effects of treatment.FACT-C Version 4 - Bothered by Treatment Side Effect
FAC008-Caring for Ostomy Is DifficultC151112FAC008-Caring for Ostomy Is DifficultFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Additional Concerns: Caring for my ostomy appliance is difficult.FACT-C Version 4 - Caring for Ostomy Is Difficult
FAC008-Content With Quality of My LifeC151102FAC008-Content With Quality of My LifeFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Functional Well-Being: I am content with the quality of my life right now.FACT-C Version 4 - Content With Quality of My Life
FAC008-Do You Have an Ostomy ApplianceC151110FAC008-Do You Have an Ostomy ApplianceFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Additional Concerns: Do you have an ostomy appliance?FACT-C Version 4 - Do You Have an Ostomy Appliance
FAC008-Embarrassed by Ostomy ApplianceC151111FAC008-Embarrassed by Ostomy ApplianceFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Additional Concerns: I am embarrassed by my ostomy appliance.FACT-C Version 4 - Embarrassed by Ostomy Appliance
FAC008-Emotional Subscale ScoreC163943FAC008-Emotional Subscale ScoreFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Emotional Well-Being: Subscale score.FACT-C Version 4 - Emotional Subscale Score
FAC008-Enjoy Things I Usually Do for FunC151101FAC008-Enjoy Things I Usually Do for FunFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun.FACT-C Version 4 - Enjoy Things I Usually Do for Fun
FAC008-FACT-G Total ScoreC166340FAC008-FACT-G Total ScoreFunctional Assessment of Cancer Therapy-Colorectal Version 4 - FACT-G total score.FACT-C Version 4 - FACT-G Total Score
FAC008-Functional Subscale ScoreC163944FAC008-Functional Subscale ScoreFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Functional Well-Being: Subscale score.FACT-C Version 4 - Functional Subscale Score
FAC008-Get Emotional Support From FamilyC151084FAC008-Get Emotional Support From FamilyFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Social/Family Well-Being: I get emotional support from my family.FACT-C Version 4 - Get Emotional Support From Family
FAC008-I Am Able to Enjoy LifeC151098FAC008-I Am Able to Enjoy LifeFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Functional Well-Being: I am able to enjoy life.FACT-C Version 4 - I Am Able to Enjoy Life
FAC008-I Am Able to WorkC151096FAC008-I Am Able to WorkFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Functional Well-Being: I am able to work (include work at home).FACT-C Version 4 - I Am Able to Work
FAC008-I Am Forced to Spend Time in BedC151082FAC008-I Am Forced to Spend Time in BedFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Physical Well-Being: I am forced to spend time in bed.FACT-C Version 4 - I Am Forced to Spend Time in Bed
FAC008-I Am Losing WeightC151104FAC008-I Am Losing WeightFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Additional Concerns: I am losing weight.FACT-C Version 4 - I Am Losing Weight
FAC008-I Am Satisfied With My Sex LifeC151089FAC008-I Am Satisfied With My Sex LifeFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Social/Family Well-Being: I am satisfied with my sex life.FACT-C Version 4 - I Am Satisfied With My Sex Life
FAC008-I Am Sleeping WellC151100FAC008-I Am Sleeping WellFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Functional Well-Being: I am sleeping well.FACT-C Version 4 - I Am Sleeping Well
FAC008-I Can Digest My Food WellC151106FAC008-I Can Digest My Food WellFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Additional Concerns: I can digest my food well.FACT-C Version 4 - I Can Digest My Food Well
FAC008-I Feel Close to My FriendsC151083FAC008-I Feel Close to My FriendsFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Social/Family Well-Being: I feel close to my friends.FACT-C Version 4 - I Feel Close to My Friends
FAC008-I Feel Close to My PartnerC151088FAC008-I Feel Close to My PartnerFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support).FACT-C Version 4 - I Feel Close to My Partner
FAC008-I Feel IllC151081FAC008-I Feel IllFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Physical Well-Being: I feel ill.FACT-C Version 4 - I Feel Ill
FAC008-I Feel NervousC151093FAC008-I Feel NervousFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Emotional Well-Being: I feel nervous.FACT-C Version 4 - I Feel Nervous
FAC008-I Feel SadC151090FAC008-I Feel SadFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Emotional Well-Being: I feel sad.FACT-C Version 4 - I Feel Sad
FAC008-I Get Support From My FriendsC151085FAC008-I Get Support From My FriendsFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Social/Family Well-Being: I get support from my friends.FACT-C Version 4 - I Get Support From My Friends
FAC008-I Have a Good AppetiteC151108FAC008-I Have a Good AppetiteFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Additional Concerns: I have a good appetite.FACT-C Version 4 - I Have a Good Appetite
FAC008-I Have a Lack of EnergyC151076FAC008-I Have a Lack of EnergyFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Physical Well-Being: I have a lack of energy.FACT-C Version 4 - I Have a Lack of Energy
FAC008-I Have Accepted My IllnessC151099FAC008-I Have Accepted My IllnessFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Functional Well-Being: I have accepted my illness.FACT-C Version 4 - I Have Accepted My Illness
FAC008-I Have Control of My BowelsC151105FAC008-I Have Control of My BowelsFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Additional Concerns: I have control of my bowels.FACT-C Version 4 - I Have Control of My Bowels
FAC008-I Have DiarrheaC151107FAC008-I Have DiarrheaFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Additional Concerns: I have diarrhea (diarrhoea).FACT-C Version 4 - I Have Diarrhea
FAC008-I Have NauseaC151077FAC008-I Have NauseaFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Physical Well-Being: I have nausea.FACT-C Version 4 - I Have Nausea
FAC008-I Have PainC151079FAC008-I Have PainFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Physical Well-Being: I have pain.FACT-C Version 4 - I Have Pain
FAC008-I Like the Appearance of My BodyC151109FAC008-I Like the Appearance of My BodyFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Additional Concerns: I like the appearance of my body.FACT-C Version 4 - I Like the Appearance of My Body
FAC008-I Worry About DyingC151094FAC008-I Worry About DyingFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Emotional Well-Being: I worry about dying.FACT-C Version 4 - I Worry About Dying
FAC008-Losing Hope Against IllnessC151092FAC008-Losing Hope Against IllnessFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness.FACT-C Version 4 - Losing Hope Against Illness
FAC008-My Family Has Accepted My IllnessC151086FAC008-My Family Has Accepted My IllnessFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Social/Family Well-Being: My family has accepted my illness.FACT-C Version 4 - My Family Has Accepted My Illness
FAC008-My Work Is FulfillingC151097FAC008-My Work Is FulfillingFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Functional Well-Being: My work (include work at home) is fulfilling.FACT-C Version 4 - My Work Is Fulfilling
FAC008-Physical Subscale ScoreC163941FAC008-Physical Subscale ScoreFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Physical Well-Being: Subscale score.FACT-C Version 4 - Physical Subscale Score
FAC008-Satisfied Communication IllnessC151087FAC008-Satisfied Communication IllnessFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness.FACT-C Version 4 - Satisfied Communication Illness
FAC008-Satisfied With How I Am CopingC151091FAC008-Satisfied With How I Am CopingFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness.FACT-C Version 4 - Satisfied With How I Am Coping
FAC008-Social/Family Subscale ScoreC163942FAC008-Social/Family Subscale ScoreFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Social/Family Well-Being: Subscale score.FACT-C Version 4 - Social/Family Subscale Score
FAC008-Swelling/Cramps in Stomach AreaC151103FAC008-Swelling/Cramps in Stomach AreaFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Additional Concerns: I have swelling or cramps in my stomach area.FACT-C Version 4 - Swelling/Cramps in Stomach Area
FAC008-Total ScoreC163946FAC008-Total ScoreFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Total score.FACT-C Version 4 - Total Score
FAC008-Trial Outcome Index ScoreC166339FAC008-Trial Outcome Index ScoreFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Trial outcome index score.FACT-C Version 4 - Trial Outcome Index Score
FAC008-Trouble Meeting Needs of FamilyC151078FAC008-Trouble Meeting Needs of FamilyFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family.FACT-C Version 4 - Trouble Meeting Needs of Family
FAC008-Worry My Condition Will Get WorseC151095FAC008-Worry My Condition Will Get WorseFunctional Assessment of Cancer Therapy-Colorectal Version 4 - Emotional Well-Being: I worry that my condition will get worse.FACT-C Version 4 - Worry My Condition Will Get Worse
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CL.C130255.FAC015TCFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 Questionnaire Test Code
(FAC015TC)
text
Extensible: No
C130255Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 Questionnaire Test CodeFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 test code.CDISC Questionnaire FACT-HEP Version 4 Test Code Terminology
FAC01501C130458FAC015-I Have a Lack of EnergyFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Physical Well-Being: I have a lack of energy.FACT-HEP Version 4 - I Have a Lack of Energy
FAC01502C130459FAC015-I Have NauseaFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Physical Well-Being: I have nausea.FACT-HEP Version 4 - I Have Nausea
FAC01503C130460FAC015-Trouble Meeting Needs of FamilyFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family.FACT-HEP Version 4 - Trouble Meeting Needs of Family
FAC01504C130461FAC015-I Have PainFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Physical Well-Being: I have pain.FACT-HEP Version 4 - I Have Pain
FAC01505C130462FAC015-Bothered by Treatment Side EffectFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Physical Well-Being: I am bothered by side effects of treatment.FACT-HEP Version 4 - Bothered by Treatment Side Effect
FAC01506C130463FAC015-I Feel IllFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Physical Well-Being: I feel ill.FACT-HEP Version 4 - I Feel Ill
FAC01507C130464FAC015-I Am Forced to Spend Time in BedFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Physical Well-Being: I am forced to spend time in bed.FACT-HEP Version 4 - I Am Forced to Spend Time in Bed
FAC01508C130465FAC015-I Feel Close to My FriendsFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Social/Family Well-Being: I feel close to my friends.FACT-HEP Version 4 - I Feel Close to My Friends
FAC01509C130466FAC015-Get Emotional Support From FamilyFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Social/Family Well-Being: I get emotional support from my family.FACT-HEP Version 4 - Get Emotional Support From Family
FAC01510C130467FAC015-I Get Support From My FriendsFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Social/Family Well-Being: I get support from my friends.FACT-HEP Version 4 - I Get Support From My Friends
FAC01511C130468FAC015-My Family Has Accepted My IllnessFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Social/Family Well-Being: My family has accepted my illness.FACT-HEP Version 4 - My Family Has Accepted My Illness
FAC01512C130469FAC015-Satisfied Communication IllnessFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness.FACT-HEP Version 4 - Satisfied With Communication About Illness
FAC01513C130470FAC015-I Feel Close to My PartnerFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support).FACT-HEP Version 4 - I Feel Close to My Partner
FAC01514C130471FAC015-I Am Satisfied With My Sex LifeFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Social/Family Well-Being: I am satisfied with my sex life.FACT-HEP Version 4 - I Am Satisfied With My Sex Life
FAC01515C130472FAC015-I Feel SadFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Emotional Well-Being: I feel sad.FACT-HEP Version 4 - I Feel Sad
FAC01516C130473FAC015-Satisfied With How I Am CopingFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness.FACT-HEP Version 4 - Satisfied With How I Am Coping
FAC01517C130474FAC015-Losing Hope Against IllnessFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness.FACT-HEP Version 4 - Losing Hope Against Illness
FAC01518C130475FAC015-I Feel NervousFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Emotional Well-Being: I feel nervous.FACT-HEP Version 4 - I Feel Nervous
FAC01519C130476FAC015-I Worry About DyingFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Emotional Well-Being: I worry about dying.FACT-HEP Version 4 - I Worry About Dying
FAC01520C130477FAC015-Worry My Condition Will Get WorseFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Emotional Well-Being: I worry that my condition will get worse.FACT-HEP Version 4 - Worry My Condition Will Get Worse
FAC01521C130478FAC015-I Am Able to WorkFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Functional Well-Being: I am able to work (include work at home).FACT-HEP Version 4 - I Am Able to Work
FAC01522C130479FAC015-My Work Is FulfillingFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Functional Well-Being: My work (include work at home) is fulfilling.FACT-HEP Version 4 - My Work Is Fulfilling
FAC01523C130480FAC015-I Am Able to Enjoy LifeFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Functional Well-Being: I am able to enjoy life.FACT-HEP Version 4 - I Am Able to Enjoy Life
FAC01524C130481FAC015-I Have Accepted My IllnessFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Functional Well-Being: I have accepted my illness.FACT-HEP Version 4 - I Have Accepted My Illness
FAC01525C130482FAC015-I Am Sleeping WellFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Functional Well-Being: I am sleeping well.FACT-HEP Version 4 - I Am Sleeping Well
FAC01526C130483FAC015-Enjoy Things I Usually Do for FunFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun.FACT-HEP Version 4 - Enjoy Things I Usually Do for Fun
FAC01527C130484FAC015-Content With Quality of My LifeFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Functional Well-Being: I am content with the quality of my life right now.FACT-HEP Version 4 - Content With Quality of My Life
FAC01528C130485FAC015-Swelling/Cramps in Stomach AreaFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I have swelling or cramps in my stomach area.FACT-HEP Version 4 - Swelling or Cramps in Stomach Area
FAC01529C130486FAC015-I Am Losing WeightFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I am losing weight.FACT-HEP Version 4 - I Am Losing Weight
FAC01530C130487FAC015-I Have Control of My BowelsFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I have control of my bowels.FACT-HEP Version 4 - I Have Control of My Bowels
FAC01531C130488FAC015-I Can Digest My Food WellFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I can digest my food well.FACT-HEP Version 4 - I Can Digest My Food Well
FAC01532C130489FAC015-I Have DiarrheaFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I have diarrhea (diarrhoea).FACT-HEP Version 4 - I Have Diarrhea
FAC01533C130490FAC015-I Have a Good AppetiteFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I have a good appetite.FACT-HEP Version 4 - I Have a Good Appetite
FAC01534C130491FAC015-Unhappy About Change in My AppearFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I am unhappy about a change in my appearance.FACT-HEP Version 4 - Unhappy About Change in My Appearance
FAC01535C130492FAC015-I Have Pain in My BackFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I have pain in my back.FACT-HEP Version 4 - I Have Pain in My Back
FAC01536C130493FAC015-I Am Bothered by ConstipationFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I am bothered by constipation.FACT-HEP Version 4 - I Am Bothered by Constipation
FAC01537C130494FAC015-I Feel FatiguedFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I feel fatigued.FACT-HEP Version 4 - I Feel Fatigued
FAC01538C130495FAC015-Able to Do My Usual ActivitiesFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I am able to do my usual activities.FACT-HEP Version 4 - Able to Do My Usual Activities
FAC01539C130496FAC015-Bothered by Jaundice/Yellow SkinFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I am bothered by jaundice or yellow color to my skin.FACT-HEP Version 4 - Bothered by Jaundice or Yellow Skin
FAC01540C130497FAC015-I Have Had FeversFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I have had fevers (episodes of high body temperature).FACT-HEP Version 4 - I Have Had Fevers
FAC01541C130498FAC015-I Have Had ItchingFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I have had itching.FACT-HEP Version 4 - I Have Had Itching
FAC01542C130499FAC015-Had Change in the Way Food TastesFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I have had a change in the way food tastes.FACT-HEP Version 4 - Had Change in the Way Food Tastes
FAC01543C130500FAC015-I Have Had ChillsFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I have had chills.FACT-HEP Version 4 - I Have Had Chills
FAC01544C130501FAC015-My Mouth Is DryFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: My mouth is dry.FACT-HEP Version 4 - My Mouth Is Dry
FAC01545C130502FAC015-Discomfort/Pain in Stomach AreaFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I have discomfort or pain in my stomach area.FACT-HEP Version 4 - Discomfort or Pain in Stomach Area
FAC01546C180210FAC015-Physical Subscale ScoreFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Physical Well-Being: Subscale score.FACT-HEP Version 4 - Physical Subscale Score
FAC01547C180211FAC015-Social/Family Subscale ScoreFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Social/Family Well-Being: Subscale score.FACT-HEP Version 4 - Social/Family Subscale Score
FAC01548C180212FAC015-Emotional Subscale ScoreFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Emotional Well-Being: Subscale score.FACT-HEP Version 4 - Emotional Subscale Score
FAC01549C180213FAC015-Functional Subscale ScoreFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Functional Well-Being: Subscale score.FACT-HEP Version 4 - Functional Subscale Score
FAC01550C180214FAC015-Additional Concern Subscale ScoreFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: Subscale score.FACT-HEP Version 4 - Additional Concern Subscale Score
FAC01551C180215FAC015-Trial Outcome Index ScoreFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Trial outcome index score.FACT-HEP Version 4 - Trial Outcome Index Score
FAC01552C180216FAC015-FACT-G Total ScoreFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - FACT-G total score.FACT-HEP Version 4 - FACT-G Total Score
FAC01553C180217FAC015-Total ScoreFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Total score.FACT-HEP Version 4 - Total Score
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CL.C130254.FAC015TNFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 Questionnaire Test Name
(FAC015TN)
text
Extensible: No
C130254Functional Assessment of Cancer Therapy-Hepatobiliary Version 4 Questionnaire Test NameFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 test name.CDISC Questionnaire FACT-HEP Version 4 Test Name Terminology
FAC015-Able to Do My Usual ActivitiesC130495FAC015-Able to Do My Usual ActivitiesFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I am able to do my usual activities.FACT-HEP Version 4 - Able to Do My Usual Activities
FAC015-Additional Concern Subscale ScoreC180214FAC015-Additional Concern Subscale ScoreFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: Subscale score.FACT-HEP Version 4 - Additional Concern Subscale Score
FAC015-Bothered by Jaundice/Yellow SkinC130496FAC015-Bothered by Jaundice/Yellow SkinFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I am bothered by jaundice or yellow color to my skin.FACT-HEP Version 4 - Bothered by Jaundice or Yellow Skin
FAC015-Bothered by Treatment Side EffectC130462FAC015-Bothered by Treatment Side EffectFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Physical Well-Being: I am bothered by side effects of treatment.FACT-HEP Version 4 - Bothered by Treatment Side Effect
FAC015-Content With Quality of My LifeC130484FAC015-Content With Quality of My LifeFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Functional Well-Being: I am content with the quality of my life right now.FACT-HEP Version 4 - Content With Quality of My Life
FAC015-Discomfort/Pain in Stomach AreaC130502FAC015-Discomfort/Pain in Stomach AreaFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I have discomfort or pain in my stomach area.FACT-HEP Version 4 - Discomfort or Pain in Stomach Area
FAC015-Emotional Subscale ScoreC180212FAC015-Emotional Subscale ScoreFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Emotional Well-Being: Subscale score.FACT-HEP Version 4 - Emotional Subscale Score
FAC015-Enjoy Things I Usually Do for FunC130483FAC015-Enjoy Things I Usually Do for FunFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun.FACT-HEP Version 4 - Enjoy Things I Usually Do for Fun
FAC015-FACT-G Total ScoreC180216FAC015-FACT-G Total ScoreFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - FACT-G total score.FACT-HEP Version 4 - FACT-G Total Score
FAC015-Functional Subscale ScoreC180213FAC015-Functional Subscale ScoreFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Functional Well-Being: Subscale score.FACT-HEP Version 4 - Functional Subscale Score
FAC015-Get Emotional Support From FamilyC130466FAC015-Get Emotional Support From FamilyFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Social/Family Well-Being: I get emotional support from my family.FACT-HEP Version 4 - Get Emotional Support From Family
FAC015-Had Change in the Way Food TastesC130499FAC015-Had Change in the Way Food TastesFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I have had a change in the way food tastes.FACT-HEP Version 4 - Had Change in the Way Food Tastes
FAC015-I Am Able to Enjoy LifeC130480FAC015-I Am Able to Enjoy LifeFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Functional Well-Being: I am able to enjoy life.FACT-HEP Version 4 - I Am Able to Enjoy Life
FAC015-I Am Able to WorkC130478FAC015-I Am Able to WorkFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Functional Well-Being: I am able to work (include work at home).FACT-HEP Version 4 - I Am Able to Work
FAC015-I Am Bothered by ConstipationC130493FAC015-I Am Bothered by ConstipationFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I am bothered by constipation.FACT-HEP Version 4 - I Am Bothered by Constipation
FAC015-I Am Forced to Spend Time in BedC130464FAC015-I Am Forced to Spend Time in BedFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Physical Well-Being: I am forced to spend time in bed.FACT-HEP Version 4 - I Am Forced to Spend Time in Bed
FAC015-I Am Losing WeightC130486FAC015-I Am Losing WeightFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I am losing weight.FACT-HEP Version 4 - I Am Losing Weight
FAC015-I Am Satisfied With My Sex LifeC130471FAC015-I Am Satisfied With My Sex LifeFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Social/Family Well-Being: I am satisfied with my sex life.FACT-HEP Version 4 - I Am Satisfied With My Sex Life
FAC015-I Am Sleeping WellC130482FAC015-I Am Sleeping WellFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Functional Well-Being: I am sleeping well.FACT-HEP Version 4 - I Am Sleeping Well
FAC015-I Can Digest My Food WellC130488FAC015-I Can Digest My Food WellFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I can digest my food well.FACT-HEP Version 4 - I Can Digest My Food Well
FAC015-I Feel Close to My FriendsC130465FAC015-I Feel Close to My FriendsFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Social/Family Well-Being: I feel close to my friends.FACT-HEP Version 4 - I Feel Close to My Friends
FAC015-I Feel Close to My PartnerC130470FAC015-I Feel Close to My PartnerFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support).FACT-HEP Version 4 - I Feel Close to My Partner
FAC015-I Feel FatiguedC130494FAC015-I Feel FatiguedFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I feel fatigued.FACT-HEP Version 4 - I Feel Fatigued
FAC015-I Feel IllC130463FAC015-I Feel IllFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Physical Well-Being: I feel ill.FACT-HEP Version 4 - I Feel Ill
FAC015-I Feel NervousC130475FAC015-I Feel NervousFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Emotional Well-Being: I feel nervous.FACT-HEP Version 4 - I Feel Nervous
FAC015-I Feel SadC130472FAC015-I Feel SadFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Emotional Well-Being: I feel sad.FACT-HEP Version 4 - I Feel Sad
FAC015-I Get Support From My FriendsC130467FAC015-I Get Support From My FriendsFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Social/Family Well-Being: I get support from my friends.FACT-HEP Version 4 - I Get Support From My Friends
FAC015-I Have a Good AppetiteC130490FAC015-I Have a Good AppetiteFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I have a good appetite.FACT-HEP Version 4 - I Have a Good Appetite
FAC015-I Have a Lack of EnergyC130458FAC015-I Have a Lack of EnergyFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Physical Well-Being: I have a lack of energy.FACT-HEP Version 4 - I Have a Lack of Energy
FAC015-I Have Accepted My IllnessC130481FAC015-I Have Accepted My IllnessFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Functional Well-Being: I have accepted my illness.FACT-HEP Version 4 - I Have Accepted My Illness
FAC015-I Have Control of My BowelsC130487FAC015-I Have Control of My BowelsFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I have control of my bowels.FACT-HEP Version 4 - I Have Control of My Bowels
FAC015-I Have DiarrheaC130489FAC015-I Have DiarrheaFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I have diarrhea (diarrhoea).FACT-HEP Version 4 - I Have Diarrhea
FAC015-I Have Had ChillsC130500FAC015-I Have Had ChillsFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I have had chills.FACT-HEP Version 4 - I Have Had Chills
FAC015-I Have Had FeversC130497FAC015-I Have Had FeversFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I have had fevers (episodes of high body temperature).FACT-HEP Version 4 - I Have Had Fevers
FAC015-I Have Had ItchingC130498FAC015-I Have Had ItchingFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I have had itching.FACT-HEP Version 4 - I Have Had Itching
FAC015-I Have NauseaC130459FAC015-I Have NauseaFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Physical Well-Being: I have nausea.FACT-HEP Version 4 - I Have Nausea
FAC015-I Have Pain in My BackC130492FAC015-I Have Pain in My BackFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I have pain in my back.FACT-HEP Version 4 - I Have Pain in My Back
FAC015-I Have PainC130461FAC015-I Have PainFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Physical Well-Being: I have pain.FACT-HEP Version 4 - I Have Pain
FAC015-I Worry About DyingC130476FAC015-I Worry About DyingFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Emotional Well-Being: I worry about dying.FACT-HEP Version 4 - I Worry About Dying
FAC015-Losing Hope Against IllnessC130474FAC015-Losing Hope Against IllnessFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness.FACT-HEP Version 4 - Losing Hope Against Illness
FAC015-My Family Has Accepted My IllnessC130468FAC015-My Family Has Accepted My IllnessFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Social/Family Well-Being: My family has accepted my illness.FACT-HEP Version 4 - My Family Has Accepted My Illness
FAC015-My Mouth Is DryC130501FAC015-My Mouth Is DryFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: My mouth is dry.FACT-HEP Version 4 - My Mouth Is Dry
FAC015-My Work Is FulfillingC130479FAC015-My Work Is FulfillingFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Functional Well-Being: My work (include work at home) is fulfilling.FACT-HEP Version 4 - My Work Is Fulfilling
FAC015-Physical Subscale ScoreC180210FAC015-Physical Subscale ScoreFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Physical Well-Being: Subscale score.FACT-HEP Version 4 - Physical Subscale Score
FAC015-Satisfied Communication IllnessC130469FAC015-Satisfied Communication IllnessFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness.FACT-HEP Version 4 - Satisfied With Communication About Illness
FAC015-Satisfied With How I Am CopingC130473FAC015-Satisfied With How I Am CopingFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness.FACT-HEP Version 4 - Satisfied With How I Am Coping
FAC015-Social/Family Subscale ScoreC180211FAC015-Social/Family Subscale ScoreFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Social/Family Well-Being: Subscale score.FACT-HEP Version 4 - Social/Family Subscale Score
FAC015-Swelling/Cramps in Stomach AreaC130485FAC015-Swelling/Cramps in Stomach AreaFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I have swelling or cramps in my stomach area.FACT-HEP Version 4 - Swelling or Cramps in Stomach Area
FAC015-Total ScoreC180217FAC015-Total ScoreFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Total score.FACT-HEP Version 4 - Total Score
FAC015-Trial Outcome Index ScoreC180215FAC015-Trial Outcome Index ScoreFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Trial outcome index score.FACT-HEP Version 4 - Trial Outcome Index Score
FAC015-Trouble Meeting Needs of FamilyC130460FAC015-Trouble Meeting Needs of FamilyFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family.FACT-HEP Version 4 - Trouble Meeting Needs of Family
FAC015-Unhappy About Change in My AppearC130491FAC015-Unhappy About Change in My AppearFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Additional Concerns: I am unhappy about a change in my appearance.FACT-HEP Version 4 - Unhappy About Change in My Appearance
FAC015-Worry My Condition Will Get WorseC130477FAC015-Worry My Condition Will Get WorseFunctional Assessment of Cancer Therapy-Hepatobiliary Version 4 - Emotional Well-Being: I worry that my condition will get worse.FACT-HEP Version 4 - Worry My Condition Will Get Worse
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CL.C138223.FAC039TCFunctional Assessment of Cancer Therapy-Kidney Symptom Index-15 Questionnaire Test Code
(FAC039TC)
text
Extensible: No
C138223Functional Assessment of Cancer Therapy-Kidney Symptom Index-15 Questionnaire Test CodeFunctional Assessment of Cancer Therapy-Kidney Symptom Index-15 test code.CDISC Questionnaire FKSI-15 Test Code Terminology
FAC03901C138444FAC039-I Have a Lack of EnergyFunctional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I have a lack of energy.FKSI-15 - I Have a Lack of Energy
FAC03902C138445FAC039-Bothered by Treatment Side EffectFunctional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I am bothered by side effects of treatment.FKSI-15 - Bothered by Treatment Side Effect
FAC03903C138446FAC039-I Have PainFunctional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I have pain.FKSI-15 - I Have Pain
FAC03904C138447FAC039-I Am Losing WeightFunctional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I am losing weight.FKSI-15 - I Am Losing Weight
FAC03905C138448FAC039-I Have Bone PainFunctional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I have bone pain.FKSI-15 - I Have Bone Pain
FAC03906C138449FAC039-I Feel FatiguedFunctional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I feel fatigued.FKSI-15 - I Feel Fatigued
FAC03907C138450FAC039-I Am Able to Enjoy LifeFunctional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I am able to enjoy life.FKSI-15 - I Am Able to Enjoy Life
FAC03908C138451FAC039-I Have Been Short of BreathFunctional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I have been short of breath.FKSI-15 - I Have Been Short of Breath
FAC03909C138452FAC039-Worry My Condition Will Get WorseFunctional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I worry that my condition will get worse.FKSI-15 - Worry My Condition Will Get Worse
FAC03910C138453FAC039-I Have a Good AppetiteFunctional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I have a good appetite.FKSI-15 - I Have a Good Appetite
FAC03911C138454FAC039-I Have Been CoughingFunctional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I have been coughing.FKSI-15 - I Have Been Coughing
FAC03912C138455FAC039-I Am Bothered by FeversFunctional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I am bothered by fevers (episodes of high body temperature).FKSI-15 - I Am Bothered by Fevers
FAC03913C138456FAC039-I Am Able to WorkFunctional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I am able to work (include work at home).FKSI-15 - I Am Able to Work
FAC03914C138457FAC039-I Have Had Blood in My UrineFunctional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I have had blood in my urine.FKSI-15 - I Have Had Blood in My Urine
FAC03915C138458FAC039-I Am Sleeping WellFunctional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I am sleeping well.FKSI-15 - I Am Sleeping Well
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CL.C138222.FAC039TNFunctional Assessment of Cancer Therapy-Kidney Symptom Index-15 Questionnaire Test Name
(FAC039TN)
text
Extensible: No
C138222Functional Assessment of Cancer Therapy-Kidney Symptom Index-15 Questionnaire Test NameFunctional Assessment of Cancer Therapy-Kidney Symptom Index-15 test name.CDISC Questionnaire FKSI-15 Test Name Terminology
FAC039-Bothered by Treatment Side EffectC138445FAC039-Bothered by Treatment Side EffectFunctional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I am bothered by side effects of treatment.FKSI-15 - Bothered by Treatment Side Effect
FAC039-I Am Able to Enjoy LifeC138450FAC039-I Am Able to Enjoy LifeFunctional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I am able to enjoy life.FKSI-15 - I Am Able to Enjoy Life
FAC039-I Am Able to WorkC138456FAC039-I Am Able to WorkFunctional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I am able to work (include work at home).FKSI-15 - I Am Able to Work
FAC039-I Am Bothered by FeversC138455FAC039-I Am Bothered by FeversFunctional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I am bothered by fevers (episodes of high body temperature).FKSI-15 - I Am Bothered by Fevers
FAC039-I Am Losing WeightC138447FAC039-I Am Losing WeightFunctional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I am losing weight.FKSI-15 - I Am Losing Weight
FAC039-I Am Sleeping WellC138458FAC039-I Am Sleeping WellFunctional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I am sleeping well.FKSI-15 - I Am Sleeping Well
FAC039-I Feel FatiguedC138449FAC039-I Feel FatiguedFunctional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I feel fatigued.FKSI-15 - I Feel Fatigued
FAC039-I Have a Good AppetiteC138453FAC039-I Have a Good AppetiteFunctional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I have a good appetite.FKSI-15 - I Have a Good Appetite
FAC039-I Have a Lack of EnergyC138444FAC039-I Have a Lack of EnergyFunctional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I have a lack of energy.FKSI-15 - I Have a Lack of Energy
FAC039-I Have Been CoughingC138454FAC039-I Have Been CoughingFunctional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I have been coughing.FKSI-15 - I Have Been Coughing
FAC039-I Have Been Short of BreathC138451FAC039-I Have Been Short of BreathFunctional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I have been short of breath.FKSI-15 - I Have Been Short of Breath
FAC039-I Have Bone PainC138448FAC039-I Have Bone PainFunctional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I have bone pain.FKSI-15 - I Have Bone Pain
FAC039-I Have Had Blood in My UrineC138457FAC039-I Have Had Blood in My UrineFunctional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I have had blood in my urine.FKSI-15 - I Have Had Blood in My Urine
FAC039-I Have PainC138446FAC039-I Have PainFunctional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I have pain.FKSI-15 - I Have Pain
FAC039-Worry My Condition Will Get WorseC138452FAC039-Worry My Condition Will Get WorseFunctional Assessment of Cancer Therapy-Kidney Symptom Index-15 - I worry that my condition will get worse.FKSI-15 - Worry My Condition Will Get Worse
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CL.C150784.FAC041TCFunctional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 Questionnaire Test Code
(FAC041TC)
text
Extensible: No
C150784Functional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 Questionnaire Test CodeFunctional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 test code.CDISC Questionnaire FKSI-DRS Version 4 Test Code Terminology
FAC04101C151271FAC041-I Have a Lack of EnergyFunctional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 - I have a lack of energy.FKSI-DRS Version 4 - I Have a Lack of Energy
FAC04102C151272FAC041-I Have PainFunctional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 - I have pain.FKSI-DRS Version 4 - I Have Pain
FAC04103C151273FAC041-I Am Losing WeightFunctional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 - I am losing weight.FKSI-DRS Version 4 - I Am Losing Weight
FAC04104C151274FAC041-I Have Bone PainFunctional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 - I have bone pain.FKSI-DRS Version 4 - I Have Bone Pain
FAC04105C151275FAC041-I Feel FatiguedFunctional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 - I feel fatigued.FKSI-DRS Version 4 - I Feel Fatigued
FAC04106C151276FAC041-I Have Been Short of BreathFunctional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 - I have been short of breath.FKSI-DRS Version 4 - I Have Been Short of Breath
FAC04107C151277FAC041-I Have Been CoughingFunctional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 - I have been coughing.FKSI-DRS Version 4 - I Have Been Coughing
FAC04108C151278FAC041-I Am Bothered by FeversFunctional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 - I am bothered by fevers (episodes of high body temperature).FKSI-DRS Version 4 - I Am Bothered by Fevers
FAC04109C151279FAC041-I Have Had Blood in My UrineFunctional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 - I have had blood in my urine.FKSI-DRS Version 4 - I Have Had Blood in My Urine
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CL.C150783.FAC041TNFunctional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 Questionnaire Test Name
(FAC041TN)
text
Extensible: No
C150783Functional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 Questionnaire Test NameFunctional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 test name.CDISC Questionnaire FKSI-DRS Version 4 Test Name Terminology
FAC041-I Am Bothered by FeversC151278FAC041-I Am Bothered by FeversFunctional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 - I am bothered by fevers (episodes of high body temperature).FKSI-DRS Version 4 - I Am Bothered by Fevers
FAC041-I Am Losing WeightC151273FAC041-I Am Losing WeightFunctional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 - I am losing weight.FKSI-DRS Version 4 - I Am Losing Weight
FAC041-I Feel FatiguedC151275FAC041-I Feel FatiguedFunctional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 - I feel fatigued.FKSI-DRS Version 4 - I Feel Fatigued
FAC041-I Have a Lack of EnergyC151271FAC041-I Have a Lack of EnergyFunctional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 - I have a lack of energy.FKSI-DRS Version 4 - I Have a Lack of Energy
FAC041-I Have Been CoughingC151277FAC041-I Have Been CoughingFunctional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 - I have been coughing.FKSI-DRS Version 4 - I Have Been Coughing
FAC041-I Have Been Short of BreathC151276FAC041-I Have Been Short of BreathFunctional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 - I have been short of breath.FKSI-DRS Version 4 - I Have Been Short of Breath
FAC041-I Have Bone PainC151274FAC041-I Have Bone PainFunctional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 - I have bone pain.FKSI-DRS Version 4 - I Have Bone Pain
FAC041-I Have Had Blood in My UrineC151279FAC041-I Have Had Blood in My UrineFunctional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 - I have had blood in my urine.FKSI-DRS Version 4 - I Have Had Blood in My Urine
FAC041-I Have PainC151272FAC041-I Have PainFunctional Assessment of Cancer Therapy-Kidney Symptom Index-Disease-Related Symptoms Version 4 - I have pain.FKSI-DRS Version 4 - I Have Pain
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CL.C130253.FAC017TCFunctional Assessment of Cancer Therapy-Leukemia Version 4 Questionnaire Test Code
(FAC017TC)
text
Extensible: No
C130253Functional Assessment of Cancer Therapy-Leukemia Version 4 Questionnaire Test CodeFunctional Assessment of Cancer Therapy-Leukemia Version 4 test code.CDISC Questionnaire FACT-LEU Version 4 Test Code Terminology
FAC01701C130414FAC017-I Have a Lack of EnergyFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Physical Well-Being: I have a lack of energy.FACT-LEU Version 4 - I Have a Lack of Energy
FAC01702C130415FAC017-I Have NauseaFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Physical Well-Being: I have nausea.FACT-LEU Version 4 - I Have Nausea
FAC01703C130416FAC017-Trouble Meeting Needs of FamilyFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family.FACT-LEU Version 4 - Trouble Meeting Needs of Family
FAC01704C130417FAC017-I Have PainFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Physical Well-Being: I have pain.FACT-LEU Version 4 - I Have Pain
FAC01705C130418FAC017-Bothered by Treatment Side EffectFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Physical Well-Being: I am bothered by side effects of treatment.FACT-LEU Version 4 - Bothered by Treatment Side Effect
FAC01706C130419FAC017-I Feel IllFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Physical Well-Being: I feel ill.FACT-LEU Version 4 - I Feel Ill
FAC01707C130420FAC017-I Am Forced to Spend Time in BedFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Physical Well-Being: I am forced to spend time in bed.FACT-LEU Version 4 - I Am Forced to Spend Time in Bed
FAC01708C130421FAC017-I Feel Close to My FriendsFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Social/Family Well-Being: I feel close to my friends.FACT-LEU Version 4 - I Feel Close to My Friends
FAC01709C130422FAC017-Get Emotional Support From FamilyFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Social/Family Well-Being: I get emotional support from my family.FACT-LEU Version 4 - Get Emotional Support From Family
FAC01710C130423FAC017-I Get Support From My FriendsFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Social/Family Well-Being: I get support from my friends.FACT-LEU Version 4 - I Get Support From My Friends
FAC01711C130424FAC017-My Family Has Accepted My IllnessFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Social/Family Well-Being: My family has accepted my illness.FACT-LEU Version 4 - My Family Has Accepted My Illness
FAC01712C130425FAC017-Satisfied Communication IllnessFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness.FACT-LEU Version 4 - Satisfied Communication Illness
FAC01713C130426FAC017-I Feel Close to My PartnerFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support).FACT-LEU Version 4 - I Feel Close to My Partner
FAC01714C130427FAC017-I Am Satisfied With My Sex LifeFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Social/Family Well-Being: I am satisfied with my sex life.FACT-LEU Version 4 - I Am Satisfied With My Sex Life
FAC01715C130428FAC017-I Feel SadFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Emotional Well-Being: I feel sad.FACT-LEU Version 4 - I Feel Sad
FAC01716C130429FAC017-Satisfied With How I Am CopingFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness.FACT-LEU Version 4 - Satisfied With How I Am Coping
FAC01717C130430FAC017-Losing Hope Against IllnessFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness.FACT-LEU Version 4 - Losing Hope Against Illness
FAC01718C130431FAC017-I Feel NervousFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Emotional Well-Being: I feel nervous.FACT-LEU Version 4 - I Feel Nervous
FAC01719C130432FAC017-I Worry About DyingFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Emotional Well-Being: I worry about dying.FACT-LEU Version 4 - I Worry About Dying
FAC01720C130433FAC017-Worry My Condition Will Get WorseFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Emotional Well-Being: I worry that my condition will get worse.FACT-LEU Version 4 - Worry My Condition Will Get Worse
FAC01721C130434FAC017-I Am Able to WorkFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Functional Well-Being: I am able to work (include work at home).FACT-LEU Version 4 - I Am Able to Work
FAC01722C130435FAC017-My Work Is FulfillingFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Functional Well-Being: My work (include work at home) is fulfilling.FACT-LEU Version 4 - My Work Is Fulfilling
FAC01723C130436FAC017-I Am Able to Enjoy LifeFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Functional Well-Being: I am able to enjoy life.FACT-LEU Version 4 - I Am Able to Enjoy Life
FAC01724C130437FAC017-I Have Accepted My IllnessFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Functional Well-Being: I have accepted my illness.FACT-LEU Version 4 - I Have Accepted My Illness
FAC01725C130438FAC017-I Am Sleeping WellFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Functional Well-Being: I am sleeping well.FACT-LEU Version 4 - I Am Sleeping Well
FAC01726C130439FAC017-Enjoy Things I Usually Do for FunFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun.FACT-LEU Version 4 - Enjoy Things I Usually Do for Fun
FAC01727C130440FAC017-Content With Quality of My LifeFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Functional Well-Being: I am content with the quality of my life right now.FACT-LEU Version 4 - Content With Quality of My Life
FAC01728C130441FAC017-I Am Bothered by FeversFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I am bothered by fevers (episodes of high body temperature).FACT-LEU Version 4 - I Am Bothered by Fevers
FAC01729C130442FAC017-Certain Parts of Body Have PainFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I have certain parts of my body where I experience pain.FACT-LEU Version 4 - Certain Parts of Body Have Pain
FAC01730C130443FAC017-I Am Bothered by the ChillsFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I am bothered by the chills.FACT-LEU Version 4 - I Am Bothered by the Chills
FAC01731C130444FAC017-I Have Night SweatsFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I have night sweats.FACT-LEU Version 4 - I Have Night Sweats
FAC01732C130445FAC017-Bothered by Lumps or SwellingFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I am bothered by lumps or swelling in certain parts of my body (e.g., neck, armpits, or groin).FACT-LEU Version 4 - Bothered by Lumps or Swelling
FAC01733C130446FAC017-I Bleed EasilyFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I bleed easily.FACT-LEU Version 4 - I Bleed Easily
FAC01734C130447FAC017-I Bruise EasilyFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I bruise easily.FACT-LEU Version 4 - I Bruise Easily
FAC01735C130448FAC017-I Feel Weak All OverFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I feel weak all over.FACT-LEU Version 4 - I Feel Weak All Over
FAC01736C130449FAC017-I Get Tired EasilyFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I get tired easily.FACT-LEU Version 4 - I Get Tired Easily
FAC01737C130450FAC017-I Am Losing WeightFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I am losing weight.FACT-LEU Version 4 - I Am Losing Weight
FAC01738C130451FAC017-I Have a Good AppetiteFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I have a good appetite.FACT-LEU Version 4 - I Have a Good Appetite
FAC01739C130452FAC017-Able to Do My Usual ActivitiesFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I am able to do my usual activities.FACT-LEU Version 4 - Able to Do My Usual Activities
FAC01740C130453FAC017-I Worry About Getting InfectionsFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I worry about getting infections.FACT-LEU Version 4 - I Worry About Getting Infections
FAC01741C130454FAC017-Uncertain About My Future HealthFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I feel uncertain about my future health.FACT-LEU Version 4 - Uncertain About My Future Health
FAC01742C130455FAC017-Worry I Might Get New SymptomsFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I worry that I might get new symptoms of my illness.FACT-LEU Version 4 - Worry I Might Get New Symptoms
FAC01743C130456FAC017-I Have Emotional Ups and DownsFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I have emotional ups and downs.FACT-LEU Version 4 - I Have Emotional Ups and Downs
FAC01744C130457FAC017-Feel Isolated Because of IllnessFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I feel isolated from others because of my illness or treatment.FACT-LEU Version 4 - Feel Isolated Because of Illness
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CL.C130252.FAC017TNFunctional Assessment of Cancer Therapy-Leukemia Version 4 Questionnaire Test Name
(FAC017TN)
text
Extensible: No
C130252Functional Assessment of Cancer Therapy-Leukemia Version 4 Questionnaire Test NameFunctional Assessment of Cancer Therapy-Leukemia Version 4 test name.CDISC Questionnaire FACT-LEU Version 4 Test Name Terminology
FAC017-Able to Do My Usual ActivitiesC130452FAC017-Able to Do My Usual ActivitiesFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I am able to do my usual activities.FACT-LEU Version 4 - Able to Do My Usual Activities
FAC017-Bothered by Lumps or SwellingC130445FAC017-Bothered by Lumps or SwellingFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I am bothered by lumps or swelling in certain parts of my body (e.g., neck, armpits, or groin).FACT-LEU Version 4 - Bothered by Lumps or Swelling
FAC017-Bothered by Treatment Side EffectC130418FAC017-Bothered by Treatment Side EffectFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Physical Well-Being: I am bothered by side effects of treatment.FACT-LEU Version 4 - Bothered by Treatment Side Effect
FAC017-Certain Parts of Body Have PainC130442FAC017-Certain Parts of Body Have PainFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I have certain parts of my body where I experience pain.FACT-LEU Version 4 - Certain Parts of Body Have Pain
FAC017-Content With Quality of My LifeC130440FAC017-Content With Quality of My LifeFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Functional Well-Being: I am content with the quality of my life right now.FACT-LEU Version 4 - Content With Quality of My Life
FAC017-Enjoy Things I Usually Do for FunC130439FAC017-Enjoy Things I Usually Do for FunFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun.FACT-LEU Version 4 - Enjoy Things I Usually Do for Fun
FAC017-Feel Isolated Because of IllnessC130457FAC017-Feel Isolated Because of IllnessFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I feel isolated from others because of my illness or treatment.FACT-LEU Version 4 - Feel Isolated Because of Illness
FAC017-Get Emotional Support From FamilyC130422FAC017-Get Emotional Support From FamilyFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Social/Family Well-Being: I get emotional support from my family.FACT-LEU Version 4 - Get Emotional Support From Family
FAC017-I Am Able to Enjoy LifeC130436FAC017-I Am Able to Enjoy LifeFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Functional Well-Being: I am able to enjoy life.FACT-LEU Version 4 - I Am Able to Enjoy Life
FAC017-I Am Able to WorkC130434FAC017-I Am Able to WorkFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Functional Well-Being: I am able to work (include work at home).FACT-LEU Version 4 - I Am Able to Work
FAC017-I Am Bothered by FeversC130441FAC017-I Am Bothered by FeversFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I am bothered by fevers (episodes of high body temperature).FACT-LEU Version 4 - I Am Bothered by Fevers
FAC017-I Am Bothered by the ChillsC130443FAC017-I Am Bothered by the ChillsFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I am bothered by the chills.FACT-LEU Version 4 - I Am Bothered by the Chills
FAC017-I Am Forced to Spend Time in BedC130420FAC017-I Am Forced to Spend Time in BedFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Physical Well-Being: I am forced to spend time in bed.FACT-LEU Version 4 - I Am Forced to Spend Time in Bed
FAC017-I Am Losing WeightC130450FAC017-I Am Losing WeightFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I am losing weight.FACT-LEU Version 4 - I Am Losing Weight
FAC017-I Am Satisfied With My Sex LifeC130427FAC017-I Am Satisfied With My Sex LifeFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Social/Family Well-Being: I am satisfied with my sex life.FACT-LEU Version 4 - I Am Satisfied With My Sex Life
FAC017-I Am Sleeping WellC130438FAC017-I Am Sleeping WellFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Functional Well-Being: I am sleeping well.FACT-LEU Version 4 - I Am Sleeping Well
FAC017-I Bleed EasilyC130446FAC017-I Bleed EasilyFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I bleed easily.FACT-LEU Version 4 - I Bleed Easily
FAC017-I Bruise EasilyC130447FAC017-I Bruise EasilyFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I bruise easily.FACT-LEU Version 4 - I Bruise Easily
FAC017-I Feel Close to My FriendsC130421FAC017-I Feel Close to My FriendsFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Social/Family Well-Being: I feel close to my friends.FACT-LEU Version 4 - I Feel Close to My Friends
FAC017-I Feel Close to My PartnerC130426FAC017-I Feel Close to My PartnerFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support).FACT-LEU Version 4 - I Feel Close to My Partner
FAC017-I Feel IllC130419FAC017-I Feel IllFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Physical Well-Being: I feel ill.FACT-LEU Version 4 - I Feel Ill
FAC017-I Feel NervousC130431FAC017-I Feel NervousFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Emotional Well-Being: I feel nervous.FACT-LEU Version 4 - I Feel Nervous
FAC017-I Feel SadC130428FAC017-I Feel SadFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Emotional Well-Being: I feel sad.FACT-LEU Version 4 - I Feel Sad
FAC017-I Feel Weak All OverC130448FAC017-I Feel Weak All OverFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I feel weak all over.FACT-LEU Version 4 - I Feel Weak All Over
FAC017-I Get Support From My FriendsC130423FAC017-I Get Support From My FriendsFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Social/Family Well-Being: I get support from my friends.FACT-LEU Version 4 - I Get Support From My Friends
FAC017-I Get Tired EasilyC130449FAC017-I Get Tired EasilyFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I get tired easily.FACT-LEU Version 4 - I Get Tired Easily
FAC017-I Have a Good AppetiteC130451FAC017-I Have a Good AppetiteFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I have a good appetite.FACT-LEU Version 4 - I Have a Good Appetite
FAC017-I Have a Lack of EnergyC130414FAC017-I Have a Lack of EnergyFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Physical Well-Being: I have a lack of energy.FACT-LEU Version 4 - I Have a Lack of Energy
FAC017-I Have Accepted My IllnessC130437FAC017-I Have Accepted My IllnessFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Functional Well-Being: I have accepted my illness.FACT-LEU Version 4 - I Have Accepted My Illness
FAC017-I Have Emotional Ups and DownsC130456FAC017-I Have Emotional Ups and DownsFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I have emotional ups and downs.FACT-LEU Version 4 - I Have Emotional Ups and Downs
FAC017-I Have NauseaC130415FAC017-I Have NauseaFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Physical Well-Being: I have nausea.FACT-LEU Version 4 - I Have Nausea
FAC017-I Have Night SweatsC130444FAC017-I Have Night SweatsFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I have night sweats.FACT-LEU Version 4 - I Have Night Sweats
FAC017-I Have PainC130417FAC017-I Have PainFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Physical Well-Being: I have pain.FACT-LEU Version 4 - I Have Pain
FAC017-I Worry About DyingC130432FAC017-I Worry About DyingFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Emotional Well-Being: I worry about dying.FACT-LEU Version 4 - I Worry About Dying
FAC017-I Worry About Getting InfectionsC130453FAC017-I Worry About Getting InfectionsFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I worry about getting infections.FACT-LEU Version 4 - I Worry About Getting Infections
FAC017-Losing Hope Against IllnessC130430FAC017-Losing Hope Against IllnessFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness.FACT-LEU Version 4 - Losing Hope Against Illness
FAC017-My Family Has Accepted My IllnessC130424FAC017-My Family Has Accepted My IllnessFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Social/Family Well-Being: My family has accepted my illness.FACT-LEU Version 4 - My Family Has Accepted My Illness
FAC017-My Work Is FulfillingC130435FAC017-My Work Is FulfillingFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Functional Well-Being: My work (include work at home) is fulfilling.FACT-LEU Version 4 - My Work Is Fulfilling
FAC017-Satisfied Communication IllnessC130425FAC017-Satisfied Communication IllnessFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness.FACT-LEU Version 4 - Satisfied Communication Illness
FAC017-Satisfied With How I Am CopingC130429FAC017-Satisfied With How I Am CopingFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness.FACT-LEU Version 4 - Satisfied With How I Am Coping
FAC017-Trouble Meeting Needs of FamilyC130416FAC017-Trouble Meeting Needs of FamilyFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family.FACT-LEU Version 4 - Trouble Meeting Needs of Family
FAC017-Uncertain About My Future HealthC130454FAC017-Uncertain About My Future HealthFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I feel uncertain about my future health.FACT-LEU Version 4 - Uncertain About My Future Health
FAC017-Worry I Might Get New SymptomsC130455FAC017-Worry I Might Get New SymptomsFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Additional Concerns: I worry that I might get new symptoms of my illness.FACT-LEU Version 4 - Worry I Might Get New Symptoms
FAC017-Worry My Condition Will Get WorseC130433FAC017-Worry My Condition Will Get WorseFunctional Assessment of Cancer Therapy-Leukemia Version 4 - Emotional Well-Being: I worry that my condition will get worse.FACT-LEU Version 4 - Worry My Condition Will Get Worse
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CL.C138225.FAC043TCFunctional Assessment of Cancer Therapy-Lung Symptom Index Questionnaire Test Code
(FAC043TC)
text
Extensible: No
C138225Functional Assessment of Cancer Therapy-Lung Symptom Index Questionnaire Test CodeFunctional Assessment of Cancer Therapy-Lung Symptom Index test code.CDISC Questionnaire FLSI Test Code Terminology
FAC04301C138459FAC043-I Have Been Short of BreathFunctional Assessment of Cancer Therapy-Lung Symptom Index - I have been short of breath.FLSI - I Have Been Short of Breath
FAC04302C138460FAC043-I Have a Lack of EnergyFunctional Assessment of Cancer Therapy-Lung Symptom Index - I have a lack of energy.FLSI - I Have a Lack of Energy
FAC04303C138461FAC043-I Have PainFunctional Assessment of Cancer Therapy-Lung Symptom Index - I have pain.FLSI - I Have Pain
FAC04304C138462FAC043-I Am Losing WeightFunctional Assessment of Cancer Therapy-Lung Symptom Index - I am losing weight.FLSI - I Am Losing Weight
FAC04305C138463FAC043-I Have Been CoughingFunctional Assessment of Cancer Therapy-Lung Symptom Index - I have been coughing.FLSI - I Have Been Coughing
FAC04306C138464FAC043-Certain Parts of Body Have PainFunctional Assessment of Cancer Therapy-Lung Symptom Index - I have certain parts of my body where I experience pain.FLSI - Certain Parts of Body Have Pain
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CL.C138224.FAC043TNFunctional Assessment of Cancer Therapy-Lung Symptom Index Questionnaire Test Name
(FAC043TN)
text
Extensible: No
C138224Functional Assessment of Cancer Therapy-Lung Symptom Index Questionnaire Test NameFunctional Assessment of Cancer Therapy-Lung Symptom Index test name.CDISC Questionnaire FLSI Test Name Terminology
FAC043-Certain Parts of Body Have PainC138464FAC043-Certain Parts of Body Have PainFunctional Assessment of Cancer Therapy-Lung Symptom Index - I have certain parts of my body where I experience pain.FLSI - Certain Parts of Body Have Pain
FAC043-I Am Losing WeightC138462FAC043-I Am Losing WeightFunctional Assessment of Cancer Therapy-Lung Symptom Index - I am losing weight.FLSI - I Am Losing Weight
FAC043-I Have a Lack of EnergyC138460FAC043-I Have a Lack of EnergyFunctional Assessment of Cancer Therapy-Lung Symptom Index - I have a lack of energy.FLSI - I Have a Lack of Energy
FAC043-I Have Been CoughingC138463FAC043-I Have Been CoughingFunctional Assessment of Cancer Therapy-Lung Symptom Index - I have been coughing.FLSI - I Have Been Coughing
FAC043-I Have Been Short of BreathC138459FAC043-I Have Been Short of BreathFunctional Assessment of Cancer Therapy-Lung Symptom Index - I have been short of breath.FLSI - I Have Been Short of Breath
FAC043-I Have PainC138461FAC043-I Have PainFunctional Assessment of Cancer Therapy-Lung Symptom Index - I have pain.FLSI - I Have Pain
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CL.C150782.FAC016TCFunctional Assessment of Cancer Therapy-Lung Version 4 Questionnaire Test Code
(FAC016TC)
text
Extensible: No
C150782Functional Assessment of Cancer Therapy-Lung Version 4 Questionnaire Test CodeFunctional Assessment of Cancer Therapy-Lung Version 4 test code.CDISC Questionnaire FACT-L Version 4 Test Code Terminology
FAC01601C151234FAC016-I Have a Lack of EnergyFunctional Assessment of Cancer Therapy-Lung Version 4 - Physical Well-Being: I have a lack of energy.FACT-L Version 4 - I Have a Lack of Energy
FAC01602C151235FAC016-I Have NauseaFunctional Assessment of Cancer Therapy-Lung Version 4 - Physical Well-Being: I have nausea.FACT-L Version 4 - I Have Nausea
FAC01603C151236FAC016-Trouble Meeting Needs of FamilyFunctional Assessment of Cancer Therapy-Lung Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family.FACT-L Version 4 - Trouble Meeting Needs of Family
FAC01604C151237FAC016-I Have PainFunctional Assessment of Cancer Therapy-Lung Version 4 - Physical Well-Being: I have pain.FACT-L Version 4 - I Have Pain
FAC01605C151238FAC016-Bothered by Treatment Side EffectFunctional Assessment of Cancer Therapy-Lung Version 4 - Physical Well-Being: I am bothered by side effects of treatment.FACT-L Version 4 - Bothered by Treatment Side Effect
FAC01606C151239FAC016-I Feel IllFunctional Assessment of Cancer Therapy-Lung Version 4 - Physical Well-Being: I feel ill.FACT-L Version 4 - I Feel Ill
FAC01607C151240FAC016-I am Forced to Spend Time in BedFunctional Assessment of Cancer Therapy-Lung Version 4 - Physical Well-Being: I am forced to spend time in bed.FACT-L Version 4 - I am Forced to Spend Time in Bed
FAC01608C151241FAC016-I Feel Close to My FriendsFunctional Assessment of Cancer Therapy-Lung Version 4 - Social/Family Well-Being: I feel close to my friends.FACT-L Version 4 - I Feel Close to My Friends
FAC01609C151242FAC016-Get Emotional Support From FamilyFunctional Assessment of Cancer Therapy-Lung Version 4 - Social/Family Well-Being: I get emotional support from my family.FACT-L Version 4 - Get Emotional Support From Family
FAC01610C151243FAC016-I Get Support From My FriendsFunctional Assessment of Cancer Therapy-Lung Version 4 - Social/Family Well-Being: I get support from my friends.FACT-L Version 4 - I Get Support From My Friends
FAC01611C151244FAC016-My Family Has Accepted My IllnessFunctional Assessment of Cancer Therapy-Lung Version 4 - Social/Family Well-Being: My family has accepted my illness.FACT-L Version 4 - My Family Has Accepted My Illness
FAC01612C151245FAC016-Satisfied Communication IllnessFunctional Assessment of Cancer Therapy-Lung Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness.FACT-L Version 4 - Satisfied Communication Illness
FAC01613C151246FAC016-I Feel Close to My PartnerFunctional Assessment of Cancer Therapy-Lung Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support).FACT-L Version 4 - I Feel Close to My Partner
FAC01614C151247FAC016-I Am Satisfied With My Sex LifeFunctional Assessment of Cancer Therapy-Lung Version 4 - Social/Family Well-Being: I am satisfied with my sex life.FACT-L Version 4 - I Am Satisfied With My Sex Life
FAC01615C151248FAC016-I Feel SadFunctional Assessment of Cancer Therapy-Lung Version 4 - Emotional Well-Being: I feel sad.FACT-L Version 4 - I Feel Sad
FAC01616C151249FAC016-Satisfied With How I Am CopingFunctional Assessment of Cancer Therapy-Lung Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness.FACT-L Version 4 - Satisfied With How I Am Coping
FAC01617C151250FAC016-Losing Hope Against IllnessFunctional Assessment of Cancer Therapy-Lung Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness.FACT-L Version 4 - Losing Hope Against Illness
FAC01618C151251FAC016-I Feel NervousFunctional Assessment of Cancer Therapy-Lung Version 4 - Emotional Well-Being: I feel nervous.FACT-L Version 4 - I Feel Nervous
FAC01619C151252FAC016-I Worry About DyingFunctional Assessment of Cancer Therapy-Lung Version 4 - Emotional Well-Being: I worry about dying.FACT-L Version 4 - I Worry About Dying
FAC01620C151253FAC016-Worry My Condition Will Get WorseFunctional Assessment of Cancer Therapy-Lung Version 4 - Emotional Well-Being: I worry that my condition will get worse.FACT-L Version 4 - Worry My Condition Will Get Worse
FAC01621C151254FAC016-I Am Able to WorkFunctional Assessment of Cancer Therapy-Lung Version 4 - Functional Well-Being: I am able to work (include work at home).FACT-L Version 4 - I Am Able to Work
FAC01622C151255FAC016-My Work Is FulfillingFunctional Assessment of Cancer Therapy-Lung Version 4 - Functional Well-Being: My work (include work at home) is fulfilling.FACT-L Version 4 - My Work Is Fulfilling
FAC01623C151256FAC016-I Am Able to Enjoy LifeFunctional Assessment of Cancer Therapy-Lung Version 4 - Functional Well-Being: I am able to enjoy life.FACT-L Version 4 - I Am Able to Enjoy Life
FAC01624C151257FAC016-I Have Accepted My IllnessFunctional Assessment of Cancer Therapy-Lung Version 4 - Functional Well-Being: I have accepted my illness.FACT-L Version 4 - I Have Accepted My Illness
FAC01625C151258FAC016-I Am Sleeping WellFunctional Assessment of Cancer Therapy-Lung Version 4 - Functional Well-Being: I am sleeping well.FACT-L Version 4 - I Am Sleeping Well
FAC01626C151259FAC016-Enjoy Things I Usually Do for FunFunctional Assessment of Cancer Therapy-Lung Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun.FACT-L Version 4 - Enjoy Things I Usually Do for Fun
FAC01627C151260FAC016-Content With Quality of My LifeFunctional Assessment of Cancer Therapy-Lung Version 4 - Functional Well-Being: I am content with the quality of my life right now.FACT-L Version 4 - Content With Quality of My Life
FAC01628C151261FAC016-I Have Been Short of BreathFunctional Assessment of Cancer Therapy-Lung Version 4 - Additional Concerns: I have been short of breath.FACT-L Version 4 - I Have Been Short of Breath
FAC01629C151262FAC016-I Am Losing WeightFunctional Assessment of Cancer Therapy-Lung Version 4 - Additional Concerns: I am losing weight.FACT-L Version 4 - I Am Losing Weight
FAC01630C151263FAC016-My Thinking Is ClearFunctional Assessment of Cancer Therapy-Lung Version 4 - Additional Concerns: My thinking is clear.FACT-L Version 4 - My Thinking Is Clear
FAC01631C151264FAC016-I Have Been CoughingFunctional Assessment of Cancer Therapy-Lung Version 4 - Additional Concerns: I have been coughing.FACT-L Version 4 - I Have Been Coughing
FAC01632C151265FAC016-I Am Bothered by Hair LossFunctional Assessment of Cancer Therapy-Lung Version 4 - Additional Concerns: I am bothered by hair loss.FACT-L Version 4 - I Am Bothered by Hair Loss
FAC01633C151266FAC016-I Have a Good AppetiteFunctional Assessment of Cancer Therapy-Lung Version 4 - Additional Concerns: I have a good appetite.FACT-L Version 4 - I Have a Good Appetite
FAC01634C151267FAC016-I Feel Tightness in My ChestFunctional Assessment of Cancer Therapy-Lung Version 4 - Additional Concerns: I feel tightness in my chest.FACT-L Version 4 - I Feel Tightness in My Chest
FAC01635C151268FAC016-Breathing Is Easy for MeFunctional Assessment of Cancer Therapy-Lung Version 4 - Additional Concerns: Breathing is easy for me.FACT-L Version 4 - Breathing Is Easy for Me
FAC01636C151269FAC016-Have You Ever SmokedFunctional Assessment of Cancer Therapy-Lung Version 4 - Additional Concerns: Have you ever smoked?FACT-L Version 4 - Have You Ever Smoked
FAC01637C151270FAC016-I Regret My SmokingFunctional Assessment of Cancer Therapy-Lung Version 4 - Additional Concerns: I regret my smoking.FACT-L Version 4 - I Regret My Smoking
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CL.C150781.FAC016TNFunctional Assessment of Cancer Therapy-Lung Version 4 Questionnaire Test Name
(FAC016TN)
text
Extensible: No
C150781Functional Assessment of Cancer Therapy-Lung Version 4 Questionnaire Test NameFunctional Assessment of Cancer Therapy-Lung Version 4 test name.CDISC Questionnaire FACT-L Version 4 Test Name Terminology
FAC016-Bothered by Treatment Side EffectC151238FAC016-Bothered by Treatment Side EffectFunctional Assessment of Cancer Therapy-Lung Version 4 - Physical Well-Being: I am bothered by side effects of treatment.FACT-L Version 4 - Bothered by Treatment Side Effect
FAC016-Breathing Is Easy for MeC151268FAC016-Breathing Is Easy for MeFunctional Assessment of Cancer Therapy-Lung Version 4 - Additional Concerns: Breathing is easy for me.FACT-L Version 4 - Breathing Is Easy for Me
FAC016-Content With Quality of My LifeC151260FAC016-Content With Quality of My LifeFunctional Assessment of Cancer Therapy-Lung Version 4 - Functional Well-Being: I am content with the quality of my life right now.FACT-L Version 4 - Content With Quality of My Life
FAC016-Enjoy Things I Usually Do for FunC151259FAC016-Enjoy Things I Usually Do for FunFunctional Assessment of Cancer Therapy-Lung Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun.FACT-L Version 4 - Enjoy Things I Usually Do for Fun
FAC016-Get Emotional Support From FamilyC151242FAC016-Get Emotional Support From FamilyFunctional Assessment of Cancer Therapy-Lung Version 4 - Social/Family Well-Being: I get emotional support from my family.FACT-L Version 4 - Get Emotional Support From Family
FAC016-Have You Ever SmokedC151269FAC016-Have You Ever SmokedFunctional Assessment of Cancer Therapy-Lung Version 4 - Additional Concerns: Have you ever smoked?FACT-L Version 4 - Have You Ever Smoked
FAC016-I Am Able to Enjoy LifeC151256FAC016-I Am Able to Enjoy LifeFunctional Assessment of Cancer Therapy-Lung Version 4 - Functional Well-Being: I am able to enjoy life.FACT-L Version 4 - I Am Able to Enjoy Life
FAC016-I Am Able to WorkC151254FAC016-I Am Able to WorkFunctional Assessment of Cancer Therapy-Lung Version 4 - Functional Well-Being: I am able to work (include work at home).FACT-L Version 4 - I Am Able to Work
FAC016-I Am Bothered by Hair LossC151265FAC016-I Am Bothered by Hair LossFunctional Assessment of Cancer Therapy-Lung Version 4 - Additional Concerns: I am bothered by hair loss.FACT-L Version 4 - I Am Bothered by Hair Loss
FAC016-I am Forced to Spend Time in BedC151240FAC016-I am Forced to Spend Time in BedFunctional Assessment of Cancer Therapy-Lung Version 4 - Physical Well-Being: I am forced to spend time in bed.FACT-L Version 4 - I am Forced to Spend Time in Bed
FAC016-I Am Losing WeightC151262FAC016-I Am Losing WeightFunctional Assessment of Cancer Therapy-Lung Version 4 - Additional Concerns: I am losing weight.FACT-L Version 4 - I Am Losing Weight
FAC016-I Am Satisfied With My Sex LifeC151247FAC016-I Am Satisfied With My Sex LifeFunctional Assessment of Cancer Therapy-Lung Version 4 - Social/Family Well-Being: I am satisfied with my sex life.FACT-L Version 4 - I Am Satisfied With My Sex Life
FAC016-I Am Sleeping WellC151258FAC016-I Am Sleeping WellFunctional Assessment of Cancer Therapy-Lung Version 4 - Functional Well-Being: I am sleeping well.FACT-L Version 4 - I Am Sleeping Well
FAC016-I Feel Close to My FriendsC151241FAC016-I Feel Close to My FriendsFunctional Assessment of Cancer Therapy-Lung Version 4 - Social/Family Well-Being: I feel close to my friends.FACT-L Version 4 - I Feel Close to My Friends
FAC016-I Feel Close to My PartnerC151246FAC016-I Feel Close to My PartnerFunctional Assessment of Cancer Therapy-Lung Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support).FACT-L Version 4 - I Feel Close to My Partner
FAC016-I Feel IllC151239FAC016-I Feel IllFunctional Assessment of Cancer Therapy-Lung Version 4 - Physical Well-Being: I feel ill.FACT-L Version 4 - I Feel Ill
FAC016-I Feel NervousC151251FAC016-I Feel NervousFunctional Assessment of Cancer Therapy-Lung Version 4 - Emotional Well-Being: I feel nervous.FACT-L Version 4 - I Feel Nervous
FAC016-I Feel SadC151248FAC016-I Feel SadFunctional Assessment of Cancer Therapy-Lung Version 4 - Emotional Well-Being: I feel sad.FACT-L Version 4 - I Feel Sad
FAC016-I Feel Tightness in My ChestC151267FAC016-I Feel Tightness in My ChestFunctional Assessment of Cancer Therapy-Lung Version 4 - Additional Concerns: I feel tightness in my chest.FACT-L Version 4 - I Feel Tightness in My Chest
FAC016-I Get Support From My FriendsC151243FAC016-I Get Support From My FriendsFunctional Assessment of Cancer Therapy-Lung Version 4 - Social/Family Well-Being: I get support from my friends.FACT-L Version 4 - I Get Support From My Friends
FAC016-I Have a Good AppetiteC151266FAC016-I Have a Good AppetiteFunctional Assessment of Cancer Therapy-Lung Version 4 - Additional Concerns: I have a good appetite.FACT-L Version 4 - I Have a Good Appetite
FAC016-I Have a Lack of EnergyC151234FAC016-I Have a Lack of EnergyFunctional Assessment of Cancer Therapy-Lung Version 4 - Physical Well-Being: I have a lack of energy.FACT-L Version 4 - I Have a Lack of Energy
FAC016-I Have Accepted My IllnessC151257FAC016-I Have Accepted My IllnessFunctional Assessment of Cancer Therapy-Lung Version 4 - Functional Well-Being: I have accepted my illness.FACT-L Version 4 - I Have Accepted My Illness
FAC016-I Have Been CoughingC151264FAC016-I Have Been CoughingFunctional Assessment of Cancer Therapy-Lung Version 4 - Additional Concerns: I have been coughing.FACT-L Version 4 - I Have Been Coughing
FAC016-I Have Been Short of BreathC151261FAC016-I Have Been Short of BreathFunctional Assessment of Cancer Therapy-Lung Version 4 - Additional Concerns: I have been short of breath.FACT-L Version 4 - I Have Been Short of Breath
FAC016-I Have NauseaC151235FAC016-I Have NauseaFunctional Assessment of Cancer Therapy-Lung Version 4 - Physical Well-Being: I have nausea.FACT-L Version 4 - I Have Nausea
FAC016-I Have PainC151237FAC016-I Have PainFunctional Assessment of Cancer Therapy-Lung Version 4 - Physical Well-Being: I have pain.FACT-L Version 4 - I Have Pain
FAC016-I Regret My SmokingC151270FAC016-I Regret My SmokingFunctional Assessment of Cancer Therapy-Lung Version 4 - Additional Concerns: I regret my smoking.FACT-L Version 4 - I Regret My Smoking
FAC016-I Worry About DyingC151252FAC016-I Worry About DyingFunctional Assessment of Cancer Therapy-Lung Version 4 - Emotional Well-Being: I worry about dying.FACT-L Version 4 - I Worry About Dying
FAC016-Losing Hope Against IllnessC151250FAC016-Losing Hope Against IllnessFunctional Assessment of Cancer Therapy-Lung Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness.FACT-L Version 4 - Losing Hope Against Illness
FAC016-My Family Has Accepted My IllnessC151244FAC016-My Family Has Accepted My IllnessFunctional Assessment of Cancer Therapy-Lung Version 4 - Social/Family Well-Being: My family has accepted my illness.FACT-L Version 4 - My Family Has Accepted My Illness
FAC016-My Thinking Is ClearC151263FAC016-My Thinking Is ClearFunctional Assessment of Cancer Therapy-Lung Version 4 - Additional Concerns: My thinking is clear.FACT-L Version 4 - My Thinking Is Clear
FAC016-My Work Is FulfillingC151255FAC016-My Work Is FulfillingFunctional Assessment of Cancer Therapy-Lung Version 4 - Functional Well-Being: My work (include work at home) is fulfilling.FACT-L Version 4 - My Work Is Fulfilling
FAC016-Satisfied Communication IllnessC151245FAC016-Satisfied Communication IllnessFunctional Assessment of Cancer Therapy-Lung Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness.FACT-L Version 4 - Satisfied Communication Illness
FAC016-Satisfied With How I Am CopingC151249FAC016-Satisfied With How I Am CopingFunctional Assessment of Cancer Therapy-Lung Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness.FACT-L Version 4 - Satisfied With How I Am Coping
FAC016-Trouble Meeting Needs of FamilyC151236FAC016-Trouble Meeting Needs of FamilyFunctional Assessment of Cancer Therapy-Lung Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family.FACT-L Version 4 - Trouble Meeting Needs of Family
FAC016-Worry My Condition Will Get WorseC151253FAC016-Worry My Condition Will Get WorseFunctional Assessment of Cancer Therapy-Lung Version 4 - Emotional Well-Being: I worry that my condition will get worse.FACT-L Version 4 - Worry My Condition Will Get Worse
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CL.C130257.FAC018TCFunctional Assessment of Cancer Therapy-Lymphoma Version 4 Questionnaire Test Code
(FAC018TC)
text
Extensible: No
C130257Functional Assessment of Cancer Therapy-Lymphoma Version 4 Questionnaire Test CodeFunctional Assessment of Cancer Therapy-Lymphoma Version 4 test code.CDISC Questionnaire FACT-LYM Version 4 Test Code Terminology
FAC01801C130503FAC018-I Have a Lack of EnergyFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Physical Well-Being: I have a lack of energy.FACT-LYM Version 4 - I Have a Lack of Energy
FAC01802C130504FAC018-I Have NauseaFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Physical Well-Being: I have nausea.FACT-LYM Version 4 - I Have Nausea
FAC01803C130505FAC018-Trouble Meeting Needs of FamilyFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family.FACT-LYM Version 4 - Trouble Meeting Needs of Family
FAC01804C130506FAC018-I Have PainFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Physical Well-Being: I have pain.FACT-LYM Version 4 - I Have Pain
FAC01805C130507FAC018-Bothered by Treatment Side EffectFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Physical Well-Being: I am bothered by side effects of treatment.FACT-LYM Version 4 - Bothered by Treatment Side Effect
FAC01806C130508FAC018-I Feel IllFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Physical Well-Being: I feel ill.FACT-LYM Version 4 - I Feel Ill
FAC01807C130509FAC018-I Am Forced to Spend Time in BedFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Physical Well-Being: I am forced to spend time in bed.FACT-LYM Version 4 - I Am Forced to Spend Time in Bed
FAC01808C130510FAC018-I Feel Close to My FriendsFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Social/Family Well-Being: I feel close to my friends.FACT-LYM Version 4 - I Feel Close to My Friends
FAC01809C130511FAC018-Get Emotional Support From FamilyFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Social/Family Well-Being: I get emotional support from my family.FACT-LYM Version 4 - Get Emotional Support From Family
FAC01810C130512FAC018-I Get Support From My FriendsFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Social/Family Well-Being: I get support from my friends.FACT-LYM Version 4 - I Get Support From My Friends
FAC01811C130513FAC018-My Family Has Accepted My IllnessFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Social/Family Well-Being: My family has accepted my illness.FACT-LYM Version 4 - My Family Has Accepted My Illness
FAC01812C130514FAC018-Satisfied Communication IllnessFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness.FACT-LYM Version 4 - Satisfied With Communication About Illness
FAC01813C130515FAC018-I Feel Close to My PartnerFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support).FACT-LYM Version 4 - I Feel Close to My Partner
FAC01814C130516FAC018-I Am Satisfied With My Sex LifeFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Social/Family Well-Being: I am satisfied with my sex life.FACT-LYM Version 4 - I Am Satisfied With My Sex Life
FAC01815C130517FAC018-I Feel SadFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Emotional Well-Being: I feel sad.FACT-LYM Version 4 - I Feel Sad
FAC01816C130518FAC018-Satisfied With How I Am CopingFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness.FACT-LYM Version 4 - Satisfied With How I Am Coping
FAC01817C130519FAC018-Losing Hope Against IllnessFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness.FACT-LYM Version 4 - Losing Hope Against Illness
FAC01818C130520FAC018-I Feel NervousFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Emotional Well-Being: I feel nervous.FACT-LYM Version 4 - I Feel Nervous
FAC01819C130521FAC018-I Worry About DyingFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Emotional Well-Being: I worry about dying.FACT-LYM Version 4 - I Worry About Dying
FAC01820C130522FAC018-Worry My Condition Will Get WorseFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Emotional Well-Being: I worry that my condition will get worse.FACT-LYM Version 4 - Worry My Condition Will Get Worse
FAC01821C130523FAC018-I Am Able to WorkFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Functional Well-Being: I am able to work (include work at home).FACT-LYM Version 4 - I Am Able to Work
FAC01822C130524FAC018-My Work Is FulfillingFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Functional Well-Being: My work (include work at home) is fulfilling.FACT-LYM Version 4 - My Work Is Fulfilling
FAC01823C130525FAC018-I Am Able to Enjoy LifeFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Functional Well-Being: I am able to enjoy life.FACT-LYM Version 4 - I Am Able to Enjoy Life
FAC01824C130526FAC018-I Have Accepted My IllnessFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Functional Well-Being: I have accepted my illness.FACT-LYM Version 4 - I Have Accepted My Illness
FAC01825C130527FAC018-I Am Sleeping WellFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Functional Well-Being: I am sleeping well.FACT-LYM Version 4 - I Am Sleeping Well
FAC01826C130528FAC018-Enjoy Things I Usually Do for FunFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun.FACT-LYM Version 4 - Enjoy Things I Usually Do for Fun
FAC01827C130529FAC018-Content With Quality of My LifeFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Functional Well-Being: I am content with the quality of my life right now.FACT-LYM Version 4 - Content With Quality of My Life
FAC01828C130530FAC018-Certain Parts of Body Have PainFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I have certain parts of my body where I experience pain.FACT-LYM Version 4 - Certain Parts of Body Have Pain
FAC01829C130531FAC018-Bothered by Lumps or SwellingFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I am bothered by lumps or swelling in certain parts of my body (e.g., neck, armpits, or groin).FACT-LYM Version 4 - Bothered by Lumps or Swelling
FAC01830C130532FAC018-I Am Bothered by FeversFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I am bothered by fevers (episodes of high body temperature).FACT-LYM Version 4 - I Am Bothered by Fevers
FAC01831C130533FAC018-I Have Night SweatsFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I have night sweats.FACT-LYM Version 4 - I Have Night Sweats
FAC01832C130534FAC018-I Am Bothered by ItchingFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I am bothered by itching.FACT-LYM Version 4 - I Am Bothered by Itching
FAC01833C130535FAC018-I Have Trouble Sleeping at NightFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I have trouble sleeping at night.FACT-LYM Version 4 - I Have Trouble Sleeping at Night
FAC01834C130536FAC018-I Get Tired EasilyFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I get tired easily.FACT-LYM Version 4 - I Get Tired Easily
FAC01835C130537FAC018-I Am Losing WeightFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I am losing weight.FACT-LYM Version 4 - I Am Losing Weight
FAC01836C130538FAC018-I Have a Loss of AppetiteFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I have a loss of appetite.FACT-LYM Version 4 - I Have a Loss of Appetite
FAC01837C130539FAC018-I Have Trouble ConcentratingFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I have trouble concentrating.FACT-LYM Version 4 - I Have Trouble Concentrating
FAC01838C130540FAC018-I Worry About Getting InfectionsFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I worry about getting infections.FACT-LYM Version 4 - I Worry About Getting Infections
FAC01839C130541FAC018-Worry I Might Get New SymptomsFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I worry that I might get new symptoms of my illness.FACT-LYM Version 4 - Worry I Might Get New Symptoms
FAC01840C130542FAC018-Feel Isolated Because of IllnessFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I feel isolated from others because of my illness or treatment.FACT-LYM Version 4 - Feel Isolated Because of Illness
FAC01841C130543FAC018-I Have Emotional Ups and DownsFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I have emotional ups and downs.FACT-LYM Version 4 - I Have Emotional Ups and Downs
FAC01842C130544FAC018-Difficulty Planning for FutureFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: Because of my illness, I have difficulty planning for the future.FACT-LYM Version 4 - Difficulty Planning for Future
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CL.C130256.FAC018TNFunctional Assessment of Cancer Therapy-Lymphoma Version 4 Questionnaire Test Name
(FAC018TN)
text
Extensible: No
C130256Functional Assessment of Cancer Therapy-Lymphoma Version 4 Questionnaire Test NameFunctional Assessment of Cancer Therapy-Lymphoma Version 4 test name.CDISC Questionnaire FACT-LYM Version 4 Test Name Terminology
FAC018-Bothered by Lumps or SwellingC130531FAC018-Bothered by Lumps or SwellingFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I am bothered by lumps or swelling in certain parts of my body (e.g., neck, armpits, or groin).FACT-LYM Version 4 - Bothered by Lumps or Swelling
FAC018-Bothered by Treatment Side EffectC130507FAC018-Bothered by Treatment Side EffectFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Physical Well-Being: I am bothered by side effects of treatment.FACT-LYM Version 4 - Bothered by Treatment Side Effect
FAC018-Certain Parts of Body Have PainC130530FAC018-Certain Parts of Body Have PainFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I have certain parts of my body where I experience pain.FACT-LYM Version 4 - Certain Parts of Body Have Pain
FAC018-Content With Quality of My LifeC130529FAC018-Content With Quality of My LifeFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Functional Well-Being: I am content with the quality of my life right now.FACT-LYM Version 4 - Content With Quality of My Life
FAC018-Difficulty Planning for FutureC130544FAC018-Difficulty Planning for FutureFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: Because of my illness, I have difficulty planning for the future.FACT-LYM Version 4 - Difficulty Planning for Future
FAC018-Enjoy Things I Usually Do for FunC130528FAC018-Enjoy Things I Usually Do for FunFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun.FACT-LYM Version 4 - Enjoy Things I Usually Do for Fun
FAC018-Feel Isolated Because of IllnessC130542FAC018-Feel Isolated Because of IllnessFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I feel isolated from others because of my illness or treatment.FACT-LYM Version 4 - Feel Isolated Because of Illness
FAC018-Get Emotional Support From FamilyC130511FAC018-Get Emotional Support From FamilyFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Social/Family Well-Being: I get emotional support from my family.FACT-LYM Version 4 - Get Emotional Support From Family
FAC018-I Am Able to Enjoy LifeC130525FAC018-I Am Able to Enjoy LifeFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Functional Well-Being: I am able to enjoy life.FACT-LYM Version 4 - I Am Able to Enjoy Life
FAC018-I Am Able to WorkC130523FAC018-I Am Able to WorkFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Functional Well-Being: I am able to work (include work at home).FACT-LYM Version 4 - I Am Able to Work
FAC018-I Am Bothered by FeversC130532FAC018-I Am Bothered by FeversFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I am bothered by fevers (episodes of high body temperature).FACT-LYM Version 4 - I Am Bothered by Fevers
FAC018-I Am Bothered by ItchingC130534FAC018-I Am Bothered by ItchingFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I am bothered by itching.FACT-LYM Version 4 - I Am Bothered by Itching
FAC018-I Am Forced to Spend Time in BedC130509FAC018-I Am Forced to Spend Time in BedFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Physical Well-Being: I am forced to spend time in bed.FACT-LYM Version 4 - I Am Forced to Spend Time in Bed
FAC018-I Am Losing WeightC130537FAC018-I Am Losing WeightFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I am losing weight.FACT-LYM Version 4 - I Am Losing Weight
FAC018-I Am Satisfied With My Sex LifeC130516FAC018-I Am Satisfied With My Sex LifeFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Social/Family Well-Being: I am satisfied with my sex life.FACT-LYM Version 4 - I Am Satisfied With My Sex Life
FAC018-I Am Sleeping WellC130527FAC018-I Am Sleeping WellFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Functional Well-Being: I am sleeping well.FACT-LYM Version 4 - I Am Sleeping Well
FAC018-I Feel Close to My FriendsC130510FAC018-I Feel Close to My FriendsFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Social/Family Well-Being: I feel close to my friends.FACT-LYM Version 4 - I Feel Close to My Friends
FAC018-I Feel Close to My PartnerC130515FAC018-I Feel Close to My PartnerFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support).FACT-LYM Version 4 - I Feel Close to My Partner
FAC018-I Feel IllC130508FAC018-I Feel IllFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Physical Well-Being: I feel ill.FACT-LYM Version 4 - I Feel Ill
FAC018-I Feel NervousC130520FAC018-I Feel NervousFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Emotional Well-Being: I feel nervous.FACT-LYM Version 4 - I Feel Nervous
FAC018-I Feel SadC130517FAC018-I Feel SadFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Emotional Well-Being: I feel sad.FACT-LYM Version 4 - I Feel Sad
FAC018-I Get Support From My FriendsC130512FAC018-I Get Support From My FriendsFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Social/Family Well-Being: I get support from my friends.FACT-LYM Version 4 - I Get Support From My Friends
FAC018-I Get Tired EasilyC130536FAC018-I Get Tired EasilyFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I get tired easily.FACT-LYM Version 4 - I Get Tired Easily
FAC018-I Have a Lack of EnergyC130503FAC018-I Have a Lack of EnergyFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Physical Well-Being: I have a lack of energy.FACT-LYM Version 4 - I Have a Lack of Energy
FAC018-I Have a Loss of AppetiteC130538FAC018-I Have a Loss of AppetiteFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I have a loss of appetite.FACT-LYM Version 4 - I Have a Loss of Appetite
FAC018-I Have Accepted My IllnessC130526FAC018-I Have Accepted My IllnessFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Functional Well-Being: I have accepted my illness.FACT-LYM Version 4 - I Have Accepted My Illness
FAC018-I Have Emotional Ups and DownsC130543FAC018-I Have Emotional Ups and DownsFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I have emotional ups and downs.FACT-LYM Version 4 - I Have Emotional Ups and Downs
FAC018-I Have NauseaC130504FAC018-I Have NauseaFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Physical Well-Being: I have nausea.FACT-LYM Version 4 - I Have Nausea
FAC018-I Have Night SweatsC130533FAC018-I Have Night SweatsFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I have night sweats.FACT-LYM Version 4 - I Have Night Sweats
FAC018-I Have PainC130506FAC018-I Have PainFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Physical Well-Being: I have pain.FACT-LYM Version 4 - I Have Pain
FAC018-I Have Trouble ConcentratingC130539FAC018-I Have Trouble ConcentratingFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I have trouble concentrating.FACT-LYM Version 4 - I Have Trouble Concentrating
FAC018-I Have Trouble Sleeping at NightC130535FAC018-I Have Trouble Sleeping at NightFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I have trouble sleeping at night.FACT-LYM Version 4 - I Have Trouble Sleeping at Night
FAC018-I Worry About DyingC130521FAC018-I Worry About DyingFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Emotional Well-Being: I worry about dying.FACT-LYM Version 4 - I Worry About Dying
FAC018-I Worry About Getting InfectionsC130540FAC018-I Worry About Getting InfectionsFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I worry about getting infections.FACT-LYM Version 4 - I Worry About Getting Infections
FAC018-Losing Hope Against IllnessC130519FAC018-Losing Hope Against IllnessFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness.FACT-LYM Version 4 - Losing Hope Against Illness
FAC018-My Family Has Accepted My IllnessC130513FAC018-My Family Has Accepted My IllnessFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Social/Family Well-Being: My family has accepted my illness.FACT-LYM Version 4 - My Family Has Accepted My Illness
FAC018-My Work Is FulfillingC130524FAC018-My Work Is FulfillingFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Functional Well-Being: My work (include work at home) is fulfilling.FACT-LYM Version 4 - My Work Is Fulfilling
FAC018-Satisfied Communication IllnessC130514FAC018-Satisfied Communication IllnessFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness.FACT-LYM Version 4 - Satisfied With Communication About Illness
FAC018-Satisfied With How I Am CopingC130518FAC018-Satisfied With How I Am CopingFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness.FACT-LYM Version 4 - Satisfied With How I Am Coping
FAC018-Trouble Meeting Needs of FamilyC130505FAC018-Trouble Meeting Needs of FamilyFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family.FACT-LYM Version 4 - Trouble Meeting Needs of Family
FAC018-Worry I Might Get New SymptomsC130541FAC018-Worry I Might Get New SymptomsFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Additional Concerns: I worry that I might get new symptoms of my illness.FACT-LYM Version 4 - Worry I Might Get New Symptoms
FAC018-Worry My Condition Will Get WorseC130522FAC018-Worry My Condition Will Get WorseFunctional Assessment of Cancer Therapy-Lymphoma Version 4 - Emotional Well-Being: I worry that my condition will get worse.FACT-LYM Version 4 - Worry My Condition Will Get Worse
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CL.C129096.FAC049TCFunctional Assessment of Cancer Therapy-Ovarian Symptom Index Questionnaire Test Code
(FAC049TC)
text
Extensible: No
C129096Functional Assessment of Cancer Therapy-Ovarian Symptom Index Questionnaire Test CodeFunctional Assessment of Cancer Therapy-Ovarian Symptom Index test code.CDISC Questionnaire FOSI Test Code Terminology
FAC04901C129225FAC049-I Have a Lack of EnergyFunctional Assessment of Cancer Therapy-Ovarian Symptom Index - I have a lack of energy.FOSI - I Have a Lack of Energy
FAC04902C129226FAC049-I Have Been VomitingFunctional Assessment of Cancer Therapy-Ovarian Symptom Index - I have been vomiting.FOSI - I Have Been Vomiting
FAC04903C129227FAC049-I Have PainFunctional Assessment of Cancer Therapy-Ovarian Symptom Index - I have pain.FOSI - I Have Pain
FAC04904C129228FAC049-I Have NauseaFunctional Assessment of Cancer Therapy-Ovarian Symptom Index - I have nausea.FOSI - I Have Nausea
FAC04905C129229FAC049-I Have Swelling in Stomach AreaFunctional Assessment of Cancer Therapy-Ovarian Symptom Index - I have swelling in my stomach area.FOSI - I Have Swelling in Stomach Area
FAC04906C129230FAC049-Worry My Condition Will Get WorseFunctional Assessment of Cancer Therapy-Ovarian Symptom Index - I worry that my condition will get worse.FOSI - Worry My Condition Will Get Worse
FAC04907C129231FAC049-Content With Quality of My LifeFunctional Assessment of Cancer Therapy-Ovarian Symptom Index - I am content with the quality of my life right now.FOSI - Content With Quality of My Life
FAC04908C129232FAC049-I Have Cramps in My Stomach AreaFunctional Assessment of Cancer Therapy-Ovarian Symptom Index - I have cramps in my stomach area.FOSI - I Have Cramps in My Stomach Area
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CL.C129095.FAC049TNFunctional Assessment of Cancer Therapy-Ovarian Symptom Index Questionnaire Test Name
(FAC049TN)
text
Extensible: No
C129095Functional Assessment of Cancer Therapy-Ovarian Symptom Index Questionnaire Test NameFunctional Assessment of Cancer Therapy-Ovarian Symptom Index test name.CDISC Questionnaire FOSI Test Name Terminology
FAC049-Content With Quality of My LifeC129231FAC049-Content With Quality of My LifeFunctional Assessment of Cancer Therapy-Ovarian Symptom Index - I am content with the quality of my life right now.FOSI - Content With Quality of My Life
FAC049-I Have a Lack of EnergyC129225FAC049-I Have a Lack of EnergyFunctional Assessment of Cancer Therapy-Ovarian Symptom Index - I have a lack of energy.FOSI - I Have a Lack of Energy
FAC049-I Have Been VomitingC129226FAC049-I Have Been VomitingFunctional Assessment of Cancer Therapy-Ovarian Symptom Index - I have been vomiting.FOSI - I Have Been Vomiting
FAC049-I Have Cramps in My Stomach AreaC129232FAC049-I Have Cramps in My Stomach AreaFunctional Assessment of Cancer Therapy-Ovarian Symptom Index - I have cramps in my stomach area.FOSI - I Have Cramps in My Stomach Area
FAC049-I Have NauseaC129228FAC049-I Have NauseaFunctional Assessment of Cancer Therapy-Ovarian Symptom Index - I have nausea.FOSI - I Have Nausea
FAC049-I Have PainC129227FAC049-I Have PainFunctional Assessment of Cancer Therapy-Ovarian Symptom Index - I have pain.FOSI - I Have Pain
FAC049-I Have Swelling in Stomach AreaC129229FAC049-I Have Swelling in Stomach AreaFunctional Assessment of Cancer Therapy-Ovarian Symptom Index - I have swelling in my stomach area.FOSI - I Have Swelling in Stomach Area
FAC049-Worry My Condition Will Get WorseC129230FAC049-Worry My Condition Will Get WorseFunctional Assessment of Cancer Therapy-Ovarian Symptom Index - I worry that my condition will get worse.FOSI - Worry My Condition Will Get Worse
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CL.C150776.FAC063TCFunctional Assessment of Cancer Therapy-Taxane Version 4 Questionnaire Test Code
(FAC063TC)
text
Extensible: No
C150776Functional Assessment of Cancer Therapy-Taxane Version 4 Questionnaire Test CodeFunctional Assessment of Cancer Therapy-Taxane Version 4 test code.CDISC Questionnaire FACT-Taxane Version 4 Test Code Terminology
FAC06301C151113FAC063-I Have a Lack of EnergyFunctional Assessment of Cancer Therapy-Taxane Version 4 - Physical Well-Being: I have a lack of energy.FACT-Taxane Version 4 - I Have a Lack of Energy
FAC06302C151114FAC063-I Have NauseaFunctional Assessment of Cancer Therapy-Taxane Version 4 - Physical Well-Being: I have nausea.FACT-Taxane Version 4 - I Have Nausea
FAC06303C151115FAC063-Trouble Meeting Needs of FamilyFunctional Assessment of Cancer Therapy-Taxane Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family.FACT-Taxane Version 4 - Trouble Meeting Needs of Family
FAC06304C151116FAC063-I Have PainFunctional Assessment of Cancer Therapy-Taxane Version 4 - Physical Well-Being: I have pain.FACT-Taxane Version 4 - I Have Pain
FAC06305C151117FAC063-Bothered by Treatment Side EffectFunctional Assessment of Cancer Therapy-Taxane Version 4 - Physical Well-Being: I am bothered by side effects of treatment.FACT-Taxane Version 4 - Bothered by Treatment Side Effect
FAC06306C151118FAC063-I Feel IllFunctional Assessment of Cancer Therapy-Taxane Version 4 - Physical Well-Being: I feel ill.FACT-Taxane Version 4 - I Feel Ill
FAC06307C151119FAC063-I Am Forced to Spend Time in BedFunctional Assessment of Cancer Therapy-Taxane Version 4 - Physical Well-Being: I am forced to spend time in bed.FACT-Taxane Version 4 - I Am Forced to Spend Time in Bed
FAC06308C151120FAC063-I Feel Close to My FriendsFunctional Assessment of Cancer Therapy-Taxane Version 4 - Social/Family Well-Being: I feel close to my friends.FACT-Taxane Version 4 - I Feel Close to My Friends
FAC06309C151121FAC063-Get Emotional Support From FamilyFunctional Assessment of Cancer Therapy-Taxane Version 4 - Social/Family Well-Being: I get emotional support from my family.FACT-Taxane Version 4 - Get Emotional Support From Family
FAC06310C151122FAC063-I Get Support From My FriendsFunctional Assessment of Cancer Therapy-Taxane Version 4 - Social/Family Well-Being: I get support from my friends.FACT-Taxane Version 4 - I Get Support From My Friends
FAC06311C151123FAC063-My Family Has Accepted My IllnessFunctional Assessment of Cancer Therapy-Taxane Version 4 - Social/Family Well-Being: My family has accepted my illness.FACT-Taxane Version 4 - My Family Has Accepted My Illness
FAC06312C151124FAC063-Satisfied Communication IllnessFunctional Assessment of Cancer Therapy-Taxane Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness.FACT-Taxane Version 4 - Satisfied Communication Illness
FAC06313C151125FAC063-I Feel Close to My PartnerFunctional Assessment of Cancer Therapy-Taxane Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support).FACT-Taxane Version 4 - I Feel Close to My Partner
FAC06314C151126FAC063-I Am Satisfied With My Sex LifeFunctional Assessment of Cancer Therapy-Taxane Version 4 - Social/Family Well-Being: I am satisfied with my sex life.FACT-Taxane Version 4 - I Am Satisfied With My Sex Life
FAC06315C151127FAC063-I Feel SadFunctional Assessment of Cancer Therapy-Taxane Version 4 - Emotional Well-Being: I feel sad.FACT-Taxane Version 4 - I Feel Sad
FAC06316C151128FAC063-Satisfied With How I Am CopingFunctional Assessment of Cancer Therapy-Taxane Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness.FACT-Taxane Version 4 - Satisfied With How I Am Coping
FAC06317C151129FAC063-Losing Hope Against IllnessFunctional Assessment of Cancer Therapy-Taxane Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness.FACT-Taxane Version 4 - Losing Hope Against Illness
FAC06318C151130FAC063-I Feel NervousFunctional Assessment of Cancer Therapy-Taxane Version 4 - Emotional Well-Being: I feel nervous.FACT-Taxane Version 4 - I Feel Nervous
FAC06319C151131FAC063-I Worry About DyingFunctional Assessment of Cancer Therapy-Taxane Version 4 - Emotional Well-Being: I worry about dying.FACT-Taxane Version 4 - I Worry About Dying
FAC06320C151132FAC063-Worry My Condition Will Get WorseFunctional Assessment of Cancer Therapy-Taxane Version 4 - Emotional Well-Being: I worry that my condition will get worse.FACT-Taxane Version 4 - Worry My Condition Will Get Worse
FAC06321C151133FAC063-I Am Able to WorkFunctional Assessment of Cancer Therapy-Taxane Version 4 - Functional Well-Being: I am able to work (include work at home).FACT-Taxane Version 4 - I Am Able to Work
FAC06322C151134FAC063-My Work Is FulfillingFunctional Assessment of Cancer Therapy-Taxane Version 4 - Functional Well-Being: My work (include work at home) is fulfilling.FACT-Taxane Version 4 - My Work Is Fulfilling
FAC06323C151135FAC063-I Am Able to Enjoy LifeFunctional Assessment of Cancer Therapy-Taxane Version 4 - Functional Well-Being: I am able to enjoy life.FACT-Taxane Version 4 - I Am Able to Enjoy Life
FAC06324C151136FAC063-I Have Accepted My IllnessFunctional Assessment of Cancer Therapy-Taxane Version 4 - Functional Well-Being: I have accepted my illness.FACT-Taxane Version 4 - I Have Accepted My Illness
FAC06325C151137FAC063-I Am Sleeping WellFunctional Assessment of Cancer Therapy-Taxane Version 4 - Functional Well-Being: I am sleeping well.FACT-Taxane Version 4 - I Am Sleeping Well
FAC06326C151138FAC063-Enjoy Things I Usually Do for FunFunctional Assessment of Cancer Therapy-Taxane Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun.FACT-Taxane Version 4 - Enjoy Things I Usually Do for Fun
FAC06327C151139FAC063-Content With Quality of My LifeFunctional Assessment of Cancer Therapy-Taxane Version 4 - Functional Well-Being: I am content with the quality of my life right now.FACT-Taxane Version 4 - Content With Quality of My Life
FAC06328C151140FAC063-Numbness or Tingling in My HandsFunctional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I have numbness or tingling in my hands.FACT-Taxane Version 4 - Numbness or Tingling in My Hands
FAC06329C151141FAC063-Numbness or Tingling in My FeetFunctional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I have numbness or tingling in my feet.FACT-Taxane Version 4 - Numbness or Tingling in My Feet
FAC06330C151142FAC063-I Feel Discomfort in My HandsFunctional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I feel discomfort in my hands.FACT-Taxane Version 4 - I Feel Discomfort in My Hands
FAC06331C151143FAC063-I Feel Discomfort in My FeetFunctional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I feel discomfort in my feet.FACT-Taxane Version 4 - I Feel Discomfort in My Feet
FAC06332C151144FAC063-Have Joint Pain or Muscle CrampsFunctional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I have joint pain or muscle cramps.FACT-Taxane Version 4 - Have Joint Pain or Muscle Cramps
FAC06333C151145FAC063-I Feel Weak All OverFunctional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I feel weak all over.FACT-Taxane Version 4 - I Feel Weak All Over
FAC06334C151146FAC063-I Have Trouble HearingFunctional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I have trouble hearing.FACT-Taxane Version 4 - I Have Trouble Hearing
FAC06335C151147FAC063-Get Ringing or Buzzing in My EarsFunctional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I get a ringing or buzzing in my ears.FACT-Taxane Version 4 - Get Ringing or Buzzing in My Ears
FAC06336C151148FAC063-I Have Trouble Buttoning ButtonsFunctional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I have trouble buttoning buttons.FACT-Taxane Version 4 - I Have Trouble Buttoning Buttons
FAC06337C151149FAC063-Trouble Feeling Shape of ObjectsFunctional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I have trouble feeling the shape of small objects when they are in my hand.FACT-Taxane Version 4 - Trouble Feeling Shape of Objects
FAC06338C151150FAC063-I Have Trouble WalkingFunctional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I have trouble walking.FACT-Taxane Version 4 - I Have Trouble Walking
FAC06339C151151FAC063-I Feel BloatedFunctional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I feel bloated.FACT-Taxane Version 4 - I Feel Bloated
FAC06340C151152FAC063-My Hands Are SwollenFunctional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: My hands are swollen.FACT-Taxane Version 4 - My Hands Are Swollen
FAC06341C151153FAC063-My Legs or Feet Are SwollenFunctional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: My legs or feet are swollen.FACT-Taxane Version 4 - My Legs or Feet Are Swollen
FAC06342C151154FAC063-I Have Pain in My FingertipsFunctional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I have pain in my fingertips.FACT-Taxane Version 4 - I Have Pain in My Fingertips
FAC06343C151155FAC063-Bothered by My Hands/Nails LookFunctional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I am bothered by the way my hands or nails look.FACT-Taxane Version 4 - Bothered by My Hands/Nails Look
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CL.C150775.FAC063TNFunctional Assessment of Cancer Therapy-Taxane Version 4 Questionnaire Test Name
(FAC063TN)
text
Extensible: No
C150775Functional Assessment of Cancer Therapy-Taxane Version 4 Questionnaire Test NameFunctional Assessment of Cancer Therapy-Taxane Version 4 test name.CDISC Questionnaire FACT-Taxane Version 4 Test Name Terminology
FAC063-Bothered by My Hands/Nails LookC151155FAC063-Bothered by My Hands/Nails LookFunctional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I am bothered by the way my hands or nails look.FACT-Taxane Version 4 - Bothered by My Hands/Nails Look
FAC063-Bothered by Treatment Side EffectC151117FAC063-Bothered by Treatment Side EffectFunctional Assessment of Cancer Therapy-Taxane Version 4 - Physical Well-Being: I am bothered by side effects of treatment.FACT-Taxane Version 4 - Bothered by Treatment Side Effect
FAC063-Content With Quality of My LifeC151139FAC063-Content With Quality of My LifeFunctional Assessment of Cancer Therapy-Taxane Version 4 - Functional Well-Being: I am content with the quality of my life right now.FACT-Taxane Version 4 - Content With Quality of My Life
FAC063-Enjoy Things I Usually Do for FunC151138FAC063-Enjoy Things I Usually Do for FunFunctional Assessment of Cancer Therapy-Taxane Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun.FACT-Taxane Version 4 - Enjoy Things I Usually Do for Fun
FAC063-Get Emotional Support From FamilyC151121FAC063-Get Emotional Support From FamilyFunctional Assessment of Cancer Therapy-Taxane Version 4 - Social/Family Well-Being: I get emotional support from my family.FACT-Taxane Version 4 - Get Emotional Support From Family
FAC063-Get Ringing or Buzzing in My EarsC151147FAC063-Get Ringing or Buzzing in My EarsFunctional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I get a ringing or buzzing in my ears.FACT-Taxane Version 4 - Get Ringing or Buzzing in My Ears
FAC063-Have Joint Pain or Muscle CrampsC151144FAC063-Have Joint Pain or Muscle CrampsFunctional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I have joint pain or muscle cramps.FACT-Taxane Version 4 - Have Joint Pain or Muscle Cramps
FAC063-I Am Able to Enjoy LifeC151135FAC063-I Am Able to Enjoy LifeFunctional Assessment of Cancer Therapy-Taxane Version 4 - Functional Well-Being: I am able to enjoy life.FACT-Taxane Version 4 - I Am Able to Enjoy Life
FAC063-I Am Able to WorkC151133FAC063-I Am Able to WorkFunctional Assessment of Cancer Therapy-Taxane Version 4 - Functional Well-Being: I am able to work (include work at home).FACT-Taxane Version 4 - I Am Able to Work
FAC063-I Am Forced to Spend Time in BedC151119FAC063-I Am Forced to Spend Time in BedFunctional Assessment of Cancer Therapy-Taxane Version 4 - Physical Well-Being: I am forced to spend time in bed.FACT-Taxane Version 4 - I Am Forced to Spend Time in Bed
FAC063-I Am Satisfied With My Sex LifeC151126FAC063-I Am Satisfied With My Sex LifeFunctional Assessment of Cancer Therapy-Taxane Version 4 - Social/Family Well-Being: I am satisfied with my sex life.FACT-Taxane Version 4 - I Am Satisfied With My Sex Life
FAC063-I Am Sleeping WellC151137FAC063-I Am Sleeping WellFunctional Assessment of Cancer Therapy-Taxane Version 4 - Functional Well-Being: I am sleeping well.FACT-Taxane Version 4 - I Am Sleeping Well
FAC063-I Feel BloatedC151151FAC063-I Feel BloatedFunctional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I feel bloated.FACT-Taxane Version 4 - I Feel Bloated
FAC063-I Feel Close to My FriendsC151120FAC063-I Feel Close to My FriendsFunctional Assessment of Cancer Therapy-Taxane Version 4 - Social/Family Well-Being: I feel close to my friends.FACT-Taxane Version 4 - I Feel Close to My Friends
FAC063-I Feel Close to My PartnerC151125FAC063-I Feel Close to My PartnerFunctional Assessment of Cancer Therapy-Taxane Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support).FACT-Taxane Version 4 - I Feel Close to My Partner
FAC063-I Feel Discomfort in My FeetC151143FAC063-I Feel Discomfort in My FeetFunctional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I feel discomfort in my feet.FACT-Taxane Version 4 - I Feel Discomfort in My Feet
FAC063-I Feel Discomfort in My HandsC151142FAC063-I Feel Discomfort in My HandsFunctional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I feel discomfort in my hands.FACT-Taxane Version 4 - I Feel Discomfort in My Hands
FAC063-I Feel IllC151118FAC063-I Feel IllFunctional Assessment of Cancer Therapy-Taxane Version 4 - Physical Well-Being: I feel ill.FACT-Taxane Version 4 - I Feel Ill
FAC063-I Feel NervousC151130FAC063-I Feel NervousFunctional Assessment of Cancer Therapy-Taxane Version 4 - Emotional Well-Being: I feel nervous.FACT-Taxane Version 4 - I Feel Nervous
FAC063-I Feel SadC151127FAC063-I Feel SadFunctional Assessment of Cancer Therapy-Taxane Version 4 - Emotional Well-Being: I feel sad.FACT-Taxane Version 4 - I Feel Sad
FAC063-I Feel Weak All OverC151145FAC063-I Feel Weak All OverFunctional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I feel weak all over.FACT-Taxane Version 4 - I Feel Weak All Over
FAC063-I Get Support From My FriendsC151122FAC063-I Get Support From My FriendsFunctional Assessment of Cancer Therapy-Taxane Version 4 - Social/Family Well-Being: I get support from my friends.FACT-Taxane Version 4 - I Get Support From My Friends
FAC063-I Have a Lack of EnergyC151113FAC063-I Have a Lack of EnergyFunctional Assessment of Cancer Therapy-Taxane Version 4 - Physical Well-Being: I have a lack of energy.FACT-Taxane Version 4 - I Have a Lack of Energy
FAC063-I Have Accepted My IllnessC151136FAC063-I Have Accepted My IllnessFunctional Assessment of Cancer Therapy-Taxane Version 4 - Functional Well-Being: I have accepted my illness.FACT-Taxane Version 4 - I Have Accepted My Illness
FAC063-I Have NauseaC151114FAC063-I Have NauseaFunctional Assessment of Cancer Therapy-Taxane Version 4 - Physical Well-Being: I have nausea.FACT-Taxane Version 4 - I Have Nausea
FAC063-I Have Pain in My FingertipsC151154FAC063-I Have Pain in My FingertipsFunctional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I have pain in my fingertips.FACT-Taxane Version 4 - I Have Pain in My Fingertips
FAC063-I Have PainC151116FAC063-I Have PainFunctional Assessment of Cancer Therapy-Taxane Version 4 - Physical Well-Being: I have pain.FACT-Taxane Version 4 - I Have Pain
FAC063-I Have Trouble Buttoning ButtonsC151148FAC063-I Have Trouble Buttoning ButtonsFunctional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I have trouble buttoning buttons.FACT-Taxane Version 4 - I Have Trouble Buttoning Buttons
FAC063-I Have Trouble HearingC151146FAC063-I Have Trouble HearingFunctional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I have trouble hearing.FACT-Taxane Version 4 - I Have Trouble Hearing
FAC063-I Have Trouble WalkingC151150FAC063-I Have Trouble WalkingFunctional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I have trouble walking.FACT-Taxane Version 4 - I Have Trouble Walking
FAC063-I Worry About DyingC151131FAC063-I Worry About DyingFunctional Assessment of Cancer Therapy-Taxane Version 4 - Emotional Well-Being: I worry about dying.FACT-Taxane Version 4 - I Worry About Dying
FAC063-Losing Hope Against IllnessC151129FAC063-Losing Hope Against IllnessFunctional Assessment of Cancer Therapy-Taxane Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness.FACT-Taxane Version 4 - Losing Hope Against Illness
FAC063-My Family Has Accepted My IllnessC151123FAC063-My Family Has Accepted My IllnessFunctional Assessment of Cancer Therapy-Taxane Version 4 - Social/Family Well-Being: My family has accepted my illness.FACT-Taxane Version 4 - My Family Has Accepted My Illness
FAC063-My Hands Are SwollenC151152FAC063-My Hands Are SwollenFunctional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: My hands are swollen.FACT-Taxane Version 4 - My Hands Are Swollen
FAC063-My Legs or Feet Are SwollenC151153FAC063-My Legs or Feet Are SwollenFunctional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: My legs or feet are swollen.FACT-Taxane Version 4 - My Legs or Feet Are Swollen
FAC063-My Work Is FulfillingC151134FAC063-My Work Is FulfillingFunctional Assessment of Cancer Therapy-Taxane Version 4 - Functional Well-Being: My work (include work at home) is fulfilling.FACT-Taxane Version 4 - My Work Is Fulfilling
FAC063-Numbness or Tingling in My FeetC151141FAC063-Numbness or Tingling in My FeetFunctional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I have numbness or tingling in my feet.FACT-Taxane Version 4 - Numbness or Tingling in My Feet
FAC063-Numbness or Tingling in My HandsC151140FAC063-Numbness or Tingling in My HandsFunctional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I have numbness or tingling in my hands.FACT-Taxane Version 4 - Numbness or Tingling in My Hands
FAC063-Satisfied Communication IllnessC151124FAC063-Satisfied Communication IllnessFunctional Assessment of Cancer Therapy-Taxane Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness.FACT-Taxane Version 4 - Satisfied Communication Illness
FAC063-Satisfied With How I Am CopingC151128FAC063-Satisfied With How I Am CopingFunctional Assessment of Cancer Therapy-Taxane Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness.FACT-Taxane Version 4 - Satisfied With How I Am Coping
FAC063-Trouble Feeling Shape of ObjectsC151149FAC063-Trouble Feeling Shape of ObjectsFunctional Assessment of Cancer Therapy-Taxane Version 4 - Additional Concerns: I have trouble feeling the shape of small objects when they are in my hand.FACT-Taxane Version 4 - Trouble Feeling Shape of Objects
FAC063-Trouble Meeting Needs of FamilyC151115FAC063-Trouble Meeting Needs of FamilyFunctional Assessment of Cancer Therapy-Taxane Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family.FACT-Taxane Version 4 - Trouble Meeting Needs of Family
FAC063-Worry My Condition Will Get WorseC151132FAC063-Worry My Condition Will Get WorseFunctional Assessment of Cancer Therapy-Taxane Version 4 - Emotional Well-Being: I worry that my condition will get worse.FACT-Taxane Version 4 - Worry My Condition Will Get Worse
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CL.C150780.FAC057TCFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 Questionnaire Test Code
(FAC057TC)
text
Extensible: No
C150780Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 Questionnaire Test CodeFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 test code.CDISC Questionnaire FACT/GOG-NTX Version 4 Test Code Terminology
FAC05701C151196FAC057-I Have a Lack of EnergyFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Physical Well-Being: I have a lack of energy.FACT/GOG-NTX Version 4 - I Have a Lack of Energy
FAC05702C151197FAC057-I Have NauseaFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Physical Well-Being: I have nausea.FACT/GOG-NTX Version 4 - I Have Nausea
FAC05703C151198FAC057-Trouble Meeting Needs of FamilyFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family.FACT/GOG-NTX Version 4 - Trouble Meeting Needs of Family
FAC05704C151199FAC057-I Have PainFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Physical Well-Being: I have pain.FACT/GOG-NTX Version 4 - I Have Pain
FAC05705C151200FAC057-Bothered by Treatment Side EffectFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Physical Well-Being: I am bothered by side effects of treatment.FACT/GOG-NTX Version 4 - Bothered by Treatment Side Effect
FAC05706C151201FAC057-I Feel IllFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Physical Well-Being: I feel ill.FACT/GOG-NTX Version 4 - I Feel Ill
FAC05707C151202FAC057-I Am Forced to Spend Time in BedFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Physical Well-Being: I am forced to spend time in bed.FACT/GOG-NTX Version 4 - I Am Forced to Spend Time in Bed
FAC05708C151203FAC057-I Feel Close to My FriendsFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Social/Family Well-Being: I feel close to my friends.FACT/GOG-NTX Version 4 - I Feel Close to My Friends
FAC05709C151204FAC057-Get Emotional Support From FamilyFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Social/Family Well-Being: I get emotional support from my family.FACT/GOG-NTX Version 4 - Get Emotional Support From Family
FAC05710C151205FAC057-I Get Support From My FriendsFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Social/Family Well-Being: I get support from my friends.FACT/GOG-NTX Version 4 - I Get Support From My Friends
FAC05711C151206FAC057-My Family Has Accepted My IllnessFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Social/Family Well-Being: My family has accepted my illness.FACT/GOG-NTX Version 4 - My Family Has Accepted My Illness
FAC05712C151207FAC057-Satisfied Communication IllnessFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness.FACT/GOG-NTX Version 4 - Satisfied Communication Illness
FAC05713C151208FAC057-I Feel Close to My PartnerFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support).FACT/GOG-NTX Version 4 - I Feel Close to My Partner
FAC05714C151209FAC057-I Am Satisfied With My Sex LifeFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Social/Family Well-Being: I am satisfied with my sex life.FACT/GOG-NTX Version 4 - I Am Satisfied With My Sex Life
FAC05715C151210FAC057-I Feel SadFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Emotional Well-Being: I feel sad.FACT/GOG-NTX Version 4 - I Feel Sad
FAC05716C151211FAC057-Satisfied With How I Am CopingFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness.FACT/GOG-NTX Version 4 - Satisfied With How I Am Coping
FAC05717C151212FAC057-Losing Hope Against IllnessFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness.FACT/GOG-NTX Version 4 - Losing Hope Against Illness
FAC05718C151213FAC057-I Feel NervousFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Emotional Well-Being: I feel nervous.FACT/GOG-NTX Version 4 - I Feel Nervous
FAC05719C151214FAC057-I Worry About DyingFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Emotional Well-Being: I worry about dying.FACT/GOG-NTX Version 4 - I Worry About Dying
FAC05720C151215FAC057-Worry My Condition Will Get WorseFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Emotional Well-Being: I worry that my condition will get worse.FACT/GOG-NTX Version 4 - Worry My Condition Will Get Worse
FAC05721C151216FAC057-I Am Able to WorkFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Functional Well-Being: I am able to work (include work at home).FACT/GOG-NTX Version 4 - I Am Able to Work
FAC05722C151217FAC057-My Work Is FulfillingFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Functional Well-Being: My work (include work at home) is fulfilling.FACT/GOG-NTX Version 4 - My Work Is Fulfilling
FAC05723C151218FAC057-I Am Able to Enjoy LifeFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Functional Well-Being: I am able to enjoy life.FACT/GOG-NTX Version 4 - I Am Able to Enjoy Life
FAC05724C151219FAC057-I Have Accepted My IllnessFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Functional Well-Being: I have accepted my illness.FACT/GOG-NTX Version 4 - I Have Accepted My Illness
FAC05725C151220FAC057-I Am Sleeping WellFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Functional Well-Being: I am sleeping well.FACT/GOG-NTX Version 4 - I Am Sleeping Well
FAC05726C151221FAC057-Enjoy Things I Usually Do for FunFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun.FACT/GOG-NTX Version 4 - Enjoy Things I Usually Do for Fun
FAC05727C151222FAC057-Content With Quality of My LifeFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Functional Well-Being: I am content with the quality of my life right now.FACT/GOG-NTX Version 4 - Content With Quality of My Life
FAC05728C151223FAC057-Numbness or Tingling in My HandsFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Additional Concerns: I have numbness or tingling in my hands.FACT/GOG-NTX Version 4 - Numbness or Tingling in My Hands
FAC05729C151224FAC057-Numbness or Tingling in My FeetFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Additional Concerns: I have numbness or tingling in my feet.FACT/GOG-NTX Version 4 - Numbness or Tingling in My Feet
FAC05730C151225FAC057-I Feel Discomfort in My HandsFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Additional Concerns: I feel discomfort in my hands.FACT/GOG-NTX Version 4 - I Feel Discomfort in My Hands
FAC05731C151226FAC057-I Feel Discomfort in My FeetFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Additional Concerns: I feel discomfort in my feet.FACT/GOG-NTX Version 4 - I Feel Discomfort in My Feet
FAC05732C151227FAC057-Have Joint Pain or Muscle CrampsFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Additional Concerns: I have joint pain or muscle cramps.FACT/GOG-NTX Version 4 - Have Joint Pain or Muscle Cramps
FAC05733C151228FAC057-I Feel Weak All OverFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Additional Concerns: I feel weak all over.FACT/GOG-NTX Version 4 - I Feel Weak All Over
FAC05734C151229FAC057-I Have Trouble HearingFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Additional Concerns: I have trouble hearing.FACT/GOG-NTX Version 4 - I Have Trouble Hearing
FAC05735C151230FAC057-Get Ringing or Buzzing in My EarsFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Additional Concerns: I get a ringing or buzzing in my ears.FACT/GOG-NTX Version 4 - Get Ringing or Buzzing in My Ears
FAC05736C151231FAC057-I Have Trouble Buttoning ButtonsFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Additional Concerns: I have trouble buttoning buttons.FACT/GOG-NTX Version 4 - I Have Trouble Buttoning Buttons
FAC05737C151232FAC057-Trouble Feeling Shape of ObjectsFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Additional Concerns: I have trouble feeling the shape of small objects when they are in my hand.FACT/GOG-NTX Version 4 - Trouble Feeling Shape of Objects
FAC05738C151233FAC057-I Have Trouble WalkingFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Additional Concerns: I have trouble walking.FACT/GOG-NTX Version 4 - I Have Trouble Walking
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CL.C150779.FAC057TNFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 Questionnaire Test Name
(FAC057TN)
text
Extensible: No
C150779Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 Questionnaire Test NameFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 test name.CDISC Questionnaire FACT/GOG-NTX Version 4 Test Name Terminology
FAC057-Bothered by Treatment Side EffectC151200FAC057-Bothered by Treatment Side EffectFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Physical Well-Being: I am bothered by side effects of treatment.FACT/GOG-NTX Version 4 - Bothered by Treatment Side Effect
FAC057-Content With Quality of My LifeC151222FAC057-Content With Quality of My LifeFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Functional Well-Being: I am content with the quality of my life right now.FACT/GOG-NTX Version 4 - Content With Quality of My Life
FAC057-Enjoy Things I Usually Do for FunC151221FAC057-Enjoy Things I Usually Do for FunFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun.FACT/GOG-NTX Version 4 - Enjoy Things I Usually Do for Fun
FAC057-Get Emotional Support From FamilyC151204FAC057-Get Emotional Support From FamilyFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Social/Family Well-Being: I get emotional support from my family.FACT/GOG-NTX Version 4 - Get Emotional Support From Family
FAC057-Get Ringing or Buzzing in My EarsC151230FAC057-Get Ringing or Buzzing in My EarsFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Additional Concerns: I get a ringing or buzzing in my ears.FACT/GOG-NTX Version 4 - Get Ringing or Buzzing in My Ears
FAC057-Have Joint Pain or Muscle CrampsC151227FAC057-Have Joint Pain or Muscle CrampsFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Additional Concerns: I have joint pain or muscle cramps.FACT/GOG-NTX Version 4 - Have Joint Pain or Muscle Cramps
FAC057-I Am Able to Enjoy LifeC151218FAC057-I Am Able to Enjoy LifeFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Functional Well-Being: I am able to enjoy life.FACT/GOG-NTX Version 4 - I Am Able to Enjoy Life
FAC057-I Am Able to WorkC151216FAC057-I Am Able to WorkFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Functional Well-Being: I am able to work (include work at home).FACT/GOG-NTX Version 4 - I Am Able to Work
FAC057-I Am Forced to Spend Time in BedC151202FAC057-I Am Forced to Spend Time in BedFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Physical Well-Being: I am forced to spend time in bed.FACT/GOG-NTX Version 4 - I Am Forced to Spend Time in Bed
FAC057-I Am Satisfied With My Sex LifeC151209FAC057-I Am Satisfied With My Sex LifeFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Social/Family Well-Being: I am satisfied with my sex life.FACT/GOG-NTX Version 4 - I Am Satisfied With My Sex Life
FAC057-I Am Sleeping WellC151220FAC057-I Am Sleeping WellFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Functional Well-Being: I am sleeping well.FACT/GOG-NTX Version 4 - I Am Sleeping Well
FAC057-I Feel Close to My FriendsC151203FAC057-I Feel Close to My FriendsFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Social/Family Well-Being: I feel close to my friends.FACT/GOG-NTX Version 4 - I Feel Close to My Friends
FAC057-I Feel Close to My PartnerC151208FAC057-I Feel Close to My PartnerFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support).FACT/GOG-NTX Version 4 - I Feel Close to My Partner
FAC057-I Feel Discomfort in My FeetC151226FAC057-I Feel Discomfort in My FeetFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Additional Concerns: I feel discomfort in my feet.FACT/GOG-NTX Version 4 - I Feel Discomfort in My Feet
FAC057-I Feel Discomfort in My HandsC151225FAC057-I Feel Discomfort in My HandsFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Additional Concerns: I feel discomfort in my hands.FACT/GOG-NTX Version 4 - I Feel Discomfort in My Hands
FAC057-I Feel IllC151201FAC057-I Feel IllFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Physical Well-Being: I feel ill.FACT/GOG-NTX Version 4 - I Feel Ill
FAC057-I Feel NervousC151213FAC057-I Feel NervousFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Emotional Well-Being: I feel nervous.FACT/GOG-NTX Version 4 - I Feel Nervous
FAC057-I Feel SadC151210FAC057-I Feel SadFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Emotional Well-Being: I feel sad.FACT/GOG-NTX Version 4 - I Feel Sad
FAC057-I Feel Weak All OverC151228FAC057-I Feel Weak All OverFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Additional Concerns: I feel weak all over.FACT/GOG-NTX Version 4 - I Feel Weak All Over
FAC057-I Get Support From My FriendsC151205FAC057-I Get Support From My FriendsFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Social/Family Well-Being: I get support from my friends.FACT/GOG-NTX Version 4 - I Get Support From My Friends
FAC057-I Have a Lack of EnergyC151196FAC057-I Have a Lack of EnergyFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Physical Well-Being: I have a lack of energy.FACT/GOG-NTX Version 4 - I Have a Lack of Energy
FAC057-I Have Accepted My IllnessC151219FAC057-I Have Accepted My IllnessFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Functional Well-Being: I have accepted my illness.FACT/GOG-NTX Version 4 - I Have Accepted My Illness
FAC057-I Have NauseaC151197FAC057-I Have NauseaFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Physical Well-Being: I have nausea.FACT/GOG-NTX Version 4 - I Have Nausea
FAC057-I Have PainC151199FAC057-I Have PainFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Physical Well-Being: I have pain.FACT/GOG-NTX Version 4 - I Have Pain
FAC057-I Have Trouble Buttoning ButtonsC151231FAC057-I Have Trouble Buttoning ButtonsFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Additional Concerns: I have trouble buttoning buttons.FACT/GOG-NTX Version 4 - I Have Trouble Buttoning Buttons
FAC057-I Have Trouble HearingC151229FAC057-I Have Trouble HearingFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Additional Concerns: I have trouble hearing.FACT/GOG-NTX Version 4 - I Have Trouble Hearing
FAC057-I Have Trouble WalkingC151233FAC057-I Have Trouble WalkingFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Additional Concerns: I have trouble walking.FACT/GOG-NTX Version 4 - I Have Trouble Walking
FAC057-I Worry About DyingC151214FAC057-I Worry About DyingFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Emotional Well-Being: I worry about dying.FACT/GOG-NTX Version 4 - I Worry About Dying
FAC057-Losing Hope Against IllnessC151212FAC057-Losing Hope Against IllnessFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness.FACT/GOG-NTX Version 4 - Losing Hope Against Illness
FAC057-My Family Has Accepted My IllnessC151206FAC057-My Family Has Accepted My IllnessFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Social/Family Well-Being: My family has accepted my illness.FACT/GOG-NTX Version 4 - My Family Has Accepted My Illness
FAC057-My Work Is FulfillingC151217FAC057-My Work Is FulfillingFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Functional Well-Being: My work (include work at home) is fulfilling.FACT/GOG-NTX Version 4 - My Work Is Fulfilling
FAC057-Numbness or Tingling in My FeetC151224FAC057-Numbness or Tingling in My FeetFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Additional Concerns: I have numbness or tingling in my feet.FACT/GOG-NTX Version 4 - Numbness or Tingling in My Feet
FAC057-Numbness or Tingling in My HandsC151223FAC057-Numbness or Tingling in My HandsFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Additional Concerns: I have numbness or tingling in my hands.FACT/GOG-NTX Version 4 - Numbness or Tingling in My Hands
FAC057-Satisfied Communication IllnessC151207FAC057-Satisfied Communication IllnessFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness.FACT/GOG-NTX Version 4 - Satisfied Communication Illness
FAC057-Satisfied With How I Am CopingC151211FAC057-Satisfied With How I Am CopingFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness.FACT/GOG-NTX Version 4 - Satisfied With How I Am Coping
FAC057-Trouble Feeling Shape of ObjectsC151232FAC057-Trouble Feeling Shape of ObjectsFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Additional Concerns: I have trouble feeling the shape of small objects when they are in my hand.FACT/GOG-NTX Version 4 - Trouble Feeling Shape of Objects
FAC057-Trouble Meeting Needs of FamilyC151198FAC057-Trouble Meeting Needs of FamilyFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family.FACT/GOG-NTX Version 4 - Trouble Meeting Needs of Family
FAC057-Worry My Condition Will Get WorseC151215FAC057-Worry My Condition Will Get WorseFunctional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity Version 4 - Emotional Well-Being: I worry that my condition will get worse.FACT/GOG-NTX Version 4 - Worry My Condition Will Get Worse
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CL.C147542.FAC084TCFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form Questionnaire Test Code
(FAC084TC)
text
Extensible: No
C147542Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form Questionnaire Test CodeFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form test code.CDISC Questionnaire FACIT-Dyspnea 10 Item Short Form Test Code Terminology
FAC08401C147643FAC084-Part I: Dressing Without HelpFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Dressing yourself without help.FACIT-Dyspnea 10 Item Short Form - Part I: Dressing Without Help
FAC08402C147644FAC084-Part I: Dressing Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Dressing yourself without help. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea 10 Item Short Form - Part I: Dressing Why Not
FAC08403C147645FAC084-Part I: Walk 50 StepsFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Walking 50 steps/paces on flat ground at a normal speed without stopping.FACIT-Dyspnea 10 Item Short Form - Part I: Walk 50 Steps
FAC08404C147646FAC084-Part I: Walk 50 Steps Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Walking 50 steps/paces on flat ground at a normal speed without stopping. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea 10 Item Short Form - Part I: Walk 50 Steps Why Not
FAC08405C147647FAC084-Part I: Walk Up 20 StairsFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Walking up 20 stairs (2 flights) without stopping.FACIT-Dyspnea 10 Item Short Form - Part I: Walk Up 20 Stairs
FAC08406C147648FAC084-Part I: Walk Up 20 Stairs Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Walking up 20 stairs (2 flights) without stopping. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea 10 Item Short Form - Part I: Walk Up 20 Stairs Why Not
FAC08407C147649FAC084-Part I: Preparing MealsFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Preparing Meals.FACIT-Dyspnea 10 Item Short Form - Part I: Preparing Meals
FAC08408C147650FAC084-Part I: Preparing Meals Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Preparing Meals. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea 10 Item Short Form - Part I: Preparing Meals Why Not
FAC08409C147651FAC084-Part I: Washing DishesFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Washing dishes.FACIT-Dyspnea 10 Item Short Form - Part I: Washing Dishes
FAC08410C147652FAC084-Part I: Washing Dishes Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Washing dishes. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea 10 Item Short Form - Part I: Washing Dishes Why Not
FAC08411C147653FAC084-Part I: Sweeping/MoppingFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Sweeping or mopping.FACIT-Dyspnea 10 Item Short Form - Part I: Sweeping/Mopping
FAC08412C147654FAC084-Part I: Sweeping/Mopping Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Sweeping or mopping. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea 10 Item Short Form - Part I: Sweeping/Mopping Why Not
FAC08413C147655FAC084-Part I: Making a BedFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Making a bed.FACIT-Dyspnea 10 Item Short Form - Part I: Making a Bed
FAC08414C147656FAC084-Part I: Making a Bed Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Making a bed. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea 10 Item Short Form - Part I: Making a Bed Why Not
FAC08415C147657FAC084-Part I: Lifting 10-20 LbsFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Lifting something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries).FACIT-Dyspnea 10 Item Short Form - Part I: Lifting 10-20 Lbs
FAC08416C147658FAC084-Part I: Lifting 10-20 Lbs Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Lifting something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries). Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea 10 Item Short Form - Part I: Lifting 10-20 Lbs Why Not
FAC08417C147659FAC084-Part I: Carry 10-20 LbsFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Carrying something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries) from one room to another.FACIT-Dyspnea 10 Item Short Form - Part I: Carry 10-20 Lbs
FAC08418C147660FAC084-Part I: Carry 10-20 Lbs Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Carrying something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries) from one room to another. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea 10 Item Short Form - Part I: Carry 10-20 Lbs Why Not
FAC08419C147661FAC084-Part I: Walk for 1/2 MileFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Walking (faster than your usual speed) for 1/2 mile (almost 1 km) without stopping.FACIT-Dyspnea 10 Item Short Form - Part I: Walk for 1/2 Mile
FAC08420C147662FAC084-Part I: Walk for 1/2 Mile Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Walking (faster than your usual speed) for 1/2 mile (almost 1 km) without stopping. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea 10 Item Short Form - Part I: Walk for 1/2 Mile Why Not
FAC08421C147663FAC084-Part II: Dressing Without HelpFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part II Functional Limitation. Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Dressing yourself without help.FACIT-Dyspnea 10 Item Short Form - Part II: Dressing Without Help
FAC08422C147664FAC084-Part II: Walk 50 StepsFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part II Functional Limitation. Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking 50 steps/paces on flat ground at a normal speed without stopping.FACIT-Dyspnea 10 Item Short Form - Part II: Walk 50 Steps
FAC08423C147665FAC084-Part II: Walk Up 20 StairsFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part II Functional Limitation. Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking up 20 stairs (2 flights) without stopping.FACIT-Dyspnea 10 Item Short Form - Part II: Walk Up 20 Stairs
FAC08424C147666FAC084-Part II: Preparing MealsFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part II Functional Limitation. Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Preparing meals.FACIT-Dyspnea 10 Item Short Form - Part II: Preparing Meals
FAC08425C147667FAC084-Part II: Washing DishesFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part II Functional Limitation. Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Washing dishes.FACIT-Dyspnea 10 Item Short Form - Part II: Washing Dishes
FAC08426C147668FAC084-Part II: Sweeping/MoppingFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part II Functional Limitation. Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Sweeping or mopping.FACIT-Dyspnea 10 Item Short Form - Part II: Sweeping/Mopping
FAC08427C147669FAC084-Part II: Making a BedFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part II Functional Limitation. Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Making a bed.FACIT-Dyspnea 10 Item Short Form - Part II: Making a Bed
FAC08428C147670FAC084-Part II: Lifting 10-20 LbsFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part II Functional Limitation. Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Lifting something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries).FACIT-Dyspnea 10 Item Short Form - Part II: Lifting 10-20 Lbs
FAC08429C147671FAC084-Part II: Carry 10-20 LbsFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part II Functional Limitation. Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Carrying something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries) from one room to another.FACIT-Dyspnea 10 Item Short Form - Part II: Carry 10-20 Lbs
FAC08430C147672FAC084-Part II: Walk for 1/2 MileFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part II Functional Limitation. Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking (faster than your usual speed) for 1/2 mile (almost 1 km) without stopping.FACIT-Dyspnea 10 Item Short Form - Part II: Walk for 1/2 Mile
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CL.C147541.FAC084TNFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form Questionnaire Test Name
(FAC084TN)
text
Extensible: No
C147541Functional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form Questionnaire Test NameFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form test name.CDISC Questionnaire FACIT-Dyspnea 10 Item Short Form Test Name Terminology
FAC084-Part I: Carry 10-20 Lbs Why NotC147660FAC084-Part I: Carry 10-20 Lbs Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Carrying something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries) from one room to another. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea 10 Item Short Form - Part I: Carry 10-20 Lbs Why Not
FAC084-Part I: Carry 10-20 LbsC147659FAC084-Part I: Carry 10-20 LbsFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Carrying something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries) from one room to another.FACIT-Dyspnea 10 Item Short Form - Part I: Carry 10-20 Lbs
FAC084-Part I: Dressing Why NotC147644FAC084-Part I: Dressing Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Dressing yourself without help. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea 10 Item Short Form - Part I: Dressing Why Not
FAC084-Part I: Dressing Without HelpC147643FAC084-Part I: Dressing Without HelpFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Dressing yourself without help.FACIT-Dyspnea 10 Item Short Form - Part I: Dressing Without Help
FAC084-Part I: Lifting 10-20 Lbs Why NotC147658FAC084-Part I: Lifting 10-20 Lbs Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Lifting something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries). Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea 10 Item Short Form - Part I: Lifting 10-20 Lbs Why Not
FAC084-Part I: Lifting 10-20 LbsC147657FAC084-Part I: Lifting 10-20 LbsFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Lifting something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries).FACIT-Dyspnea 10 Item Short Form - Part I: Lifting 10-20 Lbs
FAC084-Part I: Making a Bed Why NotC147656FAC084-Part I: Making a Bed Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Making a bed. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea 10 Item Short Form - Part I: Making a Bed Why Not
FAC084-Part I: Making a BedC147655FAC084-Part I: Making a BedFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Making a bed.FACIT-Dyspnea 10 Item Short Form - Part I: Making a Bed
FAC084-Part I: Preparing Meals Why NotC147650FAC084-Part I: Preparing Meals Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Preparing Meals. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea 10 Item Short Form - Part I: Preparing Meals Why Not
FAC084-Part I: Preparing MealsC147649FAC084-Part I: Preparing MealsFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Preparing Meals.FACIT-Dyspnea 10 Item Short Form - Part I: Preparing Meals
FAC084-Part I: Sweeping/Mopping Why NotC147654FAC084-Part I: Sweeping/Mopping Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Sweeping or mopping. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea 10 Item Short Form - Part I: Sweeping/Mopping Why Not
FAC084-Part I: Sweeping/MoppingC147653FAC084-Part I: Sweeping/MoppingFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Sweeping or mopping.FACIT-Dyspnea 10 Item Short Form - Part I: Sweeping/Mopping
FAC084-Part I: Walk 50 Steps Why NotC147646FAC084-Part I: Walk 50 Steps Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Walking 50 steps/paces on flat ground at a normal speed without stopping. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea 10 Item Short Form - Part I: Walk 50 Steps Why Not
FAC084-Part I: Walk 50 StepsC147645FAC084-Part I: Walk 50 StepsFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Walking 50 steps/paces on flat ground at a normal speed without stopping.FACIT-Dyspnea 10 Item Short Form - Part I: Walk 50 Steps
FAC084-Part I: Walk for 1/2 Mile Why NotC147662FAC084-Part I: Walk for 1/2 Mile Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Walking (faster than your usual speed) for 1/2 mile (almost 1 km) without stopping. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea 10 Item Short Form - Part I: Walk for 1/2 Mile Why Not
FAC084-Part I: Walk for 1/2 MileC147661FAC084-Part I: Walk for 1/2 MileFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Walking (faster than your usual speed) for 1/2 mile (almost 1 km) without stopping.FACIT-Dyspnea 10 Item Short Form - Part I: Walk for 1/2 Mile
FAC084-Part I: Walk Up 20 Stairs Why NotC147648FAC084-Part I: Walk Up 20 Stairs Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Walking up 20 stairs (2 flights) without stopping. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea 10 Item Short Form - Part I: Walk Up 20 Stairs Why Not
FAC084-Part I: Walk Up 20 StairsC147647FAC084-Part I: Walk Up 20 StairsFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Walking up 20 stairs (2 flights) without stopping.FACIT-Dyspnea 10 Item Short Form - Part I: Walk Up 20 Stairs
FAC084-Part I: Washing Dishes Why NotC147652FAC084-Part I: Washing Dishes Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Washing dishes. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea 10 Item Short Form - Part I: Washing Dishes Why Not
FAC084-Part I: Washing DishesC147651FAC084-Part I: Washing DishesFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part I. Over the past 7 days, how short of breath did you get with each of these activities?: Washing dishes.FACIT-Dyspnea 10 Item Short Form - Part I: Washing Dishes
FAC084-Part II: Carry 10-20 LbsC147671FAC084-Part II: Carry 10-20 LbsFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part II Functional Limitation. Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Carrying something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries) from one room to another.FACIT-Dyspnea 10 Item Short Form - Part II: Carry 10-20 Lbs
FAC084-Part II: Dressing Without HelpC147663FAC084-Part II: Dressing Without HelpFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part II Functional Limitation. Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Dressing yourself without help.FACIT-Dyspnea 10 Item Short Form - Part II: Dressing Without Help
FAC084-Part II: Lifting 10-20 LbsC147670FAC084-Part II: Lifting 10-20 LbsFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part II Functional Limitation. Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Lifting something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries).FACIT-Dyspnea 10 Item Short Form - Part II: Lifting 10-20 Lbs
FAC084-Part II: Making a BedC147669FAC084-Part II: Making a BedFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part II Functional Limitation. Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Making a bed.FACIT-Dyspnea 10 Item Short Form - Part II: Making a Bed
FAC084-Part II: Preparing MealsC147666FAC084-Part II: Preparing MealsFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part II Functional Limitation. Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Preparing meals.FACIT-Dyspnea 10 Item Short Form - Part II: Preparing Meals
FAC084-Part II: Sweeping/MoppingC147668FAC084-Part II: Sweeping/MoppingFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part II Functional Limitation. Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Sweeping or mopping.FACIT-Dyspnea 10 Item Short Form - Part II: Sweeping/Mopping
FAC084-Part II: Walk 50 StepsC147664FAC084-Part II: Walk 50 StepsFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part II Functional Limitation. Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking 50 steps/paces on flat ground at a normal speed without stopping.FACIT-Dyspnea 10 Item Short Form - Part II: Walk 50 Steps
FAC084-Part II: Walk for 1/2 MileC147672FAC084-Part II: Walk for 1/2 MileFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part II Functional Limitation. Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking (faster than your usual speed) for 1/2 mile (almost 1 km) without stopping.FACIT-Dyspnea 10 Item Short Form - Part II: Walk for 1/2 Mile
FAC084-Part II: Walk Up 20 StairsC147665FAC084-Part II: Walk Up 20 StairsFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part II Functional Limitation. Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking up 20 stairs (2 flights) without stopping.FACIT-Dyspnea 10 Item Short Form - Part II: Walk Up 20 Stairs
FAC084-Part II: Washing DishesC147667FAC084-Part II: Washing DishesFunctional Assessment of Chronic Illness Therapy-Dyspnea 10 Item Short Form - Part II Functional Limitation. Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Washing dishes.FACIT-Dyspnea 10 Item Short Form - Part II: Washing Dishes
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CL.C154451.FAC100TCFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank Questionnaire Test Code
(FAC100TC)
text
Extensible: No
C154451Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank Questionnaire Test CodeFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank test code.CDISC Questionnaire FACIT-Dyspnea Scale 33 Item Bank Version Test Code Terminology
FAC10001C155482FAC100-Sev: Dressing Without HelpFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Dressing yourself without help.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Dressing Without Help
FAC10002C155483FAC100-Sev: Dressing Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Dressing yourself without help. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Dressing Why Not
FAC10003C155484FAC100-Sev: Walk 50 StepsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking 50 steps/paces on flat ground at a normal speed without stopping.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walk 50 Steps
FAC10004C155485FAC100-Sev: Walk 50 Steps Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking 50 steps/paces on flat ground at a normal speed without stopping. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walk 50 Steps Why Not
FAC10005C155486FAC100-Sev: Walk Up 20 StairsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking up 20 stairs (2 flights) without stopping.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walk Up 20 Stairs
FAC10006C155487FAC100-Sev: Walk Up 20 Stairs Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking up 20 stairs (2 flights) without stopping. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walk Up 20 Stairs Why Not
FAC10007C155488FAC100-Sev: Preparing MealsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Preparing meals.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Preparing Meals
FAC10008C155489FAC100-Sev: Preparing Meals Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Preparing meals. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Preparing Meals Why Not
FAC10009C155490FAC100-Sev: Washing DishesFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Washing dishes.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Washing Dishes
FAC10010C155491FAC100-Sev: Washing Dishes Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Washing dishes. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Washing Dishes Why Not
FAC10011C155492FAC100-Sev: Sweeping/MoppingFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Sweeping or mopping.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Sweeping/Mopping
FAC10012C155493FAC100-Sev: Sweeping/Mopping Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Sweeping or mopping. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Sweeping/Mopping Why Not
FAC10013C155494FAC100-Sev: Making a BedFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Making a bed.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Making a Bed
FAC10014C155495FAC100-Sev: Making a Bed Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Making a bed. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Making a Bed Why Not
FAC10015C155496FAC100-Sev: Lifting 10-20 LbsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Lifting something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries).FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Lifting 10-20 Lbs
FAC10016C155497FAC100-Sev: Lifting 10-20 Lbs Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Lifting something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries). Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Lifting 10-20 Lbs Why Not
FAC10017C155498FAC100-Sev: Carry 10-20 LbsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Carrying something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries) from one room to another.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Carry 10-20 Lbs
FAC10018C155499FAC100-Sev: Carry 10-20 Lbs Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Carrying something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries) from one room to another. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Carry 10-20 Lbs Why Not
FAC10019C155500FAC100-Sev: Walk for 1/2 MileFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking (faster than your usual speed) for 1/2 mile (almost 1 km) without stopping.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walk for 1/2 Mile
FAC10020C155501FAC100-Sev: Walk for 1/2 Mile Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking (faster than your usual speed) for 1/2 mile (almost 1 km) without stopping. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walk for 1/2 Mile Why Not
FAC10021C155502FAC100-Sev: Bath Without HelpFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Taking a bath without help.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Bath Without Help
FAC10022C155503FAC100-Sev: Bath Without Help Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Taking a bath without help. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Bath Without Help Why Not
FAC10023C155504FAC100-Sev: Taking a ShowerFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Taking a shower.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Taking a Shower
FAC10024C155505FAC100-Sev: Taking a Shower Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Taking a shower. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Taking a Shower Why Not
FAC10025C155506FAC100-Sev: Putting on SocksFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Putting on socks or stockings.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Putting on Socks
FAC10026C155507FAC100-Sev: Putting on Socks Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Putting on socks or stockings. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Putting on Socks Why Not
FAC10027C155508FAC100-Sev: Standing 5 MinutesFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Standing for at least 5 minutes.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Standing 5 Minutes
FAC10028C155509FAC100-Sev: Standing 5 Minutes Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Standing for at least 5 minutes. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Standing 5 Minutes Why Not
FAC10029C155510FAC100-Sev: Walking 10 StepsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking 10 steps/paces on flat ground at a normal speed without stopping.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walking 10 Steps
FAC10030C155511FAC100-Sev: Walking 10 Steps Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking 10 steps/paces on flat ground at a normal speed without stopping. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walking 10 Steps Why Not
FAC10031C155512FAC100-Sev: Walking 1/2 MileFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking 1/2 mile (almost 1 km) on flat ground at a normal speed without stopping.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walking 1/2 Mile
FAC10032C155513FAC100-Sev: Walking 1/2 Mile Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking 1/2 mile (almost 1 km) on flat ground at a normal speed without stopping. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walking 1/2 Mile Why Not
FAC10033C155514FAC100-Sev: Walking Up 5 StairsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking up 5 stairs without stopping.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walking Up 5 Stairs
FAC10034C155515FAC100-Sev: Walking Up 5 Stairs Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking up 5 stairs without stopping. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walking Up 5 Stairs Why Not
FAC10035C155516FAC100-Sev: Walking Up 10 StairsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking up 10 stairs (1 flight) without stopping.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walking Up 10 Stairs
FAC10036C155517FAC100-Sev: Walking Up 10 Stairs Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking up 10 stairs (1 flight) without stopping. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walking Up 10 Stairs Why Not
FAC10037C155518FAC100-Sev: Walking Up 30 StairsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking up 30 stairs (3 flights) without stopping.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walking Up 30 Stairs
FAC10038C155519FAC100-Sev: Walking Up 30 Stairs Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking up 30 stairs (3 flights) without stopping. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walking Up 30 Stairs Why Not
FAC10039C155520FAC100-Sev: Lift Less Than 5 LbsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Lifting something weighing less than 5 lbs (about 2 kg, like a houseplant).FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Lift Less Than 5 Lbs
FAC10040C155521FAC100-Sev: Lift Less Than 5 Lbs Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Lifting something weighing less than 5 lbs (about 2 kg, like a houseplant). Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Lift Less Than 5 Lbs Why Not
FAC10041C155522FAC100-Sev: Lifting 5-10 LbsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Lifting something weighing 5-10 lbs (about 2-4.5 kg, like a basket of clothes).FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Lifting 5-10 Lbs
FAC10042C155523FAC100-Sev: Lifting 5-10 Lbs Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Lifting something weighing 5-10 lbs (about 2-4.5 kg, like a basket of clothes). Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Lifting 5-10 Lbs Why Not
FAC10043C155524FAC100-Sev: Lift More Than 20 LbsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Lifting something weighing more than 20 lbs (about 9 kg, like a medium-sized suitcase).FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Lift More Than 20 Lbs
FAC10044C155525FAC100-Sev: Lift More Than 20 Lb Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Lifting something weighing more than 20 lbs (about 9 kg, like a medium-sized suitcase). Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Lift More Than 20 Lbs Why Not
FAC10045C155526FAC100-Sev: Carrying Less Than 5 LbsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Carrying something weighing less than 5 lbs (about 2 kg, like a houseplant) from one room to another.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Carrying Less Than 5 Lbs
FAC10046C155527FAC100-Sev: Carrying Less Than 5 Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Carrying something weighing less than 5 lbs (about 2 kg, like a houseplant) from one room to another. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Carrying Less Than 5 Why Not
FAC10047C155528FAC100-Sev: Carrying 5-10 LbsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Carrying something weighing 5-10 lbs (about 2-4.5 kg, like a basket of clothes) from one room to another.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Carrying 5-10 Lbs
FAC10048C155529FAC100-Sev: Carrying 5-10 Lbs Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Carrying something weighing 5-10 lbs (about 2-4.5 kg, like a basket of clothes) from one room to another. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Carrying 5-10 Lbs Why Not
FAC10049C155530FAC100-Sev: Get In/Out of a CarFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Getting in or out of a car.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Get In/Out of a Car
FAC10050C155531FAC100-Sev: Get In/Out of a Car Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Getting in or out of a car. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Get In/Out of a Car Why Not
FAC10051C155532FAC100-Sev: Dining OutFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Dining out.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Dining Out
FAC10052C155533FAC100-Sev: Dining Out Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Dining out. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Dining Out Why Not
FAC10053C155534FAC100-Sev: Low-intensity ActivFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Low-intensity leisure activity (gardening, etc.).FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Low-intensity Activity
FAC10054C155535FAC100-Sev: Low-intensity Activ Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Low-intensity leisure activity (gardening, etc.). Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Low-intensity Activity Why Not
FAC10055C155536FAC100-Sev: Moderate ActivityFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Moderate-intensity leisure activity (bicycling on level terrain, etc.).FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Moderate Activity
FAC10056C155537FAC100-Sev: Moderate Activity Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Moderate-intensity leisure activity (bicycling on level terrain, etc.). Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Moderate Activity Why Not
FAC10057C155538FAC100-Sev: Walk Fast 50 StepsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking (faster than your usual speed) for 50 steps without stopping.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walk Fast 50 Steps
FAC10058C155539FAC100-Sev: Walk Fast 50 Steps Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking (faster than your usual speed) for 50 steps without stopping. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walk Fast 50 Steps Why Not
FAC10059C155540FAC100-Sev: Walking Fast 1 MileFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking (faster than your usual speed) for at least 1 mile ( a little more than 1.5 km) without stopping.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walking Fast 1 Mile
FAC10060C155541FAC100-Sev: Walking Fast 1 Mile Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking (faster than your usual speed) for at least 1 mile ( a little more than 1.5 km) without stopping. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walking Fast 1 Mile Why Not
FAC10061C155542FAC100-Sev: Singing or HummingFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Singing or humming.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Singing or Humming
FAC10062C155543FAC100-Sev: Singing or Humming Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Singing or humming. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Singing or Humming Why Not
FAC10063C155544FAC100-Sev: Talking While WalkingFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Talking while walking.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Talking While Walking
FAC10064C155545FAC100-Sev: Talking While Walk Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Talking while walking. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Talking While Walk Why Not
FAC10065C155546FAC100-Sev: Scrubbing the FloorFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Scrubbing the floor or counter.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Scrubbing the Floor
FAC10066C155547FAC100-Sev: Scrubbing the Floor Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Scrubbing the floor or counter. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Scrubbing the Floor Why Not
FAC10067C155548FAC100-Limit: Dressing Without HelpFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Dressing yourself without help.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Dressing Without Help
FAC10068C155549FAC100-Limit: Walk 50 StepsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking 50 steps/paces on flat ground at a normal speed without stopping.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Walk 50 Steps
FAC10069C155550FAC100-Limit: Walk Up 20 StairsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking up 20 stairs (2 flights) without stopping.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Walk Up 20 Stairs
FAC10070C155551FAC100-Limit: Preparing MealsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Preparing meals.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Preparing Meals
FAC10071C155552FAC100-Limit: Washing DishesFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Washing dishes.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Washing Dishes
FAC10072C155553FAC100-Limit: Sweeping/MoppingFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Sweeping or mopping.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Sweeping/Mopping
FAC10073C155554FAC100-Limit: Making a BedFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Making a bed.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Making a Bed
FAC10074C155555FAC100-Limit: Lifting 10-20 LbsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Lifting something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries).FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Lifting 10-20 Lbs
FAC10075C155556FAC100-Limit: Carry 10-20 LbsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Carrying something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries) from one room to another.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Carry 10-20 Lbs
FAC10076C155557FAC100-Limit: Walk for 1/2 MileFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking (faster than your usual speed) for 1/2 mile (almost 1 km) without stopping.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Walk for 1/2 Mile
FAC10077C155558FAC100-Limit: Taking a Bath Without HelpFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Taking a bath without help.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Taking a Bath Without Help
FAC10078C155559FAC100-Limit: Taking a ShowerFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Taking a shower.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Taking a Shower
FAC10079C155560FAC100-Limit: Putting on SocksFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Putting on socks or stockings.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Putting on Socks
FAC10080C155561FAC100-Limit: Standing 5 MinutesFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Standing for at least 5 minutes.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Standing 5 Minutes
FAC10081C155562FAC100-Limit: Walking 10 StepsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking 10 steps/paces on flat ground at a normal speed without stopping.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Walking 10 Steps
FAC10082C155563FAC100-Limit: Walking 1/2 MileFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking 1/2 mile (almost 1 km) on flat ground at a normal speed without stopping.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Walking 1/2 Mile
FAC10083C155564FAC100-Limit: Walking Up 5 StairsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking up 5 stairs without stopping.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Walking Up 5 Stairs
FAC10084C155565FAC100-Limit: Walking Up 10 StairsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking up 10 stairs (1 flight) without stopping.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Walking Up 10 Stairs
FAC10085C155566FAC100-Limit: Walking Up 30 StairsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking up 30 stairs (3 flights) without stopping.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Walking Up 30 Stairs
FAC10086C155567FAC100-Limit: Scrubbing the FloorFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Scrubbing the floor or counter.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Scrubbing the Floor
FAC10087C155568FAC100-Limit: Lifting Less Than 5 LbsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Lifting something weighing less than 5 lbs (about 2 kg, like a houseplant).FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Lifting Less Than 5 Lbs
FAC10088C155569FAC100-Limit: Lifting 5-10 LbsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Lifting something weighing 5-10 lbs (about 2-4.5 kg, like a basket of clothes).FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Lifting 5-10 Lbs
FAC10089C155570FAC100-Limit: Lifting More Than 20 LbsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Lifting something weighing more than 20 lbs (about 9 kg, like a medium-sized suitcase).FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Lifting More Than 20 Lbs
FAC10090C155571FAC100-Limit: Carrying Less Than 5 LbsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Carrying something weighing less than 5 lbs (about 2 kg, like a houseplant) from one room to another.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Carrying Less Than 5 Lbs
FAC10091C155572FAC100-Limit: Carrying 5-10 LbsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Carrying something weighing 5-10 lbs (about 2-4.5 kg, like a basket of clothes) from one room to another.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Carrying 5-10 Lbs
FAC10092C155573FAC100-Limit: Get In/Out of a CarFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Getting in or out of a car.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Get In/Out of a Car
FAC10093C155574FAC100-Limit: Dining OutFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Dining out.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Dining Out
FAC10094C155575FAC100-Limit: Low-intensity ActivityFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Low-intensity leisure activity (gardening, etc.).FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Low-intensity Activity
FAC10095C155576FAC100-Limit: Moderate ActivityFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Moderate-intensity leisure activity (bicycling on level terrain, etc.).FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Moderate Activity
FAC10096C155577FAC100-Limit: Walk Fast 50 StepsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking (faster than your usual speed) for 50 steps without stopping.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Walk Fast 50 Steps
FAC10097C155578FAC100-Limit: Walking Fast 1 MileFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking (faster than your usual speed) for at least 1 mile (a little more than 1.5 km) without stopping.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Walking Fast 1 Mile
FAC10098C155579FAC100-Limit: Singing or HummingFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Singing or humming.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Singing or Humming
FAC10099C155580FAC100-Limit: Talking While WalkingFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Talking while walking.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Talking While Walking
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CL.C154450.FAC100TNFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank Questionnaire Test Name
(FAC100TN)
text
Extensible: No
C154450Functional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank Questionnaire Test NameFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank test name.CDISC Questionnaire FACIT-Dyspnea Scale 33 Item Bank Version Test Name Terminology
FAC100-Limit: Carry 10-20 LbsC155556FAC100-Limit: Carry 10-20 LbsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Carrying something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries) from one room to another.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Carry 10-20 Lbs
FAC100-Limit: Carrying 5-10 LbsC155572FAC100-Limit: Carrying 5-10 LbsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Carrying something weighing 5-10 lbs (about 2-4.5 kg, like a basket of clothes) from one room to another.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Carrying 5-10 Lbs
FAC100-Limit: Carrying Less Than 5 LbsC155571FAC100-Limit: Carrying Less Than 5 LbsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Carrying something weighing less than 5 lbs (about 2 kg, like a houseplant) from one room to another.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Carrying Less Than 5 Lbs
FAC100-Limit: Dining OutC155574FAC100-Limit: Dining OutFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Dining out.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Dining Out
FAC100-Limit: Dressing Without HelpC155548FAC100-Limit: Dressing Without HelpFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Dressing yourself without help.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Dressing Without Help
FAC100-Limit: Get In/Out of a CarC155573FAC100-Limit: Get In/Out of a CarFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Getting in or out of a car.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Get In/Out of a Car
FAC100-Limit: Lifting 10-20 LbsC155555FAC100-Limit: Lifting 10-20 LbsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Lifting something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries).FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Lifting 10-20 Lbs
FAC100-Limit: Lifting 5-10 LbsC155569FAC100-Limit: Lifting 5-10 LbsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Lifting something weighing 5-10 lbs (about 2-4.5 kg, like a basket of clothes).FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Lifting 5-10 Lbs
FAC100-Limit: Lifting Less Than 5 LbsC155568FAC100-Limit: Lifting Less Than 5 LbsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Lifting something weighing less than 5 lbs (about 2 kg, like a houseplant).FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Lifting Less Than 5 Lbs
FAC100-Limit: Lifting More Than 20 LbsC155570FAC100-Limit: Lifting More Than 20 LbsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Lifting something weighing more than 20 lbs (about 9 kg, like a medium-sized suitcase).FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Lifting More Than 20 Lbs
FAC100-Limit: Low-intensity ActivityC155575FAC100-Limit: Low-intensity ActivityFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Low-intensity leisure activity (gardening, etc.).FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Low-intensity Activity
FAC100-Limit: Making a BedC155554FAC100-Limit: Making a BedFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Making a bed.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Making a Bed
FAC100-Limit: Moderate ActivityC155576FAC100-Limit: Moderate ActivityFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Moderate-intensity leisure activity (bicycling on level terrain, etc.).FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Moderate Activity
FAC100-Limit: Preparing MealsC155551FAC100-Limit: Preparing MealsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Preparing meals.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Preparing Meals
FAC100-Limit: Putting on SocksC155560FAC100-Limit: Putting on SocksFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Putting on socks or stockings.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Putting on Socks
FAC100-Limit: Scrubbing the FloorC155567FAC100-Limit: Scrubbing the FloorFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Scrubbing the floor or counter.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Scrubbing the Floor
FAC100-Limit: Singing or HummingC155579FAC100-Limit: Singing or HummingFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Singing or humming.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Singing or Humming
FAC100-Limit: Standing 5 MinutesC155561FAC100-Limit: Standing 5 MinutesFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Standing for at least 5 minutes.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Standing 5 Minutes
FAC100-Limit: Sweeping/MoppingC155553FAC100-Limit: Sweeping/MoppingFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Sweeping or mopping.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Sweeping/Mopping
FAC100-Limit: Taking a Bath Without HelpC155558FAC100-Limit: Taking a Bath Without HelpFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Taking a bath without help.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Taking a Bath Without Help
FAC100-Limit: Taking a ShowerC155559FAC100-Limit: Taking a ShowerFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Taking a shower.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Taking a Shower
FAC100-Limit: Talking While WalkingC155580FAC100-Limit: Talking While WalkingFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Talking while walking.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Talking While Walking
FAC100-Limit: Walk 50 StepsC155549FAC100-Limit: Walk 50 StepsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking 50 steps/paces on flat ground at a normal speed without stopping.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Walk 50 Steps
FAC100-Limit: Walk Fast 50 StepsC155577FAC100-Limit: Walk Fast 50 StepsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking (faster than your usual speed) for 50 steps without stopping.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Walk Fast 50 Steps
FAC100-Limit: Walk for 1/2 MileC155557FAC100-Limit: Walk for 1/2 MileFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking (faster than your usual speed) for 1/2 mile (almost 1 km) without stopping.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Walk for 1/2 Mile
FAC100-Limit: Walk Up 20 StairsC155550FAC100-Limit: Walk Up 20 StairsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking up 20 stairs (2 flights) without stopping.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Walk Up 20 Stairs
FAC100-Limit: Walking 1/2 MileC155563FAC100-Limit: Walking 1/2 MileFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking 1/2 mile (almost 1 km) on flat ground at a normal speed without stopping.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Walking 1/2 Mile
FAC100-Limit: Walking 10 StepsC155562FAC100-Limit: Walking 10 StepsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking 10 steps/paces on flat ground at a normal speed without stopping.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Walking 10 Steps
FAC100-Limit: Walking Fast 1 MileC155578FAC100-Limit: Walking Fast 1 MileFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking (faster than your usual speed) for at least 1 mile (a little more than 1.5 km) without stopping.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Walking Fast 1 Mile
FAC100-Limit: Walking Up 10 StairsC155565FAC100-Limit: Walking Up 10 StairsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking up 10 stairs (1 flight) without stopping.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Walking Up 10 Stairs
FAC100-Limit: Walking Up 30 StairsC155566FAC100-Limit: Walking Up 30 StairsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking up 30 stairs (3 flights) without stopping.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Walking Up 30 Stairs
FAC100-Limit: Walking Up 5 StairsC155564FAC100-Limit: Walking Up 5 StairsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Walking up 5 stairs without stopping.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Walking Up 5 Stairs
FAC100-Limit: Washing DishesC155552FAC100-Limit: Washing DishesFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Functional Limitation: Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities: Washing dishes.FACIT-Dyspnea Scale 33 Item Bank Version - Limit: Washing Dishes
FAC100-Sev: Bath Without Help Why NotC155503FAC100-Sev: Bath Without Help Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Taking a bath without help. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Bath Without Help Why Not
FAC100-Sev: Bath Without HelpC155502FAC100-Sev: Bath Without HelpFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Taking a bath without help.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Bath Without Help
FAC100-Sev: Carry 10-20 Lbs Why NotC155499FAC100-Sev: Carry 10-20 Lbs Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Carrying something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries) from one room to another. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Carry 10-20 Lbs Why Not
FAC100-Sev: Carry 10-20 LbsC155498FAC100-Sev: Carry 10-20 LbsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Carrying something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries) from one room to another.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Carry 10-20 Lbs
FAC100-Sev: Carrying 5-10 Lbs Why NotC155529FAC100-Sev: Carrying 5-10 Lbs Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Carrying something weighing 5-10 lbs (about 2-4.5 kg, like a basket of clothes) from one room to another. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Carrying 5-10 Lbs Why Not
FAC100-Sev: Carrying 5-10 LbsC155528FAC100-Sev: Carrying 5-10 LbsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Carrying something weighing 5-10 lbs (about 2-4.5 kg, like a basket of clothes) from one room to another.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Carrying 5-10 Lbs
FAC100-Sev: Carrying Less Than 5 LbsC155526FAC100-Sev: Carrying Less Than 5 LbsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Carrying something weighing less than 5 lbs (about 2 kg, like a houseplant) from one room to another.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Carrying Less Than 5 Lbs
FAC100-Sev: Carrying Less Than 5 Why NotC155527FAC100-Sev: Carrying Less Than 5 Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Carrying something weighing less than 5 lbs (about 2 kg, like a houseplant) from one room to another. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Carrying Less Than 5 Why Not
FAC100-Sev: Dining Out Why NotC155533FAC100-Sev: Dining Out Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Dining out. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Dining Out Why Not
FAC100-Sev: Dining OutC155532FAC100-Sev: Dining OutFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Dining out.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Dining Out
FAC100-Sev: Dressing Why NotC155483FAC100-Sev: Dressing Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Dressing yourself without help. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Dressing Why Not
FAC100-Sev: Dressing Without HelpC155482FAC100-Sev: Dressing Without HelpFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Dressing yourself without help.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Dressing Without Help
FAC100-Sev: Get In/Out of a Car Why NotC155531FAC100-Sev: Get In/Out of a Car Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Getting in or out of a car. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Get In/Out of a Car Why Not
FAC100-Sev: Get In/Out of a CarC155530FAC100-Sev: Get In/Out of a CarFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Getting in or out of a car.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Get In/Out of a Car
FAC100-Sev: Lift Less Than 5 Lbs Why NotC155521FAC100-Sev: Lift Less Than 5 Lbs Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Lifting something weighing less than 5 lbs (about 2 kg, like a houseplant). Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Lift Less Than 5 Lbs Why Not
FAC100-Sev: Lift Less Than 5 LbsC155520FAC100-Sev: Lift Less Than 5 LbsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Lifting something weighing less than 5 lbs (about 2 kg, like a houseplant).FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Lift Less Than 5 Lbs
FAC100-Sev: Lift More Than 20 Lb Why NotC155525FAC100-Sev: Lift More Than 20 Lb Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Lifting something weighing more than 20 lbs (about 9 kg, like a medium-sized suitcase). Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Lift More Than 20 Lbs Why Not
FAC100-Sev: Lift More Than 20 LbsC155524FAC100-Sev: Lift More Than 20 LbsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Lifting something weighing more than 20 lbs (about 9 kg, like a medium-sized suitcase).FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Lift More Than 20 Lbs
FAC100-Sev: Lifting 10-20 Lbs Why NotC155497FAC100-Sev: Lifting 10-20 Lbs Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Lifting something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries). Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Lifting 10-20 Lbs Why Not
FAC100-Sev: Lifting 10-20 LbsC155496FAC100-Sev: Lifting 10-20 LbsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Lifting something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries).FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Lifting 10-20 Lbs
FAC100-Sev: Lifting 5-10 Lbs Why NotC155523FAC100-Sev: Lifting 5-10 Lbs Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Lifting something weighing 5-10 lbs (about 2-4.5 kg, like a basket of clothes). Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Lifting 5-10 Lbs Why Not
FAC100-Sev: Lifting 5-10 LbsC155522FAC100-Sev: Lifting 5-10 LbsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Lifting something weighing 5-10 lbs (about 2-4.5 kg, like a basket of clothes).FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Lifting 5-10 Lbs
FAC100-Sev: Low-intensity Activ Why NotC155535FAC100-Sev: Low-intensity Activ Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Low-intensity leisure activity (gardening, etc.). Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Low-intensity Activity Why Not
FAC100-Sev: Low-intensity ActivC155534FAC100-Sev: Low-intensity ActivFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Low-intensity leisure activity (gardening, etc.).FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Low-intensity Activity
FAC100-Sev: Making a Bed Why NotC155495FAC100-Sev: Making a Bed Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Making a bed. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Making a Bed Why Not
FAC100-Sev: Making a BedC155494FAC100-Sev: Making a BedFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Making a bed.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Making a Bed
FAC100-Sev: Moderate Activity Why NotC155537FAC100-Sev: Moderate Activity Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Moderate-intensity leisure activity (bicycling on level terrain, etc.). Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Moderate Activity Why Not
FAC100-Sev: Moderate ActivityC155536FAC100-Sev: Moderate ActivityFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Moderate-intensity leisure activity (bicycling on level terrain, etc.).FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Moderate Activity
FAC100-Sev: Preparing Meals Why NotC155489FAC100-Sev: Preparing Meals Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Preparing meals. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Preparing Meals Why Not
FAC100-Sev: Preparing MealsC155488FAC100-Sev: Preparing MealsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Preparing meals.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Preparing Meals
FAC100-Sev: Putting on Socks Why NotC155507FAC100-Sev: Putting on Socks Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Putting on socks or stockings. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Putting on Socks Why Not
FAC100-Sev: Putting on SocksC155506FAC100-Sev: Putting on SocksFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Putting on socks or stockings.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Putting on Socks
FAC100-Sev: Scrubbing the Floor Why NotC155547FAC100-Sev: Scrubbing the Floor Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Scrubbing the floor or counter. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Scrubbing the Floor Why Not
FAC100-Sev: Scrubbing the FloorC155546FAC100-Sev: Scrubbing the FloorFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Scrubbing the floor or counter.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Scrubbing the Floor
FAC100-Sev: Singing or Humming Why NotC155543FAC100-Sev: Singing or Humming Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Singing or humming. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Singing or Humming Why Not
FAC100-Sev: Singing or HummingC155542FAC100-Sev: Singing or HummingFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Singing or humming.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Singing or Humming
FAC100-Sev: Standing 5 Minutes Why NotC155509FAC100-Sev: Standing 5 Minutes Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Standing for at least 5 minutes. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Standing 5 Minutes Why Not
FAC100-Sev: Standing 5 MinutesC155508FAC100-Sev: Standing 5 MinutesFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Standing for at least 5 minutes.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Standing 5 Minutes
FAC100-Sev: Sweeping/Mopping Why NotC155493FAC100-Sev: Sweeping/Mopping Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Sweeping or mopping. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Sweeping/Mopping Why Not
FAC100-Sev: Sweeping/MoppingC155492FAC100-Sev: Sweeping/MoppingFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Sweeping or mopping.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Sweeping/Mopping
FAC100-Sev: Taking a Shower Why NotC155505FAC100-Sev: Taking a Shower Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Taking a shower. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Taking a Shower Why Not
FAC100-Sev: Taking a ShowerC155504FAC100-Sev: Taking a ShowerFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Taking a shower.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Taking a Shower
FAC100-Sev: Talking While Walk Why NotC155545FAC100-Sev: Talking While Walk Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Talking while walking. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Talking While Walk Why Not
FAC100-Sev: Talking While WalkingC155544FAC100-Sev: Talking While WalkingFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Talking while walking.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Talking While Walking
FAC100-Sev: Walk 50 Steps Why NotC155485FAC100-Sev: Walk 50 Steps Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking 50 steps/paces on flat ground at a normal speed without stopping. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walk 50 Steps Why Not
FAC100-Sev: Walk 50 StepsC155484FAC100-Sev: Walk 50 StepsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking 50 steps/paces on flat ground at a normal speed without stopping.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walk 50 Steps
FAC100-Sev: Walk Fast 50 Steps Why NotC155539FAC100-Sev: Walk Fast 50 Steps Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking (faster than your usual speed) for 50 steps without stopping. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walk Fast 50 Steps Why Not
FAC100-Sev: Walk Fast 50 StepsC155538FAC100-Sev: Walk Fast 50 StepsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking (faster than your usual speed) for 50 steps without stopping.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walk Fast 50 Steps
FAC100-Sev: Walk for 1/2 Mile Why NotC155501FAC100-Sev: Walk for 1/2 Mile Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking (faster than your usual speed) for 1/2 mile (almost 1 km) without stopping. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walk for 1/2 Mile Why Not
FAC100-Sev: Walk for 1/2 MileC155500FAC100-Sev: Walk for 1/2 MileFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking (faster than your usual speed) for 1/2 mile (almost 1 km) without stopping.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walk for 1/2 Mile
FAC100-Sev: Walk Up 20 Stairs Why NotC155487FAC100-Sev: Walk Up 20 Stairs Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking up 20 stairs (2 flights) without stopping. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walk Up 20 Stairs Why Not
FAC100-Sev: Walk Up 20 StairsC155486FAC100-Sev: Walk Up 20 StairsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking up 20 stairs (2 flights) without stopping.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walk Up 20 Stairs
FAC100-Sev: Walking 1/2 Mile Why NotC155513FAC100-Sev: Walking 1/2 Mile Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking 1/2 mile (almost 1 km) on flat ground at a normal speed without stopping. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walking 1/2 Mile Why Not
FAC100-Sev: Walking 1/2 MileC155512FAC100-Sev: Walking 1/2 MileFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking 1/2 mile (almost 1 km) on flat ground at a normal speed without stopping.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walking 1/2 Mile
FAC100-Sev: Walking 10 Steps Why NotC155511FAC100-Sev: Walking 10 Steps Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking 10 steps/paces on flat ground at a normal speed without stopping. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walking 10 Steps Why Not
FAC100-Sev: Walking 10 StepsC155510FAC100-Sev: Walking 10 StepsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking 10 steps/paces on flat ground at a normal speed without stopping.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walking 10 Steps
FAC100-Sev: Walking Fast 1 Mile Why NotC155541FAC100-Sev: Walking Fast 1 Mile Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking (faster than your usual speed) for at least 1 mile ( a little more than 1.5 km) without stopping. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walking Fast 1 Mile Why Not
FAC100-Sev: Walking Fast 1 MileC155540FAC100-Sev: Walking Fast 1 MileFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking (faster than your usual speed) for at least 1 mile ( a little more than 1.5 km) without stopping.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walking Fast 1 Mile
FAC100-Sev: Walking Up 10 Stairs Why NotC155517FAC100-Sev: Walking Up 10 Stairs Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking up 10 stairs (1 flight) without stopping. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walking Up 10 Stairs Why Not
FAC100-Sev: Walking Up 10 StairsC155516FAC100-Sev: Walking Up 10 StairsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking up 10 stairs (1 flight) without stopping.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walking Up 10 Stairs
FAC100-Sev: Walking Up 30 Stairs Why NotC155519FAC100-Sev: Walking Up 30 Stairs Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking up 30 stairs (3 flights) without stopping. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walking Up 30 Stairs Why Not
FAC100-Sev: Walking Up 30 StairsC155518FAC100-Sev: Walking Up 30 StairsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking up 30 stairs (3 flights) without stopping.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walking Up 30 Stairs
FAC100-Sev: Walking Up 5 Stairs Why NotC155515FAC100-Sev: Walking Up 5 Stairs Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking up 5 stairs without stopping. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walking Up 5 Stairs Why Not
FAC100-Sev: Walking Up 5 StairsC155514FAC100-Sev: Walking Up 5 StairsFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Walking up 5 stairs without stopping.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Walking Up 5 Stairs
FAC100-Sev: Washing Dishes Why NotC155491FAC100-Sev: Washing Dishes Why NotFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Washing dishes. Please indicate why you did not do this in the past 7 days.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Washing Dishes Why Not
FAC100-Sev: Washing DishesC155490FAC100-Sev: Washing DishesFunctional Assessment of Chronic Illness Therapy-Dyspnea Scale 33 Item Bank - Dyspnea Severity: Over the past 7 days, how short of breath did you get with each of these activities?: Washing dishes.FACIT-Dyspnea Scale 33 Item Bank Version - Severity: Washing Dishes
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CL.C147544.FAC070TCFunctional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 Questionnaire Test Code
(FAC070TC)
text
Extensible: No
C147544Functional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 Questionnaire Test CodeFunctional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 test code.CDISC Questionnaire FACIT-Fatigue 13-Item Version 4 Test Code Terminology
FAC07001C147673FAC070-I Feel FatiguedFunctional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I feel fatigued.FACIT-Fatigue 13-Item Version 4 - I Feel Fatigued
FAC07002C147674FAC070-I Feel Weak All OverFunctional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I feel weak all over.FACIT-Fatigue 13-Item Version 4 - I Feel Weak All Over
FAC07003C147675FAC070-I Feel ListlessFunctional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I feel listless ("washed out").FACIT-Fatigue 13-Item Version 4 - I Feel Listless
FAC07004C147676FAC070-I Feel TiredFunctional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I feel tired.FACIT-Fatigue 13-Item Version 4 - I Feel Tired
FAC07005C147677FAC070-Trouble Starting ThingsFunctional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I have trouble starting things because I am tired.FACIT-Fatigue 13-Item Version 4 - Trouble Starting Things
FAC07006C147678FAC070-Trouble Finishing ThingsFunctional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I have trouble finishing things because I am tired.FACIT-Fatigue 13-Item Version 4 - Trouble Finishing Things
FAC07007C147679FAC070-I Have EnergyFunctional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I have energy.FACIT-Fatigue 13-Item Version 4 - I Have Energy
FAC07008C147680FAC070-Able to Do My Usual ActivitiesFunctional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I am able to do my usual activities.FACIT-Fatigue 13-Item Version 4 - Able to Do My Usual Activities
FAC07009C147681FAC070-I Need to Sleep During the DayFunctional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I need to sleep during the day.FACIT-Fatigue 13-Item Version 4 - I Need to Sleep During the Day
FAC07010C147682FAC070-I Am Too Tired to EatFunctional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I am too tired to eat.FACIT-Fatigue 13-Item Version 4 - I Am Too Tired to Eat
FAC07011C147683FAC070-Need Help Doing Usual ActivitiesFunctional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I need help doing my usual activities.FACIT-Fatigue 13-Item Version 4 - Need Help Doing Usual Activities
FAC07012C147684FAC070-Frustrated by Being Too TiredFunctional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I am frustrated by being too tired to do the things I want to do.FACIT-Fatigue 13-Item Version 4 - Frustrated by Being Too Tired
FAC07013C147685FAC070-Limit Social Activity, I am TiredFunctional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I have to limit my social activity because I am tired.FACIT-Fatigue 13-Item Version 4 - Limit Social Activity, I am Tired
FAC07014C163947FAC070-Total ScoreFunctional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - Total score.FACIT-Fatigue 13-Item Version 4 - Total Score
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CL.C147543.FAC070TNFunctional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 Questionnaire Test Name
(FAC070TN)
text
Extensible: No
C147543Functional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 Questionnaire Test NameFunctional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 test name.CDISC Questionnaire FACIT-Fatigue 13-Item Version 4 Test Name Terminology
FAC070-Able to Do My Usual ActivitiesC147680FAC070-Able to Do My Usual ActivitiesFunctional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I am able to do my usual activities.FACIT-Fatigue 13-Item Version 4 - Able to Do My Usual Activities
FAC070-Frustrated by Being Too TiredC147684FAC070-Frustrated by Being Too TiredFunctional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I am frustrated by being too tired to do the things I want to do.FACIT-Fatigue 13-Item Version 4 - Frustrated by Being Too Tired
FAC070-I Am Too Tired to EatC147682FAC070-I Am Too Tired to EatFunctional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I am too tired to eat.FACIT-Fatigue 13-Item Version 4 - I Am Too Tired to Eat
FAC070-I Feel FatiguedC147673FAC070-I Feel FatiguedFunctional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I feel fatigued.FACIT-Fatigue 13-Item Version 4 - I Feel Fatigued
FAC070-I Feel ListlessC147675FAC070-I Feel ListlessFunctional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I feel listless ("washed out").FACIT-Fatigue 13-Item Version 4 - I Feel Listless
FAC070-I Feel TiredC147676FAC070-I Feel TiredFunctional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I feel tired.FACIT-Fatigue 13-Item Version 4 - I Feel Tired
FAC070-I Feel Weak All OverC147674FAC070-I Feel Weak All OverFunctional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I feel weak all over.FACIT-Fatigue 13-Item Version 4 - I Feel Weak All Over
FAC070-I Have EnergyC147679FAC070-I Have EnergyFunctional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I have energy.FACIT-Fatigue 13-Item Version 4 - I Have Energy
FAC070-I Need to Sleep During the DayC147681FAC070-I Need to Sleep During the DayFunctional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I need to sleep during the day.FACIT-Fatigue 13-Item Version 4 - I Need to Sleep During the Day
FAC070-Limit Social Activity, I am TiredC147685FAC070-Limit Social Activity, I am TiredFunctional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I have to limit my social activity because I am tired.FACIT-Fatigue 13-Item Version 4 - Limit Social Activity, I am Tired
FAC070-Need Help Doing Usual ActivitiesC147683FAC070-Need Help Doing Usual ActivitiesFunctional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I need help doing my usual activities.FACIT-Fatigue 13-Item Version 4 - Need Help Doing Usual Activities
FAC070-Total ScoreC163947FAC070-Total ScoreFunctional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - Total score.FACIT-Fatigue 13-Item Version 4 - Total Score
FAC070-Trouble Finishing ThingsC147678FAC070-Trouble Finishing ThingsFunctional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I have trouble finishing things because I am tired.FACIT-Fatigue 13-Item Version 4 - Trouble Finishing Things
FAC070-Trouble Starting ThingsC147677FAC070-Trouble Starting ThingsFunctional Assessment of Chronic Illness Therapy-Fatigue 13-Item Scale Version 4 - I have trouble starting things because I am tired.FACIT-Fatigue 13-Item Version 4 - Trouble Starting Things
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CL.C129088.FAC071TCFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 Questionnaire Test Code
(FAC071TC)
text
Extensible: No
C129088Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 Questionnaire Test CodeFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 test code.CDISC Questionnaire FACIT-F Version 4 Test Code Terminology
FAC07101C129111FAC071-I Have a Lack of EnergyFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Physical Well-Being: I have a lack of energy.FACIT-F Version 4 - I Have a Lack of Energy
FAC07102C129112FAC071-I Have NauseaFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Physical Well-Being: I have nausea.FACIT-F Version 4 - I Have Nausea
FAC07103C129113FAC071-Trouble Meeting Needs of FamilyFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family.FACIT-F Version 4 - Trouble Meeting Needs of Family
FAC07104C129114FAC071-I Have PainFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Physical Well-Being: I have pain.FACIT-F Version 4 - I Have Pain
FAC07105C129115FAC071-Bothered by Treatment Side EffectFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Physical Well-Being: I am bothered by side effects of treatment.FACIT-F Version 4 - Bothered by Treatment Side Effect
FAC07106C129116FAC071-I Feel IllFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Physical Well-Being: I feel ill.FACIT-F Version 4 - I Feel Ill
FAC07107C129117FAC071-I Am Forced to Spend Time in BedFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Physical Well-Being: I am forced to spend time in bed.FACIT-F Version 4 - I Am Forced to Spend Time in Bed
FAC07108C129118FAC071-I Feel Close to My FriendsFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Social/Family Well-Being: I feel close to my friends.FACIT-F Version 4 - I Feel Close to My Friends
FAC07109C129119FAC071-Get Emotional Support From FamilyFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Social/Family Well-Being: I get emotional support from my family.FACIT-F Version 4 - Get Emotional Support From Family
FAC07110C129120FAC071-I Get Support From My FriendsFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Social/Family Well-Being: I get support from my friends.FACIT-F Version 4 - I Get Support From My Friends
FAC07111C129121FAC071-My Family Has Accepted My IllnessFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Social/Family Well-Being: My family has accepted my illness.FACIT-F Version 4 - My Family Has Accepted My Illness
FAC07112C129122FAC071-Satisfied Communication IllnessFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness.FACIT-F Version 4 - Satisfied Family Communication of Illness
FAC07113C129123FAC071-I Feel Close to My PartnerFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support).FACIT-F Version 4 - I Feel Close to My Partner
FAC07114C129124FAC071-I Am Satisfied With My Sex LifeFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Social/Family Well-Being: I am satisfied with my sex life.FACIT-F Version 4 - I Am Satisfied With My Sex Life
FAC07115C129125FAC071-I Feel SadFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Emotional Well-Being: I feel sad.FACIT-F Version 4 - I Feel Sad
FAC07116C129126FAC071-Satisfied With How I Am CopingFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness.FACIT-F Version 4 - Satisfied With How I Am Coping
FAC07117C129127FAC071-Losing Hope Against IllnessFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness.FACIT-F Version 4 - Losing Hope Against Illness
FAC07118C129128FAC071-I Feel NervousFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Emotional Well-Being: I feel nervous.FACIT-F Version 4 - I Feel Nervous
FAC07119C129129FAC071-I Worry About DyingFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Emotional Well-Being: I worry about dying.FACIT-F Version 4 - I Worry About Dying
FAC07120C129130FAC071-Worry My Condition Will Get WorseFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Emotional Well-Being: I worry that my condition will get worse.FACIT-F Version 4 - Worry My Condition Will Get Worse
FAC07121C129131FAC071-I Am Able to WorkFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Functional Well-Being: I am able to work (include work at home).FACIT-F Version 4 - I Am Able to Work
FAC07122C129132FAC071-My Work Is FulfillingFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Functional Well-Being: My work (include work at home) is fulfilling.FACIT-F Version 4 - My Work Is Fulfilling
FAC07123C129133FAC071-I Am Able to Enjoy LifeFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Functional Well-Being: I am able to enjoy life.FACIT-F Version 4 - I Am Able to Enjoy Life
FAC07124C129134FAC071-I Have Accepted My IllnessFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Functional Well-Being: I have accepted my illness.FACIT-F Version 4 - I Have Accepted My Illness
FAC07125C129135FAC071-I Am Sleeping WellFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Functional Well-Being: I am sleeping well.FACIT-F Version 4 - I Am Sleeping Well
FAC07126C129136FAC071-Enjoy Things I Usually Do for FunFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun.FACIT-F Version 4 - Enjoy Things I Usually Do for Fun
FAC07127C129137FAC071-Content With Quality of My LifeFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Functional Well-Being: I am content with the quality of my life right now.FACIT-F Version 4 - Content With Quality of My Life
FAC07128C129138FAC071-I Feel FatiguedFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I feel fatigued.FACIT-F Version 4 - I Feel Fatigued
FAC07129C129139FAC071-I Feel Weak All OverFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I feel weak all over.FACIT-F Version 4 - I Feel Weak All Over
FAC07130C129140FAC071-I Feel ListlessFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I feel listless ('washed out').FACIT-F Version 4 - I Feel Listless
FAC07131C129141FAC071-I Feel TiredFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I feel tired.FACIT-F Version 4 - I Feel Tired
FAC07132C129142FAC071-Trouble Starting ThingsFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I have trouble starting things because I am tired.FACIT-F Version 4 - Trouble Starting Things
FAC07133C129143FAC071-Trouble Finishing ThingsFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I have trouble finishing things because I am tired.FACIT-F Version 4 - Trouble Finishing Things
FAC07134C129144FAC071-I Have EnergyFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I have energy.FACIT-F Version 4 - I Have Energy
FAC07135C129145FAC071-Able to Do My Usual ActivitiesFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I am able to do my usual activities.FACIT-F Version 4 - Able to Do My Usual Activities
FAC07136C129146FAC071-I Need to Sleep During the DayFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I need to sleep during the day.FACIT-F Version 4 - I Need to Sleep During the Day
FAC07137C129147FAC071-I Am Too Tired to EatFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I am too tired to eat.FACIT-F Version 4 - I Am Too Tired to Eat
FAC07138C129148FAC071-Need Help Doing Usual ActivitiesFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I need help doing my usual activities.FACIT-F Version 4 - Need Help Doing Usual Activities
FAC07139C129149FAC071-Frustrated by Being Too TiredFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I am frustrated by being too tired to do the things I want to do.FACIT-F Version 4 - Frustrated by Being Too Tired
FAC07140C129150FAC071-Limit Social Activity, I am TiredFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I have to limit my social activity because I am tired.FACIT-F Version 4 - Limit Social Activity, I am Tired
FAC07141C166341FAC071-Physical Subscale ScoreFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Physical Well-Being: Subscale score.FACIT-F Version 4 - Physical Subscale Score
FAC07142C166342FAC071-Social/Family Subscale ScoreFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Socia/Family Well-Being: Subscale score.FACIT-F Version 4 - Social/Family Subscale Score
FAC07143C166343FAC071-Emotional Subscale ScoreFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Emotional Well-Being: Subscale score.FACIT-F Version 4 - Emotional Subscale Score
FAC07144C166344FAC071-Functional Subscale ScoreFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Functional Well-Being: Subscale score.FACIT-F Version 4 - Functional Subscale Score
FAC07145C166345FAC071-Additional Concern Subscale ScoreFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: Subscale score.FACIT-F Version 4 - Additional Concern Subscale Score
FAC07146C166346FAC071-Trial Outcome Index ScoreFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Trial outcome index score.FACIT-F Version 4 - Trial Outcome Index Score
FAC07147C166347FAC071-FACT-G Total ScoreFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - FACT-G total score.FACIT-F Version 4 - FACT-G Total Score
FAC07148C166348FAC071-Total ScoreFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Total score.FACIT-F Version 4 - Total Score
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CL.C129087.FAC071TNFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 Questionnaire Test Name
(FAC071TN)
text
Extensible: No
C129087Functional Assessment of Chronic Illness Therapy-Fatigue Version 4 Questionnaire Test NameFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 test name.CDISC Questionnaire FACIT-F Version 4 Test Name Terminology
FAC071-Able to Do My Usual ActivitiesC129145FAC071-Able to Do My Usual ActivitiesFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I am able to do my usual activities.FACIT-F Version 4 - Able to Do My Usual Activities
FAC071-Additional Concern Subscale ScoreC166345FAC071-Additional Concern Subscale ScoreFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: Subscale score.FACIT-F Version 4 - Additional Concern Subscale Score
FAC071-Bothered by Treatment Side EffectC129115FAC071-Bothered by Treatment Side EffectFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Physical Well-Being: I am bothered by side effects of treatment.FACIT-F Version 4 - Bothered by Treatment Side Effect
FAC071-Content With Quality of My LifeC129137FAC071-Content With Quality of My LifeFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Functional Well-Being: I am content with the quality of my life right now.FACIT-F Version 4 - Content With Quality of My Life
FAC071-Emotional Subscale ScoreC166343FAC071-Emotional Subscale ScoreFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Emotional Well-Being: Subscale score.FACIT-F Version 4 - Emotional Subscale Score
FAC071-Enjoy Things I Usually Do for FunC129136FAC071-Enjoy Things I Usually Do for FunFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun.FACIT-F Version 4 - Enjoy Things I Usually Do for Fun
FAC071-FACT-G Total ScoreC166347FAC071-FACT-G Total ScoreFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - FACT-G total score.FACIT-F Version 4 - FACT-G Total Score
FAC071-Frustrated by Being Too TiredC129149FAC071-Frustrated by Being Too TiredFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I am frustrated by being too tired to do the things I want to do.FACIT-F Version 4 - Frustrated by Being Too Tired
FAC071-Functional Subscale ScoreC166344FAC071-Functional Subscale ScoreFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Functional Well-Being: Subscale score.FACIT-F Version 4 - Functional Subscale Score
FAC071-Get Emotional Support From FamilyC129119FAC071-Get Emotional Support From FamilyFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Social/Family Well-Being: I get emotional support from my family.FACIT-F Version 4 - Get Emotional Support From Family
FAC071-I Am Able to Enjoy LifeC129133FAC071-I Am Able to Enjoy LifeFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Functional Well-Being: I am able to enjoy life.FACIT-F Version 4 - I Am Able to Enjoy Life
FAC071-I Am Able to WorkC129131FAC071-I Am Able to WorkFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Functional Well-Being: I am able to work (include work at home).FACIT-F Version 4 - I Am Able to Work
FAC071-I Am Forced to Spend Time in BedC129117FAC071-I Am Forced to Spend Time in BedFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Physical Well-Being: I am forced to spend time in bed.FACIT-F Version 4 - I Am Forced to Spend Time in Bed
FAC071-I Am Satisfied With My Sex LifeC129124FAC071-I Am Satisfied With My Sex LifeFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Social/Family Well-Being: I am satisfied with my sex life.FACIT-F Version 4 - I Am Satisfied With My Sex Life
FAC071-I Am Sleeping WellC129135FAC071-I Am Sleeping WellFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Functional Well-Being: I am sleeping well.FACIT-F Version 4 - I Am Sleeping Well
FAC071-I Am Too Tired to EatC129147FAC071-I Am Too Tired to EatFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I am too tired to eat.FACIT-F Version 4 - I Am Too Tired to Eat
FAC071-I Feel Close to My FriendsC129118FAC071-I Feel Close to My FriendsFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Social/Family Well-Being: I feel close to my friends.FACIT-F Version 4 - I Feel Close to My Friends
FAC071-I Feel Close to My PartnerC129123FAC071-I Feel Close to My PartnerFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support).FACIT-F Version 4 - I Feel Close to My Partner
FAC071-I Feel FatiguedC129138FAC071-I Feel FatiguedFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I feel fatigued.FACIT-F Version 4 - I Feel Fatigued
FAC071-I Feel IllC129116FAC071-I Feel IllFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Physical Well-Being: I feel ill.FACIT-F Version 4 - I Feel Ill
FAC071-I Feel ListlessC129140FAC071-I Feel ListlessFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I feel listless ('washed out').FACIT-F Version 4 - I Feel Listless
FAC071-I Feel NervousC129128FAC071-I Feel NervousFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Emotional Well-Being: I feel nervous.FACIT-F Version 4 - I Feel Nervous
FAC071-I Feel SadC129125FAC071-I Feel SadFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Emotional Well-Being: I feel sad.FACIT-F Version 4 - I Feel Sad
FAC071-I Feel TiredC129141FAC071-I Feel TiredFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I feel tired.FACIT-F Version 4 - I Feel Tired
FAC071-I Feel Weak All OverC129139FAC071-I Feel Weak All OverFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I feel weak all over.FACIT-F Version 4 - I Feel Weak All Over
FAC071-I Get Support From My FriendsC129120FAC071-I Get Support From My FriendsFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Social/Family Well-Being: I get support from my friends.FACIT-F Version 4 - I Get Support From My Friends
FAC071-I Have a Lack of EnergyC129111FAC071-I Have a Lack of EnergyFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Physical Well-Being: I have a lack of energy.FACIT-F Version 4 - I Have a Lack of Energy
FAC071-I Have Accepted My IllnessC129134FAC071-I Have Accepted My IllnessFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Functional Well-Being: I have accepted my illness.FACIT-F Version 4 - I Have Accepted My Illness
FAC071-I Have EnergyC129144FAC071-I Have EnergyFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I have energy.FACIT-F Version 4 - I Have Energy
FAC071-I Have NauseaC129112FAC071-I Have NauseaFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Physical Well-Being: I have nausea.FACIT-F Version 4 - I Have Nausea
FAC071-I Have PainC129114FAC071-I Have PainFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Physical Well-Being: I have pain.FACIT-F Version 4 - I Have Pain
FAC071-I Need to Sleep During the DayC129146FAC071-I Need to Sleep During the DayFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I need to sleep during the day.FACIT-F Version 4 - I Need to Sleep During the Day
FAC071-I Worry About DyingC129129FAC071-I Worry About DyingFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Emotional Well-Being: I worry about dying.FACIT-F Version 4 - I Worry About Dying
FAC071-Limit Social Activity, I am TiredC129150FAC071-Limit Social Activity, I am TiredFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I have to limit my social activity because I am tired.FACIT-F Version 4 - Limit Social Activity, I am Tired
FAC071-Losing Hope Against IllnessC129127FAC071-Losing Hope Against IllnessFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness.FACIT-F Version 4 - Losing Hope Against Illness
FAC071-My Family Has Accepted My IllnessC129121FAC071-My Family Has Accepted My IllnessFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Social/Family Well-Being: My family has accepted my illness.FACIT-F Version 4 - My Family Has Accepted My Illness
FAC071-My Work Is FulfillingC129132FAC071-My Work Is FulfillingFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Functional Well-Being: My work (include work at home) is fulfilling.FACIT-F Version 4 - My Work Is Fulfilling
FAC071-Need Help Doing Usual ActivitiesC129148FAC071-Need Help Doing Usual ActivitiesFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I need help doing my usual activities.FACIT-F Version 4 - Need Help Doing Usual Activities
FAC071-Physical Subscale ScoreC166341FAC071-Physical Subscale ScoreFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Physical Well-Being: Subscale score.FACIT-F Version 4 - Physical Subscale Score
FAC071-Satisfied Communication IllnessC129122FAC071-Satisfied Communication IllnessFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness.FACIT-F Version 4 - Satisfied Family Communication of Illness
FAC071-Satisfied With How I Am CopingC129126FAC071-Satisfied With How I Am CopingFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness.FACIT-F Version 4 - Satisfied With How I Am Coping
FAC071-Social/Family Subscale ScoreC166342FAC071-Social/Family Subscale ScoreFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Socia/Family Well-Being: Subscale score.FACIT-F Version 4 - Social/Family Subscale Score
FAC071-Total ScoreC166348FAC071-Total ScoreFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Total score.FACIT-F Version 4 - Total Score
FAC071-Trial Outcome Index ScoreC166346FAC071-Trial Outcome Index ScoreFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Trial outcome index score.FACIT-F Version 4 - Trial Outcome Index Score
FAC071-Trouble Finishing ThingsC129143FAC071-Trouble Finishing ThingsFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I have trouble finishing things because I am tired.FACIT-F Version 4 - Trouble Finishing Things
FAC071-Trouble Meeting Needs of FamilyC129113FAC071-Trouble Meeting Needs of FamilyFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family.FACIT-F Version 4 - Trouble Meeting Needs of Family
FAC071-Trouble Starting ThingsC129142FAC071-Trouble Starting ThingsFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Additional Concerns: I have trouble starting things because I am tired.FACIT-F Version 4 - Trouble Starting Things
FAC071-Worry My Condition Will Get WorseC129130FAC071-Worry My Condition Will Get WorseFunctional Assessment of Chronic Illness Therapy-Fatigue Version 4 - Emotional Well-Being: I worry that my condition will get worse.FACIT-F Version 4 - Worry My Condition Will Get Worse
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CL.C183551.FSILTCFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult Questionnaire Test Code
(FSILTC)
text
Extensible: No
C183551Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult Questionnaire Test CodeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult test code.CDISC Questionnaire FACIT-Searchable Item Library Adult Version Test Code Terminology
FSIL0001C183618FSIL-Fatigue Keeps Me From Doing ThingsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My fatigue keeps me from doing the things I want to do.FACIT-Searchable Item Library Adult Version - Fatigue Keeps Me From Doing Things
FSIL0002C183619FSIL-Bothered by Swelling Certain AreasFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by swelling in certain areas of my body.FACIT-Searchable Item Library Adult Version - Bothered by Swelling Certain Areas
FSIL0003C183620FSIL-Bothered by Mouth Sores/TendernessFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by mouth sores or tenderness.FACIT-Searchable Item Library Adult Version - Bothered by Mouth Sores/Tenderness
FSIL0004C183621FSIL-Because of Sores Eating DifficultFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Because of my mouth sores, eating is difficult.FACIT-Searchable Item Library Adult Version - Because of Sores Eating Difficult
FSIL0005C183622FSIL-The Skin on My Hands HurtsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: The skin on my hands hurts.FACIT-Searchable Item Library Adult Version - The Skin on My Hands Hurts
FSIL0006C183623FSIL-Hand Pain Interferes Daily ActivFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Hand pain or tenderness interferes with my daily activities.FACIT-Searchable Item Library Adult Version - Hand Pain Interferes Daily Activ
FSIL0007C183624FSIL-The Skin on My Feet HurtsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: The skin on my feet hurts.FACIT-Searchable Item Library Adult Version - The Skin on My Feet Hurts
FSIL0008C183625FSIL-Pain on My Feet Interferes WalkingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Pain on the bottom of my feet interferes with my walking.FACIT-Searchable Item Library Adult Version - Pain on My Feet Interferes Walking
FSIL0009C183626FSIL-Limit Activities Because DiarrheaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have to limit my activities because of diarrhea (diarrhoea).FACIT-Searchable Item Library Adult Version - Limit Activities Because Diarrhea
FSIL0010C183627FSIL-Bothered by a Skin RashFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by a skin rash.FACIT-Searchable Item Library Adult Version - Bothered by a Skin Rash
FSIL0011C183628FSIL-Amount I Eat Is SufficientFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: The amount I eat is sufficient to meet my needs.FACIT-Searchable Item Library Adult Version - Amount I Eat Is Sufficient
FSIL0012C183629FSIL-I Seem to Get Full QuicklyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: When I eat, I seem to get full quickly.FACIT-Searchable Item Library Adult Version - I Seem to Get Full Quickly
FSIL0013C183630FSIL-I Have Pain in My Stomach AreaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain in my stomach area.FACIT-Searchable Item Library Adult Version - I Have Pain in My Stomach Area
FSIL0014C183631FSIL-My General Health Is ImprovingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My general health is improving.FACIT-Searchable Item Library Adult Version - My General Health Is Improving
FSIL0015C183632FSIL-Worried About My WeightFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am worried about my weight.FACIT-Searchable Item Library Adult Version - Worried About My Weight
FSIL0016C183633FSIL-Most Food Tastes Unpleasant to MeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Most food tastes unpleasant to me.FACIT-Searchable Item Library Adult Version - Most Food Tastes Unpleasant to Me
FSIL0017C183634FSIL-Concerned About How Thin I LookFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am concerned about how thin I look.FACIT-Searchable Item Library Adult Version - Concerned About How Thin I Look
FSIL0018C183635FSIL-Interest in Food Drops Try to EatFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My interest in food drops as soon as I try to eat.FACIT-Searchable Item Library Adult Version - Interest in Food Drops Try to Eat
FSIL0019C183636FSIL-Have Difficulty Eating Rich FoodsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty eating rich or "heavy" foods.FACIT-Searchable Item Library Adult Version - Have Difficulty Eating Rich Foods
FSIL0020C183637FSIL-My Family Pressuring Me to EatFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My family or friends are pressuring me to eat.FACIT-Searchable Item Library Adult Version - My Family Pressuring Me to Eat
FSIL0021C183638FSIL-Stomach Pain Interferes FunctioningFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Stomach pain interferes with my daily functioning.FACIT-Searchable Item Library Adult Version - Stomach Pain Interferes Functioning
FSIL0022C183639FSIL-I Have Been Emotionally DistressedFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have been emotionally distressed.FACIT-Searchable Item Library Adult Version - I Have Been Emotionally Distressed
FSIL0023C183640FSIL-I Feel ListlessFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel listless ("washed out").FACIT-Searchable Item Library Adult Version - I Feel Listless
FSIL0024C183641FSIL-I Get HeadachesFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I get headaches.FACIT-Searchable Item Library Adult Version - I Get Headaches
FSIL0025C183642FSIL-I Have Pain in My ChestFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain in my chest.FACIT-Searchable Item Library Adult Version - I Have Pain in My Chest
FSIL0026C183643FSIL-Too Tired to EatFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am too tired to eat.FACIT-Searchable Item Library Adult Version - Too Tired to Eat
FSIL0027C183644FSIL-Motivated to Do ActivitiesFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am motivated to do my usual activities.FACIT-Searchable Item Library Adult Version - Motivated to Do Activities
FSIL0028C183645FSIL-Need Help Doing Usual ActivitiesFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I need help doing my usual activities.FACIT-Searchable Item Library Adult Version - Need Help Doing Usual Activities
FSIL0029C183646FSIL-Frustrated by Being Too TiredFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am frustrated by being too tired to do the things I want to do.FACIT-Searchable Item Library Adult Version - Frustrated by Being Too Tired
FSIL0030C183647FSIL-Limit Social Activity B/c TiredFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have to limit my social activity because I am tired.FACIT-Searchable Item Library Adult Version - Limit Social Activity B/c Tired
FSIL0031C183648FSIL-I Feel TiredFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel tired.FACIT-Searchable Item Library Adult Version - I Feel Tired
FSIL0032C183649FSIL-Trouble Starting ThingsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble starting things because I am tired.FACIT-Searchable Item Library Adult Version - Trouble Starting Things
FSIL0033C183650FSIL-Trouble Finishing ThingsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble finishing things because I am tired.FACIT-Searchable Item Library Adult Version - Trouble Finishing Things
FSIL0034C183651FSIL-I Have EnergyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have energy.FACIT-Searchable Item Library Adult Version - I Have Energy
FSIL0035C183652FSIL-I Have Trouble WalkingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble walking.FACIT-Searchable Item Library Adult Version - I Have Trouble Walking
FSIL0036C183653FSIL-Able to Do My Usual ActivitiesFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to do my usual activities.FACIT-Searchable Item Library Adult Version - Able to Do My Usual Activities
FSIL0037C183654FSIL-I Need to Sleep During the DayFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I need to sleep during the day.FACIT-Searchable Item Library Adult Version - I Need to Sleep During the Day
FSIL0038C183655FSIL-I Feel LightheadedFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel lightheaded (dizzy).FACIT-Searchable Item Library Adult Version - I Feel Lightheaded
FSIL0039C183656FSIL-I Have Been Short of BreathFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have been short of breath.FACIT-Searchable Item Library Adult Version - I Have Been Short of Breath
FSIL0040C183657FSIL-Movement of Arm This Side PainfulFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Movement of my arm on this side is painful.FACIT-Searchable Item Library Adult Version - Movement of Arm This Side Painful
FSIL0041C183658FSIL-Poor Range Arm Movements This SideFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have a poor range of arm movements on this side.FACIT-Searchable Item Library Adult Version - Poor Range Arm Movements This Side
FSIL0042C183659FSIL-My Arm on This Side Feels NumbFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My arm on this side feels numb.FACIT-Searchable Item Library Adult Version - My Arm on This Side Feels Numb
FSIL0043C183660FSIL-Have Stiffness of Arm on This SideFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have stiffness of my arm on this side.FACIT-Searchable Item Library Adult Version - Have Stiffness of Arm on This Side
FSIL0044C183661FSIL-Self-conscious About Way I DressFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am self-conscious about the way I dress.FACIT-Searchable Item Library Adult Version - Self-conscious About Way I Dress
FSIL0045C183662FSIL-One/Both Arms Are Swollen/TenderFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: One or both of my arms are swollen or tender.FACIT-Searchable Item Library Adult Version - One/Both Arms Are Swollen/Tender
FSIL0046C183663FSIL-I Feel Sexually AttractiveFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel sexually attractive.FACIT-Searchable Item Library Adult Version - I Feel Sexually Attractive
FSIL0047C183664FSIL-Bothered by Hair LossFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by hair loss.FACIT-Searchable Item Library Adult Version - Bothered by Hair Loss
FSIL0048C183665FSIL-Worry Family Will Get IllnessFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry that other members of my family might someday get the same illness I have.FACIT-Searchable Item Library Adult Version - Worry Family Will Get Illness
FSIL0049C183666FSIL-Worry About the Effect of StressFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about the effect of stress on my illness.FACIT-Searchable Item Library Adult Version - Worry About the Effect of Stress
FSIL0050C183667FSIL-Bothered by Change in WeightFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by a change in weight.FACIT-Searchable Item Library Adult Version - Bothered by Change in Weight
FSIL0051C183668FSIL-Able to Feel Like a WomanFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to feel like a woman.FACIT-Searchable Item Library Adult Version - Able to Feel Like a Woman
FSIL0052C183669FSIL-Have Trouble Controlling My UrineFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble controlling my urine.FACIT-Searchable Item Library Adult Version - Have Trouble Controlling My Urine
FSIL0053C183670FSIL-I Urinate More FrequentlyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I urinate more frequently than usual.FACIT-Searchable Item Library Adult Version - I Urinate More Frequently
FSIL0054C183671FSIL-It Burns When I UrinateFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: It burns when I urinate.FACIT-Searchable Item Library Adult Version - It Burns When I Urinate
FSIL0055C183672FSIL-Interested in SexFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am interested in sex.FACIT-Searchable Item Library Adult Version - Interested in Sex
FSIL0056C183673FSIL-Able to Have/Maintain ErectionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to have and maintain an erection. (For men only)FACIT-Searchable Item Library Adult Version - Able to Have/Maintain Erection
FSIL0057C183674FSIL-Concerned About Keeping My JobFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am concerned about keeping my job (include work at home).FACIT-Searchable Item Library Adult Version - Concerned About Keeping My Job
FSIL0058C183675FSIL-I Can Remember ThingsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I can remember things.FACIT-Searchable Item Library Adult Version - I Can Remember Things
FSIL0059C183676FSIL-I Have Frequent Colds/InfectionsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have frequent colds/infections.FACIT-Searchable Item Library Adult Version - I Have Frequent Colds/Infections
FSIL0060C183677FSIL-My Eyesight Is BlurryFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My eyesight is blurry.FACIT-Searchable Item Library Adult Version - My Eyesight Is Blurry
FSIL0061C183678FSIL-Bothered by Change in Food TastesFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by a change in the way food tastes.FACIT-Searchable Item Library Adult Version - Bothered by Change in Food Tastes
FSIL0062C183679FSIL-I Have TremorsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have tremors.FACIT-Searchable Item Library Adult Version - I Have Tremors
FSIL0063C183680FSIL-Bothered by Skin ProblemsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by skin problems.FACIT-Searchable Item Library Adult Version - Bothered by Skin Problems
FSIL0064C183681FSIL-I Have Trouble With My BowelsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble with my bowels.FACIT-Searchable Item Library Adult Version - I Have Trouble With My Bowels
FSIL0065C183682FSIL-Illness Is Hardship for My FamilyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My illness is a personal hardship for my close family members.FACIT-Searchable Item Library Adult Version - Illness Is Hardship for My Family
FSIL0066C183683FSIL-Cost of Treatment Is Burden on MeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: The cost of my treatment is a burden on me or my family.FACIT-Searchable Item Library Adult Version - Cost of Treatment Is Burden on Me
FSIL0067C183684FSIL-I Feel Distant From Other PeopleFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel distant from other people.FACIT-Searchable Item Library Adult Version - I Feel Distant From Other People
FSIL0068C183685FSIL-I Worry Transplant Will Not WorkFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry that the transplant will not work.FACIT-Searchable Item Library Adult Version - I Worry Transplant Will Not Work
FSIL0069C183686FSIL-Side Effects of Treatment WorseFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: The side effects of treatment are worse than I had imagined.FACIT-Searchable Item Library Adult Version - Side Effects of Treatment Worse
FSIL0070C183687FSIL-Able to Get Around by MyselfFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to get around by myself.FACIT-Searchable Item Library Adult Version - Able to Get Around by Myself
FSIL0071C183688FSIL-I Get Tired EasilyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I get tired easily.FACIT-Searchable Item Library Adult Version - I Get Tired Easily
FSIL0072C183689FSIL-Concerns Ability to Have ChildrenFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have concerns about my ability to have children.FACIT-Searchable Item Library Adult Version - Concerns Ability to Have Children
FSIL0073C183690FSIL-Confidence in My Nurse(s)Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have confidence in my nurse(s).FACIT-Searchable Item Library Adult Version - Confidence in My Nurse(s)
FSIL0074C183691FSIL-I Regret Bone Marrow TransplantFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I regret having the bone marrow transplant.FACIT-Searchable Item Library Adult Version - I Regret Bone Marrow Transplant
FSIL0075C183692FSIL-I Have Bone PainFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have bone pain.FACIT-Searchable Item Library Adult Version - I Have Bone Pain
FSIL0076C183693FSIL-Frustrated by My Bone PainFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am frustrated by my bone pain.FACIT-Searchable Item Library Adult Version - Frustrated by My Bone Pain
FSIL0077C183694FSIL-I Feel Depressed about Bone PainFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel depressed about my bone pain.FACIT-Searchable Item Library Adult Version - I Feel Depressed about Bone Pain
FSIL0078C183695FSIL-I Worry Bone Pain Will Get WorseFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry that my bone pain will get worse.FACIT-Searchable Item Library Adult Version - I Worry Bone Pain Will Get Worse
FSIL0079C183696FSIL-Family Trouble Understand Bone PainFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My family has trouble understanding when my bone pain interferes with my activity.FACIT-Searchable Item Library Adult Version - Family Trouble Understand Bone Pain
FSIL0080C183697FSIL-Hurts When Put Weight/Pressure onFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: It hurts when I put weight or pressure on the place where I have bone pain.FACIT-Searchable Item Library Adult Version - Hurts When Put Weight/Pressure on
FSIL0081C183698FSIL-Bone Pain Even When I Sit/Lie StillFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have bone pain even when I sit or lie still.FACIT-Searchable Item Library Adult Version - Bone Pain Even When I Sit/Lie Still
FSIL0082C183699FSIL-Need Help Doing Activ B/c Bone PainFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I need help doing my usual activities because of bone pain.FACIT-Searchable Item Library Adult Version - Need Help Doing Activ B/c Bone Pain
FSIL0083C183700FSIL-Rest During Day B/c of Bone PainFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am forced to rest during the day because of bone pain.FACIT-Searchable Item Library Adult Version - Rest During Day B/c of Bone Pain
FSIL0084C183701FSIL-Trouble Walking Because Bone PainFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble walking because of bone pain.FACIT-Searchable Item Library Adult Version - Trouble Walking Because Bone Pain
FSIL0085C183702FSIL-Bone Pain Interferes Care MyselfFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Bone pain interferes with my ability to care for myself (bathing, dressing, eating, etc.).FACIT-Searchable Item Library Adult Version - Bone Pain Interferes Care Myself
FSIL0086C183703FSIL-Bone Pain Interferes w/SocialFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Bone pain interferes with my social activities.FACIT-Searchable Item Library Adult Version - Bone Pain Interferes w/Social
FSIL0087C183704FSIL-Bone Pain Wakes Me Up at NightFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Bone pain wakes me up at night.FACIT-Searchable Item Library Adult Version - Bone Pain Wakes Me Up at Night
FSIL0088C183705FSIL-Able to ConcentrateFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to concentrate.FACIT-Searchable Item Library Adult Version - Able to Concentrate
FSIL0089C183706FSIL-Bothered by Change in PersonalityFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by a change in my personality.FACIT-Searchable Item Library Adult Version - Bothered by Change in Personality
FSIL0090C183707FSIL-Make Decisions Take ResponsibilityFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to make decisions and take responsibility.FACIT-Searchable Item Library Adult Version - Make Decisions Take Responsibility
FSIL0091C183708FSIL-Bothered by Drop in My ContributionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by the drop in my contribution to the family.FACIT-Searchable Item Library Adult Version - Bothered by Drop in My Contribution
FSIL0092C183709FSIL-Able to Put My Thoughts TogetherFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to put my thoughts together.FACIT-Searchable Item Library Adult Version - Able to Put My Thoughts Together
FSIL0093C183710FSIL-I Need Help in Caring for MyselfFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I need help in caring for myself (bathing, dressing, eating, etc.).FACIT-Searchable Item Library Adult Version - I Need Help in Caring for Myself
FSIL0094C183711FSIL-Able to Put My thoughts Into ActionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to put my thoughts into action.FACIT-Searchable Item Library Adult Version - Able to Put My thoughts Into Action
FSIL0095C183712FSIL-Able to Read Like I Used toFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to read like I used to.FACIT-Searchable Item Library Adult Version - Able to Read Like I Used to
FSIL0096C183713FSIL-Able to Write Like I Used toFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to write like I used to.FACIT-Searchable Item Library Adult Version - Able to Write Like I Used to
FSIL0097C183714FSIL-Able to Drive a VehicleFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to drive a vehicle (my car, truck, etc.).FACIT-Searchable Item Library Adult Version - Able to Drive a Vehicle
FSIL0098C183715FSIL-Trouble Feeling Arm/Hands/LegsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble feeling sensations in my arm, hands or legs.FACIT-Searchable Item Library Adult Version - Trouble Feeling Arm/Hands/Legs
FSIL0099C183716FSIL-I Have Had SeizuresFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had seizures (convulsions).FACIT-Searchable Item Library Adult Version - I Have Had Seizures
FSIL0100C183717FSIL-Have Weakness in My Arms or LegsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have weakness in my arms or legs.FACIT-Searchable Item Library Adult Version - Have Weakness in My Arms or Legs
FSIL0101C183718FSIL-I Have Trouble With CoordinationFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble with coordination.FACIT-Searchable Item Library Adult Version - I Have Trouble With Coordination
FSIL0102C183719FSIL-I Can Remember New ThingsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I can remember new things.FACIT-Searchable Item Library Adult Version - I Can Remember New Things
FSIL0103C183720FSIL-Frustrated I Cannot Do ThingsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I get frustrated that I cannot do things I used to.FACIT-Searchable Item Library Adult Version - Frustrated I Cannot Do Things
FSIL0104C183721FSIL-Afraid of Having a SeizureFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am afraid of having a seizure (convulsion).FACIT-Searchable Item Library Adult Version - Afraid of Having a Seizure
FSIL0105C183722FSIL-I Have Trouble With My EyesightFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble with my eyesight.FACIT-Searchable Item Library Adult Version - I Have Trouble With My Eyesight
FSIL0106C183723FSIL-I Feel IndependentFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel independent.FACIT-Searchable Item Library Adult Version - I Feel Independent
FSIL0107C183724FSIL-Able to Find the Right WordsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to find the right word(s) to say what I mean.FACIT-Searchable Item Library Adult Version - Able to Find the Right Words
FSIL0108C183725FSIL-Difficulty Expressing My ThoughtsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty expressing my thoughts.FACIT-Searchable Item Library Adult Version - Difficulty Expressing My Thoughts
FSIL0109C183726FSIL-I Have Pain in My JointsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain in my joints.FACIT-Searchable Item Library Adult Version - I Have Pain in My Joints
FSIL0110C183727FSIL-Bothered by SweatingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by sweating.FACIT-Searchable Item Library Adult Version - Bothered by Sweating
FSIL0111C183728FSIL-Bothered by the ChillsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by the chills.FACIT-Searchable Item Library Adult Version - Bothered by the Chills
FSIL0112C183729FSIL-Bothered by FeversFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by fevers (episodes of high body temperature).FACIT-Searchable Item Library Adult Version - Bothered by Fevers
FSIL0113C183730FSIL-Bothered by Dry MouthFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by dry mouth.FACIT-Searchable Item Library Adult Version - Bothered by Dry Mouth
FSIL0114C183731FSIL-I Get Depressed EasilyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I get depressed easily.FACIT-Searchable Item Library Adult Version - I Get Depressed Easily
FSIL0115C183732FSIL-I Get Annoyed EasilyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I get annoyed easily.FACIT-Searchable Item Library Adult Version - I Get Annoyed Easily
FSIL0116C183733FSIL-I Have Emotional Ups and DownsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have emotional ups and downs.FACIT-Searchable Item Library Adult Version - I Have Emotional Ups and Downs
FSIL0117C183734FSIL-Treatment Bone Disease Takes TimeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Treatment for bone disease takes up my time.FACIT-Searchable Item Library Adult Version - Treatment Bone Disease Takes Time
FSIL0118C183735FSIL-Bothered by Effects Treatment BoneFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by side effects of treatment for bone disease.FACIT-Searchable Item Library Adult Version - Bothered by Effects Treatment Bone
FSIL0119C183736FSIL-Satisfied With Results of TreatmentFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Are you satisfied with the results of the treatment for your bone disease so far?FACIT-Searchable Item Library Adult Version - Satisfied With Results of Treatment
FSIL0120C183737FSIL-Treatment Bone Disease to OthersFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Would you recommend this treatment for bone disease to others with your illness?FACIT-Searchable Item Library Adult Version - Treatment Bone Disease to Others
FSIL0121C183738FSIL-Choose This Treatment Bone AgainFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Would you choose this treatment for bone disease again?FACIT-Searchable Item Library Adult Version - Choose This Treatment Bone Again
FSIL0122C183739FSIL-Treatment Takes Up My Family's TimeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My treatment for bone disease takes up my family's time.FACIT-Searchable Item Library Adult Version - Treatment Takes Up My Family's Time
FSIL0123C183740FSIL-Worry About Side Effects TreatmentFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about side effects from treatment for bone disease.FACIT-Searchable Item Library Adult Version - Worry About Side Effects Treatment
FSIL0124C183741FSIL-Taking Drug Infusion InconvenientFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Taking the drug by infusion is inconvenient.FACIT-Searchable Item Library Adult Version - Taking Drug Infusion Inconvenient
FSIL0125C183742FSIL-Infusion Causes Me Physical PainFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: The infusion for my bone treatment causes me physical pain.FACIT-Searchable Item Library Adult Version - Infusion Causes Me Physical Pain
FSIL0126C183743FSIL-Treatment Causes Me Physical PainFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My treatment for bone disease causes me physical pain.FACIT-Searchable Item Library Adult Version - Treatment Causes Me Physical Pain
FSIL0127C183744FSIL-Receiving Treatment Is InconvenientFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Receiving treatment for bone disease is inconvenient.FACIT-Searchable Item Library Adult Version - Receiving Treatment Is Inconvenient
FSIL0128C183745FSIL-Waiting Breakfast Is InconvenientFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Waiting up to 60 minutes before eating breakfast in the morning is inconvenient.FACIT-Searchable Item Library Adult Version - Waiting Breakfast Is Inconvenient
FSIL0129C183746FSIL-Having Blood Drawn Is InconvenientFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Having my blood drawn is inconvenient.FACIT-Searchable Item Library Adult Version - Having Blood Drawn Is Inconvenient
FSIL0130C183747FSIL-Worry Treatment Not EffectiveFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry that my treatment for bone disease will not be effective.FACIT-Searchable Item Library Adult Version - Worry Treatment Not Effective
FSIL0131C183748FSIL-Treatment Seems Harmful to MeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Treatment for bone disease seems harmful to me.FACIT-Searchable Item Library Adult Version - Treatment Seems Harmful to Me
FSIL0132C183749FSIL-Treatment Schedule Stressful to MeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My treatment schedule for bone disease is stressful to me.FACIT-Searchable Item Library Adult Version - Treatment Schedule Stressful to Me
FSIL0133C183750FSIL-Treatment Schedule Stressful FamilyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My treatment schedule for bone disease is stressful to my family.FACIT-Searchable Item Library Adult Version - Treatment Schedule Stressful Family
FSIL0134C183751FSIL-Believe Treatment Will Take Up TimeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe that treatment for bone disease will take up my time.FACIT-Searchable Item Library Adult Version - Believe Treatment Will Take Up Time
FSIL0135C183752FSIL-Believe Will Be Bothered by EffectsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe that I will be bothered by side effects of treatment for bone disease.FACIT-Searchable Item Library Adult Version - Believe Will Be Bothered by Effects
FSIL0136C183753FSIL-Believe Eating Will Be InconvenientFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe that waiting up to 60 minutes before eating breakfast in the morning will be inconvenient.FACIT-Searchable Item Library Adult Version - Believe Eating Will Be Inconvenient
FSIL0137C183754FSIL-Believe Infusion Will Cause PainFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe that an infusion for my bone treatment will cause me physical pain.FACIT-Searchable Item Library Adult Version - Believe Infusion Will Cause Pain
FSIL0138C183755FSIL-Believe Blood Will Be InconvenientFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe that having my blood drawn will be inconvenient.FACIT-Searchable Item Library Adult Version - Believe Blood Will Be Inconvenient
FSIL0139C183756FSIL-Believe Treatment Take Family TimeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe that my treatment for bone disease will take up my family's time.FACIT-Searchable Item Library Adult Version - Believe Treatment Take Family Time
FSIL0140C183757FSIL-Believe Treatment Will Cause PainFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe that my treatment for bone disease will cause me physical pain.FACIT-Searchable Item Library Adult Version - Believe Treatment Will Cause Pain
FSIL0141C183758FSIL-Believe Treatment InconvenientFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe that receiving treatment for bone disease will be inconvenient.FACIT-Searchable Item Library Adult Version - Believe Treatment Inconvenient
FSIL0142C183759FSIL-Believe Treatment Will Be HarmfulFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe that treatment for bone disease will be harmful to me.FACIT-Searchable Item Library Adult Version - Believe Treatment Will Be Harmful
FSIL0143C183760FSIL-Believe Schedule Stressful to MeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe that my treatment schedule for bone disease will be stressful to me.FACIT-Searchable Item Library Adult Version - Believe Schedule Stressful to Me
FSIL0144C183761FSIL-Believe Schedule Stressful FamilyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe that my treatment schedule for bone disease will be stressful to my family.FACIT-Searchable Item Library Adult Version - Believe Schedule Stressful Family
FSIL0145C183762FSIL-Swelling/Cramps in Stomach AreaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have swelling or cramps in my stomach area.FACIT-Searchable Item Library Adult Version - Swelling/Cramps in Stomach Area
FSIL0146C183763FSIL-Losing WeightFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am losing weight.FACIT-Searchable Item Library Adult Version - Losing Weight
FSIL0147C183764FSIL-I Have Control of My BowelsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have control of my bowels.FACIT-Searchable Item Library Adult Version - I Have Control of My Bowels
FSIL0148C183765FSIL-I Can Digest My Food WellFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I can digest my food well.FACIT-Searchable Item Library Adult Version - I Can Digest My Food Well
FSIL0149C183766FSIL-I Have DiarrheaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have diarrhea (diarrhoea).FACIT-Searchable Item Library Adult Version - I Have Diarrhea
FSIL0150C183767FSIL-I Have a Good AppetiteFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have a good appetite.FACIT-Searchable Item Library Adult Version - I Have a Good Appetite
FSIL0151C183768FSIL-I Like the Appearance of My BodyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I like the appearance of my body.FACIT-Searchable Item Library Adult Version - I Like the Appearance of My Body
FSIL0152C183769FSIL-Embarrassed by Ostomy ApplianceFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am embarrassed by my ostomy appliance.FACIT-Searchable Item Library Adult Version - Embarrassed by Ostomy Appliance
FSIL0153C183770FSIL-Caring for Ostomy Is DifficultFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Caring for my ostomy appliance is difficult.FACIT-Searchable Item Library Adult Version - Caring for Ostomy Is Difficult
FSIL0154C183771FSIL-Bothered by Hot FlashesFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by hot flashes.FACIT-Searchable Item Library Adult Version - Bothered by Hot Flashes
FSIL0155C183772FSIL-My Breasts Are SwollenFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My breasts are swollen.FACIT-Searchable Item Library Adult Version - My Breasts Are Swollen
FSIL0156C183773FSIL-My Breasts Are PainfulFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My breasts are painful.FACIT-Searchable Item Library Adult Version - My Breasts Are Painful
FSIL0157C183774FSIL-Discomfort in My Pelvic AreaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have discomfort in my pelvic area.FACIT-Searchable Item Library Adult Version - Discomfort in My Pelvic Area
FSIL0158C183775FSIL-Accepted I Have This InfectionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have accepted that I have this infection.FACIT-Searchable Item Library Adult Version - Accepted I Have This Infection
FSIL0159C183776FSIL-Worry Infection Will Get WorseFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry that the infection will get worse.FACIT-Searchable Item Library Adult Version - Worry Infection Will Get Worse
FSIL0160C183777FSIL-Hidden Problem Others Not NoticeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have hidden this problem so others will not notice.FACIT-Searchable Item Library Adult Version - Hidden Problem Others Not Notice
FSIL0161C183778FSIL-Concerns Ability Become PregnantFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have concerns about my ability to become pregnant.FACIT-Searchable Item Library Adult Version - Concerns Ability Become Pregnant
FSIL0162C183779FSIL-Worry About Attitudes Towards MeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about other people's attitudes towards me.FACIT-Searchable Item Library Adult Version - Worry About Attitudes Towards Me
FSIL0163C183780FSIL-Embarrassed About the InfectionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel embarrassed about the infection.FACIT-Searchable Item Library Adult Version - Embarrassed About the Infection
FSIL0164C183781FSIL-Blame Myself for the InfectionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I tend to blame myself for the infection.FACIT-Searchable Item Library Adult Version - Blame Myself for the Infection
FSIL0165C183782FSIL-Careful Who I told About InfectionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I was careful who I told about the infection.FACIT-Searchable Item Library Adult Version - Careful Who I told About Infection
FSIL0166C183783FSIL-Difficulty Telling Partner/SpouseFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had difficulty telling my partner/spouse about the infection.FACIT-Searchable Item Library Adult Version - Difficulty Telling Partner/Spouse
FSIL0167C183784FSIL-Frustrated by the InfectionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am frustrated by the infection.FACIT-Searchable Item Library Adult Version - Frustrated by the Infection
FSIL0168C183785FSIL-I Have Pain in My Pelvic AreaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain in my pelvic area.FACIT-Searchable Item Library Adult Version - I Have Pain in My Pelvic Area
FSIL0169C183786FSIL-Depressed About the InfectionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am depressed about the infection.FACIT-Searchable Item Library Adult Version - Depressed About the Infection
FSIL0170C183787FSIL-Get Emotional Support PartnerFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I get emotional support from my partner/spouse.FACIT-Searchable Item Library Adult Version - Get Emotional Support Partner
FSIL0171C183788FSIL-Emotional Support Family MembersFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I get emotional support from family members.FACIT-Searchable Item Library Adult Version - Emotional Support Family Members
FSIL0172C183789FSIL-I Have Cramping in My Pelvic AreaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have cramping in my pelvic area.FACIT-Searchable Item Library Adult Version - I Have Cramping in My Pelvic Area
FSIL0173C183790FSIL-Limit My Sexual Activity InfectionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have to limit my sexual activity because of the infection.FACIT-Searchable Item Library Adult Version - Limit My Sexual Activity Infection
FSIL0174C183791FSIL-Worry About Spreading the InfectionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about spreading the infection.FACIT-Searchable Item Library Adult Version - Worry About Spreading the Infection
FSIL0175C183792FSIL-Received Treatment That Was RightFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel that I received the treatment that was right for me.FACIT-Searchable Item Library Adult Version - Received Treatment That Was Right
FSIL0176C183793FSIL-Doctor Gave Explanations UnderstandFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My doctor gave me explanations that I could understand.FACIT-Searchable Item Library Adult Version - Doctor Gave Explanations Understand
FSIL0177C183794FSIL-Doctor Explained Possible BenefitsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My doctor explained the possible benefits of my treatment.FACIT-Searchable Item Library Adult Version - Doctor Explained Possible Benefits
FSIL0178C183795FSIL-Can Manage Things Around InfectionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel that I can manage things that come up around this infection.FACIT-Searchable Item Library Adult Version - Can Manage Things Around Infection
FSIL0179C183796FSIL-Able to Maintain My BalanceFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to maintain my balance.FACIT-Searchable Item Library Adult Version - Able to Maintain My Balance
FSIL0180C183797FSIL-Able to WalkFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to walk.FACIT-Searchable Item Library Adult Version - Able to Walk
FSIL0181C183798FSIL-I Have Strength in My Arm(s)Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have strength in my arm(s).FACIT-Searchable Item Library Adult Version - I Have Strength in My Arm(s)
FSIL0182C183799FSIL-I Have Strength in My LegsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have strength in my legs.FACIT-Searchable Item Library Adult Version - I Have Strength in My Legs
FSIL0183C183800FSIL-I Have Numbness in My LegsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have numbness in my legs.FACIT-Searchable Item Library Adult Version - I Have Numbness in My Legs
FSIL0184C183801FSIL-I Have Pain in My BackFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain in my back.FACIT-Searchable Item Library Adult Version - I Have Pain in My Back
FSIL0185C183802FSIL-I Have Trouble Forming ThoughtsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had trouble forming thoughts.FACIT-Searchable Item Library Adult Version - I Have Trouble Forming Thoughts
FSIL0186C183803FSIL-My Thinking Has Been SlowFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My thinking has been slow.FACIT-Searchable Item Library Adult Version - My Thinking Has Been Slow
FSIL0187C183804FSIL-Work Harder Than Usual to TrackFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had to work harder than usual to keep track of what I was doing.FACIT-Searchable Item Library Adult Version - Work Harder Than Usual to Track
FSIL0188C183805FSIL-My Thinking Slower Than UsualFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My thinking has been slower than usual.FACIT-Searchable Item Library Adult Version - My Thinking Slower Than Usual
FSIL0189C183806FSIL-Work Harder Than Usual to ExpressFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had to work harder than usual to express myself clearly.FACIT-Searchable Item Library Adult Version - Work Harder Than Usual to Express
FSIL0190C183807FSIL-Use Written Lists More OftenFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had to use written lists more often than usual so I would not forget things.FACIT-Searchable Item Library Adult Version - Use Written Lists More Often
FSIL0191C183808FSIL-I Have Had Trouble ConcentratingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had trouble concentrating.FACIT-Searchable Item Library Adult Version - I Have Had Trouble Concentrating
FSIL0192C183809FSIL-Walked Into a Room and ForgottenFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have walked into a room and forgotten what I meant to get or do there.FACIT-Searchable Item Library Adult Version - Walked Into a Room and Forgotten
FSIL0193C183810FSIL-Work Hard to Pay AttentionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had to work really hard to pay attention or I would make a mistake.FACIT-Searchable Item Library Adult Version - Work Hard to Pay Attention
FSIL0194C183811FSIL-Forgotten Names After IntroducedFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have forgotten names of people soon after being introduced.FACIT-Searchable Item Library Adult Version - Forgotten Names After Introduced
FSIL0195C183812FSIL-Reaction Everyday Situations SlowFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My reactions in everyday situations have been slow.FACIT-Searchable Item Library Adult Version - Reaction Everyday Situations Slow
FSIL0196C183813FSIL-Trouble Remember Where Put ThingsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had trouble remembering where I put things, like my keys or my wallet.FACIT-Searchable Item Library Adult Version - Trouble Remember Where Put Things
FSIL0197C183814FSIL-Trouble Remembering New InfoFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had trouble remembering new information, like phone numbers or simple instructions.FACIT-Searchable Item Library Adult Version - Trouble Remembering New Info
FSIL0198C183815FSIL-Trouble Finding Familiar PlaceFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had trouble finding my way to a familiar place.FACIT-Searchable Item Library Adult Version - Trouble Finding Familiar Place
FSIL0199C183816FSIL-Trouble Keeping Track InterruptedFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble keeping track of what I am doing if I am interrupted.FACIT-Searchable Item Library Adult Version - Trouble Keeping Track Interrupted
FSIL0200C183817FSIL-Trouble Shifting Back and ForthFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble shifting back and forth between different activities that require thinking.FACIT-Searchable Item Library Adult Version - Trouble Shifting Back and Forth
FSIL0201C183818FSIL-Told Me Trouble Remembering InfoFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Other people have told me I seemed to have trouble remembering information.FACIT-Searchable Item Library Adult Version - Told Me Trouble Remembering Info
FSIL0202C183819FSIL-Told Me Trouble Speaking ClearlyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Other people have told me I seemed to have trouble speaking clearly.FACIT-Searchable Item Library Adult Version - Told Me Trouble Speaking Clearly
FSIL0203C183820FSIL-Told Me Trouble Thinking ClearlyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Other people have told me I seemed to have trouble thinking clearly.FACIT-Searchable Item Library Adult Version - Told Me Trouble Thinking Clearly
FSIL0204C183821FSIL-People Told Me I Seemed ConfusedFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Other people have told me I seemed confused.FACIT-Searchable Item Library Adult Version - People Told Me I Seemed Confused
FSIL0205C183822FSIL-I Have Been Able to ConcentrateFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have been able to concentrate.FACIT-Searchable Item Library Adult Version - I Have Been Able to Concentrate
FSIL0206C183823FSIL-Mind Is as Sharp as Always BeenFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My mind is as sharp as it has always been.FACIT-Searchable Item Library Adult Version - Mind Is as Sharp as Always Been
FSIL0207C183824FSIL-Memory Is as Good as Always BeenFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My memory is as good as it has always been.FACIT-Searchable Item Library Adult Version - Memory Is as Good as Always Been
FSIL0208C183825FSIL-Able to Pay Attention w/o EffortFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to pay attention and keep track of what I am doing without extra effort.FACIT-Searchable Item Library Adult Version - Able to Pay Attention w/o Effort
FSIL0209C183826FSIL-Able Remember Things Where LeftFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have been able to remember things, like where I left my keys or wallet.FACIT-Searchable Item Library Adult Version - Able Remember Things Where Left
FSIL0210C183827FSIL-Able Remember to Do ThingsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have been able to remember to do things, like take medicine or buy something I needed.FACIT-Searchable Item Library Adult Version - Able Remember to Do Things
FSIL0211C183828FSIL-Able to Shift Between ActivitiesFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to shift back and forth between two activities that require thinking.FACIT-Searchable Item Library Adult Version - Able to Shift Between Activities
FSIL0212C183829FSIL-Able to Track What I Am DoingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to keep track of what I am doing, even if I am interrupted.FACIT-Searchable Item Library Adult Version - Able to Track What I Am Doing
FSIL0213C183830FSIL-Able to Bring to Mind WordsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have been able to bring to mind words that I wanted to use while talking to someone.FACIT-Searchable Item Library Adult Version - Able to Bring to Mind Words
FSIL0214C183831FSIL-I Have Been Upset About ProblemsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have been upset about these problems.FACIT-Searchable Item Library Adult Version - I Have Been Upset About Problems
FSIL0215C183832FSIL-Problems Interfered Ability WorkFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: These problems have interfered with my ability to work.FACIT-Searchable Item Library Adult Version - Problems Interfered Ability Work
FSIL0216C183833FSIL-Problems Interfered Ability EnjoyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: These problems have interfered with my ability to do things I enjoy.FACIT-Searchable Item Library Adult Version - Problems Interfered Ability Enjoy
FSIL0217C183834FSIL-Problems Interfered Quality LifeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: These problems have interfered with the quality of my life.FACIT-Searchable Item Library Adult Version - Problems Interfered Quality Life
FSIL0218C183835FSIL-Trouble Recalling Name of ObjectFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had trouble recalling the name of an object while talking to someone.FACIT-Searchable Item Library Adult Version - Trouble Recalling Name of Object
FSIL0219C183836FSIL-Trouble Finding Right WordsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had trouble finding the right word(s) to express myself.FACIT-Searchable Item Library Adult Version - Trouble Finding Right Words
FSIL0220C183837FSIL-Used Wrong Word When Refer ObjectFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have used the wrong word when I referred to an object.FACIT-Searchable Item Library Adult Version - Used Wrong Word When Refer Object
FSIL0221C183838FSIL-Trouble Saying What I MeanFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had trouble saying what I mean in conversations with others.FACIT-Searchable Item Library Adult Version - Trouble Saying What I Mean
FSIL0222C183839FSIL-Chemo Treatment Takes Up My TimeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Chemotherapy treatment takes up my time.FACIT-Searchable Item Library Adult Version - Chemo Treatment Takes Up My Time
FSIL0223C183840FSIL-Satisfied With Results ChemoFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Are you satisfied with the current results of your chemotherapy?FACIT-Searchable Item Library Adult Version - Satisfied With Results Chemo
FSIL0224C183841FSIL-Recommend Chemo to OthersFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Would you recommend this chemotherapy to others with your illness?FACIT-Searchable Item Library Adult Version - Recommend Chemo to Others
FSIL0225C183842FSIL-Choose This Chemo AgainFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Would you choose this chemotherapy again?FACIT-Searchable Item Library Adult Version - Choose This Chemo Again
FSIL0226C183843FSIL-Rate This ChemoFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: How would you rate this chemotherapy?FACIT-Searchable Item Library Adult Version - Rate This Chemo
FSIL0227C183844FSIL-Chemo Takes Family TimeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My chemotherapy treatment takes up my family's time.FACIT-Searchable Item Library Adult Version - Chemo Takes Family Time
FSIL0228C183845FSIL-Worry Side Effects From ChemoFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about side effects from chemotherapy treatment.FACIT-Searchable Item Library Adult Version - Worry Side Effects From Chemo
FSIL0229C183846FSIL-Chemo Causes Physical PainFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My chemotherapy treatment causes me physical pain.FACIT-Searchable Item Library Adult Version - Chemo Causes Physical Pain
FSIL0230C183847FSIL-Receiving Chemo InconvenientFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Receiving chemotherapy is inconvenient.FACIT-Searchable Item Library Adult Version - Receiving Chemo Inconvenient
FSIL0231C183848FSIL-Worry Chemo Not EffectiveFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry that my chemotherapy will not be effective.FACIT-Searchable Item Library Adult Version - Worry Chemo Not Effective
FSIL0232C183849FSIL-Chemo Seems HarmfulFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Chemotherapy treatment seems harmful to me.FACIT-Searchable Item Library Adult Version - Chemo Seems Harmful
FSIL0233C183850FSIL-Chemo Schedule Is Stressful MeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My chemotherapy schedule is stressful to me.FACIT-Searchable Item Library Adult Version - Chemo Schedule Is Stressful Me
FSIL0234C183851FSIL-Chemo Schedule Is Stressful FamilyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My chemotherapy schedule is stressful to my family.FACIT-Searchable Item Library Adult Version - Chemo Schedule Is Stressful Family
FSIL0235C183852FSIL-Believe Chemo Take Up My TimeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe chemotherapy treatment will take up my time.FACIT-Searchable Item Library Adult Version - Believe Chemo Take Up My Time
FSIL0236C183853FSIL-Believe Chemo Cause Physical PainFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe my chemotherapy treatment will cause me physical pain.FACIT-Searchable Item Library Adult Version - Believe Chemo Cause Physical Pain
FSIL0237C183854FSIL-Believe Chemo InconvenientFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe receiving chemotherapy will be inconvenient.FACIT-Searchable Item Library Adult Version - Believe Chemo Inconvenient
FSIL0238C183855FSIL-Believe Chemo Harmful to MeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe chemotherapy treatment will be harmful to me.FACIT-Searchable Item Library Adult Version - Believe Chemo Harmful to Me
FSIL0239C183856FSIL-Believe Chemo Schedule Stressful MeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe my chemotherapy schedule will be stressful to me.FACIT-Searchable Item Library Adult Version - Believe Chemo Schedule Stressful Me
FSIL0240C183857FSIL-Believe Chemo Sched Stress FamilyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe my chemotherapy schedule will be stressful to my family.FACIT-Searchable Item Library Adult Version - Believe Chemo Sched Stress Family
FSIL0241C183858FSIL-My Skin ItchesFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My skin itches.FACIT-Searchable Item Library Adult Version - My Skin Itches
FSIL0242C183859FSIL-Trouble Sleeping B/c Skin ConditionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble sleeping because of my skin condition.FACIT-Searchable Item Library Adult Version - Trouble Sleeping B/c Skin Condition
FSIL0243C183860FSIL-Family Bothered by Skin ConditionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My family is bothered by my skin condition.FACIT-Searchable Item Library Adult Version - Family Bothered by Skin Condition
FSIL0244C183861FSIL-Difficulty Doing Things B/c of SkinFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty doing things with my hands because of the condition of my skin.FACIT-Searchable Item Library Adult Version - Difficulty Doing Things B/c of Skin
FSIL0245C183862FSIL-Difficulty Walking B/c of SkinFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty walking because of my skin condition.FACIT-Searchable Item Library Adult Version - Difficulty Walking B/c of Skin
FSIL0246C183863FSIL-Bothered Red/Pink Appearance SkinFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by the red or pink appearance of my skin.FACIT-Searchable Item Library Adult Version - Bothered Red/Pink Appearance Skin
FSIL0247C183864FSIL-Bothered by Uncertainty PrognosisFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by uncertainty about my prognosis.FACIT-Searchable Item Library Adult Version - Bothered by Uncertainty Prognosis
FSIL0248C183865FSIL-Tired Dealing With Skin ConditionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am tired of dealing with my skin condition.FACIT-Searchable Item Library Adult Version - Tired Dealing With Skin Condition
FSIL0249C183866FSIL-Painful Lesions/Tumors on My SkinFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have painful lesions or tumors on my skin.FACIT-Searchable Item Library Adult Version - Painful Lesions/Tumors on My Skin
FSIL0250C183867FSIL-Bothered Inconvenience Treat SkinFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by the inconvenience of treatment for my skin condition.FACIT-Searchable Item Library Adult Version - Bothered Inconvenience Treat Skin
FSIL0251C183868FSIL-Skin Feels Sensitive or RawFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My skin feels sensitive or "raw".FACIT-Searchable Item Library Adult Version - Skin Feels Sensitive or Raw
FSIL0252C183869FSIL-Painful Cracks Skin on Hands/FeetFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have painful cracks in the skin on my hands or feet.FACIT-Searchable Item Library Adult Version - Painful Cracks Skin on Hands/Feet
FSIL0253C183870FSIL-My Skin Feels IrritatedFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My skin feels irritated.FACIT-Searchable Item Library Adult Version - My Skin Feels Irritated
FSIL0254C183871FSIL-Worry Skin condition Get WorseFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry that my skin condition may get worse.FACIT-Searchable Item Library Adult Version - Worry Skin condition Get Worse
FSIL0255C183872FSIL-Embarrassed by Appearance of SkinFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am embarrassed by the appearance of my skin.FACIT-Searchable Item Library Adult Version - Embarrassed by Appearance of Skin
FSIL0256C183873FSIL-Frustrated by My Skin ConditionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am frustrated by my skin condition.FACIT-Searchable Item Library Adult Version - Frustrated by My Skin Condition
FSIL0257C183874FSIL-Skin Is Dry or FlakyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My skin is dry or "flaky".FACIT-Searchable Item Library Adult Version - Skin Is Dry or Flaky
FSIL0258C183875FSIL-Bothered Discharge/Bleeding VaginaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by discharge or bleeding from my vagina.FACIT-Searchable Item Library Adult Version - Bothered Discharge/Bleeding Vagina
FSIL0259C183876FSIL-Bothered by Odor From VaginaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by odor coming from my vagina.FACIT-Searchable Item Library Adult Version - Bothered by Odor From Vagina
FSIL0260C183877FSIL-Afraid to Have SexFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am afraid to have sex.FACIT-Searchable Item Library Adult Version - Afraid to Have Sex
FSIL0261C183878FSIL-Vagina Feels Too Narrow/ShortFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My vagina feels too narrow or short.FACIT-Searchable Item Library Adult Version - Vagina Feels Too Narrow/Short
FSIL0262C183879FSIL-Afraid Treatment May Harm BodyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am afraid the treatment may harm my body.FACIT-Searchable Item Library Adult Version - Afraid Treatment May Harm Body
FSIL0263C183880FSIL-Bothered by ConstipationFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by constipation.FACIT-Searchable Item Library Adult Version - Bothered by Constipation
FSIL0264C183881FSIL-I Have Discomfort When I UrinateFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have discomfort when I urinate.FACIT-Searchable Item Library Adult Version - I Have Discomfort When I Urinate
FSIL0265C183882FSIL-Limit Social Activity B/c DiarrheaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have to limit my social activity because of diarrhea (diarrhoea).FACIT-Searchable Item Library Adult Version - Limit Social Activity B/c Diarrhea
FSIL0266C183883FSIL-Limit Physical Activ B/c DiarrheaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have to limit my physical activity because of diarrhea (diarrhoea).FACIT-Searchable Item Library Adult Version - Limit Physical Activ B/c Diarrhea
FSIL0267C183884FSIL-Limit Sexual Activity B/c DiarrheaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have to limit my sexual activity because of diarrhea (diarrhoea).FACIT-Searchable Item Library Adult Version - Limit Sexual Activity B/c Diarrhea
FSIL0268C183885FSIL-Embarrassed by Having DiarrheaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am embarrassed by having diarrhea (diarrhoea).FACIT-Searchable Item Library Adult Version - Embarrassed by Having Diarrhea
FSIL0269C183886FSIL-Abdominal Cramps DiarrheaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have abdominal cramps or discomfort due to my diarrhea (diarrhoea).FACIT-Searchable Item Library Adult Version - Abdominal Cramps Diarrhea
FSIL0270C183887FSIL-Diarrhea Keeps/Wakes Me Up at NightFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My problem with diarrhea (diarrhoea) keeps/wakes me up at night.FACIT-Searchable Item Library Adult Version - Diarrhea Keeps/Wakes Me Up at Night
FSIL0271C183888FSIL-Dressing Yourself Without HelpFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Dressing yourself without help.FACIT-Searchable Item Library Adult Version - Dressing Yourself Without Help
FSIL0272C183889FSIL-Walking 50 Steps Flat Normal SpeedFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Walking 50 steps/paces on flat ground at a normal speed without stopping.FACIT-Searchable Item Library Adult Version - Walking 50 Steps Flat Normal Speed
FSIL0273C183890FSIL-Walking Up 20 Stairs w/o StoppingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Walking up 20 stairs (2 flights) without stopping.FACIT-Searchable Item Library Adult Version - Walking Up 20 Stairs w/o Stopping
FSIL0274C183891FSIL-Preparing MealsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Preparing meals.FACIT-Searchable Item Library Adult Version - Preparing Meals
FSIL0275C183892FSIL-Washing DishesFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Washing dishes.FACIT-Searchable Item Library Adult Version - Washing Dishes
FSIL0276C183893FSIL-Sweeping/MoppingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Sweeping or mopping.FACIT-Searchable Item Library Adult Version - Sweeping/Mopping
FSIL0277C183894FSIL-Making a BedFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Making a bed.FACIT-Searchable Item Library Adult Version - Making a Bed
FSIL0278C183895FSIL-Lifting 10-20 LbsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Lifting something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries).FACIT-Searchable Item Library Adult Version - Lifting 10-20 Lbs
FSIL0279C183896FSIL-Carrying 10-20 LbsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Carrying something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries) from one room to another.FACIT-Searchable Item Library Adult Version - Carrying 10-20 Lbs
FSIL0280C183897FSIL-Walking for 1/2 Mile w/o StoppingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Walking (faster than your usual speed) for 1/2 mile (almost 1 km) without stopping.FACIT-Searchable Item Library Adult Version - Walking for 1/2 Mile w/o Stopping
FSIL0281C183898FSIL-Difficulty Swallowing Solid FoodsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty swallowing solid foods.FACIT-Searchable Item Library Adult Version - Difficulty Swallowing Solid Foods
FSIL0282C183899FSIL-Difficulty Swallowing Soft FoodsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty swallowing soft or mashed foods.FACIT-Searchable Item Library Adult Version - Difficulty Swallowing Soft Foods
FSIL0283C183900FSIL-Difficulty Swallowing LiquidsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty swallowing liquids.FACIT-Searchable Item Library Adult Version - Difficulty Swallowing Liquids
FSIL0284C183901FSIL-Pain in My Chest When I SwallowFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain in my chest when I swallow.FACIT-Searchable Item Library Adult Version - Pain in My Chest When I Swallow
FSIL0285C183902FSIL-I Choke When I SwallowFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I choke when I swallow.FACIT-Searchable Item Library Adult Version - I Choke When I Swallow
FSIL0286C183903FSIL-Enjoy Meals With Family/FriendsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to enjoy meals with family or friends.FACIT-Searchable Item Library Adult Version - Enjoy Meals With Family/Friends
FSIL0287C183904FSIL-Wake at Night Because of CoughingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I wake at night because of coughing.FACIT-Searchable Item Library Adult Version - Wake at Night Because of Coughing
FSIL0288C183905FSIL-Pleasant Feel Fullness Tube FeedingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I experience a pleasant feeling of fullness during or after my tube feeding.FACIT-Searchable Item Library Adult Version - Pleasant Feel Fullness Tube Feeding
FSIL0289C183906FSIL-I Have the Desire to EatFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have the desire to eat.FACIT-Searchable Item Library Adult Version - I Have the Desire to Eat
FSIL0290C183907FSIL-Worry Feeding Tube Health Is WorseFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry that having a feeding tube means my health is worse.FACIT-Searchable Item Library Adult Version - Worry Feeding Tube Health Is Worse
FSIL0291C183908FSIL-Worry Tube Coming Out by AccidentFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about the tube coming out by accident.FACIT-Searchable Item Library Adult Version - Worry Tube Coming Out by Accident
FSIL0292C183909FSIL-Worry Tube Getting Plugged/BlockedFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about the tube getting plugged or blocked.FACIT-Searchable Item Library Adult Version - Worry Tube Getting Plugged/Blocked
FSIL0293C183910FSIL-Worry Infection From Feeding TubeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about getting an infection from the feeding tube.FACIT-Searchable Item Library Adult Version - Worry Infection From Feeding Tube
FSIL0294C183911FSIL-Worry Losing Weight Feeding TubeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about losing weight because I have a feeding tube.FACIT-Searchable Item Library Adult Version - Worry Losing Weight Feeding Tube
FSIL0295C183912FSIL-Lost Food Choices Feeding TubeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel that I have lost control of my food choices because I have a feeding tube.FACIT-Searchable Item Library Adult Version - Lost Food Choices Feeding Tube
FSIL0296C183913FSIL-Dependent on Others Feeding TubeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel dependent on others because I have a feeding tube.FACIT-Searchable Item Library Adult Version - Dependent on Others Feeding Tube
FSIL0297C183914FSIL-Left Out When Others Are EatingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel left out when others are eating.FACIT-Searchable Item Library Adult Version - Left Out When Others Are Eating
FSIL0298C183915FSIL-Confident Nutrition Feeding TubeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am more confident about my nutrition because of my feeding tube.FACIT-Searchable Item Library Adult Version - Confident Nutrition Feeding Tube
FSIL0299C183916FSIL-Uncomfortably Full Tube FeedingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel uncomfortably full during or after my tube feeding.FACIT-Searchable Item Library Adult Version - Uncomfortably Full Tube Feeding
FSIL0300C183917FSIL-Feeding Tube Was Right DecisionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Getting a feeding tube was the right decision for me.FACIT-Searchable Item Library Adult Version - Feeding Tube Was Right Decision
FSIL0301C183918FSIL-Constipation Dur/After Tube FeedingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have constipation during or after my tube feeding.FACIT-Searchable Item Library Adult Version - Constipation Dur/After Tube Feeding
FSIL0302C183919FSIL-Vomiting Dur/After Tube FeedingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I experience vomiting during or after my tube feeding.FACIT-Searchable Item Library Adult Version - Vomiting Dur/After Tube Feeding
FSIL0303C183920FSIL-Tube Feed Limits Do Inside HouseFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Tube feeding limits what I can do inside the house (for example housework, watching TV or reading).FACIT-Searchable Item Library Adult Version - Tube Feed Limits Do Inside House
FSIL0304C183921FSIL-Tube Feeding Limits Do OutsideFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Tube feeding limits what I can do outside of the house (for example shopping, driving or yard work).FACIT-Searchable Item Library Adult Version - Tube Feeding Limits Do Outside
FSIL0305C183922FSIL-Tube Feeding Limits ActivitiesFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Tube feeding limits my activities with my friends.FACIT-Searchable Item Library Adult Version - Tube Feeding Limits Activities
FSIL0306C183923FSIL-Dur Tube Feeding Eat/Drink by MouthFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: During the use of tube feeding, I can eat and drink by mouth.FACIT-Searchable Item Library Adult Version - Dur Tube Feeding Eat/Drink by Mouth
FSIL0307C183924FSIL-Miss Food/Drink Mouth Feeding TubeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I miss being able to take more food or drink by mouth now that I have a feeding tube.FACIT-Searchable Item Library Adult Version - Miss Food/Drink Mouth Feeding Tube
FSIL0308C183925FSIL-Trouble Digesting FoodFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble digesting food.FACIT-Searchable Item Library Adult Version - Trouble Digesting Food
FSIL0309C183926FSIL-Discomfort/Pain in My Pelvic AreaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have discomfort or pain in my pelvic area.FACIT-Searchable Item Library Adult Version - Discomfort/Pain in My Pelvic Area
FSIL0310C183927FSIL-I Have Hot Flashes/Hot FlushesFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have hot flashes/hot flushes.FACIT-Searchable Item Library Adult Version - I Have Hot Flashes/Hot Flushes
FSIL0311C183928FSIL-I Have Gained WeightFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have gained weight.FACIT-Searchable Item Library Adult Version - I Have Gained Weight
FSIL0312C183929FSIL-Have Breast Sensitivity/TendernessFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have breast sensitivity/tenderness.FACIT-Searchable Item Library Adult Version - Have Breast Sensitivity/Tenderness
FSIL0313C183930FSIL-I Have Mood SwingsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have mood swings.FACIT-Searchable Item Library Adult Version - I Have Mood Swings
FSIL0314C183931FSIL-IrritableFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am irritable.FACIT-Searchable Item Library Adult Version - Irritable
FSIL0315C183932FSIL-I Have Cold SweatsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have cold sweats.FACIT-Searchable Item Library Adult Version - I Have Cold Sweats
FSIL0316C183933FSIL-I Have Night SweatsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have night sweats.FACIT-Searchable Item Library Adult Version - I Have Night Sweats
FSIL0317C183934FSIL-I Have Vaginal DischargeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have vaginal discharge.FACIT-Searchable Item Library Adult Version - I Have Vaginal Discharge
FSIL0318C183935FSIL-I Have Vaginal Itching/IrritationFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have vaginal itching/irritation.FACIT-Searchable Item Library Adult Version - I Have Vaginal Itching/Irritation
FSIL0319C183936FSIL-I Have Vaginal Bleeding or SpottingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have vaginal bleeding or spotting.FACIT-Searchable Item Library Adult Version - I Have Vaginal Bleeding or Spotting
FSIL0320C183937FSIL-I Have Vaginal DrynessFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have vaginal dryness.FACIT-Searchable Item Library Adult Version - I Have Vaginal Dryness
FSIL0321C183938FSIL-Have Pain/Discomfort w/IntercourseFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain or discomfort with intercourse.FACIT-Searchable Item Library Adult Version - Have Pain/Discomfort w/Intercourse
FSIL0322C183939FSIL-I Have Lost Interest in SexFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have lost interest in sex.FACIT-Searchable Item Library Adult Version - I Have Lost Interest in Sex
FSIL0323C183940FSIL-Enough Money to Cover TreatmentFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I know that I have enough money in savings, retirement, or assets to cover the costs of my treatment.FACIT-Searchable Item Library Adult Version - Enough Money to Cover Treatment
FSIL0324C183941FSIL-Reduced Satisfaction FinancialFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My cancer or treatment has reduced my satisfaction with my present financial situation.FACIT-Searchable Item Library Adult Version - Reduced Satisfaction Financial
FSIL0325C183942FSIL-In control of Financial SituationFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel in control of my financial situation.FACIT-Searchable Item Library Adult Version - In control of Financial Situation
FSIL0326C183943FSIL-Illness a Financial HardshipFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My illness has been a financial hardship to my family and me.FACIT-Searchable Item Library Adult Version - Illness a Financial Hardship
FSIL0327C183944FSIL-Medical Expense More Than I ThoughtFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My out-of-pocket medical expenses are more than I thought they would be.FACIT-Searchable Item Library Adult Version - Medical Expense More Than I Thought
FSIL0328C183945FSIL-Worry Financial Problems in FutureFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about the financial problems I will have in the future as a result of my illness or treatment.FACIT-Searchable Item Library Adult Version - Worry Financial Problems in Future
FSIL0329C183946FSIL-No Choice Money Spend on CareFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel I have no choice about the amount of money I spend on care.FACIT-Searchable Item Library Adult Version - No Choice Money Spend on Care
FSIL0330C183947FSIL-Frustrated Cannot Work as UsualFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am frustrated that I cannot work or contribute as much as I usually do.FACIT-Searchable Item Library Adult Version - Frustrated Cannot Work as Usual
FSIL0331C183948FSIL-Satisfied With Financial SituationFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am satisfied with my current financial situation.FACIT-Searchable Item Library Adult Version - Satisfied With Financial Situation
FSIL0332C183949FSIL-Able to Meet My Monthly ExpensesFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to meet my monthly expenses.FACIT-Searchable Item Library Adult Version - Able to Meet My Monthly Expenses
FSIL0333C183950FSIL-Feel Financially StressedFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel financially stressed.FACIT-Searchable Item Library Adult Version - Feel Financially Stressed
FSIL0334C183951FSIL-Concerned Keeping My Job and IncomeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am concerned about keeping my job and income, including work at home.FACIT-Searchable Item Library Adult Version - Concerned Keeping My Job and Income
FSIL0335C183952FSIL-I Have a Loss of AppetiteFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have a loss of appetite.FACIT-Searchable Item Library Adult Version - I Have a Loss of Appetite
FSIL0336C183953FSIL-Digestive Problems Interfere ActivFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My digestive problems interfere with my usual activities.FACIT-Searchable Item Library Adult Version - Digestive Problems Interfere Activ
FSIL0337C183954FSIL-Have Trouble Swallowing FoodFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble swallowing food.FACIT-Searchable Item Library Adult Version - Have Trouble Swallowing Food
FSIL0338C183955FSIL-Bothered by GasFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by gas (flatulence).FACIT-Searchable Item Library Adult Version - Bothered by Gas
FSIL0339C183956FSIL-Bothered by Reflux or HeartburnFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by reflux or heartburn.FACIT-Searchable Item Library Adult Version - Bothered by Reflux or Heartburn
FSIL0340C183957FSIL-Bothered by Change in Eating HabitsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by a change in my eating habits.FACIT-Searchable Item Library Adult Version - Bothered by Change in Eating Habits
FSIL0341C183958FSIL-Fullness/Heaviness in Stomach AreaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have a feeling of fullness or heaviness in my stomach area.FACIT-Searchable Item Library Adult Version - Fullness/Heaviness in Stomach Area
FSIL0342C183959FSIL-Discomfort or Pain When I EatFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have discomfort or pain when I eat.FACIT-Searchable Item Library Adult Version - Discomfort or Pain When I Eat
FSIL0343C183960FSIL-Stomach Problems That Worry MeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have stomach problems that worry me.FACIT-Searchable Item Library Adult Version - Stomach Problems That Worry Me
FSIL0344C183961FSIL-Avoid Going Out to Eat B/c IllnessFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I avoid going out to eat because of my illness.FACIT-Searchable Item Library Adult Version - Avoid Going Out to Eat B/c Illness
FSIL0345C183962FSIL-I Feel SadFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel sad.FACIT-Searchable Item Library Adult Version - I Feel Sad
FSIL0346C183963FSIL-Satisfied With How I Am CopingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am satisfied with how I am coping with my illness.FACIT-Searchable Item Library Adult Version - Satisfied With How I Am Coping
FSIL0347C183964FSIL-Losing Hope Fight Against IllnessFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am losing hope in the fight against my illness.FACIT-Searchable Item Library Adult Version - Losing Hope Fight Against Illness
FSIL0348C183965FSIL-I Feel NervousFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel nervous.FACIT-Searchable Item Library Adult Version - I Feel Nervous
FSIL0349C183966FSIL-I Worry About DyingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about dying.FACIT-Searchable Item Library Adult Version - I Worry About Dying
FSIL0350C183967FSIL-Worry My Condition Will Get WorseFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry that my condition will get worse.FACIT-Searchable Item Library Adult Version - Worry My Condition Will Get Worse
FSIL0351C183968FSIL-Able to WorkFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to work (include work at home).FACIT-Searchable Item Library Adult Version - Able to Work
FSIL0352C183969FSIL-My Work Is FulfillingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My work (include work at home) is fulfilling.FACIT-Searchable Item Library Adult Version - My Work Is Fulfilling
FSIL0353C183970FSIL-Able to Enjoy LifeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to enjoy life.FACIT-Searchable Item Library Adult Version - Able to Enjoy Life
FSIL0354C183971FSIL-I Have Accepted My IllnessFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have accepted my illness.FACIT-Searchable Item Library Adult Version - I Have Accepted My Illness
FSIL0355C183972FSIL-Sleeping WellFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am sleeping well.FACIT-Searchable Item Library Adult Version - Sleeping Well
FSIL0356C183973FSIL-Enjoy Things I Usually Do for FunFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am enjoying the things I usually do for fun.FACIT-Searchable Item Library Adult Version - Enjoy Things I Usually Do for Fun
FSIL0357C183974FSIL-Content With Quality of My Life NowFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am content with the quality of my life right now.FACIT-Searchable Item Library Adult Version - Content With Quality of My Life Now
FSIL0358C183975FSIL-I Have a Lack of EnergyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have a lack of energy.FACIT-Searchable Item Library Adult Version - I Have a Lack of Energy
FSIL0359C183976FSIL-I Have NauseaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have nausea.FACIT-Searchable Item Library Adult Version - I Have Nausea
FSIL0360C183977FSIL-Trouble Meeting Needs of FamilyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Because of my physical condition, I have trouble meeting the needs of my family.FACIT-Searchable Item Library Adult Version - Trouble Meeting Needs of Family
FSIL0361C183978FSIL-I Have PainFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain.FACIT-Searchable Item Library Adult Version - I Have Pain
FSIL0362C183979FSIL-Bothered by Side Effects TreatmentFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by side effects of treatment.FACIT-Searchable Item Library Adult Version - Bothered by Side Effects Treatment
FSIL0363C183980FSIL-I Feel IllFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel ill.FACIT-Searchable Item Library Adult Version - I Feel Ill
FSIL0364C183981FSIL-Forced to Spend Time in BedFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am forced to spend time in bed.FACIT-Searchable Item Library Adult Version - Forced to Spend Time in Bed
FSIL0365C183982FSIL-Believe Bothered by Side EffectsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe I will be bothered by side effects of treatment.FACIT-Searchable Item Library Adult Version - Believe Bothered by Side Effects
FSIL0366C183983FSIL-I Have Confidence in My Doctor(s)Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have confidence in my doctor(s).FACIT-Searchable Item Library Adult Version - I Have Confidence in My Doctor(s)
FSIL0367C183984FSIL-Doctor Available Answer QuestionsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My doctor is available to answer my questions.FACIT-Searchable Item Library Adult Version - Doctor Available Answer Questions
FSIL0368C183985FSIL-I Feel Close to My FriendsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel close to my friends.FACIT-Searchable Item Library Adult Version - I Feel Close to My Friends
FSIL0369C183986FSIL-Emotional Support From My FamilyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I get emotional support from my family.FACIT-Searchable Item Library Adult Version - Emotional Support From My Family
FSIL0370C183987FSIL-I Get Support From My FriendsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I get support from my friends.FACIT-Searchable Item Library Adult Version - I Get Support From My Friends
FSIL0371C183988FSIL-My Family Has Accepted My IllnessFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My family has accepted my illness.FACIT-Searchable Item Library Adult Version - My Family Has Accepted My Illness
FSIL0372C183989FSIL-Satisfied Communication IllnessFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am satisfied with family communication about my illness.FACIT-Searchable Item Library Adult Version - Satisfied Communication Illness
FSIL0373C183990FSIL-I Feel Close to My PartnerFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel close to my partner (or the person who is my main support).FACIT-Searchable Item Library Adult Version - I Feel Close to My Partner
FSIL0374C183991FSIL-Satisfied With My Sex LifeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am satisfied with my sex life.FACIT-Searchable Item Library Adult Version - Satisfied With My Sex Life
FSIL0375C183992FSIL-I Feel Close to My FamilyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel close to my family.FACIT-Searchable Item Library Adult Version - I Feel Close to My Family
FSIL0376C183993FSIL-Family Is Well Despite My IllnessFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My family is doing well despite my illness.FACIT-Searchable Item Library Adult Version - Family Is Well Despite My Illness
FSIL0377C183994FSIL-Illness Caused Problems w/ Sex LifeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My illness or treatment has caused problems with my sex life.FACIT-Searchable Item Library Adult Version - Illness Caused Problems w/ Sex Life
FSIL0378C183995FSIL-Unhappy About Change in My AppearFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am unhappy about a change in my appearance.FACIT-Searchable Item Library Adult Version - Unhappy About Change in My Appear
FSIL0379C183996FSIL-Bothered by Jaundice/Yellow SkinFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by jaundice or yellow color to my skin.FACIT-Searchable Item Library Adult Version - Bothered by Jaundice/Yellow Skin
FSIL0380C183997FSIL-I Have Had FeversFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had fevers (episodes of high body temperature).FACIT-Searchable Item Library Adult Version - I Have Had Fevers
FSIL0381C183998FSIL-I Have Had ItchingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had itching.FACIT-Searchable Item Library Adult Version - I Have Had Itching
FSIL0382C183999FSIL-Had Change in the Way Food TastesFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had a change in the way food tastes.FACIT-Searchable Item Library Adult Version - Had Change in the Way Food Tastes
FSIL0383C184000FSIL-I Have Had ChillsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had chills.FACIT-Searchable Item Library Adult Version - I Have Had Chills
FSIL0384C184001FSIL-Discomfort/Pain in Stomach AreaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have discomfort or pain in my stomach area.FACIT-Searchable Item Library Adult Version - Discomfort/Pain in Stomach Area
FSIL0385C184002FSIL-Unhappy With My AppearanceFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am unhappy with my appearance.FACIT-Searchable Item Library Adult Version - Unhappy With My Appearance
FSIL0386C184003FSIL-Embarrassed by My IllnessFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am embarrassed by my illness.FACIT-Searchable Item Library Adult Version - Embarrassed by My Illness
FSIL0387C184004FSIL-Hopeful About the FutureFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am hopeful about the future.FACIT-Searchable Item Library Adult Version - Hopeful About the Future
FSIL0388C184005FSIL-I Feel Weak All OverFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel weak all over.FACIT-Searchable Item Library Adult Version - I Feel Weak All Over
FSIL0389C184006FSIL-Hard to Tell People About InfectionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: It is hard to tell other people about my infection.FACIT-Searchable Item Library Adult Version - Hard to Tell People About Infection
FSIL0390C184007FSIL-Have People to Help Me if I Need ItFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have people to help me if I need it.FACIT-Searchable Item Library Adult Version - Have People to Help Me if I Need It
FSIL0391C184008FSIL-Worry About Spreading My InfectionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about spreading my infection.FACIT-Searchable Item Library Adult Version - Worry About Spreading My Infection
FSIL0392C184009FSIL-Concerned What the Future HoldsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am concerned about what the future holds for me.FACIT-Searchable Item Library Adult Version - Concerned What the Future Holds
FSIL0393C184010FSIL-I Feel Motivated to Do ThingsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel motivated to do things.FACIT-Searchable Item Library Adult Version - I Feel Motivated to Do Things
FSIL0394C184011FSIL-I Feel FatiguedFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel fatigued.FACIT-Searchable Item Library Adult Version - I Feel Fatigued
FSIL0395C184012FSIL-I Have Trouble ConcentratingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble concentrating.FACIT-Searchable Item Library Adult Version - I Have Trouble Concentrating
FSIL0396C184013FSIL-I Have Trouble Remembering ThingsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble remembering things.FACIT-Searchable Item Library Adult Version - I Have Trouble Remembering Things
FSIL0397C184014FSIL-Able to Eat the Foods That I LikeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to eat the foods that I like.FACIT-Searchable Item Library Adult Version - Able to Eat the Foods That I Like
FSIL0398C184015FSIL-Able to Communicate With OthersFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to communicate with others.FACIT-Searchable Item Library Adult Version - Able to Communicate With Others
FSIL0399C184016FSIL-I Can Eat Solid FoodsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I can eat solid foods.FACIT-Searchable Item Library Adult Version - I Can Eat Solid Foods
FSIL0400C184017FSIL-Pain in My Mouth, Throat or NeckFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain in my mouth, throat or neck.FACIT-Searchable Item Library Adult Version - Pain in My Mouth, Throat or Neck
FSIL0401C184018FSIL-My Mouth Is DryFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My mouth is dry.FACIT-Searchable Item Library Adult Version - My Mouth Is Dry
FSIL0402C184019FSIL-I Have Trouble BreathingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble breathing.FACIT-Searchable Item Library Adult Version - I Have Trouble Breathing
FSIL0403C184020FSIL-Voice Has Usual Quality & StrengthFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My voice has its usual quality and strength.FACIT-Searchable Item Library Adult Version - Voice Has Usual Quality & Strength
FSIL0404C184021FSIL-Able to Eat as Much Food as I WantFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to eat as much food as I want.FACIT-Searchable Item Library Adult Version - Able to Eat as Much Food as I Want
FSIL0405C184022FSIL-Unhappy With How Face & Neck LookFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am unhappy with how my face and neck look.FACIT-Searchable Item Library Adult Version - Unhappy With How Face & Neck Look
FSIL0406C184023FSIL-Can Swallow Naturally and EasilyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I can swallow naturally and easily.FACIT-Searchable Item Library Adult Version - Can Swallow Naturally and Easily
FSIL0407C184024FSIL-Smoke Cigarettes/Other TobaccoFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I smoke cigarettes or other tobacco products.FACIT-Searchable Item Library Adult Version - Smoke Cigarettes/Other Tobacco
FSIL0408C184025FSIL-I Drink AlcoholFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I drink alcohol (e.g. beer, wine, etc.).FACIT-Searchable Item Library Adult Version - I Drink Alcohol
FSIL0409C184026FSIL-I Have Been Bothered by DiarrheaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have been bothered by diarrhea (diarrhoea).FACIT-Searchable Item Library Adult Version - I Have Been Bothered by Diarrhea
FSIL0410C184027FSIL-Bothered by Blistering of My SkinFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by blistering of my skin.FACIT-Searchable Item Library Adult Version - Bothered by Blistering of My Skin
FSIL0411C184028FSIL-I Have Been WheezingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have been wheezing (whistling sound when I breathe).FACIT-Searchable Item Library Adult Version - I Have Been Wheezing
FSIL0412C184029FSIL-Stiffness/Tightness in My JointsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have stiffness or tightness in my joints.FACIT-Searchable Item Library Adult Version - Stiffness/Tightness in My Joints
FSIL0413C184030FSIL-Joint Stiffness/Tight Limits ActivFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Joint stiffness or tightness limits my usual activities.FACIT-Searchable Item Library Adult Version - Joint Stiffness/Tight Limits Activ
FSIL0414C184031FSIL-Joint Pain Limits My Usual ActivFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Joint pain limits my usual activities.FACIT-Searchable Item Library Adult Version - Joint Pain Limits My Usual Activ
FSIL0415C184032FSIL-I Have Episodes of Heart RacingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have episodes of heart racing.FACIT-Searchable Item Library Adult Version - I Have Episodes of Heart Racing
FSIL0416C184033FSIL-My Eyes Feel Sandy or GrittyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My eyes feel sandy or gritty.FACIT-Searchable Item Library Adult Version - My Eyes Feel Sandy or Gritty
FSIL0417C184034FSIL-I Have Pain in My Sinus AreaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain in my sinus area.FACIT-Searchable Item Library Adult Version - I Have Pain in My Sinus Area
FSIL0418C184035FSIL-Bothered by Dry SkinFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by dry skin.FACIT-Searchable Item Library Adult Version - Bothered by Dry Skin
FSIL0419C184036FSIL-Bothered by VitiligoFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by vitiligo (white patches appearing on my skin).FACIT-Searchable Item Library Adult Version - Bothered by Vitiligo
FSIL0420C184037FSIL-Pain/Soreness/Aches in Some MusclesFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel pain, soreness or aches in some of my muscles.FACIT-Searchable Item Library Adult Version - Pain/Soreness/Aches in Some Muscles
FSIL0421C184038FSIL-Worry Neg Impacts Long-term HealthFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about negative impacts that my treatment may have upon my long-term health.FACIT-Searchable Item Library Adult Version - Worry Neg Impacts Long-term Health
FSIL0422C184039FSIL-Bothered by Short-term ReactionsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by short-term treatment reactions that I experience immediately after, or within 24 hours of, an infusion (such as chills, dizziness, hives, rashes lasting no more than 24 hours).FACIT-Searchable Item Library Adult Version - Bothered by Short-term Reactions
FSIL0423C184040FSIL-Troubled Not Knowing Side EffectsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am troubled by not knowing when exactly my side effects will happen, how long they will last and how bad they will be.FACIT-Searchable Item Library Adult Version - Troubled Not Knowing Side Effects
FSIL0424C184041FSIL-Bothered New Allergy-like ReactionsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by new allergy-like reactions (e.g., to foods, insects, pollen).FACIT-Searchable Item Library Adult Version - Bothered New Allergy-like Reactions
FSIL0425C184042FSIL-Bothered by Cracking/Peeling SkinFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by cracking or peeling of my skin.FACIT-Searchable Item Library Adult Version - Bothered by Cracking/Peeling Skin
FSIL0426C184043FSIL-Move My Bowels More Than UsualFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I move my bowels more frequently than usual.FACIT-Searchable Item Library Adult Version - Move My Bowels More Than Usual
FSIL0427C184044FSIL-Condition Wakes/Keeps Me Up NightFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My condition wakes or keeps me up at night.FACIT-Searchable Item Library Adult Version - Condition Wakes/Keeps Me Up Night
FSIL0428C184045FSIL-Move Bowels Freq to Avoid AccidentsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I must move my bowels frequently to avoid accidents.FACIT-Searchable Item Library Adult Version - Move Bowels Freq to Avoid Accidents
FSIL0429C184046FSIL-Far From Home/Work W/o Fear SoilageFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I can be far from home/work without fearing soilage.FACIT-Searchable Item Library Adult Version - Far From Home/Work W/o Fear Soilage
FSIL0430C184047FSIL-Wear Pads/Protect Prevent SoilingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I wear pads or protection to prevent soiling my underwear.FACIT-Searchable Item Library Adult Version - Wear Pads/Protect Prevent Soiling
FSIL0431C184048FSIL-Comfortable Discuss Cond w/FriendsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am comfortable discussing my condition with friends.FACIT-Searchable Item Library Adult Version - Comfortable Discuss Cond w/Friends
FSIL0432C184049FSIL-Afraid to Be Far From a ToiletFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am afraid to be far from a toilet.FACIT-Searchable Item Library Adult Version - Afraid to Be Far From a Toilet
FSIL0433C184050FSIL-Limit My Social ActivityFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have to limit my social activity because of my condition.FACIT-Searchable Item Library Adult Version - Limit My Social Activity
FSIL0434C184051FSIL-Limit Physical Activ B/c ConditionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have to limit my physical activity because of my condition.FACIT-Searchable Item Library Adult Version - Limit Physical Activ B/c Condition
FSIL0435C184052FSIL-Limit Sexual Activ B/c ConditionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have to limit my sexual activity because of my condition.FACIT-Searchable Item Library Adult Version - Limit Sexual Activ B/c Condition
FSIL0436C184053FSIL-Embarrassed by My ConditionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am embarrassed by my condition.FACIT-Searchable Item Library Adult Version - Embarrassed by My Condition
FSIL0437C184054FSIL-My Condition Wakes Me Up at NightFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My condition wakes me up at night.FACIT-Searchable Item Library Adult Version - My Condition Wakes Me Up at Night
FSIL0438C184055FSIL-Urinate Frequently to Avoid LeakingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I must urinate frequently to avoid leaking.FACIT-Searchable Item Library Adult Version - Urinate Frequently to Avoid Leaking
FSIL0439C184056FSIL-Wear Protection Leakage of UrineFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I wear protection for leakage of urine.FACIT-Searchable Item Library Adult Version - Wear Protection Leakage of Urine
FSIL0440C184057FSIL-My Thinking Is ClearFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My thinking is clear.FACIT-Searchable Item Library Adult Version - My Thinking Is Clear
FSIL0441C184058FSIL-I Have Been CoughingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have been coughing.FACIT-Searchable Item Library Adult Version - I Have Been Coughing
FSIL0442C184059FSIL-I Feel Tightness in My ChestFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel tightness in my chest.FACIT-Searchable Item Library Adult Version - I Feel Tightness in My Chest
FSIL0443C184060FSIL-Breathing Is Easy for MeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Breathing is easy for me.FACIT-Searchable Item Library Adult Version - Breathing Is Easy for Me
FSIL0444C184061FSIL-I Regret My SmokingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I regret my smoking.FACIT-Searchable Item Library Adult Version - I Regret My Smoking
FSIL0445C184062FSIL-Bothered by Lumps or SwellingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by lumps or swelling in certain parts of my body (e.g., neck, armpits, or groin).FACIT-Searchable Item Library Adult Version - Bothered by Lumps or Swelling
FSIL0446C184063FSIL-Frustrated Unable Do Things I WantFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am frustrated by being unable to do the things I want to do.FACIT-Searchable Item Library Adult Version - Frustrated Unable Do Things I Want
FSIL0447C184064FSIL-I Feel Discouraged About My IllnessFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel discouraged about my illness.FACIT-Searchable Item Library Adult Version - I Feel Discouraged About My Illness
FSIL0448C184065FSIL-Difficulty Planning for FutureFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Because of my illness, I have difficulty planning for the future.FACIT-Searchable Item Library Adult Version - Difficulty Planning for Future
FSIL0449C184066FSIL-Uncertain About My Future HealthFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel uncertain about my future health.FACIT-Searchable Item Library Adult Version - Uncertain About My Future Health
FSIL0450C184067FSIL-Worry I Might Get New SymptomsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry that I might get new symptoms of my illness.FACIT-Searchable Item Library Adult Version - Worry I Might Get New Symptoms
FSIL0451C184068FSIL-Feel Isolated Because of IllnessFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel isolated from others because of my illness or treatment.FACIT-Searchable Item Library Adult Version - Feel Isolated Because of Illness
FSIL0452C184069FSIL-Worry Support Myself/Family IllnessFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about being able to support myself or my family due to my illness.FACIT-Searchable Item Library Adult Version - Worry Support Myself/Family Illness
FSIL0453C184070FSIL-Bothered by ItchingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by itching.FACIT-Searchable Item Library Adult Version - Bothered by Itching
FSIL0454C184071FSIL-I Have Trouble Sleeping at NightFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble sleeping at night.FACIT-Searchable Item Library Adult Version - I Have Trouble Sleeping at Night
FSIL0455C184072FSIL-Nervous Making Decisions TreatmentFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I get nervous about making decisions regarding treatment.FACIT-Searchable Item Library Adult Version - Nervous Making Decisions Treatment
FSIL0456C184073FSIL-Pain at My Melanoma/Surgical SiteFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain at my melanoma site or surgical site.FACIT-Searchable Item Library Adult Version - Pain at My Melanoma/Surgical Site
FSIL0457C184074FSIL-I Have Swelling at My Melanoma SiteFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have swelling at my melanoma site.FACIT-Searchable Item Library Adult Version - I Have Swelling at My Melanoma Site
FSIL0458C184075FSIL-Swelling as a Result of SurgeryFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have swelling as a result of surgery.FACIT-Searchable Item Library Adult Version - Swelling as a Result of Surgery
FSIL0459C184076FSIL-Bothered by the Amount of SwellingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by the amount of swelling.FACIT-Searchable Item Library Adult Version - Bothered by the Amount of Swelling
FSIL0460C184077FSIL-Movement of Swollen Area Is PainfulFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Movement of my swollen area is painful.FACIT-Searchable Item Library Adult Version - Movement of Swollen Area Is Painful
FSIL0461C184078FSIL-Swelling Keeps Me From Doing ThingsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Swelling keeps me from doing the things I want to do.FACIT-Searchable Item Library Adult Version - Swelling Keeps Me From Doing Things
FSIL0462C184079FSIL-Swelling Keeps Me From WearingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Swelling keeps me from wearing clothes or shoes I want to wear.FACIT-Searchable Item Library Adult Version - Swelling Keeps Me From Wearing
FSIL0463C184080FSIL-I Feel Numbness at My Surgical SiteFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel numbness at my surgical site.FACIT-Searchable Item Library Adult Version - I Feel Numbness at My Surgical Site
FSIL0464C184081FSIL-Good Range of Movement in Arm/LegFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have good range of movement in my arm or leg.FACIT-Searchable Item Library Adult Version - Good Range of Movement in Arm/Leg
FSIL0465C184082FSIL-Noticed New Changes in My SkinFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have noticed new changes in my skin (lumps, bumps, color (colour)).FACIT-Searchable Item Library Adult Version - Noticed New Changes in My Skin
FSIL0466C184083FSIL-Worry Appearance of Surgical ScarsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about the appearance of surgical scars.FACIT-Searchable Item Library Adult Version - Worry Appearance of Surgical Scars
FSIL0467C184084FSIL-I Have Aches and Pains in My BonesFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have aches and pains in my bones.FACIT-Searchable Item Library Adult Version - I Have Aches and Pains in My Bones
FSIL0468C184085FSIL-I Have Noticed Blood in My StoolFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have noticed blood in my stool.FACIT-Searchable Item Library Adult Version - I Have Noticed Blood in My Stool
FSIL0469C184086FSIL-Isolate From Others B/c ConditionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I isolate myself from others because of my condition.FACIT-Searchable Item Library Adult Version - Isolate From Others B/c Condition
FSIL0470C184087FSIL-I Have Difficulty Thinking ClearlyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty thinking clearly (remembering, concentrating).FACIT-Searchable Item Library Adult Version - I Have Difficulty Thinking Clearly
FSIL0471C184088FSIL-Trouble Walking Because of PainFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble walking because of pain.FACIT-Searchable Item Library Adult Version - Trouble Walking Because of Pain
FSIL0472C184089FSIL-Trouble Getting Around in PublicFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble getting around in public places.FACIT-Searchable Item Library Adult Version - Trouble Getting Around in Public
FSIL0473C184090FSIL-I Need to Rest During the DayFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I need to rest during the day.FACIT-Searchable Item Library Adult Version - I Need to Rest During the Day
FSIL0474C184091FSIL-My Thinking Is Slower Than BeforeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My thinking is slower than before.FACIT-Searchable Item Library Adult Version - My Thinking Is Slower Than Before
FSIL0475C184092FSIL-I Have Trouble Learning New TasksFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble learning new tasks or directions.FACIT-Searchable Item Library Adult Version - I Have Trouble Learning New Tasks
FSIL0476C184093FSIL-Family Trouble Understand WorseFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My family has trouble understanding when my condition gets worse.FACIT-Searchable Item Library Adult Version - Family Trouble Understand Worse
FSIL0477C184094FSIL-I Feel Left Out of ThingsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel "left out" of things.FACIT-Searchable Item Library Adult Version - I Feel Left Out of Things
FSIL0478C184095FSIL-Heat Worsens My SymptomsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Heat worsens my symptoms.FACIT-Searchable Item Library Adult Version - Heat Worsens My Symptoms
FSIL0479C184096FSIL-Bothered by Muscle SpasmsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by muscle spasms.FACIT-Searchable Item Library Adult Version - Bothered by Muscle Spasms
FSIL0480C184097FSIL-Take My Condition Into AccountFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have to take my condition into account when making plans.FACIT-Searchable Item Library Adult Version - Take My Condition Into Account
FSIL0481C184098FSIL-Bothered by HeadachesFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by headaches.FACIT-Searchable Item Library Adult Version - Bothered by Headaches
FSIL0482C184099FSIL-Bothered by Muscle PainsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by muscle pains.FACIT-Searchable Item Library Adult Version - Bothered by Muscle Pains
FSIL0483C184100FSIL-I Feel Trapped by My ConditionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel trapped by my condition.FACIT-Searchable Item Library Adult Version - I Feel Trapped by My Condition
FSIL0484C184101FSIL-Depressed About My ConditionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am depressed about my condition.FACIT-Searchable Item Library Adult Version - Depressed About My Condition
FSIL0485C184102FSIL-I Feel UselessFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel useless.FACIT-Searchable Item Library Adult Version - I Feel Useless
FSIL0486C184103FSIL-Feel Overwhelmed by My ConditionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel overwhelmed by my condition.FACIT-Searchable Item Library Adult Version - Feel Overwhelmed by My Condition
FSIL0487C184104FSIL-Frustrated by My ConditionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am frustrated by my condition.FACIT-Searchable Item Library Adult Version - Frustrated by My Condition
FSIL0488C184105FSIL-Worry Getting Sick Low Blood CountsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about getting sick due to low blood counts.FACIT-Searchable Item Library Adult Version - Worry Getting Sick Low Blood Counts
FSIL0489C184106FSIL-Avoid Public Places Fear InfectionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I avoid public places for fear of getting an infection.FACIT-Searchable Item Library Adult Version - Avoid Public Places Fear Infection
FSIL0490C184107FSIL-I Worry About Getting InfectionsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about getting infections.FACIT-Searchable Item Library Adult Version - I Worry About Getting Infections
FSIL0491C184108FSIL-Worry Not improve Treatment DelayedFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry my condition will not improve if my treatment is delayed.FACIT-Searchable Item Library Adult Version - Worry Not improve Treatment Delayed
FSIL0492C184109FSIL-I Have Mouth SoresFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have mouth sores.FACIT-Searchable Item Library Adult Version - I Have Mouth Sores
FSIL0493C184110FSIL-Partner Worries My Blood Counts LowFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My partner worries about me when my blood counts are low.FACIT-Searchable Item Library Adult Version - Partner Worries My Blood Counts Low
FSIL0494C184111FSIL-Low Blood Counts Interfere RelationFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My low blood counts interfere with my intimate relationships.FACIT-Searchable Item Library Adult Version - Low Blood Counts Interfere Relation
FSIL0495C184112FSIL-I Have Weakness in My LegsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have weakness in my legs.FACIT-Searchable Item Library Adult Version - I Have Weakness in My Legs
FSIL0496C184113FSIL-Diff Moving Neck & Shoulders StiffFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty moving my neck and shoulders because of stiffness.FACIT-Searchable Item Library Adult Version - Diff Moving Neck & Shoulders Stiff
FSIL0497C184114FSIL-Bothered by Ringing in My EarFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by ringing in my ear(s).FACIT-Searchable Item Library Adult Version - Bothered by Ringing in My Ear
FSIL0498C184115FSIL-Bothered by Worsening EyesightFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by worsening eyesight.FACIT-Searchable Item Library Adult Version - Bothered by Worsening Eyesight
FSIL0499C184116FSIL-I Have Trouble SmellingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble smelling.FACIT-Searchable Item Library Adult Version - I Have Trouble Smelling
FSIL0500C184117FSIL-I Can Enjoy the Taste of FoodFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I can enjoy the taste of food.FACIT-Searchable Item Library Adult Version - I Can Enjoy the Taste of Food
FSIL0501C184118FSIL-Bothered by Having a Blocked NoseFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by having a blocked nose.FACIT-Searchable Item Library Adult Version - Bothered by Having a Blocked Nose
FSIL0502C184119FSIL-Numbness or Tingling in My HandsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have numbness or tingling in my hands.FACIT-Searchable Item Library Adult Version - Numbness or Tingling in My Hands
FSIL0503C184120FSIL-Pain in Hands/Feet Exposed to ColdFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain in my hands or feet when I am exposed to cold temperatures.FACIT-Searchable Item Library Adult Version - Pain in Hands/Feet Exposed to Cold
FSIL0504C184121FSIL-Difficulty Breathing Exposed ColdFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty breathing when I am exposed to cold temperatures.FACIT-Searchable Item Library Adult Version - Difficulty Breathing Exposed Cold
FSIL0505C184122FSIL-Numbness or Tingling in My FeetFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have numbness or tingling in my feet.FACIT-Searchable Item Library Adult Version - Numbness or Tingling in My Feet
FSIL0506C184123FSIL-I Feel Discomfort in My HandsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel discomfort in my hands.FACIT-Searchable Item Library Adult Version - I Feel Discomfort in My Hands
FSIL0507C184124FSIL-I Feel Discomfort in My FeetFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel discomfort in my feet.FACIT-Searchable Item Library Adult Version - I Feel Discomfort in My Feet
FSIL0508C184125FSIL-Have Joint Pain or Muscle CrampsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have joint pain or muscle cramps.FACIT-Searchable Item Library Adult Version - Have Joint Pain or Muscle Cramps
FSIL0509C184126FSIL-I Have Trouble HearingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble hearing.FACIT-Searchable Item Library Adult Version - I Have Trouble Hearing
FSIL0510C184127FSIL-Get Ringing or Buzzing in My EarsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I get a ringing or buzzing in my ears.FACIT-Searchable Item Library Adult Version - Get Ringing or Buzzing in My Ears
FSIL0511C184128FSIL-I Have Trouble Buttoning ButtonsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble buttoning buttons.FACIT-Searchable Item Library Adult Version - I Have Trouble Buttoning Buttons
FSIL0512C184129FSIL-Trouble Feeling Shape of ObjectsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble feeling the shape of small objects when they are in my hand.FACIT-Searchable Item Library Adult Version - Trouble Feeling Shape of Objects
FSIL0513C184130FSIL-I Have Swelling in Stomach AreaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have swelling in my stomach area.FACIT-Searchable Item Library Adult Version - I Have Swelling in Stomach Area
FSIL0514C184131FSIL-I Have Been VomitingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have been vomiting.FACIT-Searchable Item Library Adult Version - I Have Been Vomiting
FSIL0515C184132FSIL-I Have Cramps in My Stomach AreaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have cramps in my stomach area.FACIT-Searchable Item Library Adult Version - I Have Cramps in My Stomach Area
FSIL0516C184133FSIL-I Have Aches/Pains That Bother MeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have aches and pains that bother me.FACIT-Searchable Item Library Adult Version - I Have Aches/Pains That Bother Me
FSIL0517C184134FSIL-Certain Parts of Body Have PainFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have certain parts of my body where I experience pain.FACIT-Searchable Item Library Adult Version - Certain Parts of Body Have Pain
FSIL0518C184135FSIL-Pain Keeps Me From Doing ThingsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My pain keeps me from doing things I want to do.FACIT-Searchable Item Library Adult Version - Pain Keeps Me From Doing Things
FSIL0519C184136FSIL-Satisfied With Comfort LevelFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am satisfied with my present comfort level.FACIT-Searchable Item Library Adult Version - Satisfied With Comfort Level
FSIL0520C184137FSIL-Able to Feel Like a ManFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to feel like a man.FACIT-Searchable Item Library Adult Version - Able to Feel Like a Man
FSIL0521C184138FSIL-I Have Trouble Moving My BowelsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble moving my bowels.FACIT-Searchable Item Library Adult Version - I Have Trouble Moving My Bowels
FSIL0522C184139FSIL-I Have Difficulty UrinatingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty urinating.FACIT-Searchable Item Library Adult Version - I Have Difficulty Urinating
FSIL0523C184140FSIL-Problem Urinating Limits ActivityFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My problems with urinating limit my activities.FACIT-Searchable Item Library Adult Version - Problem Urinating Limits Activity
FSIL0524C184141FSIL-I Maintain Contact With My FriendsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I maintain contact with my friends.FACIT-Searchable Item Library Adult Version - I Maintain Contact With My Friends
FSIL0525C184142FSIL-I Have Peace of MindFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have peace of mind.FACIT-Searchable Item Library Adult Version - I Have Peace of Mind
FSIL0526C184143FSIL-Able to Make DecisionsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to make decisions.FACIT-Searchable Item Library Adult Version - Able to Make Decisions
FSIL0527C184144FSIL-Able to Reconcile With Other PeopleFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have been able to reconcile (make peace) with other people.FACIT-Searchable Item Library Adult Version - Able to Reconcile With Other People
FSIL0528C184145FSIL-Discuss Concerns w/ People ClosestFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to openly discuss my concerns with the people closest to me.FACIT-Searchable Item Library Adult Version - Discuss Concerns w/ People Closest
FSIL0529C184146FSIL-Family Who Take My ResponsibilitiesFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have family members who will take on my responsibilities.FACIT-Searchable Item Library Adult Version - Family Who Take My Responsibilities
FSIL0530C184147FSIL-Feel That My Family Appreciates MeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel that my family appreciates me.FACIT-Searchable Item Library Adult Version - Feel That My Family Appreciates Me
FSIL0531C184148FSIL-I Feel Like a Burden to My FamilyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel like a burden to my family.FACIT-Searchable Item Library Adult Version - I Feel Like a Burden to My Family
FSIL0532C184149FSIL-ConstipatedFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am constipated.FACIT-Searchable Item Library Adult Version - Constipated
FSIL0533C184150FSIL-Have Swelling in Parts of My BodyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have swelling in parts of my body.FACIT-Searchable Item Library Adult Version - Have Swelling in Parts of My Body
FSIL0534C184151FSIL-My Mouth and Throat Are DryFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My mouth and throat are dry.FACIT-Searchable Item Library Adult Version - My Mouth and Throat Are Dry
FSIL0535C184152FSIL-I Feel UsefulFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel useful.FACIT-Searchable Item Library Adult Version - I Feel Useful
FSIL0536C184153FSIL-I Make Each Day CountFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I make each day count.FACIT-Searchable Item Library Adult Version - I Make Each Day Count
FSIL0537C184154FSIL-Told Family Members About InfectionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have told family members about my infection.FACIT-Searchable Item Library Adult Version - Told Family Members About Infection
FSIL0538C184155FSIL-Do You Have an Ostomy ApplianceFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Do you have an ostomy appliance?FACIT-Searchable Item Library Adult Version - Do You Have an Ostomy Appliance
FSIL0539C184156FSIL-Have You Ever SmokedFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Have you ever smoked?FACIT-Searchable Item Library Adult Version - Have You Ever Smoked
FSIL0540C184157FSIL-Which Side Was Breast OperationFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: On which side was your breast operation?FACIT-Searchable Item Library Adult Version - Which Side Was Breast Operation
FSIL0541C184158FSIL-How Many Places in Body Felt PainFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: In how many places in your body have you felt bone pain?FACIT-Searchable Item Library Adult Version - How Many Places in Body Felt Pain
FSIL0542C184159FSIL-Told Partner/Spouse About InfectionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have told my partner/spouse about my infection.FACIT-Searchable Item Library Adult Version - Told Partner/Spouse About Infection
FSIL0543C184160FSIL-I Have Had Blood in My UrineFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had blood in my urine.FACIT-Searchable Item Library Adult Version - I Have Had Blood in My Urine
FSIL0544C184161FSIL-Inconvenient to Come for RadiationFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: It is inconvenient for me to come for my radiation treatments.FACIT-Searchable Item Library Adult Version - Inconvenient to Come for Radiation
FSIL0545C184162FSIL-I Have Difficultly Raising My ArmFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficultly raising my arm.FACIT-Searchable Item Library Adult Version - I Have Difficultly Raising My Arm
FSIL0546C184163FSIL-Difficulty Moving My Arm SidewaysFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty moving my arm sideways.FACIT-Searchable Item Library Adult Version - Difficulty Moving My Arm Sideways
FSIL0547C184164FSIL-Numbness/Tingling in Arm/ShoulderFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have numbness or tingling in my arm, shoulder, or breast.FACIT-Searchable Item Library Adult Version - Numbness/Tingling in Arm/Shoulder
FSIL0548C184165FSIL-I Have Difficulty BreathingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty breathing.FACIT-Searchable Item Library Adult Version - I Have Difficulty Breathing
FSIL0549C184166FSIL-Bothered by Appearance Skin BreastFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by the appearance of the skin in my breast area.FACIT-Searchable Item Library Adult Version - Bothered by Appearance Skin Breast
FSIL0550C184167FSIL-I Have Pain in My BreastFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain in my breast.FACIT-Searchable Item Library Adult Version - I Have Pain in My Breast
FSIL0551C184168FSIL-I Have Pain in Arm and/or ShoulderFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain in my arm and/or shoulder.FACIT-Searchable Item Library Adult Version - I Have Pain in Arm and/or Shoulder
FSIL0552C184169FSIL-My Chest Area Is SoreFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My chest area (not including the breast itself) is sore.FACIT-Searchable Item Library Adult Version - My Chest Area Is Sore
FSIL0553C184170FSIL-Bothered by Swelling in My BreastFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by swelling in my breast.FACIT-Searchable Item Library Adult Version - Bothered by Swelling in My Breast
FSIL0554C184171FSIL-My Breast Is Sensitive/TenderFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My breast is sensitive/tender.FACIT-Searchable Item Library Adult Version - My Breast Is Sensitive/Tender
FSIL0555C184172FSIL-My Underarm Area Sensitive/TenderFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My underarm area is sensitive/tender.FACIT-Searchable Item Library Adult Version - My Underarm Area Sensitive/Tender
FSIL0556C184173FSIL-Skin in Breast Area Itchy/Flaky/DryFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: The skin in my breast area is itchy, flaky or dry.FACIT-Searchable Item Library Adult Version - Skin in Breast Area Itchy/Flaky/Dry
FSIL0557C184174FSIL-Bothered by Skin Problems UnderarmFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by skin problems in my underarm area.FACIT-Searchable Item Library Adult Version - Bothered by Skin Problems Underarm
FSIL0558C184175FSIL-I Feel PeacefulFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel peaceful.FACIT-Searchable Item Library Adult Version - I Feel Peaceful
FSIL0559C184176FSIL-Strength in Faith/Spiritual BeliefsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I find strength in my faith or spiritual beliefs.FACIT-Searchable Item Library Adult Version - Strength in Faith/Spiritual Beliefs
FSIL0560C184177FSIL-Illness Strengthen Faith/SpiritualFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My illness has strengthened my faith or spiritual beliefs.FACIT-Searchable Item Library Adult Version - Illness Strengthen Faith/Spiritual
FSIL0561C184178FSIL-Whatever Happens Illness Will Be OKFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I know that whatever happens with my illness, things will be okay.FACIT-Searchable Item Library Adult Version - Whatever Happens Illness Will Be OK
FSIL0562C184179FSIL-I Feel Connected to Higher PowerFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel connected to a higher power (or God).FACIT-Searchable Item Library Adult Version - I Feel Connected to Higher Power
FSIL0563C184180FSIL-I Feel Connected to Other PeopleFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel connected to other people.FACIT-Searchable Item Library Adult Version - I Feel Connected to Other People
FSIL0564C184181FSIL-I Feel LovedFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel loved.FACIT-Searchable Item Library Adult Version - I Feel Loved
FSIL0565C184182FSIL-I Feel Love for OthersFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel love for others.FACIT-Searchable Item Library Adult Version - I Feel Love for Others
FSIL0566C184183FSIL-Forgive Others for Harm Caused MeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to forgive others for any harm they have ever caused me.FACIT-Searchable Item Library Adult Version - Forgive Others for Harm Caused Me
FSIL0567C184184FSIL-Feel Forgiven for Harm I CausedFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel forgiven for any harm I may have ever caused.FACIT-Searchable Item Library Adult Version - Feel Forgiven for Harm I Caused
FSIL0568C184185FSIL-Feel Sense of Thankfulness for LifeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Throughout the course of my day, I feel a sense of thankfulness for my life.FACIT-Searchable Item Library Adult Version - Feel Sense of Thankfulness for Life
FSIL0569C184186FSIL-I Have a Reason for LivingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have a reason for living.FACIT-Searchable Item Library Adult Version - I Have a Reason for Living
FSIL0570C184187FSIL-Thankfulness Others Bring to LifeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Throughout the course of my day, I feel a sense of thankfulness for what others bring to my life.FACIT-Searchable Item Library Adult Version - Thankfulness Others Bring to Life
FSIL0571C184188FSIL-I Feel HopefulFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel hopeful.FACIT-Searchable Item Library Adult Version - I Feel Hopeful
FSIL0572C184189FSIL-Appreciation for Beauty of NatureFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel a sense of appreciation for the beauty of nature.FACIT-Searchable Item Library Adult Version - Appreciation for Beauty of Nature
FSIL0573C184190FSIL-Compassion for Others DifficultiesFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel compassion for others in the difficulties they are facing.FACIT-Searchable Item Library Adult Version - Compassion for Others Difficulties
FSIL0574C184191FSIL-My Life Has Been ProductiveFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My life has been productive.FACIT-Searchable Item Library Adult Version - My Life Has Been Productive
FSIL0575C184192FSIL-Have Trouble Feeling Peace of MindFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble feeling peace of mind.FACIT-Searchable Item Library Adult Version - Have Trouble Feeling Peace of Mind
FSIL0576C184193FSIL-Feel Sense of Purpose in My LifeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel a sense of purpose in my life.FACIT-Searchable Item Library Adult Version - Feel Sense of Purpose in My Life
FSIL0577C184194FSIL-Reach Into Myself for ComfortFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to reach down deep into myself for comfort.FACIT-Searchable Item Library Adult Version - Reach Into Myself for Comfort
FSIL0578C184195FSIL-Feel Sense of Harmony Within MyselfFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel a sense of harmony within myself.FACIT-Searchable Item Library Adult Version - Feel Sense of Harmony Within Myself
FSIL0579C184196FSIL-My Life Lacks Meaning and PurposeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My life lacks meaning and purpose.FACIT-Searchable Item Library Adult Version - My Life Lacks Meaning and Purpose
FSIL0580C184197FSIL-Comfort in Faith/Spiritual BeliefsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I find comfort in my faith or spiritual beliefs.FACIT-Searchable Item Library Adult Version - Comfort in Faith/Spiritual Beliefs
FSIL0581C184198FSIL-Difficult Times Strengthened FaithFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Difficult times have strengthened my faith or spiritual beliefs.FACIT-Searchable Item Library Adult Version - Difficult Times Strengthened Faith
FSIL0582C184199FSIL-During Difficult Times Things Be OKFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Even during difficult times, I know that things will be okay.FACIT-Searchable Item Library Adult Version - During Difficult Times Things Be OK
FSIL0583C184200FSIL-Bothered by Increased Facial HairFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by increased facial hair.FACIT-Searchable Item Library Adult Version - Bothered by Increased Facial Hair
FSIL0584C184201FSIL-Bothered by Sensitivity FingernailsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by sensitivity around my fingernails or toenails.FACIT-Searchable Item Library Adult Version - Bothered by Sensitivity Fingernails
FSIL0585C184202FSIL-My Eyes Are DryFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My eyes are dry.FACIT-Searchable Item Library Adult Version - My Eyes Are Dry
FSIL0586C184203FSIL-Skin Cond Interferes w/ Social LifeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My skin condition interferes with my social life.FACIT-Searchable Item Library Adult Version - Skin Cond Interferes w/ Social Life
FSIL0587C184204FSIL-My Skin Condition Affects My MoodFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My skin condition affects my mood.FACIT-Searchable Item Library Adult Version - My Skin Condition Affects My Mood
FSIL0588C184205FSIL-Embarrassed by My Skin ConditionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am embarrassed by my skin condition.FACIT-Searchable Item Library Adult Version - Embarrassed by My Skin Condition
FSIL0589C184206FSIL-Unattractive B/c How My Skin LooksFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel unattractive because of how my skin looks.FACIT-Searchable Item Library Adult Version - Unattractive B/c How My Skin Looks
FSIL0590C184207FSIL-Sensitivity Fingernails Diff TasksFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Sensitivity around my fingernails makes it difficult to perform household tasks.FACIT-Searchable Item Library Adult Version - Sensitivity Fingernails Diff Tasks
FSIL0591C184208FSIL-Skin Condition Interferes w/ SleepFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My skin condition interferes with my ability to sleep.FACIT-Searchable Item Library Adult Version - Skin Condition Interferes w/ Sleep
FSIL0592C184209FSIL-Skin Condition Make Life DifficultFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Changes in my skin condition make daily life difficult.FACIT-Searchable Item Library Adult Version - Skin Condition Make Life Difficult
FSIL0593C184210FSIL-Avoid Public B/c How My Skin LooksFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I avoid going out in public because of how my skin looks.FACIT-Searchable Item Library Adult Version - Avoid Public B/c How My Skin Looks
FSIL0594C184211FSIL-Skin Side Effects Interfered TasksFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: The skin side effects from treatment have interfered with household tasks.FACIT-Searchable Item Library Adult Version - Skin Side Effects Interfered Tasks
FSIL0595C184212FSIL-My Skin or Scalp Feels IrritatedFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My skin or scalp feels irritated.FACIT-Searchable Item Library Adult Version - My Skin or Scalp Feels Irritated
FSIL0596C184213FSIL-My Skin or Scalp Is Dry or FlakyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My skin or scalp is dry or "flaky".FACIT-Searchable Item Library Adult Version - My Skin or Scalp Is Dry or Flaky
FSIL0597C184214FSIL-My Skin or Scalp ItchesFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My skin or scalp itches.FACIT-Searchable Item Library Adult Version - My Skin or Scalp Itches
FSIL0598C184215FSIL-My Skin Bleeds EasilyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My skin bleeds easily.FACIT-Searchable Item Library Adult Version - My Skin Bleeds Easily
FSIL0599C184216FSIL-Bothered by Skin Sensitivity to SunFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by a change in my skin's sensitivity to the sun.FACIT-Searchable Item Library Adult Version - Bothered by Skin Sensitivity to Sun
FSIL0600C184217FSIL-Pharmacist Advises Use of MedicinesFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My pharmacist advises me on the proper use of my medicines.FACIT-Searchable Item Library Adult Version - Pharmacist Advises Use of Medicines
FSIL0601C184218FSIL-Pharmacist Advises Adverse EffectsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My pharmacist advises me on the adverse (side) effects of my medicines.FACIT-Searchable Item Library Adult Version - Pharmacist Advises Adverse Effects
FSIL0602C184219FSIL-I Have Confidence in My PharmacistFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have confidence in my pharmacist(s).FACIT-Searchable Item Library Adult Version - I Have Confidence in My Pharmacist
FSIL0603C184220FSIL-Pharmacist Available QuestionsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My pharmacist is available to answer my questions.FACIT-Searchable Item Library Adult Version - Pharmacist Available Questions
FSIL0604C184221FSIL-Helps Arrangements Obtain MedicinesFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My pharmacist helps with the arrangements necessary to obtain my medicines.FACIT-Searchable Item Library Adult Version - Helps Arrangements Obtain Medicines
FSIL0605C184222FSIL-Pharmacist Aware Treatment NeedsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My pharmacist is aware of my treatment-related needs.FACIT-Searchable Item Library Adult Version - Pharmacist Aware Treatment Needs
FSIL0606C184223FSIL-Pharmacist Responds Treatment NeedsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My pharmacist responds to my treatment-related needs.FACIT-Searchable Item Library Adult Version - Pharmacist Responds Treatment Needs
FSIL0607C184224FSIL-I Feel BloatedFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel bloated.FACIT-Searchable Item Library Adult Version - I Feel Bloated
FSIL0608C184225FSIL-My Hands Are SwollenFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My hands are swollen.FACIT-Searchable Item Library Adult Version - My Hands Are Swollen
FSIL0609C184226FSIL-My Legs or Feet Are SwollenFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My legs or feet are swollen.FACIT-Searchable Item Library Adult Version - My Legs or Feet Are Swollen
FSIL0610C184227FSIL-I Have Pain in My FingertipsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain in my fingertips.FACIT-Searchable Item Library Adult Version - I Have Pain in My Fingertips
FSIL0611C184228FSIL-Bothered by My Hands/Nails LookFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by the way my hands or nails look.FACIT-Searchable Item Library Adult Version - Bothered by My Hands/Nails Look
FSIL0612C184229FSIL-I Bleed EasilyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I bleed easily.FACIT-Searchable Item Library Adult Version - I Bleed Easily
FSIL0613C184230FSIL-Avoid or Limit Physical ActivityFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I avoid or limit physical activity (because of concern with bleeding or bruising).FACIT-Searchable Item Library Adult Version - Avoid or Limit Physical Activity
FSIL0614C184231FSIL-Avoid or Limit Social ActivityFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I avoid or limit social activity (because of concern with bleeding or bruising).FACIT-Searchable Item Library Adult Version - Avoid or Limit Social Activity
FSIL0615C184232FSIL-Frustrated Not Do Usual ActivitiesFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am frustrated by not being able to do my usual activities.FACIT-Searchable Item Library Adult Version - Frustrated Not Do Usual Activities
FSIL0616C184233FSIL-Worry Treatment Will Be DelayedFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry that my treatment will be delayed (because of low blood counts).FACIT-Searchable Item Library Adult Version - Worry Treatment Will Be Delayed
FSIL0617C184234FSIL-Worry Treatment Dose Will ReducedFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry that my treatment dose will be reduced (because of low blood counts).FACIT-Searchable Item Library Adult Version - Worry Treatment Dose Will Reduced
FSIL0618C184235FSIL-Women: Bothered by Vaginal BleedingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: For women only: I am bothered by vaginal bleeding.FACIT-Searchable Item Library Adult Version - Women: Bothered by Vaginal Bleeding
FSIL0619C184236FSIL-I Bruise EasilyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I bruise easily.FACIT-Searchable Item Library Adult Version - I Bruise Easily
FSIL0620C184237FSIL-Worry Problems Bruising/BleedingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about problems with bruising or bleeding.FACIT-Searchable Item Library Adult Version - Worry Problems Bruising/Bleeding
FSIL0621C184238FSIL-Worry About Serious BleedingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about the possibility of serious bleeding.FACIT-Searchable Item Library Adult Version - Worry About Serious Bleeding
FSIL0622C184239FSIL-Bothered by NosebleedsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by nosebleeds.FACIT-Searchable Item Library Adult Version - Bothered by Nosebleeds
FSIL0623C184240FSIL-Bothered by Bleeding in Gums/MouthFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by bleeding in my gums or mouth.FACIT-Searchable Item Library Adult Version - Bothered by Bleeding in Gums/Mouth
FSIL0624C184241FSIL-Bothered by Bruising Beneath SkinFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by pinpoint bruising beneath my skin.FACIT-Searchable Item Library Adult Version - Bothered by Bruising Beneath Skin
FSIL0625C184242FSIL-Bothered by Blood in My Urine/StoolFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by blood in my urine or stool.FACIT-Searchable Item Library Adult Version - Bothered by Blood in My Urine/Stool
FSIL0626C184243FSIL-Inconvenienced Platelet TransfusionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am inconvenienced by platelet transfusions.FACIT-Searchable Item Library Adult Version - Inconvenienced Platelet Transfusion
FSIL0627C184244FSIL-Effectiveness of Treatment So FarFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Compared to what you expected, how do you rate the effectiveness of the treatment so far?FACIT-Searchable Item Library Adult Version - Effectiveness of Treatment So Far
FSIL0628C184245FSIL-Doctor Explain Benefits TreatmentFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did your doctor(s) explain the possible benefits of your treatment?FACIT-Searchable Item Library Adult Version - Doctor Explain Benefits Treatment
FSIL0629C184246FSIL-Doctor Explain Side Effects/RisksFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did your doctor(s) explain the possible side effects or risks of your treatment?FACIT-Searchable Item Library Adult Version - Doctor Explain Side Effects/Risks
FSIL0630C184247FSIL-Have Opportunity to Ask QuestionsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did you have an opportunity to ask questions?FACIT-Searchable Item Library Adult Version - Have Opportunity to Ask Questions
FSIL0631C184248FSIL-Get to Say Things Important to YouFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did you get to say the things that were important to you?FACIT-Searchable Item Library Adult Version - Get to Say Things Important to You
FSIL0632C184249FSIL-Doctor Understand Important to YouFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did your doctor(s) seem to understand what was important to you?FACIT-Searchable Item Library Adult Version - Doctor Understand Important to You
FSIL0633C184250FSIL-Doctor Show Genuine Concern for YouFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did your doctor(s) show genuine concern for you?FACIT-Searchable Item Library Adult Version - Doctor Show Genuine Concern for You
FSIL0634C184251FSIL-Doctor Seem Understand Your NeedsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did your doctor(s) seem to understand your needs?FACIT-Searchable Item Library Adult Version - Doctor Seem Understand Your Needs
FSIL0635C184252FSIL-Able to Talk to Doctor When NeededFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Were you able to talk to your doctor(s) when you needed to?FACIT-Searchable Item Library Adult Version - Able to Talk to Doctor When Needed
FSIL0636C184253FSIL-Treatment Staff Discuss WorkFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did the treatment staff discuss how your health and treatment may affect your normal work (including housework)?FACIT-Searchable Item Library Adult Version - Treatment Staff Discuss Work
FSIL0637C184254FSIL-Side Effects of Treatment So FarFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Compared to what you expected, how do you rate the side effects of treatment so far?FACIT-Searchable Item Library Adult Version - Side Effects of Treatment So Far
FSIL0638C184255FSIL-Treatment Staff Discuss ActivitiesFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did the treatment staff discuss how your health and treatment may affect your normal daily activities?FACIT-Searchable Item Library Adult Version - Treatment Staff Discuss Activities
FSIL0639C184256FSIL-Treatment Staff Discuss RelationFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did the treatment staff discuss how your health and treatment may affect your personal relationships?FACIT-Searchable Item Library Adult Version - Treatment Staff Discuss Relation
FSIL0640C184257FSIL-Treatment Staff Discuss EmotionallyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did the treatment staff discuss how your health and treatment may affect you emotionally?FACIT-Searchable Item Library Adult Version - Treatment Staff Discuss Emotionally
FSIL0641C184258FSIL-Doctor Experience Treating IllnessFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did you feel your doctor(s) had experience treating your illness?FACIT-Searchable Item Library Adult Version - Doctor Experience Treating Illness
FSIL0642C184259FSIL-Doctor Knew Medical DevelopmentsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did you feel your doctor(s) knew about the latest medical developments for your illness?FACIT-Searchable Item Library Adult Version - Doctor Knew Medical Developments
FSIL0643C184260FSIL-Treatment Staff Thorough ExaminingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Was the treatment staff thorough in examining and treating you?FACIT-Searchable Item Library Adult Version - Treatment Staff Thorough Examining
FSIL0644C184261FSIL-Participate Decisions Health CareFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Were you encouraged to participate in decisions about your health care?FACIT-Searchable Item Library Adult Version - Participate Decisions Health Care
FSIL0645C184262FSIL-Have Enough Time to Make DecisionsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did you have enough time to make decisions about your health care?FACIT-Searchable Item Library Adult Version - Have Enough Time to Make Decisions
FSIL0646C184263FSIL-Doctor Evaluate Effects TreatmentFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did your doctor(s) help you evaluate the effects of your treatment so far?FACIT-Searchable Item Library Adult Version - Doctor Evaluate Effects Treatment
FSIL0647C184264FSIL-Doctor Seem Respect Your OpinionsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did your doctor(s) seem to respect your opinions?FACIT-Searchable Item Library Adult Version - Doctor Seem Respect Your Opinions
FSIL0648C184265FSIL-Nurse Explanations You UnderstandFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did your nurse(s) give explanations that you could understand?FACIT-Searchable Item Library Adult Version - Nurse Explanations You Understand
FSIL0649C184266FSIL-Nurse Show Genuine Concern for YouFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did your nurse(s) show genuine concern for you?FACIT-Searchable Item Library Adult Version - Nurse Show Genuine Concern for You
FSIL0650C184267FSIL-Nurse Seem to Understand Your NeedsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did your nurse(s) seem to understand your needs?FACIT-Searchable Item Library Adult Version - Nurse Seem to Understand Your Needs
FSIL0651C184268FSIL-Treatment Staff Answered HonestlyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did you feel that the treatment staff answered your questions honestly?FACIT-Searchable Item Library Adult Version - Treatment Staff Answered Honestly
FSIL0652C184269FSIL-Treatment Staff Respect PrivacyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did the treatment staff respect your privacy?FACIT-Searchable Item Library Adult Version - Treatment Staff Respect Privacy
FSIL0653C184270FSIL-Have Confidence in Your DoctorFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did you have confidence in your doctor(s)?FACIT-Searchable Item Library Adult Version - Have Confidence in Your Doctor
FSIL0654C184271FSIL-Trust Doctor Suggestions TreatmentFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did you trust your doctor(s)' suggestions for treatment?FACIT-Searchable Item Library Adult Version - Trust Doctor Suggestions Treatment
FSIL0655C184272FSIL-Recommend Clinic/Office to OthersFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Would you recommend this clinic or office to others?FACIT-Searchable Item Library Adult Version - Recommend Clinic/Office to Others
FSIL0656C184273FSIL-Choose This Clinic/Office AgainFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Would you choose this clinic or office again?FACIT-Searchable Item Library Adult Version - Choose This Clinic/Office Again
FSIL0657C184274FSIL-Received Treatment Right for YouFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Do you feel you received the treatment that was right for you?FACIT-Searchable Item Library Adult Version - Received Treatment Right for You
FSIL0658C184275FSIL-Rate the Care You ReceivedFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: How do you rate the care you received?FACIT-Searchable Item Library Adult Version - Rate the Care You Received
FSIL0659C184276FSIL-Satisfied With Effects of TreatmentFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Are you satisfied with the effects of this treatment so far?FACIT-Searchable Item Library Adult Version - Satisfied With Effects of Treatment
FSIL0660C184277FSIL-Recommend This Treatment to OthersFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Would you recommend this treatment to others with your illness?FACIT-Searchable Item Library Adult Version - Recommend This Treatment to Others
FSIL0661C184278FSIL-Choose This Treatment AgainFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Would you choose this treatment again?FACIT-Searchable Item Library Adult Version - Choose This Treatment Again
FSIL0662C184279FSIL-Rate This Treatment OverallFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: How do you rate this treatment overall?FACIT-Searchable Item Library Adult Version - Rate This Treatment Overall
FSIL0663C184280FSIL-Doctor Explanations You UnderstandFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did your doctor(s) give explanations that you could understand?FACIT-Searchable Item Library Adult Version - Doctor Explanations You Understand
FSIL0664C184281FSIL-Bothered by Discharge From VulvaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by discharge or bleeding from my vulva.FACIT-Searchable Item Library Adult Version - Bothered by Discharge From Vulva
FSIL0665C184282FSIL-Bothered by Odor From VulvaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by odor coming from my vulva.FACIT-Searchable Item Library Adult Version - Bothered by Odor From Vulva
FSIL0666C184283FSIL-Bothered by Swelling/Fluid in LegsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by swelling/fluid in my legs.FACIT-Searchable Item Library Adult Version - Bothered by Swelling/Fluid in Legs
FSIL0667C184284FSIL-Bothered by Discomfort Groin/LegsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by discomfort in my groin or legs.FACIT-Searchable Item Library Adult Version - Bothered by Discomfort Groin/Legs
FSIL0668C184285FSIL-Bothered by Itching/Burning VulvaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by itching/burning in my vulva area.FACIT-Searchable Item Library Adult Version - Bothered by Itching/Burning Vulva
FSIL0669C184286FSIL-Bothered by Pain/Numbness in VulvaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by pain or numbness in my vulva area.FACIT-Searchable Item Library Adult Version - Bothered by Pain/Numbness in Vulva
FSIL0670C184287FSIL-I Have Trouble BendingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble bending.FACIT-Searchable Item Library Adult Version - I Have Trouble Bending
FSIL0671C184288FSIL-I Have Discomfort When I Am SittingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have discomfort when I am sitting.FACIT-Searchable Item Library Adult Version - I Have Discomfort When I Am Sitting
FSIL0672C184289FSIL-Bothered by Compression StockingsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by wearing compression stockings.FACIT-Searchable Item Library Adult Version - Bothered by Compression Stockings
FSIL0673C184290FSIL-Satisfied With Urinary ConditionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am satisfied with my urinary condition.FACIT-Searchable Item Library Adult Version - Satisfied With Urinary Condition
FSIL0674C184291FSIL-Caring Urinary Condition DifficultFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Caring for my urinary condition is difficult.FACIT-Searchable Item Library Adult Version - Caring Urinary Condition Difficult
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CL.C183550.FSILTNFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult Questionnaire Test Name
(FSILTN)
text
Extensible: No
C183550Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult Questionnaire Test NameFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult test name.CDISC Questionnaire FACIT-Searchable Item Library Adult Version Test Name Terminology
FSIL-Abdominal Cramps DiarrheaC183886FSIL-Abdominal Cramps DiarrheaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have abdominal cramps or discomfort due to my diarrhea (diarrhoea).FACIT-Searchable Item Library Adult Version - Abdominal Cramps Diarrhea
FSIL-Able Remember Things Where LeftC183826FSIL-Able Remember Things Where LeftFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have been able to remember things, like where I left my keys or wallet.FACIT-Searchable Item Library Adult Version - Able Remember Things Where Left
FSIL-Able Remember to Do ThingsC183827FSIL-Able Remember to Do ThingsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have been able to remember to do things, like take medicine or buy something I needed.FACIT-Searchable Item Library Adult Version - Able Remember to Do Things
FSIL-Able to Bring to Mind WordsC183830FSIL-Able to Bring to Mind WordsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have been able to bring to mind words that I wanted to use while talking to someone.FACIT-Searchable Item Library Adult Version - Able to Bring to Mind Words
FSIL-Able to Communicate With OthersC184015FSIL-Able to Communicate With OthersFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to communicate with others.FACIT-Searchable Item Library Adult Version - Able to Communicate With Others
FSIL-Able to ConcentrateC183705FSIL-Able to ConcentrateFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to concentrate.FACIT-Searchable Item Library Adult Version - Able to Concentrate
FSIL-Able to Do My Usual ActivitiesC183653FSIL-Able to Do My Usual ActivitiesFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to do my usual activities.FACIT-Searchable Item Library Adult Version - Able to Do My Usual Activities
FSIL-Able to Drive a VehicleC183714FSIL-Able to Drive a VehicleFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to drive a vehicle (my car, truck, etc.).FACIT-Searchable Item Library Adult Version - Able to Drive a Vehicle
FSIL-Able to Eat as Much Food as I WantC184021FSIL-Able to Eat as Much Food as I WantFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to eat as much food as I want.FACIT-Searchable Item Library Adult Version - Able to Eat as Much Food as I Want
FSIL-Able to Eat the Foods That I LikeC184014FSIL-Able to Eat the Foods That I LikeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to eat the foods that I like.FACIT-Searchable Item Library Adult Version - Able to Eat the Foods That I Like
FSIL-Able to Enjoy LifeC183970FSIL-Able to Enjoy LifeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to enjoy life.FACIT-Searchable Item Library Adult Version - Able to Enjoy Life
FSIL-Able to Feel Like a ManC184137FSIL-Able to Feel Like a ManFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to feel like a man.FACIT-Searchable Item Library Adult Version - Able to Feel Like a Man
FSIL-Able to Feel Like a WomanC183668FSIL-Able to Feel Like a WomanFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to feel like a woman.FACIT-Searchable Item Library Adult Version - Able to Feel Like a Woman
FSIL-Able to Find the Right WordsC183724FSIL-Able to Find the Right WordsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to find the right word(s) to say what I mean.FACIT-Searchable Item Library Adult Version - Able to Find the Right Words
FSIL-Able to Get Around by MyselfC183687FSIL-Able to Get Around by MyselfFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to get around by myself.FACIT-Searchable Item Library Adult Version - Able to Get Around by Myself
FSIL-Able to Have/Maintain ErectionC183673FSIL-Able to Have/Maintain ErectionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to have and maintain an erection. (For men only)FACIT-Searchable Item Library Adult Version - Able to Have/Maintain Erection
FSIL-Able to Maintain My BalanceC183796FSIL-Able to Maintain My BalanceFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to maintain my balance.FACIT-Searchable Item Library Adult Version - Able to Maintain My Balance
FSIL-Able to Make DecisionsC184143FSIL-Able to Make DecisionsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to make decisions.FACIT-Searchable Item Library Adult Version - Able to Make Decisions
FSIL-Able to Meet My Monthly ExpensesC183949FSIL-Able to Meet My Monthly ExpensesFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to meet my monthly expenses.FACIT-Searchable Item Library Adult Version - Able to Meet My Monthly Expenses
FSIL-Able to Pay Attention w/o EffortC183825FSIL-Able to Pay Attention w/o EffortFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to pay attention and keep track of what I am doing without extra effort.FACIT-Searchable Item Library Adult Version - Able to Pay Attention w/o Effort
FSIL-Able to Put My thoughts Into ActionC183711FSIL-Able to Put My thoughts Into ActionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to put my thoughts into action.FACIT-Searchable Item Library Adult Version - Able to Put My thoughts Into Action
FSIL-Able to Put My Thoughts TogetherC183709FSIL-Able to Put My Thoughts TogetherFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to put my thoughts together.FACIT-Searchable Item Library Adult Version - Able to Put My Thoughts Together
FSIL-Able to Read Like I Used toC183712FSIL-Able to Read Like I Used toFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to read like I used to.FACIT-Searchable Item Library Adult Version - Able to Read Like I Used to
FSIL-Able to Reconcile With Other PeopleC184144FSIL-Able to Reconcile With Other PeopleFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have been able to reconcile (make peace) with other people.FACIT-Searchable Item Library Adult Version - Able to Reconcile With Other People
FSIL-Able to Shift Between ActivitiesC183828FSIL-Able to Shift Between ActivitiesFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to shift back and forth between two activities that require thinking.FACIT-Searchable Item Library Adult Version - Able to Shift Between Activities
FSIL-Able to Talk to Doctor When NeededC184252FSIL-Able to Talk to Doctor When NeededFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Were you able to talk to your doctor(s) when you needed to?FACIT-Searchable Item Library Adult Version - Able to Talk to Doctor When Needed
FSIL-Able to Track What I Am DoingC183829FSIL-Able to Track What I Am DoingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to keep track of what I am doing, even if I am interrupted.FACIT-Searchable Item Library Adult Version - Able to Track What I Am Doing
FSIL-Able to WalkC183797FSIL-Able to WalkFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to walk.FACIT-Searchable Item Library Adult Version - Able to Walk
FSIL-Able to WorkC183968FSIL-Able to WorkFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to work (include work at home).FACIT-Searchable Item Library Adult Version - Able to Work
FSIL-Able to Write Like I Used toC183713FSIL-Able to Write Like I Used toFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to write like I used to.FACIT-Searchable Item Library Adult Version - Able to Write Like I Used to
FSIL-Accepted I Have This InfectionC183775FSIL-Accepted I Have This InfectionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have accepted that I have this infection.FACIT-Searchable Item Library Adult Version - Accepted I Have This Infection
FSIL-Afraid of Having a SeizureC183721FSIL-Afraid of Having a SeizureFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am afraid of having a seizure (convulsion).FACIT-Searchable Item Library Adult Version - Afraid of Having a Seizure
FSIL-Afraid to Be Far From a ToiletC184049FSIL-Afraid to Be Far From a ToiletFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am afraid to be far from a toilet.FACIT-Searchable Item Library Adult Version - Afraid to Be Far From a Toilet
FSIL-Afraid to Have SexC183877FSIL-Afraid to Have SexFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am afraid to have sex.FACIT-Searchable Item Library Adult Version - Afraid to Have Sex
FSIL-Afraid Treatment May Harm BodyC183879FSIL-Afraid Treatment May Harm BodyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am afraid the treatment may harm my body.FACIT-Searchable Item Library Adult Version - Afraid Treatment May Harm Body
FSIL-Amount I Eat Is SufficientC183628FSIL-Amount I Eat Is SufficientFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: The amount I eat is sufficient to meet my needs.FACIT-Searchable Item Library Adult Version - Amount I Eat Is Sufficient
FSIL-Appreciation for Beauty of NatureC184189FSIL-Appreciation for Beauty of NatureFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel a sense of appreciation for the beauty of nature.FACIT-Searchable Item Library Adult Version - Appreciation for Beauty of Nature
FSIL-Avoid Going Out to Eat B/c IllnessC183961FSIL-Avoid Going Out to Eat B/c IllnessFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I avoid going out to eat because of my illness.FACIT-Searchable Item Library Adult Version - Avoid Going Out to Eat B/c Illness
FSIL-Avoid or Limit Physical ActivityC184230FSIL-Avoid or Limit Physical ActivityFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I avoid or limit physical activity (because of concern with bleeding or bruising).FACIT-Searchable Item Library Adult Version - Avoid or Limit Physical Activity
FSIL-Avoid or Limit Social ActivityC184231FSIL-Avoid or Limit Social ActivityFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I avoid or limit social activity (because of concern with bleeding or bruising).FACIT-Searchable Item Library Adult Version - Avoid or Limit Social Activity
FSIL-Avoid Public B/c How My Skin LooksC184210FSIL-Avoid Public B/c How My Skin LooksFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I avoid going out in public because of how my skin looks.FACIT-Searchable Item Library Adult Version - Avoid Public B/c How My Skin Looks
FSIL-Avoid Public Places Fear InfectionC184106FSIL-Avoid Public Places Fear InfectionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I avoid public places for fear of getting an infection.FACIT-Searchable Item Library Adult Version - Avoid Public Places Fear Infection
FSIL-Because of Sores Eating DifficultC183621FSIL-Because of Sores Eating DifficultFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Because of my mouth sores, eating is difficult.FACIT-Searchable Item Library Adult Version - Because of Sores Eating Difficult
FSIL-Believe Blood Will Be InconvenientC183755FSIL-Believe Blood Will Be InconvenientFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe that having my blood drawn will be inconvenient.FACIT-Searchable Item Library Adult Version - Believe Blood Will Be Inconvenient
FSIL-Believe Bothered by Side EffectsC183982FSIL-Believe Bothered by Side EffectsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe I will be bothered by side effects of treatment.FACIT-Searchable Item Library Adult Version - Believe Bothered by Side Effects
FSIL-Believe Chemo Cause Physical PainC183853FSIL-Believe Chemo Cause Physical PainFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe my chemotherapy treatment will cause me physical pain.FACIT-Searchable Item Library Adult Version - Believe Chemo Cause Physical Pain
FSIL-Believe Chemo Harmful to MeC183855FSIL-Believe Chemo Harmful to MeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe chemotherapy treatment will be harmful to me.FACIT-Searchable Item Library Adult Version - Believe Chemo Harmful to Me
FSIL-Believe Chemo InconvenientC183854FSIL-Believe Chemo InconvenientFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe receiving chemotherapy will be inconvenient.FACIT-Searchable Item Library Adult Version - Believe Chemo Inconvenient
FSIL-Believe Chemo Sched Stress FamilyC183857FSIL-Believe Chemo Sched Stress FamilyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe my chemotherapy schedule will be stressful to my family.FACIT-Searchable Item Library Adult Version - Believe Chemo Sched Stress Family
FSIL-Believe Chemo Schedule Stressful MeC183856FSIL-Believe Chemo Schedule Stressful MeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe my chemotherapy schedule will be stressful to me.FACIT-Searchable Item Library Adult Version - Believe Chemo Schedule Stressful Me
FSIL-Believe Chemo Take Up My TimeC183852FSIL-Believe Chemo Take Up My TimeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe chemotherapy treatment will take up my time.FACIT-Searchable Item Library Adult Version - Believe Chemo Take Up My Time
FSIL-Believe Eating Will Be InconvenientC183753FSIL-Believe Eating Will Be InconvenientFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe that waiting up to 60 minutes before eating breakfast in the morning will be inconvenient.FACIT-Searchable Item Library Adult Version - Believe Eating Will Be Inconvenient
FSIL-Believe Infusion Will Cause PainC183754FSIL-Believe Infusion Will Cause PainFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe that an infusion for my bone treatment will cause me physical pain.FACIT-Searchable Item Library Adult Version - Believe Infusion Will Cause Pain
FSIL-Believe Schedule Stressful FamilyC183761FSIL-Believe Schedule Stressful FamilyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe that my treatment schedule for bone disease will be stressful to my family.FACIT-Searchable Item Library Adult Version - Believe Schedule Stressful Family
FSIL-Believe Schedule Stressful to MeC183760FSIL-Believe Schedule Stressful to MeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe that my treatment schedule for bone disease will be stressful to me.FACIT-Searchable Item Library Adult Version - Believe Schedule Stressful to Me
FSIL-Believe Treatment InconvenientC183758FSIL-Believe Treatment InconvenientFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe that receiving treatment for bone disease will be inconvenient.FACIT-Searchable Item Library Adult Version - Believe Treatment Inconvenient
FSIL-Believe Treatment Take Family TimeC183756FSIL-Believe Treatment Take Family TimeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe that my treatment for bone disease will take up my family's time.FACIT-Searchable Item Library Adult Version - Believe Treatment Take Family Time
FSIL-Believe Treatment Will Be HarmfulC183759FSIL-Believe Treatment Will Be HarmfulFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe that treatment for bone disease will be harmful to me.FACIT-Searchable Item Library Adult Version - Believe Treatment Will Be Harmful
FSIL-Believe Treatment Will Cause PainC183757FSIL-Believe Treatment Will Cause PainFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe that my treatment for bone disease will cause me physical pain.FACIT-Searchable Item Library Adult Version - Believe Treatment Will Cause Pain
FSIL-Believe Treatment Will Take Up TimeC183751FSIL-Believe Treatment Will Take Up TimeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe that treatment for bone disease will take up my time.FACIT-Searchable Item Library Adult Version - Believe Treatment Will Take Up Time
FSIL-Believe Will Be Bothered by EffectsC183752FSIL-Believe Will Be Bothered by EffectsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I believe that I will be bothered by side effects of treatment for bone disease.FACIT-Searchable Item Library Adult Version - Believe Will Be Bothered by Effects
FSIL-Blame Myself for the InfectionC183781FSIL-Blame Myself for the InfectionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I tend to blame myself for the infection.FACIT-Searchable Item Library Adult Version - Blame Myself for the Infection
FSIL-Bone Pain Even When I Sit/Lie StillC183698FSIL-Bone Pain Even When I Sit/Lie StillFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have bone pain even when I sit or lie still.FACIT-Searchable Item Library Adult Version - Bone Pain Even When I Sit/Lie Still
FSIL-Bone Pain Interferes Care MyselfC183702FSIL-Bone Pain Interferes Care MyselfFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Bone pain interferes with my ability to care for myself (bathing, dressing, eating, etc.).FACIT-Searchable Item Library Adult Version - Bone Pain Interferes Care Myself
FSIL-Bone Pain Interferes w/SocialC183703FSIL-Bone Pain Interferes w/SocialFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Bone pain interferes with my social activities.FACIT-Searchable Item Library Adult Version - Bone Pain Interferes w/Social
FSIL-Bone Pain Wakes Me Up at NightC183704FSIL-Bone Pain Wakes Me Up at NightFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Bone pain wakes me up at night.FACIT-Searchable Item Library Adult Version - Bone Pain Wakes Me Up at Night
FSIL-Bothered by a Skin RashC183627FSIL-Bothered by a Skin RashFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by a skin rash.FACIT-Searchable Item Library Adult Version - Bothered by a Skin Rash
FSIL-Bothered by Appearance Skin BreastC184166FSIL-Bothered by Appearance Skin BreastFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by the appearance of the skin in my breast area.FACIT-Searchable Item Library Adult Version - Bothered by Appearance Skin Breast
FSIL-Bothered by Bleeding in Gums/MouthC184240FSIL-Bothered by Bleeding in Gums/MouthFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by bleeding in my gums or mouth.FACIT-Searchable Item Library Adult Version - Bothered by Bleeding in Gums/Mouth
FSIL-Bothered by Blistering of My SkinC184027FSIL-Bothered by Blistering of My SkinFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by blistering of my skin.FACIT-Searchable Item Library Adult Version - Bothered by Blistering of My Skin
FSIL-Bothered by Blood in My Urine/StoolC184242FSIL-Bothered by Blood in My Urine/StoolFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by blood in my urine or stool.FACIT-Searchable Item Library Adult Version - Bothered by Blood in My Urine/Stool
FSIL-Bothered by Bruising Beneath SkinC184241FSIL-Bothered by Bruising Beneath SkinFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by pinpoint bruising beneath my skin.FACIT-Searchable Item Library Adult Version - Bothered by Bruising Beneath Skin
FSIL-Bothered by Change in Eating HabitsC183957FSIL-Bothered by Change in Eating HabitsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by a change in my eating habits.FACIT-Searchable Item Library Adult Version - Bothered by Change in Eating Habits
FSIL-Bothered by Change in Food TastesC183678FSIL-Bothered by Change in Food TastesFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by a change in the way food tastes.FACIT-Searchable Item Library Adult Version - Bothered by Change in Food Tastes
FSIL-Bothered by Change in PersonalityC183706FSIL-Bothered by Change in PersonalityFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by a change in my personality.FACIT-Searchable Item Library Adult Version - Bothered by Change in Personality
FSIL-Bothered by Change in WeightC183667FSIL-Bothered by Change in WeightFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by a change in weight.FACIT-Searchable Item Library Adult Version - Bothered by Change in Weight
FSIL-Bothered by Compression StockingsC184289FSIL-Bothered by Compression StockingsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by wearing compression stockings.FACIT-Searchable Item Library Adult Version - Bothered by Compression Stockings
FSIL-Bothered by ConstipationC183880FSIL-Bothered by ConstipationFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by constipation.FACIT-Searchable Item Library Adult Version - Bothered by Constipation
FSIL-Bothered by Cracking/Peeling SkinC184042FSIL-Bothered by Cracking/Peeling SkinFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by cracking or peeling of my skin.FACIT-Searchable Item Library Adult Version - Bothered by Cracking/Peeling Skin
FSIL-Bothered by Discharge From VulvaC184281FSIL-Bothered by Discharge From VulvaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by discharge or bleeding from my vulva.FACIT-Searchable Item Library Adult Version - Bothered by Discharge From Vulva
FSIL-Bothered by Discomfort Groin/LegsC184284FSIL-Bothered by Discomfort Groin/LegsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by discomfort in my groin or legs.FACIT-Searchable Item Library Adult Version - Bothered by Discomfort Groin/Legs
FSIL-Bothered by Drop in My ContributionC183708FSIL-Bothered by Drop in My ContributionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by the drop in my contribution to the family.FACIT-Searchable Item Library Adult Version - Bothered by Drop in My Contribution
FSIL-Bothered by Dry MouthC183730FSIL-Bothered by Dry MouthFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by dry mouth.FACIT-Searchable Item Library Adult Version - Bothered by Dry Mouth
FSIL-Bothered by Dry SkinC184035FSIL-Bothered by Dry SkinFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by dry skin.FACIT-Searchable Item Library Adult Version - Bothered by Dry Skin
FSIL-Bothered by Effects Treatment BoneC183735FSIL-Bothered by Effects Treatment BoneFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by side effects of treatment for bone disease.FACIT-Searchable Item Library Adult Version - Bothered by Effects Treatment Bone
FSIL-Bothered by FeversC183729FSIL-Bothered by FeversFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by fevers (episodes of high body temperature).FACIT-Searchable Item Library Adult Version - Bothered by Fevers
FSIL-Bothered by GasC183955FSIL-Bothered by GasFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by gas (flatulence).FACIT-Searchable Item Library Adult Version - Bothered by Gas
FSIL-Bothered by Hair LossC183664FSIL-Bothered by Hair LossFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by hair loss.FACIT-Searchable Item Library Adult Version - Bothered by Hair Loss
FSIL-Bothered by Having a Blocked NoseC184118FSIL-Bothered by Having a Blocked NoseFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by having a blocked nose.FACIT-Searchable Item Library Adult Version - Bothered by Having a Blocked Nose
FSIL-Bothered by HeadachesC184098FSIL-Bothered by HeadachesFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by headaches.FACIT-Searchable Item Library Adult Version - Bothered by Headaches
FSIL-Bothered by Hot FlashesC183771FSIL-Bothered by Hot FlashesFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by hot flashes.FACIT-Searchable Item Library Adult Version - Bothered by Hot Flashes
FSIL-Bothered by Increased Facial HairC184200FSIL-Bothered by Increased Facial HairFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by increased facial hair.FACIT-Searchable Item Library Adult Version - Bothered by Increased Facial Hair
FSIL-Bothered by ItchingC184070FSIL-Bothered by ItchingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by itching.FACIT-Searchable Item Library Adult Version - Bothered by Itching
FSIL-Bothered by Itching/Burning VulvaC184285FSIL-Bothered by Itching/Burning VulvaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by itching/burning in my vulva area.FACIT-Searchable Item Library Adult Version - Bothered by Itching/Burning Vulva
FSIL-Bothered by Jaundice/Yellow SkinC183996FSIL-Bothered by Jaundice/Yellow SkinFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by jaundice or yellow color to my skin.FACIT-Searchable Item Library Adult Version - Bothered by Jaundice/Yellow Skin
FSIL-Bothered by Lumps or SwellingC184062FSIL-Bothered by Lumps or SwellingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by lumps or swelling in certain parts of my body (e.g., neck, armpits, or groin).FACIT-Searchable Item Library Adult Version - Bothered by Lumps or Swelling
FSIL-Bothered by Mouth Sores/TendernessC183620FSIL-Bothered by Mouth Sores/TendernessFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by mouth sores or tenderness.FACIT-Searchable Item Library Adult Version - Bothered by Mouth Sores/Tenderness
FSIL-Bothered by Muscle PainsC184099FSIL-Bothered by Muscle PainsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by muscle pains.FACIT-Searchable Item Library Adult Version - Bothered by Muscle Pains
FSIL-Bothered by Muscle SpasmsC184096FSIL-Bothered by Muscle SpasmsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by muscle spasms.FACIT-Searchable Item Library Adult Version - Bothered by Muscle Spasms
FSIL-Bothered by My Hands/Nails LookC184228FSIL-Bothered by My Hands/Nails LookFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by the way my hands or nails look.FACIT-Searchable Item Library Adult Version - Bothered by My Hands/Nails Look
FSIL-Bothered by NosebleedsC184239FSIL-Bothered by NosebleedsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by nosebleeds.FACIT-Searchable Item Library Adult Version - Bothered by Nosebleeds
FSIL-Bothered by Odor From VaginaC183876FSIL-Bothered by Odor From VaginaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by odor coming from my vagina.FACIT-Searchable Item Library Adult Version - Bothered by Odor From Vagina
FSIL-Bothered by Odor From VulvaC184282FSIL-Bothered by Odor From VulvaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by odor coming from my vulva.FACIT-Searchable Item Library Adult Version - Bothered by Odor From Vulva
FSIL-Bothered by Pain/Numbness in VulvaC184286FSIL-Bothered by Pain/Numbness in VulvaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by pain or numbness in my vulva area.FACIT-Searchable Item Library Adult Version - Bothered by Pain/Numbness in Vulva
FSIL-Bothered by Reflux or HeartburnC183956FSIL-Bothered by Reflux or HeartburnFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by reflux or heartburn.FACIT-Searchable Item Library Adult Version - Bothered by Reflux or Heartburn
FSIL-Bothered by Ringing in My EarC184114FSIL-Bothered by Ringing in My EarFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by ringing in my ear(s).FACIT-Searchable Item Library Adult Version - Bothered by Ringing in My Ear
FSIL-Bothered by Sensitivity FingernailsC184201FSIL-Bothered by Sensitivity FingernailsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by sensitivity around my fingernails or toenails.FACIT-Searchable Item Library Adult Version - Bothered by Sensitivity Fingernails
FSIL-Bothered by Short-term ReactionsC184039FSIL-Bothered by Short-term ReactionsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by short-term treatment reactions that I experience immediately after, or within 24 hours of, an infusion (such as chills, dizziness, hives, rashes lasting no more than 24 hours).FACIT-Searchable Item Library Adult Version - Bothered by Short-term Reactions
FSIL-Bothered by Side Effects TreatmentC183979FSIL-Bothered by Side Effects TreatmentFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by side effects of treatment.FACIT-Searchable Item Library Adult Version - Bothered by Side Effects Treatment
FSIL-Bothered by Skin Problems UnderarmC184174FSIL-Bothered by Skin Problems UnderarmFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by skin problems in my underarm area.FACIT-Searchable Item Library Adult Version - Bothered by Skin Problems Underarm
FSIL-Bothered by Skin ProblemsC183680FSIL-Bothered by Skin ProblemsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by skin problems.FACIT-Searchable Item Library Adult Version - Bothered by Skin Problems
FSIL-Bothered by Skin Sensitivity to SunC184216FSIL-Bothered by Skin Sensitivity to SunFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by a change in my skin's sensitivity to the sun.FACIT-Searchable Item Library Adult Version - Bothered by Skin Sensitivity to Sun
FSIL-Bothered by SweatingC183727FSIL-Bothered by SweatingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by sweating.FACIT-Searchable Item Library Adult Version - Bothered by Sweating
FSIL-Bothered by Swelling Certain AreasC183619FSIL-Bothered by Swelling Certain AreasFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by swelling in certain areas of my body.FACIT-Searchable Item Library Adult Version - Bothered by Swelling Certain Areas
FSIL-Bothered by Swelling in My BreastC184170FSIL-Bothered by Swelling in My BreastFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by swelling in my breast.FACIT-Searchable Item Library Adult Version - Bothered by Swelling in My Breast
FSIL-Bothered by Swelling/Fluid in LegsC184283FSIL-Bothered by Swelling/Fluid in LegsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by swelling/fluid in my legs.FACIT-Searchable Item Library Adult Version - Bothered by Swelling/Fluid in Legs
FSIL-Bothered by the Amount of SwellingC184076FSIL-Bothered by the Amount of SwellingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by the amount of swelling.FACIT-Searchable Item Library Adult Version - Bothered by the Amount of Swelling
FSIL-Bothered by the ChillsC183728FSIL-Bothered by the ChillsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by the chills.FACIT-Searchable Item Library Adult Version - Bothered by the Chills
FSIL-Bothered by Uncertainty PrognosisC183864FSIL-Bothered by Uncertainty PrognosisFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by uncertainty about my prognosis.FACIT-Searchable Item Library Adult Version - Bothered by Uncertainty Prognosis
FSIL-Bothered by VitiligoC184036FSIL-Bothered by VitiligoFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by vitiligo (white patches appearing on my skin).FACIT-Searchable Item Library Adult Version - Bothered by Vitiligo
FSIL-Bothered by Worsening EyesightC184115FSIL-Bothered by Worsening EyesightFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by worsening eyesight.FACIT-Searchable Item Library Adult Version - Bothered by Worsening Eyesight
FSIL-Bothered Discharge/Bleeding VaginaC183875FSIL-Bothered Discharge/Bleeding VaginaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by discharge or bleeding from my vagina.FACIT-Searchable Item Library Adult Version - Bothered Discharge/Bleeding Vagina
FSIL-Bothered Inconvenience Treat SkinC183867FSIL-Bothered Inconvenience Treat SkinFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by the inconvenience of treatment for my skin condition.FACIT-Searchable Item Library Adult Version - Bothered Inconvenience Treat Skin
FSIL-Bothered New Allergy-like ReactionsC184041FSIL-Bothered New Allergy-like ReactionsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by new allergy-like reactions (e.g., to foods, insects, pollen).FACIT-Searchable Item Library Adult Version - Bothered New Allergy-like Reactions
FSIL-Bothered Red/Pink Appearance SkinC183863FSIL-Bothered Red/Pink Appearance SkinFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am bothered by the red or pink appearance of my skin.FACIT-Searchable Item Library Adult Version - Bothered Red/Pink Appearance Skin
FSIL-Breathing Is Easy for MeC184060FSIL-Breathing Is Easy for MeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Breathing is easy for me.FACIT-Searchable Item Library Adult Version - Breathing Is Easy for Me
FSIL-Can Manage Things Around InfectionC183795FSIL-Can Manage Things Around InfectionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel that I can manage things that come up around this infection.FACIT-Searchable Item Library Adult Version - Can Manage Things Around Infection
FSIL-Can Swallow Naturally and EasilyC184023FSIL-Can Swallow Naturally and EasilyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I can swallow naturally and easily.FACIT-Searchable Item Library Adult Version - Can Swallow Naturally and Easily
FSIL-Careful Who I told About InfectionC183782FSIL-Careful Who I told About InfectionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I was careful who I told about the infection.FACIT-Searchable Item Library Adult Version - Careful Who I told About Infection
FSIL-Caring for Ostomy Is DifficultC183770FSIL-Caring for Ostomy Is DifficultFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Caring for my ostomy appliance is difficult.FACIT-Searchable Item Library Adult Version - Caring for Ostomy Is Difficult
FSIL-Caring Urinary Condition DifficultC184291FSIL-Caring Urinary Condition DifficultFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Caring for my urinary condition is difficult.FACIT-Searchable Item Library Adult Version - Caring Urinary Condition Difficult
FSIL-Carrying 10-20 LbsC183896FSIL-Carrying 10-20 LbsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Carrying something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries) from one room to another.FACIT-Searchable Item Library Adult Version - Carrying 10-20 Lbs
FSIL-Certain Parts of Body Have PainC184134FSIL-Certain Parts of Body Have PainFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have certain parts of my body where I experience pain.FACIT-Searchable Item Library Adult Version - Certain Parts of Body Have Pain
FSIL-Chemo Causes Physical PainC183846FSIL-Chemo Causes Physical PainFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My chemotherapy treatment causes me physical pain.FACIT-Searchable Item Library Adult Version - Chemo Causes Physical Pain
FSIL-Chemo Schedule Is Stressful FamilyC183851FSIL-Chemo Schedule Is Stressful FamilyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My chemotherapy schedule is stressful to my family.FACIT-Searchable Item Library Adult Version - Chemo Schedule Is Stressful Family
FSIL-Chemo Schedule Is Stressful MeC183850FSIL-Chemo Schedule Is Stressful MeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My chemotherapy schedule is stressful to me.FACIT-Searchable Item Library Adult Version - Chemo Schedule Is Stressful Me
FSIL-Chemo Seems HarmfulC183849FSIL-Chemo Seems HarmfulFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Chemotherapy treatment seems harmful to me.FACIT-Searchable Item Library Adult Version - Chemo Seems Harmful
FSIL-Chemo Takes Family TimeC183844FSIL-Chemo Takes Family TimeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My chemotherapy treatment takes up my family's time.FACIT-Searchable Item Library Adult Version - Chemo Takes Family Time
FSIL-Chemo Treatment Takes Up My TimeC183839FSIL-Chemo Treatment Takes Up My TimeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Chemotherapy treatment takes up my time.FACIT-Searchable Item Library Adult Version - Chemo Treatment Takes Up My Time
FSIL-Choose This Chemo AgainC183842FSIL-Choose This Chemo AgainFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Would you choose this chemotherapy again?FACIT-Searchable Item Library Adult Version - Choose This Chemo Again
FSIL-Choose This Clinic/Office AgainC184273FSIL-Choose This Clinic/Office AgainFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Would you choose this clinic or office again?FACIT-Searchable Item Library Adult Version - Choose This Clinic/Office Again
FSIL-Choose This Treatment AgainC184278FSIL-Choose This Treatment AgainFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Would you choose this treatment again?FACIT-Searchable Item Library Adult Version - Choose This Treatment Again
FSIL-Choose This Treatment Bone AgainC183738FSIL-Choose This Treatment Bone AgainFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Would you choose this treatment for bone disease again?FACIT-Searchable Item Library Adult Version - Choose This Treatment Bone Again
FSIL-Comfort in Faith/Spiritual BeliefsC184197FSIL-Comfort in Faith/Spiritual BeliefsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I find comfort in my faith or spiritual beliefs.FACIT-Searchable Item Library Adult Version - Comfort in Faith/Spiritual Beliefs
FSIL-Comfortable Discuss Cond w/FriendsC184048FSIL-Comfortable Discuss Cond w/FriendsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am comfortable discussing my condition with friends.FACIT-Searchable Item Library Adult Version - Comfortable Discuss Cond w/Friends
FSIL-Compassion for Others DifficultiesC184190FSIL-Compassion for Others DifficultiesFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel compassion for others in the difficulties they are facing.FACIT-Searchable Item Library Adult Version - Compassion for Others Difficulties
FSIL-Concerned About How Thin I LookC183634FSIL-Concerned About How Thin I LookFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am concerned about how thin I look.FACIT-Searchable Item Library Adult Version - Concerned About How Thin I Look
FSIL-Concerned About Keeping My JobC183674FSIL-Concerned About Keeping My JobFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am concerned about keeping my job (include work at home).FACIT-Searchable Item Library Adult Version - Concerned About Keeping My Job
FSIL-Concerned Keeping My Job and IncomeC183951FSIL-Concerned Keeping My Job and IncomeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am concerned about keeping my job and income, including work at home.FACIT-Searchable Item Library Adult Version - Concerned Keeping My Job and Income
FSIL-Concerned What the Future HoldsC184009FSIL-Concerned What the Future HoldsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am concerned about what the future holds for me.FACIT-Searchable Item Library Adult Version - Concerned What the Future Holds
FSIL-Concerns Ability Become PregnantC183778FSIL-Concerns Ability Become PregnantFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have concerns about my ability to become pregnant.FACIT-Searchable Item Library Adult Version - Concerns Ability Become Pregnant
FSIL-Concerns Ability to Have ChildrenC183689FSIL-Concerns Ability to Have ChildrenFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have concerns about my ability to have children.FACIT-Searchable Item Library Adult Version - Concerns Ability to Have Children
FSIL-Condition Wakes/Keeps Me Up NightC184044FSIL-Condition Wakes/Keeps Me Up NightFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My condition wakes or keeps me up at night.FACIT-Searchable Item Library Adult Version - Condition Wakes/Keeps Me Up Night
FSIL-Confidence in My Nurse(s)C183690FSIL-Confidence in My Nurse(s)Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have confidence in my nurse(s).FACIT-Searchable Item Library Adult Version - Confidence in My Nurse(s)
FSIL-Confident Nutrition Feeding TubeC183915FSIL-Confident Nutrition Feeding TubeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am more confident about my nutrition because of my feeding tube.FACIT-Searchable Item Library Adult Version - Confident Nutrition Feeding Tube
FSIL-ConstipatedC184149FSIL-ConstipatedFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am constipated.FACIT-Searchable Item Library Adult Version - Constipated
FSIL-Constipation Dur/After Tube FeedingC183918FSIL-Constipation Dur/After Tube FeedingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have constipation during or after my tube feeding.FACIT-Searchable Item Library Adult Version - Constipation Dur/After Tube Feeding
FSIL-Content With Quality of My Life NowC183974FSIL-Content With Quality of My Life NowFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am content with the quality of my life right now.FACIT-Searchable Item Library Adult Version - Content With Quality of My Life Now
FSIL-Cost of Treatment Is Burden on MeC183683FSIL-Cost of Treatment Is Burden on MeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: The cost of my treatment is a burden on me or my family.FACIT-Searchable Item Library Adult Version - Cost of Treatment Is Burden on Me
FSIL-Dependent on Others Feeding TubeC183913FSIL-Dependent on Others Feeding TubeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel dependent on others because I have a feeding tube.FACIT-Searchable Item Library Adult Version - Dependent on Others Feeding Tube
FSIL-Depressed About My ConditionC184101FSIL-Depressed About My ConditionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am depressed about my condition.FACIT-Searchable Item Library Adult Version - Depressed About My Condition
FSIL-Depressed About the InfectionC183786FSIL-Depressed About the InfectionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am depressed about the infection.FACIT-Searchable Item Library Adult Version - Depressed About the Infection
FSIL-Diarrhea Keeps/Wakes Me Up at NightC183887FSIL-Diarrhea Keeps/Wakes Me Up at NightFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My problem with diarrhea (diarrhoea) keeps/wakes me up at night.FACIT-Searchable Item Library Adult Version - Diarrhea Keeps/Wakes Me Up at Night
FSIL-Diff Moving Neck & Shoulders StiffC184113FSIL-Diff Moving Neck & Shoulders StiffFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty moving my neck and shoulders because of stiffness.FACIT-Searchable Item Library Adult Version - Diff Moving Neck & Shoulders Stiff
FSIL-Difficult Times Strengthened FaithC184198FSIL-Difficult Times Strengthened FaithFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Difficult times have strengthened my faith or spiritual beliefs.FACIT-Searchable Item Library Adult Version - Difficult Times Strengthened Faith
FSIL-Difficulty Breathing Exposed ColdC184121FSIL-Difficulty Breathing Exposed ColdFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty breathing when I am exposed to cold temperatures.FACIT-Searchable Item Library Adult Version - Difficulty Breathing Exposed Cold
FSIL-Difficulty Doing Things B/c of SkinC183861FSIL-Difficulty Doing Things B/c of SkinFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty doing things with my hands because of the condition of my skin.FACIT-Searchable Item Library Adult Version - Difficulty Doing Things B/c of Skin
FSIL-Difficulty Expressing My ThoughtsC183725FSIL-Difficulty Expressing My ThoughtsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty expressing my thoughts.FACIT-Searchable Item Library Adult Version - Difficulty Expressing My Thoughts
FSIL-Difficulty Moving My Arm SidewaysC184163FSIL-Difficulty Moving My Arm SidewaysFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty moving my arm sideways.FACIT-Searchable Item Library Adult Version - Difficulty Moving My Arm Sideways
FSIL-Difficulty Planning for FutureC184065FSIL-Difficulty Planning for FutureFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Because of my illness, I have difficulty planning for the future.FACIT-Searchable Item Library Adult Version - Difficulty Planning for Future
FSIL-Difficulty Swallowing LiquidsC183900FSIL-Difficulty Swallowing LiquidsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty swallowing liquids.FACIT-Searchable Item Library Adult Version - Difficulty Swallowing Liquids
FSIL-Difficulty Swallowing Soft FoodsC183899FSIL-Difficulty Swallowing Soft FoodsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty swallowing soft or mashed foods.FACIT-Searchable Item Library Adult Version - Difficulty Swallowing Soft Foods
FSIL-Difficulty Swallowing Solid FoodsC183898FSIL-Difficulty Swallowing Solid FoodsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty swallowing solid foods.FACIT-Searchable Item Library Adult Version - Difficulty Swallowing Solid Foods
FSIL-Difficulty Telling Partner/SpouseC183783FSIL-Difficulty Telling Partner/SpouseFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had difficulty telling my partner/spouse about the infection.FACIT-Searchable Item Library Adult Version - Difficulty Telling Partner/Spouse
FSIL-Difficulty Walking B/c of SkinC183862FSIL-Difficulty Walking B/c of SkinFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty walking because of my skin condition.FACIT-Searchable Item Library Adult Version - Difficulty Walking B/c of Skin
FSIL-Digestive Problems Interfere ActivC183953FSIL-Digestive Problems Interfere ActivFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My digestive problems interfere with my usual activities.FACIT-Searchable Item Library Adult Version - Digestive Problems Interfere Activ
FSIL-Discomfort in My Pelvic AreaC183774FSIL-Discomfort in My Pelvic AreaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have discomfort in my pelvic area.FACIT-Searchable Item Library Adult Version - Discomfort in My Pelvic Area
FSIL-Discomfort or Pain When I EatC183959FSIL-Discomfort or Pain When I EatFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have discomfort or pain when I eat.FACIT-Searchable Item Library Adult Version - Discomfort or Pain When I Eat
FSIL-Discomfort/Pain in My Pelvic AreaC183926FSIL-Discomfort/Pain in My Pelvic AreaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have discomfort or pain in my pelvic area.FACIT-Searchable Item Library Adult Version - Discomfort/Pain in My Pelvic Area
FSIL-Discomfort/Pain in Stomach AreaC184001FSIL-Discomfort/Pain in Stomach AreaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have discomfort or pain in my stomach area.FACIT-Searchable Item Library Adult Version - Discomfort/Pain in Stomach Area
FSIL-Discuss Concerns w/ People ClosestC184145FSIL-Discuss Concerns w/ People ClosestFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to openly discuss my concerns with the people closest to me.FACIT-Searchable Item Library Adult Version - Discuss Concerns w/ People Closest
FSIL-Do You Have an Ostomy ApplianceC184155FSIL-Do You Have an Ostomy ApplianceFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Do you have an ostomy appliance?FACIT-Searchable Item Library Adult Version - Do You Have an Ostomy Appliance
FSIL-Doctor Available Answer QuestionsC183984FSIL-Doctor Available Answer QuestionsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My doctor is available to answer my questions.FACIT-Searchable Item Library Adult Version - Doctor Available Answer Questions
FSIL-Doctor Evaluate Effects TreatmentC184263FSIL-Doctor Evaluate Effects TreatmentFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did your doctor(s) help you evaluate the effects of your treatment so far?FACIT-Searchable Item Library Adult Version - Doctor Evaluate Effects Treatment
FSIL-Doctor Experience Treating IllnessC184258FSIL-Doctor Experience Treating IllnessFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did you feel your doctor(s) had experience treating your illness?FACIT-Searchable Item Library Adult Version - Doctor Experience Treating Illness
FSIL-Doctor Explain Benefits TreatmentC184245FSIL-Doctor Explain Benefits TreatmentFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did your doctor(s) explain the possible benefits of your treatment?FACIT-Searchable Item Library Adult Version - Doctor Explain Benefits Treatment
FSIL-Doctor Explain Side Effects/RisksC184246FSIL-Doctor Explain Side Effects/RisksFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did your doctor(s) explain the possible side effects or risks of your treatment?FACIT-Searchable Item Library Adult Version - Doctor Explain Side Effects/Risks
FSIL-Doctor Explained Possible BenefitsC183794FSIL-Doctor Explained Possible BenefitsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My doctor explained the possible benefits of my treatment.FACIT-Searchable Item Library Adult Version - Doctor Explained Possible Benefits
FSIL-Doctor Explanations You UnderstandC184280FSIL-Doctor Explanations You UnderstandFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did your doctor(s) give explanations that you could understand?FACIT-Searchable Item Library Adult Version - Doctor Explanations You Understand
FSIL-Doctor Gave Explanations UnderstandC183793FSIL-Doctor Gave Explanations UnderstandFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My doctor gave me explanations that I could understand.FACIT-Searchable Item Library Adult Version - Doctor Gave Explanations Understand
FSIL-Doctor Knew Medical DevelopmentsC184259FSIL-Doctor Knew Medical DevelopmentsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did you feel your doctor(s) knew about the latest medical developments for your illness?FACIT-Searchable Item Library Adult Version - Doctor Knew Medical Developments
FSIL-Doctor Seem Respect Your OpinionsC184264FSIL-Doctor Seem Respect Your OpinionsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did your doctor(s) seem to respect your opinions?FACIT-Searchable Item Library Adult Version - Doctor Seem Respect Your Opinions
FSIL-Doctor Seem Understand Your NeedsC184251FSIL-Doctor Seem Understand Your NeedsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did your doctor(s) seem to understand your needs?FACIT-Searchable Item Library Adult Version - Doctor Seem Understand Your Needs
FSIL-Doctor Show Genuine Concern for YouC184250FSIL-Doctor Show Genuine Concern for YouFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did your doctor(s) show genuine concern for you?FACIT-Searchable Item Library Adult Version - Doctor Show Genuine Concern for You
FSIL-Doctor Understand Important to YouC184249FSIL-Doctor Understand Important to YouFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did your doctor(s) seem to understand what was important to you?FACIT-Searchable Item Library Adult Version - Doctor Understand Important to You
FSIL-Dressing Yourself Without HelpC183888FSIL-Dressing Yourself Without HelpFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Dressing yourself without help.FACIT-Searchable Item Library Adult Version - Dressing Yourself Without Help
FSIL-Dur Tube Feeding Eat/Drink by MouthC183923FSIL-Dur Tube Feeding Eat/Drink by MouthFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: During the use of tube feeding, I can eat and drink by mouth.FACIT-Searchable Item Library Adult Version - Dur Tube Feeding Eat/Drink by Mouth
FSIL-During Difficult Times Things Be OKC184199FSIL-During Difficult Times Things Be OKFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Even during difficult times, I know that things will be okay.FACIT-Searchable Item Library Adult Version - During Difficult Times Things Be OK
FSIL-Effectiveness of Treatment So FarC184244FSIL-Effectiveness of Treatment So FarFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Compared to what you expected, how do you rate the effectiveness of the treatment so far?FACIT-Searchable Item Library Adult Version - Effectiveness of Treatment So Far
FSIL-Embarrassed About the InfectionC183780FSIL-Embarrassed About the InfectionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel embarrassed about the infection.FACIT-Searchable Item Library Adult Version - Embarrassed About the Infection
FSIL-Embarrassed by Appearance of SkinC183872FSIL-Embarrassed by Appearance of SkinFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am embarrassed by the appearance of my skin.FACIT-Searchable Item Library Adult Version - Embarrassed by Appearance of Skin
FSIL-Embarrassed by Having DiarrheaC183885FSIL-Embarrassed by Having DiarrheaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am embarrassed by having diarrhea (diarrhoea).FACIT-Searchable Item Library Adult Version - Embarrassed by Having Diarrhea
FSIL-Embarrassed by My ConditionC184053FSIL-Embarrassed by My ConditionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am embarrassed by my condition.FACIT-Searchable Item Library Adult Version - Embarrassed by My Condition
FSIL-Embarrassed by My IllnessC184003FSIL-Embarrassed by My IllnessFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am embarrassed by my illness.FACIT-Searchable Item Library Adult Version - Embarrassed by My Illness
FSIL-Embarrassed by My Skin ConditionC184205FSIL-Embarrassed by My Skin ConditionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am embarrassed by my skin condition.FACIT-Searchable Item Library Adult Version - Embarrassed by My Skin Condition
FSIL-Embarrassed by Ostomy ApplianceC183769FSIL-Embarrassed by Ostomy ApplianceFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am embarrassed by my ostomy appliance.FACIT-Searchable Item Library Adult Version - Embarrassed by Ostomy Appliance
FSIL-Emotional Support Family MembersC183788FSIL-Emotional Support Family MembersFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I get emotional support from family members.FACIT-Searchable Item Library Adult Version - Emotional Support Family Members
FSIL-Emotional Support From My FamilyC183986FSIL-Emotional Support From My FamilyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I get emotional support from my family.FACIT-Searchable Item Library Adult Version - Emotional Support From My Family
FSIL-Enjoy Meals With Family/FriendsC183903FSIL-Enjoy Meals With Family/FriendsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to enjoy meals with family or friends.FACIT-Searchable Item Library Adult Version - Enjoy Meals With Family/Friends
FSIL-Enjoy Things I Usually Do for FunC183973FSIL-Enjoy Things I Usually Do for FunFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am enjoying the things I usually do for fun.FACIT-Searchable Item Library Adult Version - Enjoy Things I Usually Do for Fun
FSIL-Enough Money to Cover TreatmentC183940FSIL-Enough Money to Cover TreatmentFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I know that I have enough money in savings, retirement, or assets to cover the costs of my treatment.FACIT-Searchable Item Library Adult Version - Enough Money to Cover Treatment
FSIL-Family Bothered by Skin ConditionC183860FSIL-Family Bothered by Skin ConditionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My family is bothered by my skin condition.FACIT-Searchable Item Library Adult Version - Family Bothered by Skin Condition
FSIL-Family Is Well Despite My IllnessC183993FSIL-Family Is Well Despite My IllnessFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My family is doing well despite my illness.FACIT-Searchable Item Library Adult Version - Family Is Well Despite My Illness
FSIL-Family Trouble Understand Bone PainC183696FSIL-Family Trouble Understand Bone PainFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My family has trouble understanding when my bone pain interferes with my activity.FACIT-Searchable Item Library Adult Version - Family Trouble Understand Bone Pain
FSIL-Family Trouble Understand WorseC184093FSIL-Family Trouble Understand WorseFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My family has trouble understanding when my condition gets worse.FACIT-Searchable Item Library Adult Version - Family Trouble Understand Worse
FSIL-Family Who Take My ResponsibilitiesC184146FSIL-Family Who Take My ResponsibilitiesFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have family members who will take on my responsibilities.FACIT-Searchable Item Library Adult Version - Family Who Take My Responsibilities
FSIL-Far From Home/Work W/o Fear SoilageC184046FSIL-Far From Home/Work W/o Fear SoilageFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I can be far from home/work without fearing soilage.FACIT-Searchable Item Library Adult Version - Far From Home/Work W/o Fear Soilage
FSIL-Fatigue Keeps Me From Doing ThingsC183618FSIL-Fatigue Keeps Me From Doing ThingsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My fatigue keeps me from doing the things I want to do.FACIT-Searchable Item Library Adult Version - Fatigue Keeps Me From Doing Things
FSIL-Feeding Tube Was Right DecisionC183917FSIL-Feeding Tube Was Right DecisionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Getting a feeding tube was the right decision for me.FACIT-Searchable Item Library Adult Version - Feeding Tube Was Right Decision
FSIL-Feel Financially StressedC183950FSIL-Feel Financially StressedFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel financially stressed.FACIT-Searchable Item Library Adult Version - Feel Financially Stressed
FSIL-Feel Forgiven for Harm I CausedC184184FSIL-Feel Forgiven for Harm I CausedFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel forgiven for any harm I may have ever caused.FACIT-Searchable Item Library Adult Version - Feel Forgiven for Harm I Caused
FSIL-Feel Isolated Because of IllnessC184068FSIL-Feel Isolated Because of IllnessFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel isolated from others because of my illness or treatment.FACIT-Searchable Item Library Adult Version - Feel Isolated Because of Illness
FSIL-Feel Overwhelmed by My ConditionC184103FSIL-Feel Overwhelmed by My ConditionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel overwhelmed by my condition.FACIT-Searchable Item Library Adult Version - Feel Overwhelmed by My Condition
FSIL-Feel Sense of Harmony Within MyselfC184195FSIL-Feel Sense of Harmony Within MyselfFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel a sense of harmony within myself.FACIT-Searchable Item Library Adult Version - Feel Sense of Harmony Within Myself
FSIL-Feel Sense of Purpose in My LifeC184193FSIL-Feel Sense of Purpose in My LifeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel a sense of purpose in my life.FACIT-Searchable Item Library Adult Version - Feel Sense of Purpose in My Life
FSIL-Feel Sense of Thankfulness for LifeC184185FSIL-Feel Sense of Thankfulness for LifeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Throughout the course of my day, I feel a sense of thankfulness for my life.FACIT-Searchable Item Library Adult Version - Feel Sense of Thankfulness for Life
FSIL-Feel That My Family Appreciates MeC184147FSIL-Feel That My Family Appreciates MeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel that my family appreciates me.FACIT-Searchable Item Library Adult Version - Feel That My Family Appreciates Me
FSIL-Forced to Spend Time in BedC183981FSIL-Forced to Spend Time in BedFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am forced to spend time in bed.FACIT-Searchable Item Library Adult Version - Forced to Spend Time in Bed
FSIL-Forgive Others for Harm Caused MeC184183FSIL-Forgive Others for Harm Caused MeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to forgive others for any harm they have ever caused me.FACIT-Searchable Item Library Adult Version - Forgive Others for Harm Caused Me
FSIL-Forgotten Names After IntroducedC183811FSIL-Forgotten Names After IntroducedFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have forgotten names of people soon after being introduced.FACIT-Searchable Item Library Adult Version - Forgotten Names After Introduced
FSIL-Frustrated by Being Too TiredC183646FSIL-Frustrated by Being Too TiredFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am frustrated by being too tired to do the things I want to do.FACIT-Searchable Item Library Adult Version - Frustrated by Being Too Tired
FSIL-Frustrated by My Bone PainC183693FSIL-Frustrated by My Bone PainFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am frustrated by my bone pain.FACIT-Searchable Item Library Adult Version - Frustrated by My Bone Pain
FSIL-Frustrated by My ConditionC184104FSIL-Frustrated by My ConditionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am frustrated by my condition.FACIT-Searchable Item Library Adult Version - Frustrated by My Condition
FSIL-Frustrated by My Skin ConditionC183873FSIL-Frustrated by My Skin ConditionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am frustrated by my skin condition.FACIT-Searchable Item Library Adult Version - Frustrated by My Skin Condition
FSIL-Frustrated by the InfectionC183784FSIL-Frustrated by the InfectionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am frustrated by the infection.FACIT-Searchable Item Library Adult Version - Frustrated by the Infection
FSIL-Frustrated Cannot Work as UsualC183947FSIL-Frustrated Cannot Work as UsualFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am frustrated that I cannot work or contribute as much as I usually do.FACIT-Searchable Item Library Adult Version - Frustrated Cannot Work as Usual
FSIL-Frustrated I Cannot Do ThingsC183720FSIL-Frustrated I Cannot Do ThingsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I get frustrated that I cannot do things I used to.FACIT-Searchable Item Library Adult Version - Frustrated I Cannot Do Things
FSIL-Frustrated Not Do Usual ActivitiesC184232FSIL-Frustrated Not Do Usual ActivitiesFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am frustrated by not being able to do my usual activities.FACIT-Searchable Item Library Adult Version - Frustrated Not Do Usual Activities
FSIL-Frustrated Unable Do Things I WantC184063FSIL-Frustrated Unable Do Things I WantFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am frustrated by being unable to do the things I want to do.FACIT-Searchable Item Library Adult Version - Frustrated Unable Do Things I Want
FSIL-Fullness/Heaviness in Stomach AreaC183958FSIL-Fullness/Heaviness in Stomach AreaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have a feeling of fullness or heaviness in my stomach area.FACIT-Searchable Item Library Adult Version - Fullness/Heaviness in Stomach Area
FSIL-Get Emotional Support PartnerC183787FSIL-Get Emotional Support PartnerFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I get emotional support from my partner/spouse.FACIT-Searchable Item Library Adult Version - Get Emotional Support Partner
FSIL-Get Ringing or Buzzing in My EarsC184127FSIL-Get Ringing or Buzzing in My EarsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I get a ringing or buzzing in my ears.FACIT-Searchable Item Library Adult Version - Get Ringing or Buzzing in My Ears
FSIL-Get to Say Things Important to YouC184248FSIL-Get to Say Things Important to YouFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did you get to say the things that were important to you?FACIT-Searchable Item Library Adult Version - Get to Say Things Important to You
FSIL-Good Range of Movement in Arm/LegC184081FSIL-Good Range of Movement in Arm/LegFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have good range of movement in my arm or leg.FACIT-Searchable Item Library Adult Version - Good Range of Movement in Arm/Leg
FSIL-Had Change in the Way Food TastesC183999FSIL-Had Change in the Way Food TastesFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had a change in the way food tastes.FACIT-Searchable Item Library Adult Version - Had Change in the Way Food Tastes
FSIL-Hand Pain Interferes Daily ActivC183623FSIL-Hand Pain Interferes Daily ActivFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Hand pain or tenderness interferes with my daily activities.FACIT-Searchable Item Library Adult Version - Hand Pain Interferes Daily Activ
FSIL-Hard to Tell People About InfectionC184006FSIL-Hard to Tell People About InfectionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: It is hard to tell other people about my infection.FACIT-Searchable Item Library Adult Version - Hard to Tell People About Infection
FSIL-Have Breast Sensitivity/TendernessC183929FSIL-Have Breast Sensitivity/TendernessFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have breast sensitivity/tenderness.FACIT-Searchable Item Library Adult Version - Have Breast Sensitivity/Tenderness
FSIL-Have Confidence in Your DoctorC184270FSIL-Have Confidence in Your DoctorFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did you have confidence in your doctor(s)?FACIT-Searchable Item Library Adult Version - Have Confidence in Your Doctor
FSIL-Have Difficulty Eating Rich FoodsC183636FSIL-Have Difficulty Eating Rich FoodsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty eating rich or "heavy" foods.FACIT-Searchable Item Library Adult Version - Have Difficulty Eating Rich Foods
FSIL-Have Enough Time to Make DecisionsC184262FSIL-Have Enough Time to Make DecisionsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did you have enough time to make decisions about your health care?FACIT-Searchable Item Library Adult Version - Have Enough Time to Make Decisions
FSIL-Have Joint Pain or Muscle CrampsC184125FSIL-Have Joint Pain or Muscle CrampsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have joint pain or muscle cramps.FACIT-Searchable Item Library Adult Version - Have Joint Pain or Muscle Cramps
FSIL-Have Opportunity to Ask QuestionsC184247FSIL-Have Opportunity to Ask QuestionsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did you have an opportunity to ask questions?FACIT-Searchable Item Library Adult Version - Have Opportunity to Ask Questions
FSIL-Have Pain/Discomfort w/IntercourseC183938FSIL-Have Pain/Discomfort w/IntercourseFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain or discomfort with intercourse.FACIT-Searchable Item Library Adult Version - Have Pain/Discomfort w/Intercourse
FSIL-Have People to Help Me if I Need ItC184007FSIL-Have People to Help Me if I Need ItFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have people to help me if I need it.FACIT-Searchable Item Library Adult Version - Have People to Help Me if I Need It
FSIL-Have Stiffness of Arm on This SideC183660FSIL-Have Stiffness of Arm on This SideFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have stiffness of my arm on this side.FACIT-Searchable Item Library Adult Version - Have Stiffness of Arm on This Side
FSIL-Have Swelling in Parts of My BodyC184150FSIL-Have Swelling in Parts of My BodyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have swelling in parts of my body.FACIT-Searchable Item Library Adult Version - Have Swelling in Parts of My Body
FSIL-Have Trouble Controlling My UrineC183669FSIL-Have Trouble Controlling My UrineFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble controlling my urine.FACIT-Searchable Item Library Adult Version - Have Trouble Controlling My Urine
FSIL-Have Trouble Feeling Peace of MindC184192FSIL-Have Trouble Feeling Peace of MindFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble feeling peace of mind.FACIT-Searchable Item Library Adult Version - Have Trouble Feeling Peace of Mind
FSIL-Have Trouble Swallowing FoodC183954FSIL-Have Trouble Swallowing FoodFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble swallowing food.FACIT-Searchable Item Library Adult Version - Have Trouble Swallowing Food
FSIL-Have Weakness in My Arms or LegsC183717FSIL-Have Weakness in My Arms or LegsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have weakness in my arms or legs.FACIT-Searchable Item Library Adult Version - Have Weakness in My Arms or Legs
FSIL-Have You Ever SmokedC184156FSIL-Have You Ever SmokedFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Have you ever smoked?FACIT-Searchable Item Library Adult Version - Have You Ever Smoked
FSIL-Having Blood Drawn Is InconvenientC183746FSIL-Having Blood Drawn Is InconvenientFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Having my blood drawn is inconvenient.FACIT-Searchable Item Library Adult Version - Having Blood Drawn Is Inconvenient
FSIL-Heat Worsens My SymptomsC184095FSIL-Heat Worsens My SymptomsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Heat worsens my symptoms.FACIT-Searchable Item Library Adult Version - Heat Worsens My Symptoms
FSIL-Helps Arrangements Obtain MedicinesC184221FSIL-Helps Arrangements Obtain MedicinesFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My pharmacist helps with the arrangements necessary to obtain my medicines.FACIT-Searchable Item Library Adult Version - Helps Arrangements Obtain Medicines
FSIL-Hidden Problem Others Not NoticeC183777FSIL-Hidden Problem Others Not NoticeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have hidden this problem so others will not notice.FACIT-Searchable Item Library Adult Version - Hidden Problem Others Not Notice
FSIL-Hopeful About the FutureC184004FSIL-Hopeful About the FutureFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am hopeful about the future.FACIT-Searchable Item Library Adult Version - Hopeful About the Future
FSIL-How Many Places in Body Felt PainC184158FSIL-How Many Places in Body Felt PainFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: In how many places in your body have you felt bone pain?FACIT-Searchable Item Library Adult Version - How Many Places in Body Felt Pain
FSIL-Hurts When Put Weight/Pressure onC183697FSIL-Hurts When Put Weight/Pressure onFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: It hurts when I put weight or pressure on the place where I have bone pain.FACIT-Searchable Item Library Adult Version - Hurts When Put Weight/Pressure on
FSIL-I Bleed EasilyC184229FSIL-I Bleed EasilyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I bleed easily.FACIT-Searchable Item Library Adult Version - I Bleed Easily
FSIL-I Bruise EasilyC184236FSIL-I Bruise EasilyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I bruise easily.FACIT-Searchable Item Library Adult Version - I Bruise Easily
FSIL-I Can Digest My Food WellC183765FSIL-I Can Digest My Food WellFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I can digest my food well.FACIT-Searchable Item Library Adult Version - I Can Digest My Food Well
FSIL-I Can Eat Solid FoodsC184016FSIL-I Can Eat Solid FoodsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I can eat solid foods.FACIT-Searchable Item Library Adult Version - I Can Eat Solid Foods
FSIL-I Can Enjoy the Taste of FoodC184117FSIL-I Can Enjoy the Taste of FoodFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I can enjoy the taste of food.FACIT-Searchable Item Library Adult Version - I Can Enjoy the Taste of Food
FSIL-I Can Remember New ThingsC183719FSIL-I Can Remember New ThingsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I can remember new things.FACIT-Searchable Item Library Adult Version - I Can Remember New Things
FSIL-I Can Remember ThingsC183675FSIL-I Can Remember ThingsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I can remember things.FACIT-Searchable Item Library Adult Version - I Can Remember Things
FSIL-I Choke When I SwallowC183902FSIL-I Choke When I SwallowFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I choke when I swallow.FACIT-Searchable Item Library Adult Version - I Choke When I Swallow
FSIL-I Drink AlcoholC184025FSIL-I Drink AlcoholFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I drink alcohol (e.g. beer, wine, etc.).FACIT-Searchable Item Library Adult Version - I Drink Alcohol
FSIL-I Feel BloatedC184224FSIL-I Feel BloatedFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel bloated.FACIT-Searchable Item Library Adult Version - I Feel Bloated
FSIL-I Feel Close to My FamilyC183992FSIL-I Feel Close to My FamilyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel close to my family.FACIT-Searchable Item Library Adult Version - I Feel Close to My Family
FSIL-I Feel Close to My FriendsC183985FSIL-I Feel Close to My FriendsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel close to my friends.FACIT-Searchable Item Library Adult Version - I Feel Close to My Friends
FSIL-I Feel Close to My PartnerC183990FSIL-I Feel Close to My PartnerFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel close to my partner (or the person who is my main support).FACIT-Searchable Item Library Adult Version - I Feel Close to My Partner
FSIL-I Feel Connected to Higher PowerC184179FSIL-I Feel Connected to Higher PowerFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel connected to a higher power (or God).FACIT-Searchable Item Library Adult Version - I Feel Connected to Higher Power
FSIL-I Feel Connected to Other PeopleC184180FSIL-I Feel Connected to Other PeopleFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel connected to other people.FACIT-Searchable Item Library Adult Version - I Feel Connected to Other People
FSIL-I Feel Depressed about Bone PainC183694FSIL-I Feel Depressed about Bone PainFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel depressed about my bone pain.FACIT-Searchable Item Library Adult Version - I Feel Depressed about Bone Pain
FSIL-I Feel Discomfort in My FeetC184124FSIL-I Feel Discomfort in My FeetFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel discomfort in my feet.FACIT-Searchable Item Library Adult Version - I Feel Discomfort in My Feet
FSIL-I Feel Discomfort in My HandsC184123FSIL-I Feel Discomfort in My HandsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel discomfort in my hands.FACIT-Searchable Item Library Adult Version - I Feel Discomfort in My Hands
FSIL-I Feel Discouraged About My IllnessC184064FSIL-I Feel Discouraged About My IllnessFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel discouraged about my illness.FACIT-Searchable Item Library Adult Version - I Feel Discouraged About My Illness
FSIL-I Feel Distant From Other PeopleC183684FSIL-I Feel Distant From Other PeopleFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel distant from other people.FACIT-Searchable Item Library Adult Version - I Feel Distant From Other People
FSIL-I Feel FatiguedC184011FSIL-I Feel FatiguedFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel fatigued.FACIT-Searchable Item Library Adult Version - I Feel Fatigued
FSIL-I Feel HopefulC184188FSIL-I Feel HopefulFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel hopeful.FACIT-Searchable Item Library Adult Version - I Feel Hopeful
FSIL-I Feel IllC183980FSIL-I Feel IllFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel ill.FACIT-Searchable Item Library Adult Version - I Feel Ill
FSIL-I Feel IndependentC183723FSIL-I Feel IndependentFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel independent.FACIT-Searchable Item Library Adult Version - I Feel Independent
FSIL-I Feel Left Out of ThingsC184094FSIL-I Feel Left Out of ThingsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel "left out" of things.FACIT-Searchable Item Library Adult Version - I Feel Left Out of Things
FSIL-I Feel LightheadedC183655FSIL-I Feel LightheadedFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel lightheaded (dizzy).FACIT-Searchable Item Library Adult Version - I Feel Lightheaded
FSIL-I Feel Like a Burden to My FamilyC184148FSIL-I Feel Like a Burden to My FamilyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel like a burden to my family.FACIT-Searchable Item Library Adult Version - I Feel Like a Burden to My Family
FSIL-I Feel ListlessC183640FSIL-I Feel ListlessFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel listless ("washed out").FACIT-Searchable Item Library Adult Version - I Feel Listless
FSIL-I Feel Love for OthersC184182FSIL-I Feel Love for OthersFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel love for others.FACIT-Searchable Item Library Adult Version - I Feel Love for Others
FSIL-I Feel LovedC184181FSIL-I Feel LovedFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel loved.FACIT-Searchable Item Library Adult Version - I Feel Loved
FSIL-I Feel Motivated to Do ThingsC184010FSIL-I Feel Motivated to Do ThingsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel motivated to do things.FACIT-Searchable Item Library Adult Version - I Feel Motivated to Do Things
FSIL-I Feel NervousC183965FSIL-I Feel NervousFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel nervous.FACIT-Searchable Item Library Adult Version - I Feel Nervous
FSIL-I Feel Numbness at My Surgical SiteC184080FSIL-I Feel Numbness at My Surgical SiteFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel numbness at my surgical site.FACIT-Searchable Item Library Adult Version - I Feel Numbness at My Surgical Site
FSIL-I Feel PeacefulC184175FSIL-I Feel PeacefulFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel peaceful.FACIT-Searchable Item Library Adult Version - I Feel Peaceful
FSIL-I Feel SadC183962FSIL-I Feel SadFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel sad.FACIT-Searchable Item Library Adult Version - I Feel Sad
FSIL-I Feel Sexually AttractiveC183663FSIL-I Feel Sexually AttractiveFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel sexually attractive.FACIT-Searchable Item Library Adult Version - I Feel Sexually Attractive
FSIL-I Feel Tightness in My ChestC184059FSIL-I Feel Tightness in My ChestFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel tightness in my chest.FACIT-Searchable Item Library Adult Version - I Feel Tightness in My Chest
FSIL-I Feel TiredC183648FSIL-I Feel TiredFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel tired.FACIT-Searchable Item Library Adult Version - I Feel Tired
FSIL-I Feel Trapped by My ConditionC184100FSIL-I Feel Trapped by My ConditionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel trapped by my condition.FACIT-Searchable Item Library Adult Version - I Feel Trapped by My Condition
FSIL-I Feel UsefulC184152FSIL-I Feel UsefulFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel useful.FACIT-Searchable Item Library Adult Version - I Feel Useful
FSIL-I Feel UselessC184102FSIL-I Feel UselessFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel useless.FACIT-Searchable Item Library Adult Version - I Feel Useless
FSIL-I Feel Weak All OverC184005FSIL-I Feel Weak All OverFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel weak all over.FACIT-Searchable Item Library Adult Version - I Feel Weak All Over
FSIL-I Get Annoyed EasilyC183732FSIL-I Get Annoyed EasilyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I get annoyed easily.FACIT-Searchable Item Library Adult Version - I Get Annoyed Easily
FSIL-I Get Depressed EasilyC183731FSIL-I Get Depressed EasilyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I get depressed easily.FACIT-Searchable Item Library Adult Version - I Get Depressed Easily
FSIL-I Get HeadachesC183641FSIL-I Get HeadachesFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I get headaches.FACIT-Searchable Item Library Adult Version - I Get Headaches
FSIL-I Get Support From My FriendsC183987FSIL-I Get Support From My FriendsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I get support from my friends.FACIT-Searchable Item Library Adult Version - I Get Support From My Friends
FSIL-I Get Tired EasilyC183688FSIL-I Get Tired EasilyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I get tired easily.FACIT-Searchable Item Library Adult Version - I Get Tired Easily
FSIL-I Have a Good AppetiteC183767FSIL-I Have a Good AppetiteFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have a good appetite.FACIT-Searchable Item Library Adult Version - I Have a Good Appetite
FSIL-I Have a Lack of EnergyC183975FSIL-I Have a Lack of EnergyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have a lack of energy.FACIT-Searchable Item Library Adult Version - I Have a Lack of Energy
FSIL-I Have a Loss of AppetiteC183952FSIL-I Have a Loss of AppetiteFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have a loss of appetite.FACIT-Searchable Item Library Adult Version - I Have a Loss of Appetite
FSIL-I Have a Reason for LivingC184186FSIL-I Have a Reason for LivingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have a reason for living.FACIT-Searchable Item Library Adult Version - I Have a Reason for Living
FSIL-I Have Accepted My IllnessC183971FSIL-I Have Accepted My IllnessFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have accepted my illness.FACIT-Searchable Item Library Adult Version - I Have Accepted My Illness
FSIL-I Have Aches and Pains in My BonesC184084FSIL-I Have Aches and Pains in My BonesFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have aches and pains in my bones.FACIT-Searchable Item Library Adult Version - I Have Aches and Pains in My Bones
FSIL-I Have Aches/Pains That Bother MeC184133FSIL-I Have Aches/Pains That Bother MeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have aches and pains that bother me.FACIT-Searchable Item Library Adult Version - I Have Aches/Pains That Bother Me
FSIL-I Have Been Able to ConcentrateC183822FSIL-I Have Been Able to ConcentrateFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have been able to concentrate.FACIT-Searchable Item Library Adult Version - I Have Been Able to Concentrate
FSIL-I Have Been Bothered by DiarrheaC184026FSIL-I Have Been Bothered by DiarrheaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have been bothered by diarrhea (diarrhoea).FACIT-Searchable Item Library Adult Version - I Have Been Bothered by Diarrhea
FSIL-I Have Been CoughingC184058FSIL-I Have Been CoughingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have been coughing.FACIT-Searchable Item Library Adult Version - I Have Been Coughing
FSIL-I Have Been Emotionally DistressedC183639FSIL-I Have Been Emotionally DistressedFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have been emotionally distressed.FACIT-Searchable Item Library Adult Version - I Have Been Emotionally Distressed
FSIL-I Have Been Short of BreathC183656FSIL-I Have Been Short of BreathFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have been short of breath.FACIT-Searchable Item Library Adult Version - I Have Been Short of Breath
FSIL-I Have Been Upset About ProblemsC183831FSIL-I Have Been Upset About ProblemsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have been upset about these problems.FACIT-Searchable Item Library Adult Version - I Have Been Upset About Problems
FSIL-I Have Been VomitingC184131FSIL-I Have Been VomitingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have been vomiting.FACIT-Searchable Item Library Adult Version - I Have Been Vomiting
FSIL-I Have Been WheezingC184028FSIL-I Have Been WheezingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have been wheezing (whistling sound when I breathe).FACIT-Searchable Item Library Adult Version - I Have Been Wheezing
FSIL-I Have Bone PainC183692FSIL-I Have Bone PainFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have bone pain.FACIT-Searchable Item Library Adult Version - I Have Bone Pain
FSIL-I Have Cold SweatsC183932FSIL-I Have Cold SweatsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have cold sweats.FACIT-Searchable Item Library Adult Version - I Have Cold Sweats
FSIL-I Have Confidence in My Doctor(s)C183983FSIL-I Have Confidence in My Doctor(s)Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have confidence in my doctor(s).FACIT-Searchable Item Library Adult Version - I Have Confidence in My Doctor(s)
FSIL-I Have Confidence in My PharmacistC184219FSIL-I Have Confidence in My PharmacistFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have confidence in my pharmacist(s).FACIT-Searchable Item Library Adult Version - I Have Confidence in My Pharmacist
FSIL-I Have Control of My BowelsC183764FSIL-I Have Control of My BowelsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have control of my bowels.FACIT-Searchable Item Library Adult Version - I Have Control of My Bowels
FSIL-I Have Cramping in My Pelvic AreaC183789FSIL-I Have Cramping in My Pelvic AreaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have cramping in my pelvic area.FACIT-Searchable Item Library Adult Version - I Have Cramping in My Pelvic Area
FSIL-I Have Cramps in My Stomach AreaC184132FSIL-I Have Cramps in My Stomach AreaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have cramps in my stomach area.FACIT-Searchable Item Library Adult Version - I Have Cramps in My Stomach Area
FSIL-I Have DiarrheaC183766FSIL-I Have DiarrheaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have diarrhea (diarrhoea).FACIT-Searchable Item Library Adult Version - I Have Diarrhea
FSIL-I Have Difficultly Raising My ArmC184162FSIL-I Have Difficultly Raising My ArmFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficultly raising my arm.FACIT-Searchable Item Library Adult Version - I Have Difficultly Raising My Arm
FSIL-I Have Difficulty BreathingC184165FSIL-I Have Difficulty BreathingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty breathing.FACIT-Searchable Item Library Adult Version - I Have Difficulty Breathing
FSIL-I Have Difficulty Thinking ClearlyC184087FSIL-I Have Difficulty Thinking ClearlyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty thinking clearly (remembering, concentrating).FACIT-Searchable Item Library Adult Version - I Have Difficulty Thinking Clearly
FSIL-I Have Difficulty UrinatingC184139FSIL-I Have Difficulty UrinatingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have difficulty urinating.FACIT-Searchable Item Library Adult Version - I Have Difficulty Urinating
FSIL-I Have Discomfort When I Am SittingC184288FSIL-I Have Discomfort When I Am SittingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have discomfort when I am sitting.FACIT-Searchable Item Library Adult Version - I Have Discomfort When I Am Sitting
FSIL-I Have Discomfort When I UrinateC183881FSIL-I Have Discomfort When I UrinateFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have discomfort when I urinate.FACIT-Searchable Item Library Adult Version - I Have Discomfort When I Urinate
FSIL-I Have Emotional Ups and DownsC183733FSIL-I Have Emotional Ups and DownsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have emotional ups and downs.FACIT-Searchable Item Library Adult Version - I Have Emotional Ups and Downs
FSIL-I Have EnergyC183651FSIL-I Have EnergyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have energy.FACIT-Searchable Item Library Adult Version - I Have Energy
FSIL-I Have Episodes of Heart RacingC184032FSIL-I Have Episodes of Heart RacingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have episodes of heart racing.FACIT-Searchable Item Library Adult Version - I Have Episodes of Heart Racing
FSIL-I Have Frequent Colds/InfectionsC183676FSIL-I Have Frequent Colds/InfectionsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have frequent colds/infections.FACIT-Searchable Item Library Adult Version - I Have Frequent Colds/Infections
FSIL-I Have Gained WeightC183928FSIL-I Have Gained WeightFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have gained weight.FACIT-Searchable Item Library Adult Version - I Have Gained Weight
FSIL-I Have Had Blood in My UrineC184160FSIL-I Have Had Blood in My UrineFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had blood in my urine.FACIT-Searchable Item Library Adult Version - I Have Had Blood in My Urine
FSIL-I Have Had ChillsC184000FSIL-I Have Had ChillsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had chills.FACIT-Searchable Item Library Adult Version - I Have Had Chills
FSIL-I Have Had FeversC183997FSIL-I Have Had FeversFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had fevers (episodes of high body temperature).FACIT-Searchable Item Library Adult Version - I Have Had Fevers
FSIL-I Have Had ItchingC183998FSIL-I Have Had ItchingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had itching.FACIT-Searchable Item Library Adult Version - I Have Had Itching
FSIL-I Have Had SeizuresC183716FSIL-I Have Had SeizuresFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had seizures (convulsions).FACIT-Searchable Item Library Adult Version - I Have Had Seizures
FSIL-I Have Had Trouble ConcentratingC183808FSIL-I Have Had Trouble ConcentratingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had trouble concentrating.FACIT-Searchable Item Library Adult Version - I Have Had Trouble Concentrating
FSIL-I Have Hot Flashes/Hot FlushesC183927FSIL-I Have Hot Flashes/Hot FlushesFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have hot flashes/hot flushes.FACIT-Searchable Item Library Adult Version - I Have Hot Flashes/Hot Flushes
FSIL-I Have Lost Interest in SexC183939FSIL-I Have Lost Interest in SexFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have lost interest in sex.FACIT-Searchable Item Library Adult Version - I Have Lost Interest in Sex
FSIL-I Have Mood SwingsC183930FSIL-I Have Mood SwingsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have mood swings.FACIT-Searchable Item Library Adult Version - I Have Mood Swings
FSIL-I Have Mouth SoresC184109FSIL-I Have Mouth SoresFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have mouth sores.FACIT-Searchable Item Library Adult Version - I Have Mouth Sores
FSIL-I Have NauseaC183976FSIL-I Have NauseaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have nausea.FACIT-Searchable Item Library Adult Version - I Have Nausea
FSIL-I Have Night SweatsC183933FSIL-I Have Night SweatsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have night sweats.FACIT-Searchable Item Library Adult Version - I Have Night Sweats
FSIL-I Have Noticed Blood in My StoolC184085FSIL-I Have Noticed Blood in My StoolFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have noticed blood in my stool.FACIT-Searchable Item Library Adult Version - I Have Noticed Blood in My Stool
FSIL-I Have Numbness in My LegsC183800FSIL-I Have Numbness in My LegsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have numbness in my legs.FACIT-Searchable Item Library Adult Version - I Have Numbness in My Legs
FSIL-I Have Pain in Arm and/or ShoulderC184168FSIL-I Have Pain in Arm and/or ShoulderFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain in my arm and/or shoulder.FACIT-Searchable Item Library Adult Version - I Have Pain in Arm and/or Shoulder
FSIL-I Have Pain in My BackC183801FSIL-I Have Pain in My BackFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain in my back.FACIT-Searchable Item Library Adult Version - I Have Pain in My Back
FSIL-I Have Pain in My BreastC184167FSIL-I Have Pain in My BreastFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain in my breast.FACIT-Searchable Item Library Adult Version - I Have Pain in My Breast
FSIL-I Have Pain in My ChestC183642FSIL-I Have Pain in My ChestFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain in my chest.FACIT-Searchable Item Library Adult Version - I Have Pain in My Chest
FSIL-I Have Pain in My FingertipsC184227FSIL-I Have Pain in My FingertipsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain in my fingertips.FACIT-Searchable Item Library Adult Version - I Have Pain in My Fingertips
FSIL-I Have Pain in My JointsC183726FSIL-I Have Pain in My JointsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain in my joints.FACIT-Searchable Item Library Adult Version - I Have Pain in My Joints
FSIL-I Have Pain in My Pelvic AreaC183785FSIL-I Have Pain in My Pelvic AreaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain in my pelvic area.FACIT-Searchable Item Library Adult Version - I Have Pain in My Pelvic Area
FSIL-I Have Pain in My Sinus AreaC184034FSIL-I Have Pain in My Sinus AreaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain in my sinus area.FACIT-Searchable Item Library Adult Version - I Have Pain in My Sinus Area
FSIL-I Have Pain in My Stomach AreaC183630FSIL-I Have Pain in My Stomach AreaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain in my stomach area.FACIT-Searchable Item Library Adult Version - I Have Pain in My Stomach Area
FSIL-I Have PainC183978FSIL-I Have PainFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain.FACIT-Searchable Item Library Adult Version - I Have Pain
FSIL-I Have Peace of MindC184142FSIL-I Have Peace of MindFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have peace of mind.FACIT-Searchable Item Library Adult Version - I Have Peace of Mind
FSIL-I Have Strength in My Arm(s)C183798FSIL-I Have Strength in My Arm(s)Functional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have strength in my arm(s).FACIT-Searchable Item Library Adult Version - I Have Strength in My Arm(s)
FSIL-I Have Strength in My LegsC183799FSIL-I Have Strength in My LegsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have strength in my legs.FACIT-Searchable Item Library Adult Version - I Have Strength in My Legs
FSIL-I Have Swelling at My Melanoma SiteC184074FSIL-I Have Swelling at My Melanoma SiteFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have swelling at my melanoma site.FACIT-Searchable Item Library Adult Version - I Have Swelling at My Melanoma Site
FSIL-I Have Swelling in Stomach AreaC184130FSIL-I Have Swelling in Stomach AreaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have swelling in my stomach area.FACIT-Searchable Item Library Adult Version - I Have Swelling in Stomach Area
FSIL-I Have the Desire to EatC183906FSIL-I Have the Desire to EatFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have the desire to eat.FACIT-Searchable Item Library Adult Version - I Have the Desire to Eat
FSIL-I Have TremorsC183679FSIL-I Have TremorsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have tremors.FACIT-Searchable Item Library Adult Version - I Have Tremors
FSIL-I Have Trouble BendingC184287FSIL-I Have Trouble BendingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble bending.FACIT-Searchable Item Library Adult Version - I Have Trouble Bending
FSIL-I Have Trouble BreathingC184019FSIL-I Have Trouble BreathingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble breathing.FACIT-Searchable Item Library Adult Version - I Have Trouble Breathing
FSIL-I Have Trouble Buttoning ButtonsC184128FSIL-I Have Trouble Buttoning ButtonsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble buttoning buttons.FACIT-Searchable Item Library Adult Version - I Have Trouble Buttoning Buttons
FSIL-I Have Trouble ConcentratingC184012FSIL-I Have Trouble ConcentratingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble concentrating.FACIT-Searchable Item Library Adult Version - I Have Trouble Concentrating
FSIL-I Have Trouble Forming ThoughtsC183802FSIL-I Have Trouble Forming ThoughtsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had trouble forming thoughts.FACIT-Searchable Item Library Adult Version - I Have Trouble Forming Thoughts
FSIL-I Have Trouble HearingC184126FSIL-I Have Trouble HearingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble hearing.FACIT-Searchable Item Library Adult Version - I Have Trouble Hearing
FSIL-I Have Trouble Learning New TasksC184092FSIL-I Have Trouble Learning New TasksFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble learning new tasks or directions.FACIT-Searchable Item Library Adult Version - I Have Trouble Learning New Tasks
FSIL-I Have Trouble Moving My BowelsC184138FSIL-I Have Trouble Moving My BowelsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble moving my bowels.FACIT-Searchable Item Library Adult Version - I Have Trouble Moving My Bowels
FSIL-I Have Trouble Remembering ThingsC184013FSIL-I Have Trouble Remembering ThingsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble remembering things.FACIT-Searchable Item Library Adult Version - I Have Trouble Remembering Things
FSIL-I Have Trouble Sleeping at NightC184071FSIL-I Have Trouble Sleeping at NightFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble sleeping at night.FACIT-Searchable Item Library Adult Version - I Have Trouble Sleeping at Night
FSIL-I Have Trouble SmellingC184116FSIL-I Have Trouble SmellingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble smelling.FACIT-Searchable Item Library Adult Version - I Have Trouble Smelling
FSIL-I Have Trouble WalkingC183652FSIL-I Have Trouble WalkingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble walking.FACIT-Searchable Item Library Adult Version - I Have Trouble Walking
FSIL-I Have Trouble With CoordinationC183718FSIL-I Have Trouble With CoordinationFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble with coordination.FACIT-Searchable Item Library Adult Version - I Have Trouble With Coordination
FSIL-I Have Trouble With My BowelsC183681FSIL-I Have Trouble With My BowelsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble with my bowels.FACIT-Searchable Item Library Adult Version - I Have Trouble With My Bowels
FSIL-I Have Trouble With My EyesightC183722FSIL-I Have Trouble With My EyesightFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble with my eyesight.FACIT-Searchable Item Library Adult Version - I Have Trouble With My Eyesight
FSIL-I Have Vaginal Bleeding or SpottingC183936FSIL-I Have Vaginal Bleeding or SpottingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have vaginal bleeding or spotting.FACIT-Searchable Item Library Adult Version - I Have Vaginal Bleeding or Spotting
FSIL-I Have Vaginal DischargeC183934FSIL-I Have Vaginal DischargeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have vaginal discharge.FACIT-Searchable Item Library Adult Version - I Have Vaginal Discharge
FSIL-I Have Vaginal DrynessC183937FSIL-I Have Vaginal DrynessFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have vaginal dryness.FACIT-Searchable Item Library Adult Version - I Have Vaginal Dryness
FSIL-I Have Vaginal Itching/IrritationC183935FSIL-I Have Vaginal Itching/IrritationFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have vaginal itching/irritation.FACIT-Searchable Item Library Adult Version - I Have Vaginal Itching/Irritation
FSIL-I Have Weakness in My LegsC184112FSIL-I Have Weakness in My LegsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have weakness in my legs.FACIT-Searchable Item Library Adult Version - I Have Weakness in My Legs
FSIL-I Like the Appearance of My BodyC183768FSIL-I Like the Appearance of My BodyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I like the appearance of my body.FACIT-Searchable Item Library Adult Version - I Like the Appearance of My Body
FSIL-I Maintain Contact With My FriendsC184141FSIL-I Maintain Contact With My FriendsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I maintain contact with my friends.FACIT-Searchable Item Library Adult Version - I Maintain Contact With My Friends
FSIL-I Make Each Day CountC184153FSIL-I Make Each Day CountFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I make each day count.FACIT-Searchable Item Library Adult Version - I Make Each Day Count
FSIL-I Need Help in Caring for MyselfC183710FSIL-I Need Help in Caring for MyselfFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I need help in caring for myself (bathing, dressing, eating, etc.).FACIT-Searchable Item Library Adult Version - I Need Help in Caring for Myself
FSIL-I Need to Rest During the DayC184090FSIL-I Need to Rest During the DayFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I need to rest during the day.FACIT-Searchable Item Library Adult Version - I Need to Rest During the Day
FSIL-I Need to Sleep During the DayC183654FSIL-I Need to Sleep During the DayFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I need to sleep during the day.FACIT-Searchable Item Library Adult Version - I Need to Sleep During the Day
FSIL-I Regret Bone Marrow TransplantC183691FSIL-I Regret Bone Marrow TransplantFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I regret having the bone marrow transplant.FACIT-Searchable Item Library Adult Version - I Regret Bone Marrow Transplant
FSIL-I Regret My SmokingC184061FSIL-I Regret My SmokingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I regret my smoking.FACIT-Searchable Item Library Adult Version - I Regret My Smoking
FSIL-I Seem to Get Full QuicklyC183629FSIL-I Seem to Get Full QuicklyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: When I eat, I seem to get full quickly.FACIT-Searchable Item Library Adult Version - I Seem to Get Full Quickly
FSIL-I Urinate More FrequentlyC183670FSIL-I Urinate More FrequentlyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I urinate more frequently than usual.FACIT-Searchable Item Library Adult Version - I Urinate More Frequently
FSIL-I Worry About DyingC183966FSIL-I Worry About DyingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about dying.FACIT-Searchable Item Library Adult Version - I Worry About Dying
FSIL-I Worry About Getting InfectionsC184107FSIL-I Worry About Getting InfectionsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about getting infections.FACIT-Searchable Item Library Adult Version - I Worry About Getting Infections
FSIL-I Worry Bone Pain Will Get WorseC183695FSIL-I Worry Bone Pain Will Get WorseFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry that my bone pain will get worse.FACIT-Searchable Item Library Adult Version - I Worry Bone Pain Will Get Worse
FSIL-I Worry Transplant Will Not WorkC183685FSIL-I Worry Transplant Will Not WorkFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry that the transplant will not work.FACIT-Searchable Item Library Adult Version - I Worry Transplant Will Not Work
FSIL-Illness a Financial HardshipC183943FSIL-Illness a Financial HardshipFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My illness has been a financial hardship to my family and me.FACIT-Searchable Item Library Adult Version - Illness a Financial Hardship
FSIL-Illness Caused Problems w/ Sex LifeC183994FSIL-Illness Caused Problems w/ Sex LifeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My illness or treatment has caused problems with my sex life.FACIT-Searchable Item Library Adult Version - Illness Caused Problems w/ Sex Life
FSIL-Illness Is Hardship for My FamilyC183682FSIL-Illness Is Hardship for My FamilyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My illness is a personal hardship for my close family members.FACIT-Searchable Item Library Adult Version - Illness Is Hardship for My Family
FSIL-Illness Strengthen Faith/SpiritualC184177FSIL-Illness Strengthen Faith/SpiritualFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My illness has strengthened my faith or spiritual beliefs.FACIT-Searchable Item Library Adult Version - Illness Strengthen Faith/Spiritual
FSIL-In control of Financial SituationC183942FSIL-In control of Financial SituationFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel in control of my financial situation.FACIT-Searchable Item Library Adult Version - In control of Financial Situation
FSIL-Inconvenienced Platelet TransfusionC184243FSIL-Inconvenienced Platelet TransfusionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am inconvenienced by platelet transfusions.FACIT-Searchable Item Library Adult Version - Inconvenienced Platelet Transfusion
FSIL-Inconvenient to Come for RadiationC184161FSIL-Inconvenient to Come for RadiationFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: It is inconvenient for me to come for my radiation treatments.FACIT-Searchable Item Library Adult Version - Inconvenient to Come for Radiation
FSIL-Infusion Causes Me Physical PainC183742FSIL-Infusion Causes Me Physical PainFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: The infusion for my bone treatment causes me physical pain.FACIT-Searchable Item Library Adult Version - Infusion Causes Me Physical Pain
FSIL-Interest in Food Drops Try to EatC183635FSIL-Interest in Food Drops Try to EatFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My interest in food drops as soon as I try to eat.FACIT-Searchable Item Library Adult Version - Interest in Food Drops Try to Eat
FSIL-Interested in SexC183672FSIL-Interested in SexFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am interested in sex.FACIT-Searchable Item Library Adult Version - Interested in Sex
FSIL-IrritableC183931FSIL-IrritableFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am irritable.FACIT-Searchable Item Library Adult Version - Irritable
FSIL-Isolate From Others B/c ConditionC184086FSIL-Isolate From Others B/c ConditionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I isolate myself from others because of my condition.FACIT-Searchable Item Library Adult Version - Isolate From Others B/c Condition
FSIL-It Burns When I UrinateC183671FSIL-It Burns When I UrinateFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: It burns when I urinate.FACIT-Searchable Item Library Adult Version - It Burns When I Urinate
FSIL-Joint Pain Limits My Usual ActivC184031FSIL-Joint Pain Limits My Usual ActivFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Joint pain limits my usual activities.FACIT-Searchable Item Library Adult Version - Joint Pain Limits My Usual Activ
FSIL-Joint Stiffness/Tight Limits ActivC184030FSIL-Joint Stiffness/Tight Limits ActivFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Joint stiffness or tightness limits my usual activities.FACIT-Searchable Item Library Adult Version - Joint Stiffness/Tight Limits Activ
FSIL-Left Out When Others Are EatingC183914FSIL-Left Out When Others Are EatingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel left out when others are eating.FACIT-Searchable Item Library Adult Version - Left Out When Others Are Eating
FSIL-Lifting 10-20 LbsC183895FSIL-Lifting 10-20 LbsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Lifting something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries).FACIT-Searchable Item Library Adult Version - Lifting 10-20 Lbs
FSIL-Limit Activities Because DiarrheaC183626FSIL-Limit Activities Because DiarrheaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have to limit my activities because of diarrhea (diarrhoea).FACIT-Searchable Item Library Adult Version - Limit Activities Because Diarrhea
FSIL-Limit My Sexual Activity InfectionC183790FSIL-Limit My Sexual Activity InfectionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have to limit my sexual activity because of the infection.FACIT-Searchable Item Library Adult Version - Limit My Sexual Activity Infection
FSIL-Limit My Social ActivityC184050FSIL-Limit My Social ActivityFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have to limit my social activity because of my condition.FACIT-Searchable Item Library Adult Version - Limit My Social Activity
FSIL-Limit Physical Activ B/c ConditionC184051FSIL-Limit Physical Activ B/c ConditionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have to limit my physical activity because of my condition.FACIT-Searchable Item Library Adult Version - Limit Physical Activ B/c Condition
FSIL-Limit Physical Activ B/c DiarrheaC183883FSIL-Limit Physical Activ B/c DiarrheaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have to limit my physical activity because of diarrhea (diarrhoea).FACIT-Searchable Item Library Adult Version - Limit Physical Activ B/c Diarrhea
FSIL-Limit Sexual Activ B/c ConditionC184052FSIL-Limit Sexual Activ B/c ConditionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have to limit my sexual activity because of my condition.FACIT-Searchable Item Library Adult Version - Limit Sexual Activ B/c Condition
FSIL-Limit Sexual Activity B/c DiarrheaC183884FSIL-Limit Sexual Activity B/c DiarrheaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have to limit my sexual activity because of diarrhea (diarrhoea).FACIT-Searchable Item Library Adult Version - Limit Sexual Activity B/c Diarrhea
FSIL-Limit Social Activity B/c DiarrheaC183882FSIL-Limit Social Activity B/c DiarrheaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have to limit my social activity because of diarrhea (diarrhoea).FACIT-Searchable Item Library Adult Version - Limit Social Activity B/c Diarrhea
FSIL-Limit Social Activity B/c TiredC183647FSIL-Limit Social Activity B/c TiredFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have to limit my social activity because I am tired.FACIT-Searchable Item Library Adult Version - Limit Social Activity B/c Tired
FSIL-Losing Hope Fight Against IllnessC183964FSIL-Losing Hope Fight Against IllnessFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am losing hope in the fight against my illness.FACIT-Searchable Item Library Adult Version - Losing Hope Fight Against Illness
FSIL-Losing WeightC183763FSIL-Losing WeightFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am losing weight.FACIT-Searchable Item Library Adult Version - Losing Weight
FSIL-Lost Food Choices Feeding TubeC183912FSIL-Lost Food Choices Feeding TubeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel that I have lost control of my food choices because I have a feeding tube.FACIT-Searchable Item Library Adult Version - Lost Food Choices Feeding Tube
FSIL-Low Blood Counts Interfere RelationC184111FSIL-Low Blood Counts Interfere RelationFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My low blood counts interfere with my intimate relationships.FACIT-Searchable Item Library Adult Version - Low Blood Counts Interfere Relation
FSIL-Make Decisions Take ResponsibilityC183707FSIL-Make Decisions Take ResponsibilityFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to make decisions and take responsibility.FACIT-Searchable Item Library Adult Version - Make Decisions Take Responsibility
FSIL-Making a BedC183894FSIL-Making a BedFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Making a bed.FACIT-Searchable Item Library Adult Version - Making a Bed
FSIL-Medical Expense More Than I ThoughtC183944FSIL-Medical Expense More Than I ThoughtFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My out-of-pocket medical expenses are more than I thought they would be.FACIT-Searchable Item Library Adult Version - Medical Expense More Than I Thought
FSIL-Memory Is as Good as Always BeenC183824FSIL-Memory Is as Good as Always BeenFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My memory is as good as it has always been.FACIT-Searchable Item Library Adult Version - Memory Is as Good as Always Been
FSIL-Mind Is as Sharp as Always BeenC183823FSIL-Mind Is as Sharp as Always BeenFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My mind is as sharp as it has always been.FACIT-Searchable Item Library Adult Version - Mind Is as Sharp as Always Been
FSIL-Miss Food/Drink Mouth Feeding TubeC183924FSIL-Miss Food/Drink Mouth Feeding TubeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I miss being able to take more food or drink by mouth now that I have a feeding tube.FACIT-Searchable Item Library Adult Version - Miss Food/Drink Mouth Feeding Tube
FSIL-Most Food Tastes Unpleasant to MeC183633FSIL-Most Food Tastes Unpleasant to MeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Most food tastes unpleasant to me.FACIT-Searchable Item Library Adult Version - Most Food Tastes Unpleasant to Me
FSIL-Motivated to Do ActivitiesC183644FSIL-Motivated to Do ActivitiesFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am motivated to do my usual activities.FACIT-Searchable Item Library Adult Version - Motivated to Do Activities
FSIL-Move Bowels Freq to Avoid AccidentsC184045FSIL-Move Bowels Freq to Avoid AccidentsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I must move my bowels frequently to avoid accidents.FACIT-Searchable Item Library Adult Version - Move Bowels Freq to Avoid Accidents
FSIL-Move My Bowels More Than UsualC184043FSIL-Move My Bowels More Than UsualFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I move my bowels more frequently than usual.FACIT-Searchable Item Library Adult Version - Move My Bowels More Than Usual
FSIL-Movement of Arm This Side PainfulC183657FSIL-Movement of Arm This Side PainfulFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Movement of my arm on this side is painful.FACIT-Searchable Item Library Adult Version - Movement of Arm This Side Painful
FSIL-Movement of Swollen Area Is PainfulC184077FSIL-Movement of Swollen Area Is PainfulFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Movement of my swollen area is painful.FACIT-Searchable Item Library Adult Version - Movement of Swollen Area Is Painful
FSIL-My Arm on This Side Feels NumbC183659FSIL-My Arm on This Side Feels NumbFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My arm on this side feels numb.FACIT-Searchable Item Library Adult Version - My Arm on This Side Feels Numb
FSIL-My Breast Is Sensitive/TenderC184171FSIL-My Breast Is Sensitive/TenderFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My breast is sensitive/tender.FACIT-Searchable Item Library Adult Version - My Breast Is Sensitive/Tender
FSIL-My Breasts Are PainfulC183773FSIL-My Breasts Are PainfulFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My breasts are painful.FACIT-Searchable Item Library Adult Version - My Breasts Are Painful
FSIL-My Breasts Are SwollenC183772FSIL-My Breasts Are SwollenFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My breasts are swollen.FACIT-Searchable Item Library Adult Version - My Breasts Are Swollen
FSIL-My Chest Area Is SoreC184169FSIL-My Chest Area Is SoreFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My chest area (not including the breast itself) is sore.FACIT-Searchable Item Library Adult Version - My Chest Area Is Sore
FSIL-My Condition Wakes Me Up at NightC184054FSIL-My Condition Wakes Me Up at NightFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My condition wakes me up at night.FACIT-Searchable Item Library Adult Version - My Condition Wakes Me Up at Night
FSIL-My Eyes Are DryC184202FSIL-My Eyes Are DryFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My eyes are dry.FACIT-Searchable Item Library Adult Version - My Eyes Are Dry
FSIL-My Eyes Feel Sandy or GrittyC184033FSIL-My Eyes Feel Sandy or GrittyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My eyes feel sandy or gritty.FACIT-Searchable Item Library Adult Version - My Eyes Feel Sandy or Gritty
FSIL-My Eyesight Is BlurryC183677FSIL-My Eyesight Is BlurryFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My eyesight is blurry.FACIT-Searchable Item Library Adult Version - My Eyesight Is Blurry
FSIL-My Family Has Accepted My IllnessC183988FSIL-My Family Has Accepted My IllnessFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My family has accepted my illness.FACIT-Searchable Item Library Adult Version - My Family Has Accepted My Illness
FSIL-My Family Pressuring Me to EatC183637FSIL-My Family Pressuring Me to EatFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My family or friends are pressuring me to eat.FACIT-Searchable Item Library Adult Version - My Family Pressuring Me to Eat
FSIL-My General Health Is ImprovingC183631FSIL-My General Health Is ImprovingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My general health is improving.FACIT-Searchable Item Library Adult Version - My General Health Is Improving
FSIL-My Hands Are SwollenC184225FSIL-My Hands Are SwollenFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My hands are swollen.FACIT-Searchable Item Library Adult Version - My Hands Are Swollen
FSIL-My Legs or Feet Are SwollenC184226FSIL-My Legs or Feet Are SwollenFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My legs or feet are swollen.FACIT-Searchable Item Library Adult Version - My Legs or Feet Are Swollen
FSIL-My Life Has Been ProductiveC184191FSIL-My Life Has Been ProductiveFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My life has been productive.FACIT-Searchable Item Library Adult Version - My Life Has Been Productive
FSIL-My Life Lacks Meaning and PurposeC184196FSIL-My Life Lacks Meaning and PurposeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My life lacks meaning and purpose.FACIT-Searchable Item Library Adult Version - My Life Lacks Meaning and Purpose
FSIL-My Mouth and Throat Are DryC184151FSIL-My Mouth and Throat Are DryFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My mouth and throat are dry.FACIT-Searchable Item Library Adult Version - My Mouth and Throat Are Dry
FSIL-My Mouth Is DryC184018FSIL-My Mouth Is DryFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My mouth is dry.FACIT-Searchable Item Library Adult Version - My Mouth Is Dry
FSIL-My Skin Bleeds EasilyC184215FSIL-My Skin Bleeds EasilyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My skin bleeds easily.FACIT-Searchable Item Library Adult Version - My Skin Bleeds Easily
FSIL-My Skin Condition Affects My MoodC184204FSIL-My Skin Condition Affects My MoodFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My skin condition affects my mood.FACIT-Searchable Item Library Adult Version - My Skin Condition Affects My Mood
FSIL-My Skin Feels IrritatedC183870FSIL-My Skin Feels IrritatedFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My skin feels irritated.FACIT-Searchable Item Library Adult Version - My Skin Feels Irritated
FSIL-My Skin ItchesC183858FSIL-My Skin ItchesFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My skin itches.FACIT-Searchable Item Library Adult Version - My Skin Itches
FSIL-My Skin or Scalp Feels IrritatedC184212FSIL-My Skin or Scalp Feels IrritatedFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My skin or scalp feels irritated.FACIT-Searchable Item Library Adult Version - My Skin or Scalp Feels Irritated
FSIL-My Skin or Scalp Is Dry or FlakyC184213FSIL-My Skin or Scalp Is Dry or FlakyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My skin or scalp is dry or "flaky".FACIT-Searchable Item Library Adult Version - My Skin or Scalp Is Dry or Flaky
FSIL-My Skin or Scalp ItchesC184214FSIL-My Skin or Scalp ItchesFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My skin or scalp itches.FACIT-Searchable Item Library Adult Version - My Skin or Scalp Itches
FSIL-My Thinking Has Been SlowC183803FSIL-My Thinking Has Been SlowFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My thinking has been slow.FACIT-Searchable Item Library Adult Version - My Thinking Has Been Slow
FSIL-My Thinking Is ClearC184057FSIL-My Thinking Is ClearFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My thinking is clear.FACIT-Searchable Item Library Adult Version - My Thinking Is Clear
FSIL-My Thinking Is Slower Than BeforeC184091FSIL-My Thinking Is Slower Than BeforeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My thinking is slower than before.FACIT-Searchable Item Library Adult Version - My Thinking Is Slower Than Before
FSIL-My Thinking Slower Than UsualC183805FSIL-My Thinking Slower Than UsualFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My thinking has been slower than usual.FACIT-Searchable Item Library Adult Version - My Thinking Slower Than Usual
FSIL-My Underarm Area Sensitive/TenderC184172FSIL-My Underarm Area Sensitive/TenderFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My underarm area is sensitive/tender.FACIT-Searchable Item Library Adult Version - My Underarm Area Sensitive/Tender
FSIL-My Work Is FulfillingC183969FSIL-My Work Is FulfillingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My work (include work at home) is fulfilling.FACIT-Searchable Item Library Adult Version - My Work Is Fulfilling
FSIL-Need Help Doing Activ B/c Bone PainC183699FSIL-Need Help Doing Activ B/c Bone PainFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I need help doing my usual activities because of bone pain.FACIT-Searchable Item Library Adult Version - Need Help Doing Activ B/c Bone Pain
FSIL-Need Help Doing Usual ActivitiesC183645FSIL-Need Help Doing Usual ActivitiesFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I need help doing my usual activities.FACIT-Searchable Item Library Adult Version - Need Help Doing Usual Activities
FSIL-Nervous Making Decisions TreatmentC184072FSIL-Nervous Making Decisions TreatmentFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I get nervous about making decisions regarding treatment.FACIT-Searchable Item Library Adult Version - Nervous Making Decisions Treatment
FSIL-No Choice Money Spend on CareC183946FSIL-No Choice Money Spend on CareFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel I have no choice about the amount of money I spend on care.FACIT-Searchable Item Library Adult Version - No Choice Money Spend on Care
FSIL-Noticed New Changes in My SkinC184082FSIL-Noticed New Changes in My SkinFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have noticed new changes in my skin (lumps, bumps, color (colour)).FACIT-Searchable Item Library Adult Version - Noticed New Changes in My Skin
FSIL-Numbness or Tingling in My FeetC184122FSIL-Numbness or Tingling in My FeetFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have numbness or tingling in my feet.FACIT-Searchable Item Library Adult Version - Numbness or Tingling in My Feet
FSIL-Numbness or Tingling in My HandsC184119FSIL-Numbness or Tingling in My HandsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have numbness or tingling in my hands.FACIT-Searchable Item Library Adult Version - Numbness or Tingling in My Hands
FSIL-Numbness/Tingling in Arm/ShoulderC184164FSIL-Numbness/Tingling in Arm/ShoulderFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have numbness or tingling in my arm, shoulder, or breast.FACIT-Searchable Item Library Adult Version - Numbness/Tingling in Arm/Shoulder
FSIL-Nurse Explanations You UnderstandC184265FSIL-Nurse Explanations You UnderstandFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did your nurse(s) give explanations that you could understand?FACIT-Searchable Item Library Adult Version - Nurse Explanations You Understand
FSIL-Nurse Seem to Understand Your NeedsC184267FSIL-Nurse Seem to Understand Your NeedsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did your nurse(s) seem to understand your needs?FACIT-Searchable Item Library Adult Version - Nurse Seem to Understand Your Needs
FSIL-Nurse Show Genuine Concern for YouC184266FSIL-Nurse Show Genuine Concern for YouFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did your nurse(s) show genuine concern for you?FACIT-Searchable Item Library Adult Version - Nurse Show Genuine Concern for You
FSIL-One/Both Arms Are Swollen/TenderC183662FSIL-One/Both Arms Are Swollen/TenderFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: One or both of my arms are swollen or tender.FACIT-Searchable Item Library Adult Version - One/Both Arms Are Swollen/Tender
FSIL-Pain at My Melanoma/Surgical SiteC184073FSIL-Pain at My Melanoma/Surgical SiteFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain at my melanoma site or surgical site.FACIT-Searchable Item Library Adult Version - Pain at My Melanoma/Surgical Site
FSIL-Pain in Hands/Feet Exposed to ColdC184120FSIL-Pain in Hands/Feet Exposed to ColdFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain in my hands or feet when I am exposed to cold temperatures.FACIT-Searchable Item Library Adult Version - Pain in Hands/Feet Exposed to Cold
FSIL-Pain in My Chest When I SwallowC183901FSIL-Pain in My Chest When I SwallowFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain in my chest when I swallow.FACIT-Searchable Item Library Adult Version - Pain in My Chest When I Swallow
FSIL-Pain in My Mouth, Throat or NeckC184017FSIL-Pain in My Mouth, Throat or NeckFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have pain in my mouth, throat or neck.FACIT-Searchable Item Library Adult Version - Pain in My Mouth, Throat or Neck
FSIL-Pain Keeps Me From Doing ThingsC184135FSIL-Pain Keeps Me From Doing ThingsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My pain keeps me from doing things I want to do.FACIT-Searchable Item Library Adult Version - Pain Keeps Me From Doing Things
FSIL-Pain on My Feet Interferes WalkingC183625FSIL-Pain on My Feet Interferes WalkingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Pain on the bottom of my feet interferes with my walking.FACIT-Searchable Item Library Adult Version - Pain on My Feet Interferes Walking
FSIL-Pain/Soreness/Aches in Some MusclesC184037FSIL-Pain/Soreness/Aches in Some MusclesFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel pain, soreness or aches in some of my muscles.FACIT-Searchable Item Library Adult Version - Pain/Soreness/Aches in Some Muscles
FSIL-Painful Cracks Skin on Hands/FeetC183869FSIL-Painful Cracks Skin on Hands/FeetFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have painful cracks in the skin on my hands or feet.FACIT-Searchable Item Library Adult Version - Painful Cracks Skin on Hands/Feet
FSIL-Painful Lesions/Tumors on My SkinC183866FSIL-Painful Lesions/Tumors on My SkinFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have painful lesions or tumors on my skin.FACIT-Searchable Item Library Adult Version - Painful Lesions/Tumors on My Skin
FSIL-Participate Decisions Health CareC184261FSIL-Participate Decisions Health CareFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Were you encouraged to participate in decisions about your health care?FACIT-Searchable Item Library Adult Version - Participate Decisions Health Care
FSIL-Partner Worries My Blood Counts LowC184110FSIL-Partner Worries My Blood Counts LowFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My partner worries about me when my blood counts are low.FACIT-Searchable Item Library Adult Version - Partner Worries My Blood Counts Low
FSIL-People Told Me I Seemed ConfusedC183821FSIL-People Told Me I Seemed ConfusedFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Other people have told me I seemed confused.FACIT-Searchable Item Library Adult Version - People Told Me I Seemed Confused
FSIL-Pharmacist Advises Adverse EffectsC184218FSIL-Pharmacist Advises Adverse EffectsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My pharmacist advises me on the adverse (side) effects of my medicines.FACIT-Searchable Item Library Adult Version - Pharmacist Advises Adverse Effects
FSIL-Pharmacist Advises Use of MedicinesC184217FSIL-Pharmacist Advises Use of MedicinesFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My pharmacist advises me on the proper use of my medicines.FACIT-Searchable Item Library Adult Version - Pharmacist Advises Use of Medicines
FSIL-Pharmacist Available QuestionsC184220FSIL-Pharmacist Available QuestionsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My pharmacist is available to answer my questions.FACIT-Searchable Item Library Adult Version - Pharmacist Available Questions
FSIL-Pharmacist Aware Treatment NeedsC184222FSIL-Pharmacist Aware Treatment NeedsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My pharmacist is aware of my treatment-related needs.FACIT-Searchable Item Library Adult Version - Pharmacist Aware Treatment Needs
FSIL-Pharmacist Responds Treatment NeedsC184223FSIL-Pharmacist Responds Treatment NeedsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My pharmacist responds to my treatment-related needs.FACIT-Searchable Item Library Adult Version - Pharmacist Responds Treatment Needs
FSIL-Pleasant Feel Fullness Tube FeedingC183905FSIL-Pleasant Feel Fullness Tube FeedingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I experience a pleasant feeling of fullness during or after my tube feeding.FACIT-Searchable Item Library Adult Version - Pleasant Feel Fullness Tube Feeding
FSIL-Poor Range Arm Movements This SideC183658FSIL-Poor Range Arm Movements This SideFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have a poor range of arm movements on this side.FACIT-Searchable Item Library Adult Version - Poor Range Arm Movements This Side
FSIL-Preparing MealsC183891FSIL-Preparing MealsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Preparing meals.FACIT-Searchable Item Library Adult Version - Preparing Meals
FSIL-Problem Urinating Limits ActivityC184140FSIL-Problem Urinating Limits ActivityFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My problems with urinating limit my activities.FACIT-Searchable Item Library Adult Version - Problem Urinating Limits Activity
FSIL-Problems Interfered Ability EnjoyC183833FSIL-Problems Interfered Ability EnjoyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: These problems have interfered with my ability to do things I enjoy.FACIT-Searchable Item Library Adult Version - Problems Interfered Ability Enjoy
FSIL-Problems Interfered Ability WorkC183832FSIL-Problems Interfered Ability WorkFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: These problems have interfered with my ability to work.FACIT-Searchable Item Library Adult Version - Problems Interfered Ability Work
FSIL-Problems Interfered Quality LifeC183834FSIL-Problems Interfered Quality LifeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: These problems have interfered with the quality of my life.FACIT-Searchable Item Library Adult Version - Problems Interfered Quality Life
FSIL-Rate the Care You ReceivedC184275FSIL-Rate the Care You ReceivedFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: How do you rate the care you received?FACIT-Searchable Item Library Adult Version - Rate the Care You Received
FSIL-Rate This ChemoC183843FSIL-Rate This ChemoFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: How would you rate this chemotherapy?FACIT-Searchable Item Library Adult Version - Rate This Chemo
FSIL-Rate This Treatment OverallC184279FSIL-Rate This Treatment OverallFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: How do you rate this treatment overall?FACIT-Searchable Item Library Adult Version - Rate This Treatment Overall
FSIL-Reach Into Myself for ComfortC184194FSIL-Reach Into Myself for ComfortFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am able to reach down deep into myself for comfort.FACIT-Searchable Item Library Adult Version - Reach Into Myself for Comfort
FSIL-Reaction Everyday Situations SlowC183812FSIL-Reaction Everyday Situations SlowFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My reactions in everyday situations have been slow.FACIT-Searchable Item Library Adult Version - Reaction Everyday Situations Slow
FSIL-Received Treatment Right for YouC184274FSIL-Received Treatment Right for YouFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Do you feel you received the treatment that was right for you?FACIT-Searchable Item Library Adult Version - Received Treatment Right for You
FSIL-Received Treatment That Was RightC183792FSIL-Received Treatment That Was RightFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel that I received the treatment that was right for me.FACIT-Searchable Item Library Adult Version - Received Treatment That Was Right
FSIL-Receiving Chemo InconvenientC183847FSIL-Receiving Chemo InconvenientFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Receiving chemotherapy is inconvenient.FACIT-Searchable Item Library Adult Version - Receiving Chemo Inconvenient
FSIL-Receiving Treatment Is InconvenientC183744FSIL-Receiving Treatment Is InconvenientFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Receiving treatment for bone disease is inconvenient.FACIT-Searchable Item Library Adult Version - Receiving Treatment Is Inconvenient
FSIL-Recommend Chemo to OthersC183841FSIL-Recommend Chemo to OthersFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Would you recommend this chemotherapy to others with your illness?FACIT-Searchable Item Library Adult Version - Recommend Chemo to Others
FSIL-Recommend Clinic/Office to OthersC184272FSIL-Recommend Clinic/Office to OthersFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Would you recommend this clinic or office to others?FACIT-Searchable Item Library Adult Version - Recommend Clinic/Office to Others
FSIL-Recommend This Treatment to OthersC184277FSIL-Recommend This Treatment to OthersFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Would you recommend this treatment to others with your illness?FACIT-Searchable Item Library Adult Version - Recommend This Treatment to Others
FSIL-Reduced Satisfaction FinancialC183941FSIL-Reduced Satisfaction FinancialFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My cancer or treatment has reduced my satisfaction with my present financial situation.FACIT-Searchable Item Library Adult Version - Reduced Satisfaction Financial
FSIL-Rest During Day B/c of Bone PainC183700FSIL-Rest During Day B/c of Bone PainFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am forced to rest during the day because of bone pain.FACIT-Searchable Item Library Adult Version - Rest During Day B/c of Bone Pain
FSIL-Satisfied Communication IllnessC183989FSIL-Satisfied Communication IllnessFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am satisfied with family communication about my illness.FACIT-Searchable Item Library Adult Version - Satisfied Communication Illness
FSIL-Satisfied With Comfort LevelC184136FSIL-Satisfied With Comfort LevelFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am satisfied with my present comfort level.FACIT-Searchable Item Library Adult Version - Satisfied With Comfort Level
FSIL-Satisfied With Effects of TreatmentC184276FSIL-Satisfied With Effects of TreatmentFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Are you satisfied with the effects of this treatment so far?FACIT-Searchable Item Library Adult Version - Satisfied With Effects of Treatment
FSIL-Satisfied With Financial SituationC183948FSIL-Satisfied With Financial SituationFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am satisfied with my current financial situation.FACIT-Searchable Item Library Adult Version - Satisfied With Financial Situation
FSIL-Satisfied With How I Am CopingC183963FSIL-Satisfied With How I Am CopingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am satisfied with how I am coping with my illness.FACIT-Searchable Item Library Adult Version - Satisfied With How I Am Coping
FSIL-Satisfied With My Sex LifeC183991FSIL-Satisfied With My Sex LifeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am satisfied with my sex life.FACIT-Searchable Item Library Adult Version - Satisfied With My Sex Life
FSIL-Satisfied With Results ChemoC183840FSIL-Satisfied With Results ChemoFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Are you satisfied with the current results of your chemotherapy?FACIT-Searchable Item Library Adult Version - Satisfied With Results Chemo
FSIL-Satisfied With Results of TreatmentC183736FSIL-Satisfied With Results of TreatmentFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Are you satisfied with the results of the treatment for your bone disease so far?FACIT-Searchable Item Library Adult Version - Satisfied With Results of Treatment
FSIL-Satisfied With Urinary ConditionC184290FSIL-Satisfied With Urinary ConditionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am satisfied with my urinary condition.FACIT-Searchable Item Library Adult Version - Satisfied With Urinary Condition
FSIL-Self-conscious About Way I DressC183661FSIL-Self-conscious About Way I DressFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am self-conscious about the way I dress.FACIT-Searchable Item Library Adult Version - Self-conscious About Way I Dress
FSIL-Sensitivity Fingernails Diff TasksC184207FSIL-Sensitivity Fingernails Diff TasksFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Sensitivity around my fingernails makes it difficult to perform household tasks.FACIT-Searchable Item Library Adult Version - Sensitivity Fingernails Diff Tasks
FSIL-Side Effects of Treatment So FarC184254FSIL-Side Effects of Treatment So FarFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Compared to what you expected, how do you rate the side effects of treatment so far?FACIT-Searchable Item Library Adult Version - Side Effects of Treatment So Far
FSIL-Side Effects of Treatment WorseC183686FSIL-Side Effects of Treatment WorseFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: The side effects of treatment are worse than I had imagined.FACIT-Searchable Item Library Adult Version - Side Effects of Treatment Worse
FSIL-Skin Cond Interferes w/ Social LifeC184203FSIL-Skin Cond Interferes w/ Social LifeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My skin condition interferes with my social life.FACIT-Searchable Item Library Adult Version - Skin Cond Interferes w/ Social Life
FSIL-Skin Condition Interferes w/ SleepC184208FSIL-Skin Condition Interferes w/ SleepFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My skin condition interferes with my ability to sleep.FACIT-Searchable Item Library Adult Version - Skin Condition Interferes w/ Sleep
FSIL-Skin Condition Make Life DifficultC184209FSIL-Skin Condition Make Life DifficultFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Changes in my skin condition make daily life difficult.FACIT-Searchable Item Library Adult Version - Skin Condition Make Life Difficult
FSIL-Skin Feels Sensitive or RawC183868FSIL-Skin Feels Sensitive or RawFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My skin feels sensitive or "raw".FACIT-Searchable Item Library Adult Version - Skin Feels Sensitive or Raw
FSIL-Skin in Breast Area Itchy/Flaky/DryC184173FSIL-Skin in Breast Area Itchy/Flaky/DryFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: The skin in my breast area is itchy, flaky or dry.FACIT-Searchable Item Library Adult Version - Skin in Breast Area Itchy/Flaky/Dry
FSIL-Skin Is Dry or FlakyC183874FSIL-Skin Is Dry or FlakyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My skin is dry or "flaky".FACIT-Searchable Item Library Adult Version - Skin Is Dry or Flaky
FSIL-Skin Side Effects Interfered TasksC184211FSIL-Skin Side Effects Interfered TasksFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: The skin side effects from treatment have interfered with household tasks.FACIT-Searchable Item Library Adult Version - Skin Side Effects Interfered Tasks
FSIL-Sleeping WellC183972FSIL-Sleeping WellFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am sleeping well.FACIT-Searchable Item Library Adult Version - Sleeping Well
FSIL-Smoke Cigarettes/Other TobaccoC184024FSIL-Smoke Cigarettes/Other TobaccoFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I smoke cigarettes or other tobacco products.FACIT-Searchable Item Library Adult Version - Smoke Cigarettes/Other Tobacco
FSIL-Stiffness/Tightness in My JointsC184029FSIL-Stiffness/Tightness in My JointsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have stiffness or tightness in my joints.FACIT-Searchable Item Library Adult Version - Stiffness/Tightness in My Joints
FSIL-Stomach Pain Interferes FunctioningC183638FSIL-Stomach Pain Interferes FunctioningFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Stomach pain interferes with my daily functioning.FACIT-Searchable Item Library Adult Version - Stomach Pain Interferes Functioning
FSIL-Stomach Problems That Worry MeC183960FSIL-Stomach Problems That Worry MeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have stomach problems that worry me.FACIT-Searchable Item Library Adult Version - Stomach Problems That Worry Me
FSIL-Strength in Faith/Spiritual BeliefsC184176FSIL-Strength in Faith/Spiritual BeliefsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I find strength in my faith or spiritual beliefs.FACIT-Searchable Item Library Adult Version - Strength in Faith/Spiritual Beliefs
FSIL-Sweeping/MoppingC183893FSIL-Sweeping/MoppingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Sweeping or mopping.FACIT-Searchable Item Library Adult Version - Sweeping/Mopping
FSIL-Swelling as a Result of SurgeryC184075FSIL-Swelling as a Result of SurgeryFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have swelling as a result of surgery.FACIT-Searchable Item Library Adult Version - Swelling as a Result of Surgery
FSIL-Swelling Keeps Me From Doing ThingsC184078FSIL-Swelling Keeps Me From Doing ThingsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Swelling keeps me from doing the things I want to do.FACIT-Searchable Item Library Adult Version - Swelling Keeps Me From Doing Things
FSIL-Swelling Keeps Me From WearingC184079FSIL-Swelling Keeps Me From WearingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Swelling keeps me from wearing clothes or shoes I want to wear.FACIT-Searchable Item Library Adult Version - Swelling Keeps Me From Wearing
FSIL-Swelling/Cramps in Stomach AreaC183762FSIL-Swelling/Cramps in Stomach AreaFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have swelling or cramps in my stomach area.FACIT-Searchable Item Library Adult Version - Swelling/Cramps in Stomach Area
FSIL-Take My Condition Into AccountC184097FSIL-Take My Condition Into AccountFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have to take my condition into account when making plans.FACIT-Searchable Item Library Adult Version - Take My Condition Into Account
FSIL-Taking Drug Infusion InconvenientC183741FSIL-Taking Drug Infusion InconvenientFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Taking the drug by infusion is inconvenient.FACIT-Searchable Item Library Adult Version - Taking Drug Infusion Inconvenient
FSIL-Thankfulness Others Bring to LifeC184187FSIL-Thankfulness Others Bring to LifeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Throughout the course of my day, I feel a sense of thankfulness for what others bring to my life.FACIT-Searchable Item Library Adult Version - Thankfulness Others Bring to Life
FSIL-The Skin on My Feet HurtsC183624FSIL-The Skin on My Feet HurtsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: The skin on my feet hurts.FACIT-Searchable Item Library Adult Version - The Skin on My Feet Hurts
FSIL-The Skin on My Hands HurtsC183622FSIL-The Skin on My Hands HurtsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: The skin on my hands hurts.FACIT-Searchable Item Library Adult Version - The Skin on My Hands Hurts
FSIL-Tired Dealing With Skin ConditionC183865FSIL-Tired Dealing With Skin ConditionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am tired of dealing with my skin condition.FACIT-Searchable Item Library Adult Version - Tired Dealing With Skin Condition
FSIL-Told Family Members About InfectionC184154FSIL-Told Family Members About InfectionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have told family members about my infection.FACIT-Searchable Item Library Adult Version - Told Family Members About Infection
FSIL-Told Me Trouble Remembering InfoC183818FSIL-Told Me Trouble Remembering InfoFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Other people have told me I seemed to have trouble remembering information.FACIT-Searchable Item Library Adult Version - Told Me Trouble Remembering Info
FSIL-Told Me Trouble Speaking ClearlyC183819FSIL-Told Me Trouble Speaking ClearlyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Other people have told me I seemed to have trouble speaking clearly.FACIT-Searchable Item Library Adult Version - Told Me Trouble Speaking Clearly
FSIL-Told Me Trouble Thinking ClearlyC183820FSIL-Told Me Trouble Thinking ClearlyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Other people have told me I seemed to have trouble thinking clearly.FACIT-Searchable Item Library Adult Version - Told Me Trouble Thinking Clearly
FSIL-Told Partner/Spouse About InfectionC184159FSIL-Told Partner/Spouse About InfectionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have told my partner/spouse about my infection.FACIT-Searchable Item Library Adult Version - Told Partner/Spouse About Infection
FSIL-Too Tired to EatC183643FSIL-Too Tired to EatFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am too tired to eat.FACIT-Searchable Item Library Adult Version - Too Tired to Eat
FSIL-Treatment Bone Disease Takes TimeC183734FSIL-Treatment Bone Disease Takes TimeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Treatment for bone disease takes up my time.FACIT-Searchable Item Library Adult Version - Treatment Bone Disease Takes Time
FSIL-Treatment Bone Disease to OthersC183737FSIL-Treatment Bone Disease to OthersFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Would you recommend this treatment for bone disease to others with your illness?FACIT-Searchable Item Library Adult Version - Treatment Bone Disease to Others
FSIL-Treatment Causes Me Physical PainC183743FSIL-Treatment Causes Me Physical PainFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My treatment for bone disease causes me physical pain.FACIT-Searchable Item Library Adult Version - Treatment Causes Me Physical Pain
FSIL-Treatment Schedule Stressful FamilyC183750FSIL-Treatment Schedule Stressful FamilyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My treatment schedule for bone disease is stressful to my family.FACIT-Searchable Item Library Adult Version - Treatment Schedule Stressful Family
FSIL-Treatment Schedule Stressful to MeC183749FSIL-Treatment Schedule Stressful to MeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My treatment schedule for bone disease is stressful to me.FACIT-Searchable Item Library Adult Version - Treatment Schedule Stressful to Me
FSIL-Treatment Seems Harmful to MeC183748FSIL-Treatment Seems Harmful to MeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Treatment for bone disease seems harmful to me.FACIT-Searchable Item Library Adult Version - Treatment Seems Harmful to Me
FSIL-Treatment Staff Answered HonestlyC184268FSIL-Treatment Staff Answered HonestlyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did you feel that the treatment staff answered your questions honestly?FACIT-Searchable Item Library Adult Version - Treatment Staff Answered Honestly
FSIL-Treatment Staff Discuss ActivitiesC184255FSIL-Treatment Staff Discuss ActivitiesFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did the treatment staff discuss how your health and treatment may affect your normal daily activities?FACIT-Searchable Item Library Adult Version - Treatment Staff Discuss Activities
FSIL-Treatment Staff Discuss EmotionallyC184257FSIL-Treatment Staff Discuss EmotionallyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did the treatment staff discuss how your health and treatment may affect you emotionally?FACIT-Searchable Item Library Adult Version - Treatment Staff Discuss Emotionally
FSIL-Treatment Staff Discuss RelationC184256FSIL-Treatment Staff Discuss RelationFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did the treatment staff discuss how your health and treatment may affect your personal relationships?FACIT-Searchable Item Library Adult Version - Treatment Staff Discuss Relation
FSIL-Treatment Staff Discuss WorkC184253FSIL-Treatment Staff Discuss WorkFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did the treatment staff discuss how your health and treatment may affect your normal work (including housework)?FACIT-Searchable Item Library Adult Version - Treatment Staff Discuss Work
FSIL-Treatment Staff Respect PrivacyC184269FSIL-Treatment Staff Respect PrivacyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did the treatment staff respect your privacy?FACIT-Searchable Item Library Adult Version - Treatment Staff Respect Privacy
FSIL-Treatment Staff Thorough ExaminingC184260FSIL-Treatment Staff Thorough ExaminingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Was the treatment staff thorough in examining and treating you?FACIT-Searchable Item Library Adult Version - Treatment Staff Thorough Examining
FSIL-Treatment Takes Up My Family's TimeC183739FSIL-Treatment Takes Up My Family's TimeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My treatment for bone disease takes up my family's time.FACIT-Searchable Item Library Adult Version - Treatment Takes Up My Family's Time
FSIL-Trouble Digesting FoodC183925FSIL-Trouble Digesting FoodFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble digesting food.FACIT-Searchable Item Library Adult Version - Trouble Digesting Food
FSIL-Trouble Feeling Arm/Hands/LegsC183715FSIL-Trouble Feeling Arm/Hands/LegsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble feeling sensations in my arm, hands or legs.FACIT-Searchable Item Library Adult Version - Trouble Feeling Arm/Hands/Legs
FSIL-Trouble Feeling Shape of ObjectsC184129FSIL-Trouble Feeling Shape of ObjectsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble feeling the shape of small objects when they are in my hand.FACIT-Searchable Item Library Adult Version - Trouble Feeling Shape of Objects
FSIL-Trouble Finding Familiar PlaceC183815FSIL-Trouble Finding Familiar PlaceFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had trouble finding my way to a familiar place.FACIT-Searchable Item Library Adult Version - Trouble Finding Familiar Place
FSIL-Trouble Finding Right WordsC183836FSIL-Trouble Finding Right WordsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had trouble finding the right word(s) to express myself.FACIT-Searchable Item Library Adult Version - Trouble Finding Right Words
FSIL-Trouble Finishing ThingsC183650FSIL-Trouble Finishing ThingsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble finishing things because I am tired.FACIT-Searchable Item Library Adult Version - Trouble Finishing Things
FSIL-Trouble Getting Around in PublicC184089FSIL-Trouble Getting Around in PublicFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble getting around in public places.FACIT-Searchable Item Library Adult Version - Trouble Getting Around in Public
FSIL-Trouble Keeping Track InterruptedC183816FSIL-Trouble Keeping Track InterruptedFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble keeping track of what I am doing if I am interrupted.FACIT-Searchable Item Library Adult Version - Trouble Keeping Track Interrupted
FSIL-Trouble Meeting Needs of FamilyC183977FSIL-Trouble Meeting Needs of FamilyFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Because of my physical condition, I have trouble meeting the needs of my family.FACIT-Searchable Item Library Adult Version - Trouble Meeting Needs of Family
FSIL-Trouble Recalling Name of ObjectC183835FSIL-Trouble Recalling Name of ObjectFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had trouble recalling the name of an object while talking to someone.FACIT-Searchable Item Library Adult Version - Trouble Recalling Name of Object
FSIL-Trouble Remember Where Put ThingsC183813FSIL-Trouble Remember Where Put ThingsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had trouble remembering where I put things, like my keys or my wallet.FACIT-Searchable Item Library Adult Version - Trouble Remember Where Put Things
FSIL-Trouble Remembering New InfoC183814FSIL-Trouble Remembering New InfoFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had trouble remembering new information, like phone numbers or simple instructions.FACIT-Searchable Item Library Adult Version - Trouble Remembering New Info
FSIL-Trouble Saying What I MeanC183838FSIL-Trouble Saying What I MeanFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had trouble saying what I mean in conversations with others.FACIT-Searchable Item Library Adult Version - Trouble Saying What I Mean
FSIL-Trouble Shifting Back and ForthC183817FSIL-Trouble Shifting Back and ForthFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble shifting back and forth between different activities that require thinking.FACIT-Searchable Item Library Adult Version - Trouble Shifting Back and Forth
FSIL-Trouble Sleeping B/c Skin ConditionC183859FSIL-Trouble Sleeping B/c Skin ConditionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble sleeping because of my skin condition.FACIT-Searchable Item Library Adult Version - Trouble Sleeping B/c Skin Condition
FSIL-Trouble Starting ThingsC183649FSIL-Trouble Starting ThingsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble starting things because I am tired.FACIT-Searchable Item Library Adult Version - Trouble Starting Things
FSIL-Trouble Walking Because Bone PainC183701FSIL-Trouble Walking Because Bone PainFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble walking because of bone pain.FACIT-Searchable Item Library Adult Version - Trouble Walking Because Bone Pain
FSIL-Trouble Walking Because of PainC184088FSIL-Trouble Walking Because of PainFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have trouble walking because of pain.FACIT-Searchable Item Library Adult Version - Trouble Walking Because of Pain
FSIL-Troubled Not Knowing Side EffectsC184040FSIL-Troubled Not Knowing Side EffectsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am troubled by not knowing when exactly my side effects will happen, how long they will last and how bad they will be.FACIT-Searchable Item Library Adult Version - Troubled Not Knowing Side Effects
FSIL-Trust Doctor Suggestions TreatmentC184271FSIL-Trust Doctor Suggestions TreatmentFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Did you trust your doctor(s)' suggestions for treatment?FACIT-Searchable Item Library Adult Version - Trust Doctor Suggestions Treatment
FSIL-Tube Feed Limits Do Inside HouseC183920FSIL-Tube Feed Limits Do Inside HouseFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Tube feeding limits what I can do inside the house (for example housework, watching TV or reading).FACIT-Searchable Item Library Adult Version - Tube Feed Limits Do Inside House
FSIL-Tube Feeding Limits ActivitiesC183922FSIL-Tube Feeding Limits ActivitiesFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Tube feeding limits my activities with my friends.FACIT-Searchable Item Library Adult Version - Tube Feeding Limits Activities
FSIL-Tube Feeding Limits Do OutsideC183921FSIL-Tube Feeding Limits Do OutsideFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Tube feeding limits what I can do outside of the house (for example shopping, driving or yard work).FACIT-Searchable Item Library Adult Version - Tube Feeding Limits Do Outside
FSIL-Unattractive B/c How My Skin LooksC184206FSIL-Unattractive B/c How My Skin LooksFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel unattractive because of how my skin looks.FACIT-Searchable Item Library Adult Version - Unattractive B/c How My Skin Looks
FSIL-Uncertain About My Future HealthC184066FSIL-Uncertain About My Future HealthFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel uncertain about my future health.FACIT-Searchable Item Library Adult Version - Uncertain About My Future Health
FSIL-Uncomfortably Full Tube FeedingC183916FSIL-Uncomfortably Full Tube FeedingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I feel uncomfortably full during or after my tube feeding.FACIT-Searchable Item Library Adult Version - Uncomfortably Full Tube Feeding
FSIL-Unhappy About Change in My AppearC183995FSIL-Unhappy About Change in My AppearFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am unhappy about a change in my appearance.FACIT-Searchable Item Library Adult Version - Unhappy About Change in My Appear
FSIL-Unhappy With How Face & Neck LookC184022FSIL-Unhappy With How Face & Neck LookFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am unhappy with how my face and neck look.FACIT-Searchable Item Library Adult Version - Unhappy With How Face & Neck Look
FSIL-Unhappy With My AppearanceC184002FSIL-Unhappy With My AppearanceFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am unhappy with my appearance.FACIT-Searchable Item Library Adult Version - Unhappy With My Appearance
FSIL-Urinate Frequently to Avoid LeakingC184055FSIL-Urinate Frequently to Avoid LeakingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I must urinate frequently to avoid leaking.FACIT-Searchable Item Library Adult Version - Urinate Frequently to Avoid Leaking
FSIL-Use Written Lists More OftenC183807FSIL-Use Written Lists More OftenFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had to use written lists more often than usual so I would not forget things.FACIT-Searchable Item Library Adult Version - Use Written Lists More Often
FSIL-Used Wrong Word When Refer ObjectC183837FSIL-Used Wrong Word When Refer ObjectFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have used the wrong word when I referred to an object.FACIT-Searchable Item Library Adult Version - Used Wrong Word When Refer Object
FSIL-Vagina Feels Too Narrow/ShortC183878FSIL-Vagina Feels Too Narrow/ShortFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My vagina feels too narrow or short.FACIT-Searchable Item Library Adult Version - Vagina Feels Too Narrow/Short
FSIL-Voice Has Usual Quality & StrengthC184020FSIL-Voice Has Usual Quality & StrengthFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: My voice has its usual quality and strength.FACIT-Searchable Item Library Adult Version - Voice Has Usual Quality & Strength
FSIL-Vomiting Dur/After Tube FeedingC183919FSIL-Vomiting Dur/After Tube FeedingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I experience vomiting during or after my tube feeding.FACIT-Searchable Item Library Adult Version - Vomiting Dur/After Tube Feeding
FSIL-Waiting Breakfast Is InconvenientC183745FSIL-Waiting Breakfast Is InconvenientFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Waiting up to 60 minutes before eating breakfast in the morning is inconvenient.FACIT-Searchable Item Library Adult Version - Waiting Breakfast Is Inconvenient
FSIL-Wake at Night Because of CoughingC183904FSIL-Wake at Night Because of CoughingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I wake at night because of coughing.FACIT-Searchable Item Library Adult Version - Wake at Night Because of Coughing
FSIL-Walked Into a Room and ForgottenC183809FSIL-Walked Into a Room and ForgottenFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have walked into a room and forgotten what I meant to get or do there.FACIT-Searchable Item Library Adult Version - Walked Into a Room and Forgotten
FSIL-Walking 50 Steps Flat Normal SpeedC183889FSIL-Walking 50 Steps Flat Normal SpeedFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Walking 50 steps/paces on flat ground at a normal speed without stopping.FACIT-Searchable Item Library Adult Version - Walking 50 Steps Flat Normal Speed
FSIL-Walking for 1/2 Mile w/o StoppingC183897FSIL-Walking for 1/2 Mile w/o StoppingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Walking (faster than your usual speed) for 1/2 mile (almost 1 km) without stopping.FACIT-Searchable Item Library Adult Version - Walking for 1/2 Mile w/o Stopping
FSIL-Walking Up 20 Stairs w/o StoppingC183890FSIL-Walking Up 20 Stairs w/o StoppingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Walking up 20 stairs (2 flights) without stopping.FACIT-Searchable Item Library Adult Version - Walking Up 20 Stairs w/o Stopping
FSIL-Washing DishesC183892FSIL-Washing DishesFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: Washing dishes.FACIT-Searchable Item Library Adult Version - Washing Dishes
FSIL-Wear Pads/Protect Prevent SoilingC184047FSIL-Wear Pads/Protect Prevent SoilingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I wear pads or protection to prevent soiling my underwear.FACIT-Searchable Item Library Adult Version - Wear Pads/Protect Prevent Soiling
FSIL-Wear Protection Leakage of UrineC184056FSIL-Wear Protection Leakage of UrineFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I wear protection for leakage of urine.FACIT-Searchable Item Library Adult Version - Wear Protection Leakage of Urine
FSIL-Whatever Happens Illness Will Be OKC184178FSIL-Whatever Happens Illness Will Be OKFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I know that whatever happens with my illness, things will be okay.FACIT-Searchable Item Library Adult Version - Whatever Happens Illness Will Be OK
FSIL-Which Side Was Breast OperationC184157FSIL-Which Side Was Breast OperationFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: On which side was your breast operation?FACIT-Searchable Item Library Adult Version - Which Side Was Breast Operation
FSIL-Women: Bothered by Vaginal BleedingC184235FSIL-Women: Bothered by Vaginal BleedingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: For women only: I am bothered by vaginal bleeding.FACIT-Searchable Item Library Adult Version - Women: Bothered by Vaginal Bleeding
FSIL-Work Hard to Pay AttentionC183810FSIL-Work Hard to Pay AttentionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had to work really hard to pay attention or I would make a mistake.FACIT-Searchable Item Library Adult Version - Work Hard to Pay Attention
FSIL-Work Harder Than Usual to ExpressC183806FSIL-Work Harder Than Usual to ExpressFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had to work harder than usual to express myself clearly.FACIT-Searchable Item Library Adult Version - Work Harder Than Usual to Express
FSIL-Work Harder Than Usual to TrackC183804FSIL-Work Harder Than Usual to TrackFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I have had to work harder than usual to keep track of what I was doing.FACIT-Searchable Item Library Adult Version - Work Harder Than Usual to Track
FSIL-Worried About My WeightC183632FSIL-Worried About My WeightFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I am worried about my weight.FACIT-Searchable Item Library Adult Version - Worried About My Weight
FSIL-Worry About Attitudes Towards MeC183779FSIL-Worry About Attitudes Towards MeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about other people's attitudes towards me.FACIT-Searchable Item Library Adult Version - Worry About Attitudes Towards Me
FSIL-Worry About Serious BleedingC184238FSIL-Worry About Serious BleedingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about the possibility of serious bleeding.FACIT-Searchable Item Library Adult Version - Worry About Serious Bleeding
FSIL-Worry About Side Effects TreatmentC183740FSIL-Worry About Side Effects TreatmentFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about side effects from treatment for bone disease.FACIT-Searchable Item Library Adult Version - Worry About Side Effects Treatment
FSIL-Worry About Spreading My InfectionC184008FSIL-Worry About Spreading My InfectionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about spreading my infection.FACIT-Searchable Item Library Adult Version - Worry About Spreading My Infection
FSIL-Worry About Spreading the InfectionC183791FSIL-Worry About Spreading the InfectionFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about spreading the infection.FACIT-Searchable Item Library Adult Version - Worry About Spreading the Infection
FSIL-Worry About the Effect of StressC183666FSIL-Worry About the Effect of StressFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about the effect of stress on my illness.FACIT-Searchable Item Library Adult Version - Worry About the Effect of Stress
FSIL-Worry Appearance of Surgical ScarsC184083FSIL-Worry Appearance of Surgical ScarsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about the appearance of surgical scars.FACIT-Searchable Item Library Adult Version - Worry Appearance of Surgical Scars
FSIL-Worry Chemo Not EffectiveC183848FSIL-Worry Chemo Not EffectiveFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry that my chemotherapy will not be effective.FACIT-Searchable Item Library Adult Version - Worry Chemo Not Effective
FSIL-Worry Family Will Get IllnessC183665FSIL-Worry Family Will Get IllnessFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry that other members of my family might someday get the same illness I have.FACIT-Searchable Item Library Adult Version - Worry Family Will Get Illness
FSIL-Worry Feeding Tube Health Is WorseC183907FSIL-Worry Feeding Tube Health Is WorseFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry that having a feeding tube means my health is worse.FACIT-Searchable Item Library Adult Version - Worry Feeding Tube Health Is Worse
FSIL-Worry Financial Problems in FutureC183945FSIL-Worry Financial Problems in FutureFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about the financial problems I will have in the future as a result of my illness or treatment.FACIT-Searchable Item Library Adult Version - Worry Financial Problems in Future
FSIL-Worry Getting Sick Low Blood CountsC184105FSIL-Worry Getting Sick Low Blood CountsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about getting sick due to low blood counts.FACIT-Searchable Item Library Adult Version - Worry Getting Sick Low Blood Counts
FSIL-Worry I Might Get New SymptomsC184067FSIL-Worry I Might Get New SymptomsFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry that I might get new symptoms of my illness.FACIT-Searchable Item Library Adult Version - Worry I Might Get New Symptoms
FSIL-Worry Infection From Feeding TubeC183910FSIL-Worry Infection From Feeding TubeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about getting an infection from the feeding tube.FACIT-Searchable Item Library Adult Version - Worry Infection From Feeding Tube
FSIL-Worry Infection Will Get WorseC183776FSIL-Worry Infection Will Get WorseFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry that the infection will get worse.FACIT-Searchable Item Library Adult Version - Worry Infection Will Get Worse
FSIL-Worry Losing Weight Feeding TubeC183911FSIL-Worry Losing Weight Feeding TubeFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about losing weight because I have a feeding tube.FACIT-Searchable Item Library Adult Version - Worry Losing Weight Feeding Tube
FSIL-Worry My Condition Will Get WorseC183967FSIL-Worry My Condition Will Get WorseFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry that my condition will get worse.FACIT-Searchable Item Library Adult Version - Worry My Condition Will Get Worse
FSIL-Worry Neg Impacts Long-term HealthC184038FSIL-Worry Neg Impacts Long-term HealthFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about negative impacts that my treatment may have upon my long-term health.FACIT-Searchable Item Library Adult Version - Worry Neg Impacts Long-term Health
FSIL-Worry Not improve Treatment DelayedC184108FSIL-Worry Not improve Treatment DelayedFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry my condition will not improve if my treatment is delayed.FACIT-Searchable Item Library Adult Version - Worry Not improve Treatment Delayed
FSIL-Worry Problems Bruising/BleedingC184237FSIL-Worry Problems Bruising/BleedingFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about problems with bruising or bleeding.FACIT-Searchable Item Library Adult Version - Worry Problems Bruising/Bleeding
FSIL-Worry Side Effects From ChemoC183845FSIL-Worry Side Effects From ChemoFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about side effects from chemotherapy treatment.FACIT-Searchable Item Library Adult Version - Worry Side Effects From Chemo
FSIL-Worry Skin condition Get WorseC183871FSIL-Worry Skin condition Get WorseFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry that my skin condition may get worse.FACIT-Searchable Item Library Adult Version - Worry Skin condition Get Worse
FSIL-Worry Support Myself/Family IllnessC184069FSIL-Worry Support Myself/Family IllnessFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about being able to support myself or my family due to my illness.FACIT-Searchable Item Library Adult Version - Worry Support Myself/Family Illness
FSIL-Worry Treatment Dose Will ReducedC184234FSIL-Worry Treatment Dose Will ReducedFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry that my treatment dose will be reduced (because of low blood counts).FACIT-Searchable Item Library Adult Version - Worry Treatment Dose Will Reduced
FSIL-Worry Treatment Not EffectiveC183747FSIL-Worry Treatment Not EffectiveFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry that my treatment for bone disease will not be effective.FACIT-Searchable Item Library Adult Version - Worry Treatment Not Effective
FSIL-Worry Treatment Will Be DelayedC184233FSIL-Worry Treatment Will Be DelayedFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry that my treatment will be delayed (because of low blood counts).FACIT-Searchable Item Library Adult Version - Worry Treatment Will Be Delayed
FSIL-Worry Tube Coming Out by AccidentC183908FSIL-Worry Tube Coming Out by AccidentFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about the tube coming out by accident.FACIT-Searchable Item Library Adult Version - Worry Tube Coming Out by Accident
FSIL-Worry Tube Getting Plugged/BlockedC183909FSIL-Worry Tube Getting Plugged/BlockedFunctional Assessment of Chronic Illness Therapy-Searchable Item Library Adult: I worry about the tube getting plugged or blocked.FACIT-Searchable Item Library Adult Version - Worry Tube Getting Plugged/Blocked
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CL.C112441.FAMS01TCFunctional Assessment of Multiple Sclerosis Version 4 Questionnaire Test Code
(FAMS01TC)
text
Extensible: No
C112441Functional Assessment of Multiple Sclerosis Version 4 Questionnaire Test CodeFunctional Assessment of Multiple Sclerosis Version 4 test code.CDISC Questionnaire FAMS Test Code Terminology
FAMS0101C112551FAMS01-Trouble Meeting Needs of FamilyFunctional Assessment of Multiple Sclerosis - Mobility: Because of my physical condition, I have trouble meeting the needs of my family.FAMS - Have Trouble Meeting Needs of Family Because of My Condition
FAMS0102C112552FAMS01-I Am Able to WorkFunctional Assessment of Multiple Sclerosis - Mobility: I am able to work (include work at home).FAMS - I Am Able to Work
FAMS0103C112553FAMS01-I Have Trouble WalkingFunctional Assessment of Multiple Sclerosis - Mobility: I have trouble walking.FAMS - I Have Trouble Walking
FAMS0104C112554FAMS01-Limit My Social ActivityFunctional Assessment of Multiple Sclerosis - Mobility: I have to limit my social activity because of my condition.FAMS - Limit Social Activity Because of Condition
FAMS0105C112555FAMS01-I Have Strength in My LegsFunctional Assessment of Multiple Sclerosis - Mobility: I have strength in my legs.FAMS - I Have Strength in My Legs
FAMS0106C112556FAMS01-Trouble Getting Around in PublicFunctional Assessment of Multiple Sclerosis - Mobility: I have trouble getting around in public places.FAMS - Trouble Getting Around in Public Places
FAMS0107C112557FAMS01-Take My Condition Into AccountFunctional Assessment of Multiple Sclerosis - Mobility: I have to take my condition into account when making plans.FAMS - Have to Take Condition Into Account When Making Plans
FAMS0108C112558FAMS01-I Have NauseaFunctional Assessment of Multiple Sclerosis - Symptoms: I have nausea.FAMS - I Have Nausea
FAMS0109C112559FAMS01-I Have PainFunctional Assessment of Multiple Sclerosis - Symptoms: I have pain.FAMS - I Have Pain
FAMS0110C112560FAMS01-I Feel IllFunctional Assessment of Multiple Sclerosis - Symptoms: I feel ill.FAMS - I Feel Ill
FAMS0111C112561FAMS01-I Feel Weak All OverFunctional Assessment of Multiple Sclerosis - Symptoms: I feel weak all over.FAMS - I Feel Weak All Over
FAMS0112C112562FAMS01-I Have Pain in My JointsFunctional Assessment of Multiple Sclerosis - Symptoms: I have pain in my joints.FAMS - I Have Pain in My Joints
FAMS0113C112563FAMS01-I Am Bothered by HeadachesFunctional Assessment of Multiple Sclerosis - Symptoms: I am bothered by headaches.FAMS - Bothered by Headaches
FAMS0114C112564FAMS01-I Am Bothered by Muscle PainsFunctional Assessment of Multiple Sclerosis - Symptoms: I am bothered by muscle pains.FAMS - Bothered by Muscle Pains
FAMS0115C112565FAMS01-I Feel SadFunctional Assessment of Multiple Sclerosis - Emotional Well-Being: I feel sad.FAMS - I Feel Sad
FAMS0116C112566FAMS01-Losing Hope Against IllnessFunctional Assessment of Multiple Sclerosis - Emotional Well-Being: I am losing hope in the fight against my illness.FAMS - Losing Hope in Fight Against My Illness
FAMS0117C112567FAMS01-I Am Able to Enjoy LifeFunctional Assessment of Multiple Sclerosis - Emotional Well-Being: I am able to enjoy life.FAMS - I Am Able to Enjoy Life
FAMS0118C112568FAMS01-I Feel Trapped by My ConditionFunctional Assessment of Multiple Sclerosis - Emotional Well-Being: I feel trapped by my condition.FAMS - Feel Trapped by My Condition
FAMS0119C112569FAMS01-I Am Depressed About My ConditionFunctional Assessment of Multiple Sclerosis - Emotional Well-Being: I am depressed about my condition.FAMS - Depressed About My Condition
FAMS0120C112570FAMS01-I Feel UselessFunctional Assessment of Multiple Sclerosis - Emotional Well-Being: I feel useless.FAMS - I Feel Useless
FAMS0121C112571FAMS01-Feel Overwhelmed by My ConditionFunctional Assessment of Multiple Sclerosis - Emotional Well-Being: I feel overwhelmed by my condition.FAMS - Feel Overwhelmed by My Condition
FAMS0122C112572FAMS01-My Work Is FulfillingFunctional Assessment of Multiple Sclerosis - General Contentment: My work (include work at home) is fulfilling.FAMS - My Work is Fulfilling
FAMS0123C112573FAMS01-I Have Accepted My IllnessFunctional Assessment of Multiple Sclerosis - General Contentment: I have accepted my illness.FAMS - I Have Accepted My Illness
FAMS0124C112574FAMS01-Enjoy Things I Usually Do for FunFunctional Assessment of Multiple Sclerosis - General Contentment: I am enjoying the things I usually do for fun.FAMS - Enjoying Things I Usually Do for Fun
FAMS0125C112575FAMS01-Content With Quality of My LifeFunctional Assessment of Multiple Sclerosis - General Contentment: I am content with the quality of my life right now.FAMS - Content With Quality of My Life Now
FAMS0126C112576FAMS01-I Am Frustrated by My ConditionFunctional Assessment of Multiple Sclerosis - General Contentment: I am frustrated by my condition.FAMS - I Am Frustrated by My Condition
FAMS0127C112577FAMS01-Feel Sense of Purpose in My LifeFunctional Assessment of Multiple Sclerosis - General Contentment: I feel a sense of purpose in my life.FAMS - Feel Sense of Purpose in My Life
FAMS0128C112578FAMS01-I Feel Motivated to Do ThingsFunctional Assessment of Multiple Sclerosis - General Contentment: I feel motivated to do things.FAMS - Feel Motivated to Do Things
FAMS0129C112579FAMS01-I Have a Lack of EnergyFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have a lack of energy.FAMS - Have a Lack of Energy
FAMS0130C112580FAMS01-I Feel TiredFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: I feel tired.FAMS - I Feel Tired
FAMS0131C112581FAMS01-Trouble Starting ThingsFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble starting things because I am tired.FAMS - Trouble Starting Things Because I Am Tired
FAMS0132C112582FAMS01-Trouble Finishing ThingsFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble finishing things because I am tired.FAMS - Trouble Finishing Things Because I Am Tired
FAMS0133C112583FAMS01-I Need to Rest During the DayFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: I need to rest during the day.FAMS - Need to Rest During the Day
FAMS0134C112584FAMS01-I Have Trouble Remembering ThingsFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble remembering things.FAMS - Trouble Remembering Things
FAMS0135C112585FAMS01-I Have Trouble ConcentratingFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble concentrating.FAMS - Trouble Concentrating
FAMS0136C112586FAMS01-My Thinking Is Slower Than BeforeFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: My thinking is slower than before.FAMS - My Thinking is Slower Than Before
FAMS0137C112587FAMS01-I Have Trouble Learning New TasksFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble learning new tasks or directions.FAMS - Trouble Learning New Tasks or Directions
FAMS0138C112588FAMS01-I Feel Close to My FriendsFunctional Assessment of Multiple Sclerosis - Family/Social Well-Being: I feel close to my friends.FAMS - Feel Close to My Friends
FAMS0139C112589FAMS01-Get Emotional Support From FamilyFunctional Assessment of Multiple Sclerosis - Family/Social Well-Being: I get emotional support from my family.FAMS - Get Emotional Support From Family
FAMS0140C112590FAMS01-I Get Support From My FriendsFunctional Assessment of Multiple Sclerosis - Family/Social Well-Being: I get support from my friends.FAMS - Get Support From Friends
FAMS0141C112591FAMS01-My Family Has Accepted My IllnessFunctional Assessment of Multiple Sclerosis - Family/Social Well-Being: My family has accepted my illness.FAMS - Family Has Accepted My Illness
FAMS0142C112592FAMS01-Satisfied Communication IllnessFunctional Assessment of Multiple Sclerosis - Family/Social Well-Being: I am satisfied with family communication about my illness.FAMS - Satisfied With Family Communication About My Illness
FAMS0143C112593FAMS01-Trouble Understanding WorseningFunctional Assessment of Multiple Sclerosis - Family/Social Well-Being: My family has trouble understanding when my condition gets worse.FAMS - Family Has Trouble Understanding When My Condition Gets Worse
FAMS0144C112594FAMS01-I Feel Left Out of ThingsFunctional Assessment of Multiple Sclerosis - Family/Social Well-Being: I feel 'left out' of things.FAMS - Feel Left Out of Things
FAMS0145C112595FAMS01-Bothered by Treatment Side EffectFunctional Assessment of Multiple Sclerosis - Additional Concerns: I am bothered by side effects of treatment.FAMS - Bothered by Side Effects of Treatment
FAMS0146C112596FAMS01-I Am Forced to Spend Time in BedFunctional Assessment of Multiple Sclerosis - Additional Concerns: I am forced to spend time in bed.FAMS - Forced to Spend Time in Bed
FAMS0147C112597FAMS01-I Feel Close to My PartnerFunctional Assessment of Multiple Sclerosis - Additional Concerns: I feel close to my partner (or the person who is my main support).FAMS - Feel Close to My Partner
FAMS0148C112598FAMS01-I Am Satisfied With My Sex LifeFunctional Assessment of Multiple Sclerosis - Additional Concerns: I am satisfied with my sex life.FAMS - Satisfied With My Sex Life
FAMS0149C112599FAMS01-Satisfied With How I Am CopingFunctional Assessment of Multiple Sclerosis - Additional Concerns: I am satisfied with how I am coping with my illness.FAMS - Satisfied With How I Am Coping With Illness
FAMS0150C112600FAMS01-I Feel NervousFunctional Assessment of Multiple Sclerosis - Additional Concerns: I feel nervous.FAMS - I Feel Nervous
FAMS0151C112601FAMS01-Worry My Condition Will Get WorseFunctional Assessment of Multiple Sclerosis - Additional Concerns: I worry that my condition will get worse.FAMS - Worry My Condition Will Get Worse
FAMS0152C112602FAMS01-I Am Sleeping WellFunctional Assessment of Multiple Sclerosis - Additional Concerns: I am sleeping well.FAMS - I Am Sleeping Well
FAMS0153C112603FAMS01-Heat Worsens My SymptomsFunctional Assessment of Multiple Sclerosis - Additional Concerns: Heat worsens my symptoms.FAMS - Heat Worsens My Symptoms
FAMS0154C112604FAMS01-Have Trouble Controlling My UrineFunctional Assessment of Multiple Sclerosis - Additional Concerns: I have trouble controlling my urine.FAMS - Trouble Controlling My Urine
FAMS0155C112605FAMS01-I Urinate More FrequentlyFunctional Assessment of Multiple Sclerosis - Additional Concerns: I urinate more frequently than usual.FAMS - Urinate More Frequently Than Usual
FAMS0156C112606FAMS01-I Am Bothered by the ChillsFunctional Assessment of Multiple Sclerosis - Additional Concerns: I am bothered by the chills.FAMS - Bothered by Chills
FAMS0157C112607FAMS01-I Am Bothered by FeversFunctional Assessment of Multiple Sclerosis - Additional Concerns: I am bothered by fevers (episodes of high body temperature).FAMS - Bothered by Fevers
FAMS0158C112608FAMS01-I Am Bothered by Muscle SpasmsFunctional Assessment of Multiple Sclerosis - Additional Concerns: I am bothered by muscle spasms.FAMS - Bothered by Muscle Spasms
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CL.C112440.FAMS01TNFunctional Assessment of Multiple Sclerosis Version 4 Questionnaire Test Name
(FAMS01TN)
text
Extensible: No
C112440Functional Assessment of Multiple Sclerosis Version 4 Questionnaire Test NameFunctional Assessment of Multiple Sclerosis Version 4 test name.CDISC Questionnaire FAMS Test Name Terminology
FAMS01-Bothered by Treatment Side EffectC112595FAMS01-Bothered by Treatment Side EffectFunctional Assessment of Multiple Sclerosis - Additional Concerns: I am bothered by side effects of treatment.FAMS - Bothered by Side Effects of Treatment
FAMS01-Content With Quality of My LifeC112575FAMS01-Content With Quality of My LifeFunctional Assessment of Multiple Sclerosis - General Contentment: I am content with the quality of my life right now.FAMS - Content With Quality of My Life Now
FAMS01-Enjoy Things I Usually Do for FunC112574FAMS01-Enjoy Things I Usually Do for FunFunctional Assessment of Multiple Sclerosis - General Contentment: I am enjoying the things I usually do for fun.FAMS - Enjoying Things I Usually Do for Fun
FAMS01-Feel Overwhelmed by My ConditionC112571FAMS01-Feel Overwhelmed by My ConditionFunctional Assessment of Multiple Sclerosis - Emotional Well-Being: I feel overwhelmed by my condition.FAMS - Feel Overwhelmed by My Condition
FAMS01-Feel Sense of Purpose in My LifeC112577FAMS01-Feel Sense of Purpose in My LifeFunctional Assessment of Multiple Sclerosis - General Contentment: I feel a sense of purpose in my life.FAMS - Feel Sense of Purpose in My Life
FAMS01-Get Emotional Support From FamilyC112589FAMS01-Get Emotional Support From FamilyFunctional Assessment of Multiple Sclerosis - Family/Social Well-Being: I get emotional support from my family.FAMS - Get Emotional Support From Family
FAMS01-Have Trouble Controlling My UrineC112604FAMS01-Have Trouble Controlling My UrineFunctional Assessment of Multiple Sclerosis - Additional Concerns: I have trouble controlling my urine.FAMS - Trouble Controlling My Urine
FAMS01-Heat Worsens My SymptomsC112603FAMS01-Heat Worsens My SymptomsFunctional Assessment of Multiple Sclerosis - Additional Concerns: Heat worsens my symptoms.FAMS - Heat Worsens My Symptoms
FAMS01-I Am Able to Enjoy LifeC112567FAMS01-I Am Able to Enjoy LifeFunctional Assessment of Multiple Sclerosis - Emotional Well-Being: I am able to enjoy life.FAMS - I Am Able to Enjoy Life
FAMS01-I Am Able to WorkC112552FAMS01-I Am Able to WorkFunctional Assessment of Multiple Sclerosis - Mobility: I am able to work (include work at home).FAMS - I Am Able to Work
FAMS01-I Am Bothered by FeversC112607FAMS01-I Am Bothered by FeversFunctional Assessment of Multiple Sclerosis - Additional Concerns: I am bothered by fevers (episodes of high body temperature).FAMS - Bothered by Fevers
FAMS01-I Am Bothered by HeadachesC112563FAMS01-I Am Bothered by HeadachesFunctional Assessment of Multiple Sclerosis - Symptoms: I am bothered by headaches.FAMS - Bothered by Headaches
FAMS01-I Am Bothered by Muscle PainsC112564FAMS01-I Am Bothered by Muscle PainsFunctional Assessment of Multiple Sclerosis - Symptoms: I am bothered by muscle pains.FAMS - Bothered by Muscle Pains
FAMS01-I Am Bothered by Muscle SpasmsC112608FAMS01-I Am Bothered by Muscle SpasmsFunctional Assessment of Multiple Sclerosis - Additional Concerns: I am bothered by muscle spasms.FAMS - Bothered by Muscle Spasms
FAMS01-I Am Bothered by the ChillsC112606FAMS01-I Am Bothered by the ChillsFunctional Assessment of Multiple Sclerosis - Additional Concerns: I am bothered by the chills.FAMS - Bothered by Chills
FAMS01-I Am Depressed About My ConditionC112569FAMS01-I Am Depressed About My ConditionFunctional Assessment of Multiple Sclerosis - Emotional Well-Being: I am depressed about my condition.FAMS - Depressed About My Condition
FAMS01-I Am Forced to Spend Time in BedC112596FAMS01-I Am Forced to Spend Time in BedFunctional Assessment of Multiple Sclerosis - Additional Concerns: I am forced to spend time in bed.FAMS - Forced to Spend Time in Bed
FAMS01-I Am Frustrated by My ConditionC112576FAMS01-I Am Frustrated by My ConditionFunctional Assessment of Multiple Sclerosis - General Contentment: I am frustrated by my condition.FAMS - I Am Frustrated by My Condition
FAMS01-I Am Satisfied With My Sex LifeC112598FAMS01-I Am Satisfied With My Sex LifeFunctional Assessment of Multiple Sclerosis - Additional Concerns: I am satisfied with my sex life.FAMS - Satisfied With My Sex Life
FAMS01-I Am Sleeping WellC112602FAMS01-I Am Sleeping WellFunctional Assessment of Multiple Sclerosis - Additional Concerns: I am sleeping well.FAMS - I Am Sleeping Well
FAMS01-I Feel Close to My FriendsC112588FAMS01-I Feel Close to My FriendsFunctional Assessment of Multiple Sclerosis - Family/Social Well-Being: I feel close to my friends.FAMS - Feel Close to My Friends
FAMS01-I Feel Close to My PartnerC112597FAMS01-I Feel Close to My PartnerFunctional Assessment of Multiple Sclerosis - Additional Concerns: I feel close to my partner (or the person who is my main support).FAMS - Feel Close to My Partner
FAMS01-I Feel IllC112560FAMS01-I Feel IllFunctional Assessment of Multiple Sclerosis - Symptoms: I feel ill.FAMS - I Feel Ill
FAMS01-I Feel Left Out of ThingsC112594FAMS01-I Feel Left Out of ThingsFunctional Assessment of Multiple Sclerosis - Family/Social Well-Being: I feel 'left out' of things.FAMS - Feel Left Out of Things
FAMS01-I Feel Motivated to Do ThingsC112578FAMS01-I Feel Motivated to Do ThingsFunctional Assessment of Multiple Sclerosis - General Contentment: I feel motivated to do things.FAMS - Feel Motivated to Do Things
FAMS01-I Feel NervousC112600FAMS01-I Feel NervousFunctional Assessment of Multiple Sclerosis - Additional Concerns: I feel nervous.FAMS - I Feel Nervous
FAMS01-I Feel SadC112565FAMS01-I Feel SadFunctional Assessment of Multiple Sclerosis - Emotional Well-Being: I feel sad.FAMS - I Feel Sad
FAMS01-I Feel TiredC112580FAMS01-I Feel TiredFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: I feel tired.FAMS - I Feel Tired
FAMS01-I Feel Trapped by My ConditionC112568FAMS01-I Feel Trapped by My ConditionFunctional Assessment of Multiple Sclerosis - Emotional Well-Being: I feel trapped by my condition.FAMS - Feel Trapped by My Condition
FAMS01-I Feel UselessC112570FAMS01-I Feel UselessFunctional Assessment of Multiple Sclerosis - Emotional Well-Being: I feel useless.FAMS - I Feel Useless
FAMS01-I Feel Weak All OverC112561FAMS01-I Feel Weak All OverFunctional Assessment of Multiple Sclerosis - Symptoms: I feel weak all over.FAMS - I Feel Weak All Over
FAMS01-I Get Support From My FriendsC112590FAMS01-I Get Support From My FriendsFunctional Assessment of Multiple Sclerosis - Family/Social Well-Being: I get support from my friends.FAMS - Get Support From Friends
FAMS01-I Have a Lack of EnergyC112579FAMS01-I Have a Lack of EnergyFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have a lack of energy.FAMS - Have a Lack of Energy
FAMS01-I Have Accepted My IllnessC112573FAMS01-I Have Accepted My IllnessFunctional Assessment of Multiple Sclerosis - General Contentment: I have accepted my illness.FAMS - I Have Accepted My Illness
FAMS01-I Have NauseaC112558FAMS01-I Have NauseaFunctional Assessment of Multiple Sclerosis - Symptoms: I have nausea.FAMS - I Have Nausea
FAMS01-I Have Pain in My JointsC112562FAMS01-I Have Pain in My JointsFunctional Assessment of Multiple Sclerosis - Symptoms: I have pain in my joints.FAMS - I Have Pain in My Joints
FAMS01-I Have PainC112559FAMS01-I Have PainFunctional Assessment of Multiple Sclerosis - Symptoms: I have pain.FAMS - I Have Pain
FAMS01-I Have Strength in My LegsC112555FAMS01-I Have Strength in My LegsFunctional Assessment of Multiple Sclerosis - Mobility: I have strength in my legs.FAMS - I Have Strength in My Legs
FAMS01-I Have Trouble ConcentratingC112585FAMS01-I Have Trouble ConcentratingFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble concentrating.FAMS - Trouble Concentrating
FAMS01-I Have Trouble Learning New TasksC112587FAMS01-I Have Trouble Learning New TasksFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble learning new tasks or directions.FAMS - Trouble Learning New Tasks or Directions
FAMS01-I Have Trouble Remembering ThingsC112584FAMS01-I Have Trouble Remembering ThingsFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble remembering things.FAMS - Trouble Remembering Things
FAMS01-I Have Trouble WalkingC112553FAMS01-I Have Trouble WalkingFunctional Assessment of Multiple Sclerosis - Mobility: I have trouble walking.FAMS - I Have Trouble Walking
FAMS01-I Need to Rest During the DayC112583FAMS01-I Need to Rest During the DayFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: I need to rest during the day.FAMS - Need to Rest During the Day
FAMS01-I Urinate More FrequentlyC112605FAMS01-I Urinate More FrequentlyFunctional Assessment of Multiple Sclerosis - Additional Concerns: I urinate more frequently than usual.FAMS - Urinate More Frequently Than Usual
FAMS01-Limit My Social ActivityC112554FAMS01-Limit My Social ActivityFunctional Assessment of Multiple Sclerosis - Mobility: I have to limit my social activity because of my condition.FAMS - Limit Social Activity Because of Condition
FAMS01-Losing Hope Against IllnessC112566FAMS01-Losing Hope Against IllnessFunctional Assessment of Multiple Sclerosis - Emotional Well-Being: I am losing hope in the fight against my illness.FAMS - Losing Hope in Fight Against My Illness
FAMS01-My Family Has Accepted My IllnessC112591FAMS01-My Family Has Accepted My IllnessFunctional Assessment of Multiple Sclerosis - Family/Social Well-Being: My family has accepted my illness.FAMS - Family Has Accepted My Illness
FAMS01-My Thinking Is Slower Than BeforeC112586FAMS01-My Thinking Is Slower Than BeforeFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: My thinking is slower than before.FAMS - My Thinking is Slower Than Before
FAMS01-My Work Is FulfillingC112572FAMS01-My Work Is FulfillingFunctional Assessment of Multiple Sclerosis - General Contentment: My work (include work at home) is fulfilling.FAMS - My Work is Fulfilling
FAMS01-Satisfied Communication IllnessC112592FAMS01-Satisfied Communication IllnessFunctional Assessment of Multiple Sclerosis - Family/Social Well-Being: I am satisfied with family communication about my illness.FAMS - Satisfied With Family Communication About My Illness
FAMS01-Satisfied With How I Am CopingC112599FAMS01-Satisfied With How I Am CopingFunctional Assessment of Multiple Sclerosis - Additional Concerns: I am satisfied with how I am coping with my illness.FAMS - Satisfied With How I Am Coping With Illness
FAMS01-Take My Condition Into AccountC112557FAMS01-Take My Condition Into AccountFunctional Assessment of Multiple Sclerosis - Mobility: I have to take my condition into account when making plans.FAMS - Have to Take Condition Into Account When Making Plans
FAMS01-Trouble Finishing ThingsC112582FAMS01-Trouble Finishing ThingsFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble finishing things because I am tired.FAMS - Trouble Finishing Things Because I Am Tired
FAMS01-Trouble Getting Around in PublicC112556FAMS01-Trouble Getting Around in PublicFunctional Assessment of Multiple Sclerosis - Mobility: I have trouble getting around in public places.FAMS - Trouble Getting Around in Public Places
FAMS01-Trouble Meeting Needs of FamilyC112551FAMS01-Trouble Meeting Needs of FamilyFunctional Assessment of Multiple Sclerosis - Mobility: Because of my physical condition, I have trouble meeting the needs of my family.FAMS - Have Trouble Meeting Needs of Family Because of My Condition
FAMS01-Trouble Starting ThingsC112581FAMS01-Trouble Starting ThingsFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble starting things because I am tired.FAMS - Trouble Starting Things Because I Am Tired
FAMS01-Trouble Understanding WorseningC112593FAMS01-Trouble Understanding WorseningFunctional Assessment of Multiple Sclerosis - Family/Social Well-Being: My family has trouble understanding when my condition gets worse.FAMS - Family Has Trouble Understanding When My Condition Gets Worse
FAMS01-Worry My Condition Will Get WorseC112601FAMS01-Worry My Condition Will Get WorseFunctional Assessment of Multiple Sclerosis - Additional Concerns: I worry that my condition will get worse.FAMS - Worry My Condition Will Get Worse
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CL.C111346.FAQNA1TCFunctional Assessment Questionnaire-NACC UDS V2.0 Clinical Classification Test Code
(FAQNA1TC)
text
Extensible: No
C111346Functional Assessment Questionnaire-NACC UDS V2.0 Clinical Classification Test CodeFunctional Assessment Questionnaire-NACC UDS V2.0 test code.CDISC Clinical Classification FAQ-NACC UDS Version 2.0 Test Code Terminology
FAQNA101C111510FAQNA1-Write Checks/Pay Bills/CheckbookFunctional Assessment Questionnaire-NACC UDS V2.0 - Writing checks, paying bills, or balancing a checkbook.FAQ-NACC UDS Version 2.0 - Write checks, Pay bills, Balance checkbook
FAQNA102C111511FAQNA1-AssemblingFunctional Assessment Questionnaire-NACC UDS V2.0 - Assembling tax records, business affairs, or other papers.FAQ-NACC UDS Version 2.0 - Assemble
FAQNA103C111512FAQNA1-Shopping AloneFunctional Assessment Questionnaire-NACC UDS V2.0 - Shopping alone for clothes, household necessities, or groceries.FAQ-NACC UDS Version 2.0 - Shop Alone
FAQNA104C111513FAQNA1-Playing a Game of SkillFunctional Assessment Questionnaire-NACC UDS V2.0 - Playing a game of skill such as bridge or chess, working on a hobby.FAQ-NACC UDS Version 2.0 - Play Game of Skill, Work on Hobby
FAQNA105C111514FAQNA1-Heat Water/Make Coffee/Stove OffFunctional Assessment Questionnaire-NACC UDS V2.0 - Heating water, making a cup of coffee, turning off the stove.FAQ-NACC UDS Version 2.0 - Heat water, Make Coffee, Turn Off Stove
FAQNA106C111515FAQNA1-Preparing a Balanced MealFunctional Assessment Questionnaire-NACC UDS V2.0 - Preparing a balanced meal.FAQ-NACC UDS Version 2.0 - Prepare a Meal
FAQNA107C111516FAQNA1-Keeping Track of Current EventsFunctional Assessment Questionnaire-NACC UDS V2.0 - Keeping track of current events.FAQ-NACC UDS Version 2.0 - Keep Track of Current Events
FAQNA108C111517FAQNA1-Paying AttentionFunctional Assessment Questionnaire-NACC UDS V2.0 - Paying attention to and understanding a TV program, book, or magazine.FAQ-NACC UDS Version 2.0 - Pay Attention, Understand, Discuss
FAQNA109C111518FAQNA1-RememberingFunctional Assessment Questionnaire-NACC UDS V2.0 - Remembering appointments, family occasions, holidays, medications.FAQ-NACC UDS Version 2.0 - Remember
FAQNA110C111519FAQNA1-TravelingFunctional Assessment Questionnaire-NACC UDS V2.0 - Traveling out of the neighborhood, driving, or arranging to take public transportation.FAQ-NACC UDS Version 2.0 - Travel
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CL.C111345.FAQNA1TNFunctional Assessment Questionnaire-NACC UDS V2.0 Clinical Classification Test Name
(FAQNA1TN)
text
Extensible: No
C111345Functional Assessment Questionnaire-NACC UDS V2.0 Clinical Classification Test NameFunctional Assessment Questionnaire-NACC UDS V2.0 test name.CDISC Clinical Classification FAQ-NACC UDS Version 2.0 Test Name Terminology
FAQNA1-AssemblingC111511FAQNA1-AssemblingFunctional Assessment Questionnaire-NACC UDS V2.0 - Assembling tax records, business affairs, or other papers.FAQ-NACC UDS Version 2.0 - Assemble
FAQNA1-Heat Water/Make Coffee/Stove OffC111514FAQNA1-Heat Water/Make Coffee/Stove OffFunctional Assessment Questionnaire-NACC UDS V2.0 - Heating water, making a cup of coffee, turning off the stove.FAQ-NACC UDS Version 2.0 - Heat water, Make Coffee, Turn Off Stove
FAQNA1-Keeping Track of Current EventsC111516FAQNA1-Keeping Track of Current EventsFunctional Assessment Questionnaire-NACC UDS V2.0 - Keeping track of current events.FAQ-NACC UDS Version 2.0 - Keep Track of Current Events
FAQNA1-Paying AttentionC111517FAQNA1-Paying AttentionFunctional Assessment Questionnaire-NACC UDS V2.0 - Paying attention to and understanding a TV program, book, or magazine.FAQ-NACC UDS Version 2.0 - Pay Attention, Understand, Discuss
FAQNA1-Playing a Game of SkillC111513FAQNA1-Playing a Game of SkillFunctional Assessment Questionnaire-NACC UDS V2.0 - Playing a game of skill such as bridge or chess, working on a hobby.FAQ-NACC UDS Version 2.0 - Play Game of Skill, Work on Hobby
FAQNA1-Preparing a Balanced MealC111515FAQNA1-Preparing a Balanced MealFunctional Assessment Questionnaire-NACC UDS V2.0 - Preparing a balanced meal.FAQ-NACC UDS Version 2.0 - Prepare a Meal
FAQNA1-RememberingC111518FAQNA1-RememberingFunctional Assessment Questionnaire-NACC UDS V2.0 - Remembering appointments, family occasions, holidays, medications.FAQ-NACC UDS Version 2.0 - Remember
FAQNA1-Shopping AloneC111512FAQNA1-Shopping AloneFunctional Assessment Questionnaire-NACC UDS V2.0 - Shopping alone for clothes, household necessities, or groceries.FAQ-NACC UDS Version 2.0 - Shop Alone
FAQNA1-TravelingC111519FAQNA1-TravelingFunctional Assessment Questionnaire-NACC UDS V2.0 - Traveling out of the neighborhood, driving, or arranging to take public transportation.FAQ-NACC UDS Version 2.0 - Travel
FAQNA1-Write Checks/Pay Bills/CheckbookC111510FAQNA1-Write Checks/Pay Bills/CheckbookFunctional Assessment Questionnaire-NACC UDS V2.0 - Writing checks, paying bills, or balancing a checkbook.FAQ-NACC UDS Version 2.0 - Write checks, Pay bills, Balance checkbook
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CL.C170523.FASNA1TCFunctional Assessment Scale-NACC UDS Version 3.0 Clinical Classification Test Code
(FASNA1TC)
text
Extensible: No
C170523Functional Assessment Scale-NACC UDS Version 3.0 Clinical Classification Test CodeFunctional Assessment Scale-NACC UDS Version 3.0 test code.CDISC Clinical Classification FAS-NACC UDS Version 3.0 Test Code Terminology
FASNA101C170647FASNA1-Writing Checks, Paying BillsFunctional Assessment Scale-NACC UDS V3.0 - Writing checks, paying bills, or balancing a checkbook.FAS-NACC UDS Version 3.0 - Writing Checks, Paying Bills
FASNA102C170648FASNA1-Assembling Tax RecordsFunctional Assessment Scale-NACC UDS V3.0 - Assembling tax records, business affairs, or other papers.FAS-NACC UDS Version 3.0 - Assembling Tax Records
FASNA103C170649FASNA1-Shopping Alone for ClothesFunctional Assessment Scale-NACC UDS V3.0 - Shopping alone for clothes, household necessities, or groceries.FAS-NACC UDS Version 3.0 - Shopping Alone for Clothes
FASNA104C170650FASNA1-Playing a Game of SkillFunctional Assessment Scale-NACC UDS V3.0 - Playing a game of skill such as bridge or chess, working on a hobby.FAS-NACC UDS Version 3.0 - Playing a Game of Skill
FASNA105C170651FASNA1-Heating Water, Making CoffeeFunctional Assessment Scale-NACC UDS V3.0 - Heating water, making a cup of coffee, turning off the stove.FAS-NACC UDS Version 3.0 - Heating Water, Making Coffee
FASNA106C170652FASNA1-Preparing a Balanced MealFunctional Assessment Scale-NACC UDS V3.0 - Preparing a balanced meal.FAS-NACC UDS Version 3.0 - Preparing a Balanced Meal
FASNA107C170653FASNA1-Keeping Track of Current EventsFunctional Assessment Scale-NACC UDS V3.0 - Keeping track of current events.FAS-NACC UDS Version 3.0 - Keeping Track of Current Events
FASNA108C170654FASNA1-Paying Attention/Understanding TVFunctional Assessment Scale-NACC UDS V3.0 - Paying attention to and understanding a TV program, book, or magazine.FAS-NACC UDS Version 3.0 - Paying Attention and Understanding TV
FASNA109C170655FASNA1-Remembering AppointmentsFunctional Assessment Scale-NACC UDS V3.0 - Remembering appointments, family occasions, holidays, medications.FAS-NACC UDS Version 3.0 - Remembering Appointments
FASNA110C170656FASNA1-Traveling Out of the NeighborhoodFunctional Assessment Scale-NACC UDS V3.0 - Traveling out of the neighborhood, driving, or arranging to take public transportation.FAS-NACC UDS Version 3.0 - Traveling Out of the Neighborhood
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CL.C170522.FASNA1TNFunctional Assessment Scale-NACC UDS Version 3.0 Clinical Classification Test Name
(FASNA1TN)
text
Extensible: No
C170522Functional Assessment Scale-NACC UDS Version 3.0 Clinical Classification Test NameFunctional Assessment Scale-NACC UDS Version 3.0 test name.CDISC Clinical Classification FAS-NACC UDS Version 3.0 Test Name Terminology
FASNA1-Assembling Tax RecordsC170648FASNA1-Assembling Tax RecordsFunctional Assessment Scale-NACC UDS V3.0 - Assembling tax records, business affairs, or other papers.FAS-NACC UDS Version 3.0 - Assembling Tax Records
FASNA1-Heating Water, Making CoffeeC170651FASNA1-Heating Water, Making CoffeeFunctional Assessment Scale-NACC UDS V3.0 - Heating water, making a cup of coffee, turning off the stove.FAS-NACC UDS Version 3.0 - Heating Water, Making Coffee
FASNA1-Keeping Track of Current EventsC170653FASNA1-Keeping Track of Current EventsFunctional Assessment Scale-NACC UDS V3.0 - Keeping track of current events.FAS-NACC UDS Version 3.0 - Keeping Track of Current Events
FASNA1-Paying Attention/Understanding TVC170654FASNA1-Paying Attention/Understanding TVFunctional Assessment Scale-NACC UDS V3.0 - Paying attention to and understanding a TV program, book, or magazine.FAS-NACC UDS Version 3.0 - Paying Attention and Understanding TV
FASNA1-Playing a Game of SkillC170650FASNA1-Playing a Game of SkillFunctional Assessment Scale-NACC UDS V3.0 - Playing a game of skill such as bridge or chess, working on a hobby.FAS-NACC UDS Version 3.0 - Playing a Game of Skill
FASNA1-Preparing a Balanced MealC170652FASNA1-Preparing a Balanced MealFunctional Assessment Scale-NACC UDS V3.0 - Preparing a balanced meal.FAS-NACC UDS Version 3.0 - Preparing a Balanced Meal
FASNA1-Remembering AppointmentsC170655FASNA1-Remembering AppointmentsFunctional Assessment Scale-NACC UDS V3.0 - Remembering appointments, family occasions, holidays, medications.FAS-NACC UDS Version 3.0 - Remembering Appointments
FASNA1-Shopping Alone for ClothesC170649FASNA1-Shopping Alone for ClothesFunctional Assessment Scale-NACC UDS V3.0 - Shopping alone for clothes, household necessities, or groceries.FAS-NACC UDS Version 3.0 - Shopping Alone for Clothes
FASNA1-Traveling Out of the NeighborhoodC170656FASNA1-Traveling Out of the NeighborhoodFunctional Assessment Scale-NACC UDS V3.0 - Traveling out of the neighborhood, driving, or arranging to take public transportation.FAS-NACC UDS Version 3.0 - Traveling Out of the Neighborhood
FASNA1-Writing Checks, Paying BillsC170647FASNA1-Writing Checks, Paying BillsFunctional Assessment Scale-NACC UDS V3.0 - Writing checks, paying bills, or balancing a checkbook.FAS-NACC UDS Version 3.0 - Writing Checks, Paying Bills
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CL.C105138.GCGI01TCGeneral Clinical Global Impressions Questionnaire Test Code
(GCGI01TC)
text
Extensible: No
C105138General Clinical Global Impressions Questionnaire Test CodeGeneral Clinical Global Impressions test code.CDISC Questionnaire GCGI v1 Test Code Terminology
GCGI0101C105278GCGI01-Global Severity of PainGeneral Clinical Global Impressions - Global severity of pain.GCGI - Global Severity of Pain
GCGI0102C105279GCGI01-Global Improvement of PainGeneral Clinical Global Impressions - Global improvement of pain.GCGI - Global Improvement of Pain
GCGI0103C105280GCGI01-Global Disease Status of PainGeneral Clinical Global Impressions - Global disease status of pain.GCGI - Global Disease Status of Pain
GCGI0104C105281GCGI01-Pain Treatment PreferenceGeneral Clinical Global Impressions - Pain treatment preference.GCGI - Pain Treatment Preference
GCGI0105C105282GCGI01-Global Rating of Pain MedicationGeneral Clinical Global Impressions - Global rating of pain medication.GCGI - Global Rating of Pain Medication
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CL.C105137.GCGI01TNGeneral Clinical Global Impressions Questionnaire Test Name
(GCGI01TN)
text
Extensible: No
C105137General Clinical Global Impressions Questionnaire Test NameGeneral Clinical Global Impressions test name.CDISC Questionnaire GCGI v1 Test Name Terminology
GCGI01-Global Disease Status of PainC105280GCGI01-Global Disease Status of PainGeneral Clinical Global Impressions - Global disease status of pain.GCGI - Global Disease Status of Pain
GCGI01-Global Improvement of PainC105279GCGI01-Global Improvement of PainGeneral Clinical Global Impressions - Global improvement of pain.GCGI - Global Improvement of Pain
GCGI01-Global Rating of Pain MedicationC105282GCGI01-Global Rating of Pain MedicationGeneral Clinical Global Impressions - Global rating of pain medication.GCGI - Global Rating of Pain Medication
GCGI01-Global Severity of PainC105278GCGI01-Global Severity of PainGeneral Clinical Global Impressions - Global severity of pain.GCGI - Global Severity of Pain
GCGI01-Pain Treatment PreferenceC105281GCGI01-Pain Treatment PreferenceGeneral Clinical Global Impressions - Pain treatment preference.GCGI - Pain Treatment Preference
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CL.C103467.GAD01TCGeneralized Anxiety Disorder - 7 Questionnaire Test Code
(GAD01TC)
text
Extensible: No
C103467Generalized Anxiety Disorder - 7 Questionnaire Test CodeGeneralized Anxiety Disorder - 7 test code.CDISC Questionnaire GAD-7 Test Code Terminology
GAD0101C103565GAD01-Feeling Nervous Anxious or On EdgeGeneralized Anxiety Disorder - 7 - Feeling nervous, anxious or on edge.GAD-7 - Feeling Nervous Anxious or On Edge
GAD0102C103566GAD01-Not Able to Stop/Control WorryingGeneralized Anxiety Disorder - 7 - Not being able to stop or control worrying.GAD-7 - Not Being Able to Stop or Control Worrying
GAD0103C103567GAD01-Worrying Too Much About ThingsGeneralized Anxiety Disorder - 7 - Worrying too much about different things.GAD-7 - Worrying Too Much About Different Things
GAD0104C103568GAD01-Trouble RelaxingGeneralized Anxiety Disorder - 7 - Trouble relaxing.GAD-7 - Trouble Relaxing
GAD0105C103569GAD01-Being Restless Hard to Sit StillGeneralized Anxiety Disorder - 7 - Being so restless that it is hard to sit still.GAD-7 - Being so Restless That it is Hard to Sit Still
GAD0106C103570GAD01-Becoming Easily Annoyed/IrritableGeneralized Anxiety Disorder - 7 - Becoming easily annoyed or irritable.GAD-7 - Becoming Easily Annoyed or Irritable
GAD0107C103571GAD01-Feel Afraid/Something Awful HappenGeneralized Anxiety Disorder - 7 - Feeling afraid as if something awful might happen.GAD-7 - Feel Afraid as if Something Awful Might Happen
GAD0108C103572GAD01-Difficult to Work/Take Care ThingsGeneralized Anxiety Disorder - 7 - If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?GAD-7 - Problems Made it Difficult to Work, Take Care of Things, or Get Along with Other People
GAD0109C113886GAD01-Total ScoreGeneralized Anxiety Disorder - 7 - Total score.GAD-7 - Total Score
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CL.C103466.GAD01TNGeneralized Anxiety Disorder - 7 Questionnaire Test Name
(GAD01TN)
text
Extensible: No
C103466Generalized Anxiety Disorder - 7 Questionnaire Test NameGeneralized Anxiety Disorder - 7 test name.CDISC Questionnaire GAD-7 Test Name Terminology
GAD01-Becoming Easily Annoyed/IrritableC103570GAD01-Becoming Easily Annoyed/IrritableGeneralized Anxiety Disorder - 7 - Becoming easily annoyed or irritable.GAD-7 - Becoming Easily Annoyed or Irritable
GAD01-Being Restless Hard to Sit StillC103569GAD01-Being Restless Hard to Sit StillGeneralized Anxiety Disorder - 7 - Being so restless that it is hard to sit still.GAD-7 - Being so Restless That it is Hard to Sit Still
GAD01-Difficult to Work/Take Care ThingsC103572GAD01-Difficult to Work/Take Care ThingsGeneralized Anxiety Disorder - 7 - If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?GAD-7 - Problems Made it Difficult to Work, Take Care of Things, or Get Along with Other People
GAD01-Feel Afraid/Something Awful HappenC103571GAD01-Feel Afraid/Something Awful HappenGeneralized Anxiety Disorder - 7 - Feeling afraid as if something awful might happen.GAD-7 - Feel Afraid as if Something Awful Might Happen
GAD01-Feeling Nervous Anxious or On EdgeC103565GAD01-Feeling Nervous Anxious or On EdgeGeneralized Anxiety Disorder - 7 - Feeling nervous, anxious or on edge.GAD-7 - Feeling Nervous Anxious or On Edge
GAD01-Not Able to Stop/Control WorryingC103566GAD01-Not Able to Stop/Control WorryingGeneralized Anxiety Disorder - 7 - Not being able to stop or control worrying.GAD-7 - Not Being Able to Stop or Control Worrying
GAD01-Total ScoreC113886GAD01-Total ScoreGeneralized Anxiety Disorder - 7 - Total score.GAD-7 - Total Score
GAD01-Trouble RelaxingC103568GAD01-Trouble RelaxingGeneralized Anxiety Disorder - 7 - Trouble relaxing.GAD-7 - Trouble Relaxing
GAD01-Worrying Too Much About ThingsC103567GAD01-Worrying Too Much About ThingsGeneralized Anxiety Disorder - 7 - Worrying too much about different things.GAD-7 - Worrying Too Much About Different Things
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CL.C163389.GAD02TCGeneralized Anxiety Disorder - 7 Version 2 Questionnaire Test Code
(GAD02TC)
text
Extensible: No
C163389Generalized Anxiety Disorder - 7 Version 2 Questionnaire Test CodeGeneralized Anxiety Disorder - 7 Version 2 test code.CDISC Questionnaire GAD-7 Version 2 Test Code Terminology
GAD0201C163832GAD02-Feeling Nervous Anxious or On EdgeGeneralized Anxiety Disorder - 7 Version 2 - Feeling nervous, anxious or on edge.GAD-7 Version 2 - Feeling Nervous Anxious or On Edge
GAD0202C163833GAD02-Not Able to Stop/Control WorryingGeneralized Anxiety Disorder - 7 Version 2 - Not being able to stop or control worrying.GAD-7 Version 2 - Not Able to Stop or Control Worrying
GAD0203C163834GAD02-Worrying Too Much About ThingsGeneralized Anxiety Disorder - 7 Version 2 - Worrying too much about different things.GAD-7 Version 2 - Worrying Too Much About Things
GAD0204C163835GAD02-Trouble RelaxingGeneralized Anxiety Disorder - 7 Version 2 - Trouble relaxing.GAD-7 Version 2 - Trouble Relaxing
GAD0205C163836GAD02-Being Restless Hard to Sit StillGeneralized Anxiety Disorder - 7 Version 2 - Being so restless that it is hard to sit still.GAD-7 Version 2 - Being Restless Hard to Sit Still
GAD0206C163837GAD02-Becoming Easily Annoyed/IrritableGeneralized Anxiety Disorder - 7 Version 2 - Becoming easily annoyed or irritable.GAD-7 Version 2 - Becoming Easily Annoyed or Irritable
GAD0207C163838GAD02-Feel Afraid/Something Awful HappenGeneralized Anxiety Disorder - 7 Version 2 - Feeling afraid as if something awful might happen.GAD-7 Version 2 - Feel Afraid If Something Awful Happen
GAD0208C163839GAD02-Total ScoreGeneralized Anxiety Disorder - 7 Version 2 - Total score.GAD-7 Version 2 - Total Score
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CL.C163388.GAD02TNGeneralized Anxiety Disorder - 7 Version 2 Questionnaire Test Name
(GAD02TN)
text
Extensible: No
C163388Generalized Anxiety Disorder - 7 Version 2 Questionnaire Test NameGeneralized Anxiety Disorder - 7 Version 2 test name.CDISC Questionnaire GAD-7 Version 2 Test Name Terminology
GAD02-Becoming Easily Annoyed/IrritableC163837GAD02-Becoming Easily Annoyed/IrritableGeneralized Anxiety Disorder - 7 Version 2 - Becoming easily annoyed or irritable.GAD-7 Version 2 - Becoming Easily Annoyed or Irritable
GAD02-Being Restless Hard to Sit StillC163836GAD02-Being Restless Hard to Sit StillGeneralized Anxiety Disorder - 7 Version 2 - Being so restless that it is hard to sit still.GAD-7 Version 2 - Being Restless Hard to Sit Still
GAD02-Feel Afraid/Something Awful HappenC163838GAD02-Feel Afraid/Something Awful HappenGeneralized Anxiety Disorder - 7 Version 2 - Feeling afraid as if something awful might happen.GAD-7 Version 2 - Feel Afraid If Something Awful Happen
GAD02-Feeling Nervous Anxious or On EdgeC163832GAD02-Feeling Nervous Anxious or On EdgeGeneralized Anxiety Disorder - 7 Version 2 - Feeling nervous, anxious or on edge.GAD-7 Version 2 - Feeling Nervous Anxious or On Edge
GAD02-Not Able to Stop/Control WorryingC163833GAD02-Not Able to Stop/Control WorryingGeneralized Anxiety Disorder - 7 Version 2 - Not being able to stop or control worrying.GAD-7 Version 2 - Not Able to Stop or Control Worrying
GAD02-Total ScoreC163839GAD02-Total ScoreGeneralized Anxiety Disorder - 7 Version 2 - Total score.GAD-7 Version 2 - Total Score
GAD02-Trouble RelaxingC163835GAD02-Trouble RelaxingGeneralized Anxiety Disorder - 7 Version 2 - Trouble relaxing.GAD-7 Version 2 - Trouble Relaxing
GAD02-Worrying Too Much About ThingsC163834GAD02-Worrying Too Much About ThingsGeneralized Anxiety Disorder - 7 Version 2 - Worrying too much about different things.GAD-7 Version 2 - Worrying Too Much About Things
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CL.C106663.GDS01TCGeriatric Depression Scale Questionnaire Test Code
(GDS01TC)
text
Extensible: No
C106663Geriatric Depression Scale Questionnaire Test CodeGeriatric Depression Scale test code.CDISC Questionnaire GDS Test Code Terminology
GDS0101C106764GDS01-Satisfied With LifeGeriatric Depression Scale - Are you basically satisfied with your life?GDS - Basically Satisfied With Life
GDS0102C106765GDS01-Dropped Activities and InterestsGeriatric Depression Scale - Have you dropped many of your activities and interests?GDS - Dropped Activities and Interests
GDS0103C106766GDS01-Life Is EmptyGeriatric Depression Scale - Do you feel that your life is empty?GDS - Feel Life Is Empty
GDS0104C106767GDS01-Bored OftenGeriatric Depression Scale - Do you often get bored?GDS - Often Get Bored
GDS0105C106768GDS01-Hopeful About FutureGeriatric Depression Scale - Are you hopeful about the future?GDS - Hopeful About Future
GDS0106C106769GDS01-Bothered by ThoughtsGeriatric Depression Scale - Are you bothered by thoughts you can't get out of your head?GDS - Bothered by Thoughts
GDS0107C106770GDS01-Good Spirits Most of TimeGeriatric Depression Scale - Are you in good spirits most of the time?GDS - Good Spirits Most of Time
GDS0108C106771GDS01-Afraid of Something Bad HappeningGeriatric Depression Scale - Are you afraid that something bad is going to happen to you?GDS - Afraid of Something Bad Happening
GDS0109C106772GDS01-Feel Happy Most of TimeGeriatric Depression Scale - Do you feel happy most of the time?GDS - Feel Happy Most of Time
GDS0110C106773GDS01-Often Feel HelplessGeriatric Depression Scale - Do you often feel helpless?GDS - Often Feel Helpless
GDS0111C106774GDS01-Get Restless and FidgetyGeriatric Depression Scale - Do you often get restless and fidgety?GDS - Get Restless and Fidgety
GDS0112C106775GDS01-Prefer to Stay HomeGeriatric Depression Scale - Do you prefer to stay at home, rather than going out and doing new things?GDS - Prefer to Stay Home
GDS0113C106776GDS01-Worry About FutureGeriatric Depression Scale - Do you frequently worry about the future?GDS - Frequently Worry About Future
GDS0114C106777GDS01-Memory ProblemsGeriatric Depression Scale - Do you feel you have more problems with memory than most?GDS - More Memory Problems Than Most
GDS0115C106778GDS01-Wonderful to Be AliveGeriatric Depression Scale - Do you think it is wonderful to be alive now?GDS - Think Wonderful to Be Alive
GDS0116C106779GDS01-Feel Downhearted and BlueGeriatric Depression Scale - Do you often feel downhearted and blue?GDS - Feel Downhearted and Blue
GDS0117C106780GDS01-Feel WorthlessGeriatric Depression Scale - Do you feel pretty worthless the way you are now?GDS - Feel Worthless
GDS0118C106781GDS01-Worry About the PastGeriatric Depression Scale - Do you worry a lot about the past?GDS - Worry About the Past
GDS0119C106782GDS01-Find Life ExcitingGeriatric Depression Scale - Do you find life very exciting?GDS - Find Life Exciting
GDS0120C106783GDS01-Hard to Start New ProjectsGeriatric Depression Scale - Is it hard for you to get started on new projects?GDS - Hard to Start New Projects
GDS0121C106784GDS01-Feel Full of EnergyGeriatric Depression Scale - Do you feel full of energy?GDS - Feel Full of Energy
GDS0122C106785GDS01-Feel HopelessGeriatric Depression Scale - Do you feel that your situation is hopeless?GDS - Feel Situation Is Hopeless
GDS0123C106786GDS01-Most People Better Off Than YouGeriatric Depression Scale - Do you think that most people are better off than you are?GDS - Think Most People Better Off Than You
GDS0124C106787GDS01-Often Upset Over Little ThingsGeriatric Depression Scale -Do you frequently get upset over little things?GDS - Often Upset Over Little Things
GDS0125C106788GDS01-Frequently Feel Like CryingGeriatric Depression Scale - Do you frequently feel like crying?GDS - Frequently Feel Like Crying
GDS0126C106789GDS01-Trouble ConcentratingGeriatric Depression Scale - Do you have trouble concentrating?GDS - Have Trouble Concentrating
GDS0127C106790GDS01-Enjoy Getting Up in the MorningGeriatric Depression Scale - Do you enjoy getting up in the morning?GDS - Enjoy Getting Up in the Morning
GDS0128C106791GDS01-Avoid Social GatheringsGeriatric Depression Scale - Do you prefer to avoid social gatherings?GDS - Prefer to Avoid Social Gatherings
GDS0129C106792GDS01-Easy to Make DecisionsGeriatric Depression Scale - Is it easy for you to make decisions?GDS - Easy to Make Decisions
GDS0130C106793GDS01-Mind as Clear as It Used to BeGeriatric Depression Scale - Is your mind as clear as it used to be?GDS - Mind as Clear as It Used to Be
GDS0131C163949GDS01-Total ScoreGeriatric Depression Scale - Total score.GDS - Total Score
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CL.C106662.GDS01TNGeriatric Depression Scale Questionnaire Test Name
(GDS01TN)
text
Extensible: No
C106662Geriatric Depression Scale Questionnaire Test NameGeriatric Depression Scale test name.CDISC Questionnaire GDS Test Name Terminology
GDS01-Afraid of Something Bad HappeningC106771GDS01-Afraid of Something Bad HappeningGeriatric Depression Scale - Are you afraid that something bad is going to happen to you?GDS - Afraid of Something Bad Happening
GDS01-Avoid Social GatheringsC106791GDS01-Avoid Social GatheringsGeriatric Depression Scale - Do you prefer to avoid social gatherings?GDS - Prefer to Avoid Social Gatherings
GDS01-Bored OftenC106767GDS01-Bored OftenGeriatric Depression Scale - Do you often get bored?GDS - Often Get Bored
GDS01-Bothered by ThoughtsC106769GDS01-Bothered by ThoughtsGeriatric Depression Scale - Are you bothered by thoughts you can't get out of your head?GDS - Bothered by Thoughts
GDS01-Dropped Activities and InterestsC106765GDS01-Dropped Activities and InterestsGeriatric Depression Scale - Have you dropped many of your activities and interests?GDS - Dropped Activities and Interests
GDS01-Easy to Make DecisionsC106792GDS01-Easy to Make DecisionsGeriatric Depression Scale - Is it easy for you to make decisions?GDS - Easy to Make Decisions
GDS01-Enjoy Getting Up in the MorningC106790GDS01-Enjoy Getting Up in the MorningGeriatric Depression Scale - Do you enjoy getting up in the morning?GDS - Enjoy Getting Up in the Morning
GDS01-Feel Downhearted and BlueC106779GDS01-Feel Downhearted and BlueGeriatric Depression Scale - Do you often feel downhearted and blue?GDS - Feel Downhearted and Blue
GDS01-Feel Full of EnergyC106784GDS01-Feel Full of EnergyGeriatric Depression Scale - Do you feel full of energy?GDS - Feel Full of Energy
GDS01-Feel Happy Most of TimeC106772GDS01-Feel Happy Most of TimeGeriatric Depression Scale - Do you feel happy most of the time?GDS - Feel Happy Most of Time
GDS01-Feel HopelessC106785GDS01-Feel HopelessGeriatric Depression Scale - Do you feel that your situation is hopeless?GDS - Feel Situation Is Hopeless
GDS01-Feel WorthlessC106780GDS01-Feel WorthlessGeriatric Depression Scale - Do you feel pretty worthless the way you are now?GDS - Feel Worthless
GDS01-Find Life ExcitingC106782GDS01-Find Life ExcitingGeriatric Depression Scale - Do you find life very exciting?GDS - Find Life Exciting
GDS01-Frequently Feel Like CryingC106788GDS01-Frequently Feel Like CryingGeriatric Depression Scale - Do you frequently feel like crying?GDS - Frequently Feel Like Crying
GDS01-Get Restless and FidgetyC106774GDS01-Get Restless and FidgetyGeriatric Depression Scale - Do you often get restless and fidgety?GDS - Get Restless and Fidgety
GDS01-Good Spirits Most of TimeC106770GDS01-Good Spirits Most of TimeGeriatric Depression Scale - Are you in good spirits most of the time?GDS - Good Spirits Most of Time
GDS01-Hard to Start New ProjectsC106783GDS01-Hard to Start New ProjectsGeriatric Depression Scale - Is it hard for you to get started on new projects?GDS - Hard to Start New Projects
GDS01-Hopeful About FutureC106768GDS01-Hopeful About FutureGeriatric Depression Scale - Are you hopeful about the future?GDS - Hopeful About Future
GDS01-Life Is EmptyC106766GDS01-Life Is EmptyGeriatric Depression Scale - Do you feel that your life is empty?GDS - Feel Life Is Empty
GDS01-Memory ProblemsC106777GDS01-Memory ProblemsGeriatric Depression Scale - Do you feel you have more problems with memory than most?GDS - More Memory Problems Than Most
GDS01-Mind as Clear as It Used to BeC106793GDS01-Mind as Clear as It Used to BeGeriatric Depression Scale - Is your mind as clear as it used to be?GDS - Mind as Clear as It Used to Be
GDS01-Most People Better Off Than YouC106786GDS01-Most People Better Off Than YouGeriatric Depression Scale - Do you think that most people are better off than you are?GDS - Think Most People Better Off Than You
GDS01-Often Feel HelplessC106773GDS01-Often Feel HelplessGeriatric Depression Scale - Do you often feel helpless?GDS - Often Feel Helpless
GDS01-Often Upset Over Little ThingsC106787GDS01-Often Upset Over Little ThingsGeriatric Depression Scale -Do you frequently get upset over little things?GDS - Often Upset Over Little Things
GDS01-Prefer to Stay HomeC106775GDS01-Prefer to Stay HomeGeriatric Depression Scale - Do you prefer to stay at home, rather than going out and doing new things?GDS - Prefer to Stay Home
GDS01-Satisfied With LifeC106764GDS01-Satisfied With LifeGeriatric Depression Scale - Are you basically satisfied with your life?GDS - Basically Satisfied With Life
GDS01-Total ScoreC163949GDS01-Total ScoreGeriatric Depression Scale - Total score.GDS - Total Score
GDS01-Trouble ConcentratingC106789GDS01-Trouble ConcentratingGeriatric Depression Scale - Do you have trouble concentrating?GDS - Have Trouble Concentrating
GDS01-Wonderful to Be AliveC106778GDS01-Wonderful to Be AliveGeriatric Depression Scale - Do you think it is wonderful to be alive now?GDS - Think Wonderful to Be Alive
GDS01-Worry About FutureC106776GDS01-Worry About FutureGeriatric Depression Scale - Do you frequently worry about the future?GDS - Frequently Worry About Future
GDS01-Worry About the PastC106781GDS01-Worry About the PastGeriatric Depression Scale - Do you worry a lot about the past?GDS - Worry About the Past
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CL.C106665.GDS02TCGeriatric Depression Scale Short Form Questionnaire Test Code
(GDS02TC)
text
Extensible: No
C106665Geriatric Depression Scale Short Form Questionnaire Test CodeGeriatric Depression Scale Short Form test code.CDISC Questionnaire GDS-SF Test Code Terminology
GDS0201C106794GDS02-Satisfied With LifeGeriatric Depression Scale Short Form - Are you basically satisfied with your life?GDS-SF - Basically Satisfied With Life
GDS0202C106795GDS02-Dropped Activities and InterestsGeriatric Depression Scale Short Form - Have you dropped many of your activities and interests?GDS-SF - Dropped Activities and Interests
GDS0203C106796GDS02-Life Is EmptyGeriatric Depression Scale Short Form - Do you feel that your life is empty?GDS-SF - Feel Life Is Empty
GDS0204C106797GDS02-Bored OftenGeriatric Depression Scale Short Form - Do you often get bored?GDS-SF - Often Get Bored
GDS0205C106798GDS02-Good Spirits Most of TimeGeriatric Depression Scale Short Form - Are you in good spirits most of the time?GDS-SF - Good Spirits Most of Time
GDS0206C106799GDS02-Afraid of Something Bad HappeningGeriatric Depression Scale Short Form - Are you afraid that something bad is going to happen to you?GDS-SF - Afraid of Something Bad Happening
GDS0207C106800GDS02-Feel Happy Most of TimeGeriatric Depression Scale Short Form - Do you feel happy most of the time?GDS-SF - Feel Happy Most of Time
GDS0208C106801GDS02-Often Feel HelplessGeriatric Depression Scale Short Form - Do you often feel helpless?GDS-SF - Often Feel Helpless
GDS0209C106802GDS02-Prefer to Stay HomeGeriatric Depression Scale Short Form - Do you prefer to stay at home rather than going out and doing new things?GDS-SF - Prefer to Stay Home
GDS0210C106803GDS02-Memory ProblemsGeriatric Depression Scale Short Form - Do you feel you have more problems with memory than most?GDS-SF - More Memory Problems Than Most
GDS0211C106804GDS02-Wonderful to Be AliveGeriatric Depression Scale Short Form - Do you think it is wonderful to be alive now?GDS-SF - Think Wonderful to Be Alive
GDS0212C106805GDS02-Feel WorthlessGeriatric Depression Scale Short Form - Do you feel pretty worthless the way you are now?GDS-SF - Feel Worthless
GDS0213C106806GDS02-Feel Full of EnergyGeriatric Depression Scale Short Form - Do you feel full of energy?GDS-SF - Feel Full of Energy
GDS0214C106807GDS02-Feel HopelessGeriatric Depression Scale Short Form - Do you feel that your situation is hopeless?GDS-SF - Feel Situation is Hopeless
GDS0215C106808GDS02-Most People Better Off Than YouGeriatric Depression Scale Short Form - Do you think that most people are better off than you are?GDS-SF - Think Most People Better Off Than You
GDS0216C163948GDS02-Total ScoreGeriatric Depression Scale Short Form - Total score.GDS-SF - Total Score
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CL.C106664.GDS02TNGeriatric Depression Scale Short Form Questionnaire Test Name
(GDS02TN)
text
Extensible: No
C106664Geriatric Depression Scale Short Form Questionnaire Test NameGeriatric Depression Scale Short Form test name.CDISC Questionnaire GDS-SF Test Name Terminology
GDS02-Afraid of Something Bad HappeningC106799GDS02-Afraid of Something Bad HappeningGeriatric Depression Scale Short Form - Are you afraid that something bad is going to happen to you?GDS-SF - Afraid of Something Bad Happening
GDS02-Bored OftenC106797GDS02-Bored OftenGeriatric Depression Scale Short Form - Do you often get bored?GDS-SF - Often Get Bored
GDS02-Dropped Activities and InterestsC106795GDS02-Dropped Activities and InterestsGeriatric Depression Scale Short Form - Have you dropped many of your activities and interests?GDS-SF - Dropped Activities and Interests
GDS02-Feel Full of EnergyC106806GDS02-Feel Full of EnergyGeriatric Depression Scale Short Form - Do you feel full of energy?GDS-SF - Feel Full of Energy
GDS02-Feel Happy Most of TimeC106800GDS02-Feel Happy Most of TimeGeriatric Depression Scale Short Form - Do you feel happy most of the time?GDS-SF - Feel Happy Most of Time
GDS02-Feel HopelessC106807GDS02-Feel HopelessGeriatric Depression Scale Short Form - Do you feel that your situation is hopeless?GDS-SF - Feel Situation is Hopeless
GDS02-Feel WorthlessC106805GDS02-Feel WorthlessGeriatric Depression Scale Short Form - Do you feel pretty worthless the way you are now?GDS-SF - Feel Worthless
GDS02-Good Spirits Most of TimeC106798GDS02-Good Spirits Most of TimeGeriatric Depression Scale Short Form - Are you in good spirits most of the time?GDS-SF - Good Spirits Most of Time
GDS02-Life Is EmptyC106796GDS02-Life Is EmptyGeriatric Depression Scale Short Form - Do you feel that your life is empty?GDS-SF - Feel Life Is Empty
GDS02-Memory ProblemsC106803GDS02-Memory ProblemsGeriatric Depression Scale Short Form - Do you feel you have more problems with memory than most?GDS-SF - More Memory Problems Than Most
GDS02-Most People Better Off Than YouC106808GDS02-Most People Better Off Than YouGeriatric Depression Scale Short Form - Do you think that most people are better off than you are?GDS-SF - Think Most People Better Off Than You
GDS02-Often Feel HelplessC106801GDS02-Often Feel HelplessGeriatric Depression Scale Short Form - Do you often feel helpless?GDS-SF - Often Feel Helpless
GDS02-Prefer to Stay HomeC106802GDS02-Prefer to Stay HomeGeriatric Depression Scale Short Form - Do you prefer to stay at home rather than going out and doing new things?GDS-SF - Prefer to Stay Home
GDS02-Satisfied With LifeC106794GDS02-Satisfied With LifeGeriatric Depression Scale Short Form - Are you basically satisfied with your life?GDS-SF - Basically Satisfied With Life
GDS02-Total ScoreC163948GDS02-Total ScoreGeriatric Depression Scale Short Form - Total score.GDS-SF - Total Score
GDS02-Wonderful to Be AliveC106804GDS02-Wonderful to Be AliveGeriatric Depression Scale Short Form - Do you think it is wonderful to be alive now?GDS-SF - Think Wonderful to Be Alive
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CL.C124682.GCS01TCGlasgow Coma Scale NINDS Version Clinical Classification Test Code
(GCS01TC)
text
Extensible: No
C124682Glasgow Coma Scale NINDS Version Clinical Classification Test CodeGlasgow Coma Scale NINDS Version test code.CDISC Clinical Classification GCS NINDS Version Test Code Terminology
GCS0101C124724GCS01-Best Eye ResponseGlasgow Coma Scale - Best eye response.GCS NINDS Version - Best Eye Response
GCS0102C124725GCS01-Motor ResponseGlasgow Coma Scale - Motor response.GCS NINDS Version - Motor Response
GCS0103C124726GCS01-Verbal ResponseGlasgow Coma Scale - Verbal response.GCS NINDS Version - Verbal Response
GCS0104C124727GCS01-Total ScoreGlasgow Coma Scale - Total score.GCS NINDS Version - Total Score
GCS0105AC124728GCS01-Confounder: GCS AccurateGlasgow Coma Scale - GCS Confounder Type: GCS accurate.GCS NINDS Version - Confounder: GCS Accurate
GCS0105BC124729GCS01-Confounder: ParalyticGlasgow Coma Scale - GCS Confounder Type: paralytic.GCS NINDS Version - Confounder: Paralytic
GCS0105CC124730GCS01-Confounder: Alcohol/Drug of AbuseGlasgow Coma Scale - GCS Confounder Type: alcohol/drugs of abuse.GCS NINDS Version - Confounder: Alcohol or Drug of Abuse
GCS0105DC124731GCS01-Confounder: C-Spine InjuryGlasgow Coma Scale - GCS Confounder Type: C-spine injury.GCS NINDS Version - Confounder: C-Spine Injury
GCS0105EC124732GCS01-Confounder: Hypoxia/HypotensionGlasgow Coma Scale - GCS Confounder Type: hypoxia/hypotension.GCS NINDS Version - Confounder: Hypoxia or Hypotension
GCS0105FC124733GCS01-Confounder: HypothermiaGlasgow Coma Scale - GCS Confounder Type: hypothermia.GCS NINDS Version - Confounder: Hypothermia
GCS0105GC124734GCS01-Confounder: SedationGlasgow Coma Scale - GCS Confounder Type: sedation.GCS NINDS Version - Confounder: Sedation
GCS0105HC124735GCS01-Confounder: UnknownGlasgow Coma Scale - GCS Confounder Type: unknown.GCS NINDS Version - Confounder: Unknown
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CL.C124681.GCS01TNGlasgow Coma Scale NINDS Version Clinical Classification Test Name
(GCS01TN)
text
Extensible: No
C124681Glasgow Coma Scale NINDS Version Clinical Classification Test NameGlasgow Coma Scale NINDS Version test name.CDISC Clinical Classification GCS NINDS Version Test Name Terminology
GCS01-Best Eye ResponseC124724GCS01-Best Eye ResponseGlasgow Coma Scale - Best eye response.GCS NINDS Version - Best Eye Response
GCS01-Confounder: Alcohol/Drug of AbuseC124730GCS01-Confounder: Alcohol/Drug of AbuseGlasgow Coma Scale - GCS Confounder Type: alcohol/drugs of abuse.GCS NINDS Version - Confounder: Alcohol or Drug of Abuse
GCS01-Confounder: C-Spine InjuryC124731GCS01-Confounder: C-Spine InjuryGlasgow Coma Scale - GCS Confounder Type: C-spine injury.GCS NINDS Version - Confounder: C-Spine Injury
GCS01-Confounder: GCS AccurateC124728GCS01-Confounder: GCS AccurateGlasgow Coma Scale - GCS Confounder Type: GCS accurate.GCS NINDS Version - Confounder: GCS Accurate
GCS01-Confounder: HypothermiaC124733GCS01-Confounder: HypothermiaGlasgow Coma Scale - GCS Confounder Type: hypothermia.GCS NINDS Version - Confounder: Hypothermia
GCS01-Confounder: Hypoxia/HypotensionC124732GCS01-Confounder: Hypoxia/HypotensionGlasgow Coma Scale - GCS Confounder Type: hypoxia/hypotension.GCS NINDS Version - Confounder: Hypoxia or Hypotension
GCS01-Confounder: ParalyticC124729GCS01-Confounder: ParalyticGlasgow Coma Scale - GCS Confounder Type: paralytic.GCS NINDS Version - Confounder: Paralytic
GCS01-Confounder: SedationC124734GCS01-Confounder: SedationGlasgow Coma Scale - GCS Confounder Type: sedation.GCS NINDS Version - Confounder: Sedation
GCS01-Confounder: UnknownC124735GCS01-Confounder: UnknownGlasgow Coma Scale - GCS Confounder Type: unknown.GCS NINDS Version - Confounder: Unknown
GCS01-Motor ResponseC124725GCS01-Motor ResponseGlasgow Coma Scale - Motor response.GCS NINDS Version - Motor Response
GCS01-Total ScoreC124727GCS01-Total ScoreGlasgow Coma Scale - Total score.GCS NINDS Version - Total Score
GCS01-Verbal ResponseC124726GCS01-Verbal ResponseGlasgow Coma Scale - Verbal response.GCS NINDS Version - Verbal Response
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CL.C182468.HAMA101T14ORHamilton Anxiety Rating Scale Clinical Classification ORRES for HAMA101 Through HAMA114 TN/TC
(HAMA101T14OR)
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Extensible: No
C182468Hamilton Anxiety Rating Scale Clinical Classification ORRES for HAMA101 Through HAMA114 TN/TCHamilton Anxiety Rating Scale original result for HAMA101 through HAMA114 test and test code.CDISC Clinical Classification Hamilton Anxiety Rating Scale HAMA101 Through HAMA114 Original Response Terminology
MildC182707HAMA101 through HAMA114-MildHamilton Anxiety Rating Scale original result for HAMA101 through HAMA114-Mild.Hamilton Anxiety Rating Scale HAMA101 Through HAMA114 Original Result - Mild
ModerateC182708HAMA101 through HAMA114-ModerateHamilton Anxiety Rating Scale original result for HAMA101 through HAMA114-Moderate.Hamilton Anxiety Rating Scale HAMA101 Through HAMA114 Original Result - Moderate
Not presentC182706HAMA101 through HAMA114-Not presentHamilton Anxiety Rating Scale original result for HAMA101 through HAMA114-Not present.Hamilton Anxiety Rating Scale HAMA101 Through HAMA114 Original Result - Not present
SevereC182709HAMA101 through HAMA114-SevereHamilton Anxiety Rating Scale original result for HAMA101 through HAMA114-Severe.Hamilton Anxiety Rating Scale HAMA101 Through HAMA114 Original Result - Severe
Very severeC182710HAMA101 through HAMA114-Very severeHamilton Anxiety Rating Scale original result for HAMA101 through HAMA114-Very severe.Hamilton Anxiety Rating Scale HAMA101 Through HAMA114 Original Result - Very severe
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CL.C182506.HAMA101T14STRHamilton Anxiety Rating Scale Clinical Classification STRESC for HAMA101 Through HAMA114 TN/TC
(HAMA101T14STR)
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Extensible: No
C182506Hamilton Anxiety Rating Scale Clinical Classification STRESC for HAMA101 Through HAMA114 TN/TCHamilton Anxiety Rating Scale standardized character result for HAMA101 through HAMA114 test and test code.CDISC Clinical Classification Hamilton Anxiety Rating Scale HAMA101 Through HAMA114 Standardized Character Response Terminology
0C182711HAMA101 through HAMA114-0Hamilton Anxiety Rating Scale standard character result for HAMA101 through HAMA114-Not present.Hamilton Anxiety Rating Scale HAMA101 Through HAMA114 Standardized Character Result 0
1C182712HAMA101 through HAMA114-1Hamilton Anxiety Rating Scale standard character result for HAMA101 through HAMA114-Mild.Hamilton Anxiety Rating Scale HAMA101 Through HAMA114 Standardized Character Result 1
2C182713HAMA101 through HAMA114-2Hamilton Anxiety Rating Scale standard character result for HAMA101 through HAMA114-Moderate.Hamilton Anxiety Rating Scale HAMA101 Through HAMA114 Standardized Character Result 2
3C182714HAMA101 through HAMA114-3Hamilton Anxiety Rating Scale standard character result for HAMA101 through HAMA114-Severe.Hamilton Anxiety Rating Scale HAMA101 Through HAMA114 Standardized Character Result 3
4C182715HAMA101 through HAMA114-4Hamilton Anxiety Rating Scale standard character result for HAMA101 through HAMA114-Very severe.Hamilton Anxiety Rating Scale HAMA101 Through HAMA114 Standardized Character Result 4
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CL.C101819.HAMA1TCHamilton Anxiety Rating Scale Clinical Classification Test Code
(HAMA1TC)
text
Extensible: No
C101819Hamilton Anxiety Rating Scale Clinical Classification Test CodeHamilton Anxiety Rating Scale test code.CDISC Clinical Classification HAMA Test Code Terminology
HAMA101C102073HAMA1-Anxious MoodHamilton Anxiety Rating Scale - Anxious mood: worries, anticipation of the worst, fearful anticipation, irritability.HAMA - Anxious Mood
HAMA102C102074HAMA1-TensionHamilton Anxiety Rating Scale - Tension: feelings of tension, fatigability, startle response, moved to tears easily, trembling, feelings of restlessness, inability to relax.HAMA - Tension
HAMA103C102075HAMA1-FearsHamilton Anxiety Rating Scale - Fears: of dark, of strangers, of being left alone, of animals, of traffic, of crowds.HAMA - Fears
HAMA104C102076HAMA1-InsomniaHamilton Anxiety Rating Scale - Insomnia: difficulty falling asleep, broken sleep, unsatisfying sleep and fatigue on waking, dreams, nightmares, night terrors.HAMA - Insomnia
HAMA105C102077HAMA1-IntellectualHamilton Anxiety Rating Scale - Intellectual: difficulty in concentration, poor memory.HAMA - Intellectual
HAMA106C102078HAMA1-Depressed MoodHamilton Anxiety Rating Scale - Depressed mood: loss of interest, lack of pleasure in hobbies, depression, early waking, diurnal swing.HAMA - Depressed Mood
HAMA107C102079HAMA1-Somatic (Muscular)Hamilton Anxiety Rating Scale - Somatic (muscular): pains and aches, twitching, stiffness, myoclonic jerks, grinding of teeth, unsteady voice, increased muscular tone.HAMA - Somatic (Muscular)
HAMA108C102080HAMA1-Somatic (Sensory)Hamilton Anxiety Rating Scale - Somatic (sensory): tinnitus, blurring of vision, hot and cold flushes, feelings of weakness, pricking sensation.HAMA - Somatic (Sensory)
HAMA109C102081HAMA1-Cardiovascular SymptomsHamilton Anxiety Rating Scale - Cardiovascular symptoms: tachycardia, palpitations, pain in chest, throbbing of vessels, fainting feelings, missing beat.HAMA - Cardiovascular Symptoms
HAMA110C102082HAMA1-Respiratory SymptomsHamilton Anxiety Rating Scale - Respiratory symptoms: pressure or constriction in chest, choking feelings, sighing, dyspnea.HAMA - Respiratory Symptoms
HAMA111C102083HAMA1-Gastrointestinal SymptomsHamilton Anxiety Rating Scale - Gastrointestinal symptoms: difficulty swallowing, wind abdominal pain, burning sensations, abdominal fullness, nausea, vomiting, borborygmi, looseness of bowels, loss of weight, constipation.HAMA - Gastrointestinal Symptoms
HAMA112C102084HAMA1-Genitourinary SymptomsHamilton Anxiety Rating Scale - Genitourinary symptoms: frequency of micturition, urgency of micturition, amenorrhea, menorrhagia, development of frigidity, premature ejaculation, loss of libido, impotence.HAMA - Genitourinary Symptoms
HAMA113C102085HAMA1-Autonomic SymptomsHamilton Anxiety Rating Scale - Autonomic symptoms: dry mouth, flushing, pallor, tendency to sweat, giddiness, tension, headache, raising of hair.HAMA - Autonomic Symptoms
HAMA114C102086HAMA1-Behavior at InterviewHamilton Anxiety Rating Scale - Behavior at interview: fidgeting, restlessness or pacing, tremor of hands, furrowed brow, strained face, sighing or rapid respiration, facial pallor, swallowing, etc.HAMA - Behavior at Interview
HAMA115C155646HAMA1-Total ScoreHamilton Anxiety Rating Scale - Total score.HAMA - Total Score
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CL.C101820.HAMA1TNHamilton Anxiety Rating Scale Clinical Classification Test Name
(HAMA1TN)
text
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C101820Hamilton Anxiety Rating Scale Clinical Classification Test NameHamilton Anxiety Rating Scale test name.CDISC Clinical Classification HAMA Test Name Terminology
HAMA1-Anxious MoodC102073HAMA1-Anxious MoodHamilton Anxiety Rating Scale - Anxious mood: worries, anticipation of the worst, fearful anticipation, irritability.HAMA - Anxious Mood
HAMA1-Autonomic SymptomsC102085HAMA1-Autonomic SymptomsHamilton Anxiety Rating Scale - Autonomic symptoms: dry mouth, flushing, pallor, tendency to sweat, giddiness, tension, headache, raising of hair.HAMA - Autonomic Symptoms
HAMA1-Behavior at InterviewC102086HAMA1-Behavior at InterviewHamilton Anxiety Rating Scale - Behavior at interview: fidgeting, restlessness or pacing, tremor of hands, furrowed brow, strained face, sighing or rapid respiration, facial pallor, swallowing, etc.HAMA - Behavior at Interview
HAMA1-Cardiovascular SymptomsC102081HAMA1-Cardiovascular SymptomsHamilton Anxiety Rating Scale - Cardiovascular symptoms: tachycardia, palpitations, pain in chest, throbbing of vessels, fainting feelings, missing beat.HAMA - Cardiovascular Symptoms
HAMA1-Depressed MoodC102078HAMA1-Depressed MoodHamilton Anxiety Rating Scale - Depressed mood: loss of interest, lack of pleasure in hobbies, depression, early waking, diurnal swing.HAMA - Depressed Mood
HAMA1-FearsC102075HAMA1-FearsHamilton Anxiety Rating Scale - Fears: of dark, of strangers, of being left alone, of animals, of traffic, of crowds.HAMA - Fears
HAMA1-Gastrointestinal SymptomsC102083HAMA1-Gastrointestinal SymptomsHamilton Anxiety Rating Scale - Gastrointestinal symptoms: difficulty swallowing, wind abdominal pain, burning sensations, abdominal fullness, nausea, vomiting, borborygmi, looseness of bowels, loss of weight, constipation.HAMA - Gastrointestinal Symptoms
HAMA1-Genitourinary SymptomsC102084HAMA1-Genitourinary SymptomsHamilton Anxiety Rating Scale - Genitourinary symptoms: frequency of micturition, urgency of micturition, amenorrhea, menorrhagia, development of frigidity, premature ejaculation, loss of libido, impotence.HAMA - Genitourinary Symptoms
HAMA1-InsomniaC102076HAMA1-InsomniaHamilton Anxiety Rating Scale - Insomnia: difficulty falling asleep, broken sleep, unsatisfying sleep and fatigue on waking, dreams, nightmares, night terrors.HAMA - Insomnia
HAMA1-IntellectualC102077HAMA1-IntellectualHamilton Anxiety Rating Scale - Intellectual: difficulty in concentration, poor memory.HAMA - Intellectual
HAMA1-Respiratory SymptomsC102082HAMA1-Respiratory SymptomsHamilton Anxiety Rating Scale - Respiratory symptoms: pressure or constriction in chest, choking feelings, sighing, dyspnea.HAMA - Respiratory Symptoms
HAMA1-Somatic (Muscular)C102079HAMA1-Somatic (Muscular)Hamilton Anxiety Rating Scale - Somatic (muscular): pains and aches, twitching, stiffness, myoclonic jerks, grinding of teeth, unsteady voice, increased muscular tone.HAMA - Somatic (Muscular)
HAMA1-Somatic (Sensory)C102080HAMA1-Somatic (Sensory)Hamilton Anxiety Rating Scale - Somatic (sensory): tinnitus, blurring of vision, hot and cold flushes, feelings of weakness, pricking sensation.HAMA - Somatic (Sensory)
HAMA1-TensionC102074HAMA1-TensionHamilton Anxiety Rating Scale - Tension: feelings of tension, fatigability, startle response, moved to tears easily, trembling, feelings of restlessness, inability to relax.HAMA - Tension
HAMA1-Total ScoreC155646HAMA1-Total ScoreHamilton Anxiety Rating Scale - Total score.HAMA - Total Score
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CL.C100138.HAMD1TCHamilton Depression Rating Scale - 17 Item Clinical Classification Test Code
(HAMD1TC)
text
Extensible: No
C100138Hamilton Depression Rating Scale - 17 Item Clinical Classification Test CodeThe Hamilton Depression Rating Scale - 17 Item test code.CDISC Clinical Classification HAMD 17 Test Code Terminology
HAMD101C100398HAMD1-Depressed MoodHamilton Depression Rating Scale 17 Item - Depressed mood.HAMD-17 - Depressed Mood
HAMD102C100399HAMD1-Feelings of GuiltHamilton Depression Rating Scale 17 Item - Feelings of guilt.HAMD-17 - Feelings of Guilt
HAMD103C100400HAMD1-SuicideHamilton Depression Rating Scale 17 Item - Suicide.HAMD-17 - Suicide
HAMD104C100401HAMD1-Insomnia Early - Early NightHamilton Depression Rating Scale 17 Item - Insomnia: early in the night.HAMD-17 - Insomnia - Early Night
HAMD105C100402HAMD1-Insomnia Middle - Middle NightHamilton Depression Rating Scale 17 Item - Insomnia: middle of the night.HAMD-17 - Insomnia - Middle Night
HAMD106C100403HAMD1-Insomnia Early Hours - MorningHamilton Depression Rating Scale 17 Item - Insomnia: early hours of the morning.HAMD-17 - Insomnia - Early Morning
HAMD107C100404HAMD1-Work and ActivitiesHamilton Depression Rating Scale 17 Item - Work and activities.HAMD-17 - Work and Activities
HAMD108C100405HAMD1-RetardationHamilton Depression Rating Scale 17 Item - Retardation.HAMD-17 - Retardation
HAMD109C100406HAMD1-AgitationHamilton Depression Rating Scale 17 Item - Agitation.HAMD-17 - Agitation
HAMD110C100407HAMD1-Anxiety PsychicHamilton Depression Rating Scale 17 Item - Anxiety psychic.HAMD-17 - Psychic Anxiety
HAMD111C100408HAMD1-Anxiety SomaticHamilton Depression Rating Scale 17 Item - Anxiety somatic: physiological concomitants of anxiety.HAMD-17 - Somatic Anxiety
HAMD112C100409HAMD1-Somatic Symptoms GastrointestinalHamilton Depression Rating Scale 17 Item - Somatic symptoms gastrointestinal.HAMD-17 - Somatic Symptoms Gastrointestinal
HAMD113C100410HAMD1-General Somatic SymptomsHamilton Depression Rating Scale 17 Item - General somatic symptoms.HAMD-17 - General Somatic Symptoms
HAMD114C100411HAMD1-Genital SymptomsHamilton Depression Rating Scale 17 Item - Genital symptoms.HAMD-17 - Genital Symptoms
HAMD115C100412HAMD1-HypochondriasisHamilton Depression Rating Scale 17 Item - Hypochondriasis.HAMD-17 - Hypochondriasis
HAMD116AC100413HAMD1-Loss of WT According to PatientHamilton Depression Rating Scale 17 Item - Loss of weight according to the patient.HAMD-17 - Loss of Weight According to Patient
HAMD116BC100414HAMD1-Loss of WT According to WK MeasHamilton Depression Rating Scale 17 Item - Loss of weight according to weekly measurements.HAMD-17 - Loss of Weight According to Weekly Measurements
HAMD117C100415HAMD1-InsightHamilton Depression Rating Scale 17 Item - Insight.HAMD-17 - Insight
HAMD118C100416HAMD1-Total ScoreHamilton Depression Rating Scale 17 Item - Total Score.HAMD-17 - Total Score
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CL.C100137.HAMD1TNHamilton Depression Rating Scale - 17 Item Clinical Classification Test Name
(HAMD1TN)
text
Extensible: No
C100137Hamilton Depression Rating Scale - 17 Item Clinical Classification Test NameThe Hamilton Depression Rating Scale - 17 Item test name.CDISC Clinical Classification HAMD 17 Test Name Terminology
HAMD1-AgitationC100406HAMD1-AgitationHamilton Depression Rating Scale 17 Item - Agitation.HAMD-17 - Agitation
HAMD1-Anxiety PsychicC100407HAMD1-Anxiety PsychicHamilton Depression Rating Scale 17 Item - Anxiety psychic.HAMD-17 - Psychic Anxiety
HAMD1-Anxiety SomaticC100408HAMD1-Anxiety SomaticHamilton Depression Rating Scale 17 Item - Anxiety somatic: physiological concomitants of anxiety.HAMD-17 - Somatic Anxiety
HAMD1-Depressed MoodC100398HAMD1-Depressed MoodHamilton Depression Rating Scale 17 Item - Depressed mood.HAMD-17 - Depressed Mood
HAMD1-Feelings of GuiltC100399HAMD1-Feelings of GuiltHamilton Depression Rating Scale 17 Item - Feelings of guilt.HAMD-17 - Feelings of Guilt
HAMD1-General Somatic SymptomsC100410HAMD1-General Somatic SymptomsHamilton Depression Rating Scale 17 Item - General somatic symptoms.HAMD-17 - General Somatic Symptoms
HAMD1-Genital SymptomsC100411HAMD1-Genital SymptomsHamilton Depression Rating Scale 17 Item - Genital symptoms.HAMD-17 - Genital Symptoms
HAMD1-HypochondriasisC100412HAMD1-HypochondriasisHamilton Depression Rating Scale 17 Item - Hypochondriasis.HAMD-17 - Hypochondriasis
HAMD1-InsightC100415HAMD1-InsightHamilton Depression Rating Scale 17 Item - Insight.HAMD-17 - Insight
HAMD1-Insomnia Early - Early NightC100401HAMD1-Insomnia Early - Early NightHamilton Depression Rating Scale 17 Item - Insomnia: early in the night.HAMD-17 - Insomnia - Early Night
HAMD1-Insomnia Early Hours - MorningC100403HAMD1-Insomnia Early Hours - MorningHamilton Depression Rating Scale 17 Item - Insomnia: early hours of the morning.HAMD-17 - Insomnia - Early Morning
HAMD1-Insomnia Middle - Middle NightC100402HAMD1-Insomnia Middle - Middle NightHamilton Depression Rating Scale 17 Item - Insomnia: middle of the night.HAMD-17 - Insomnia - Middle Night
HAMD1-Loss of WT According to PatientC100413HAMD1-Loss of WT According to PatientHamilton Depression Rating Scale 17 Item - Loss of weight according to the patient.HAMD-17 - Loss of Weight According to Patient
HAMD1-Loss of WT According to WK MeasC100414HAMD1-Loss of WT According to WK MeasHamilton Depression Rating Scale 17 Item - Loss of weight according to weekly measurements.HAMD-17 - Loss of Weight According to Weekly Measurements
HAMD1-RetardationC100405HAMD1-RetardationHamilton Depression Rating Scale 17 Item - Retardation.HAMD-17 - Retardation
HAMD1-Somatic Symptoms GastrointestinalC100409HAMD1-Somatic Symptoms GastrointestinalHamilton Depression Rating Scale 17 Item - Somatic symptoms gastrointestinal.HAMD-17 - Somatic Symptoms Gastrointestinal
HAMD1-SuicideC100400HAMD1-SuicideHamilton Depression Rating Scale 17 Item - Suicide.HAMD-17 - Suicide
HAMD1-Total ScoreC100416HAMD1-Total ScoreHamilton Depression Rating Scale 17 Item - Total Score.HAMD-17 - Total Score
HAMD1-Work and ActivitiesC100404HAMD1-Work and ActivitiesHamilton Depression Rating Scale 17 Item - Work and activities.HAMD-17 - Work and Activities
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CL.C130245.HAMD3TCHamilton Depression Rating Scale - 24 Item Clinical Classification Test Code
(HAMD3TC)
text
Extensible: No
C130245Hamilton Depression Rating Scale - 24 Item Clinical Classification Test CodeHamilton Depression Rating Scale - 24 Item test code.CDISC Clinical Classification HAMD 24 Test Code Terminology
HAMD301C130335HAMD3-Depressed MoodHamilton Depression Rating Scale 24 Item - Depressed mood.HAMD 24 - Depressed Mood
HAMD302C130336HAMD3-Low Self-Esteem, GuiltHamilton Depression Rating Scale 24 Item - Low self-esteem, guilt.HAMD 24 - Low Self-esteem, Guilt
HAMD303C130337HAMD3-Suicidal ThoughtsHamilton Depression Rating Scale 24 Item - Suicidal thoughts.HAMD 24 - Suicidal Thoughts
HAMD304C130338HAMD3-Insomnia - InitialHamilton Depression Rating Scale 24 Item - Insomnia - initial.HAMD 24 - Insomnia - Initial
HAMD305C130339HAMD3-Insomnia - MiddleHamilton Depression Rating Scale 24 Item - Insomnia - middle.HAMD 24 - Insomnia - Middle
HAMD306C130340HAMD3-Insomnia - LateHamilton Depression Rating Scale 24 Item - Insomnia - late.HAMD 24 - Insomnia - Late
HAMD307C130341HAMD3-Work and InterestsHamilton Depression Rating Scale 24 Item - Work and interests.HAMD 24 - Work and Interests
HAMD308C130342HAMD3-Psychomotor RetardationHamilton Depression Rating Scale 24 Item - Psychomotor retardation.HAMD 24 - Psychomotor Retardation
HAMD309C130343HAMD3-Psychomotor AgitationHamilton Depression Rating Scale 24 Item - Psychomotor agitation.HAMD 24 - Psychomotor Agitation
HAMD310C130344HAMD3-Anxiety - PsychicHamilton Depression Rating Scale 24 Item - Anxiety - psychic.HAMD 24 - Anxiety, Psychic
HAMD311C130345HAMD3-Anxiety - SomaticHamilton Depression Rating Scale 24 Item - Anxiety - somatic.HAMD 24 - Anxiety, Somatic
HAMD312C130346HAMD3-GI Symptoms (Appetite)Hamilton Depression Rating Scale 24 Item - Gastrointestinal symptoms (appetite).HAMD 24 - Gastrointestinal Symptoms (Appetite)
HAMD313C130347HAMD3-Somatic Symptoms - GeneralHamilton Depression Rating Scale 24 Item - Somatic symptoms - general.HAMD 24 - Somatic Symptoms, General
HAMD314C130348HAMD3-Sexual DisturbancesHamilton Depression Rating Scale 24 Item - Sexual disturbances.HAMD 24 - Sexual Disturbances
HAMD315C130349HAMD3-Hypochondriasis (Somatisation)Hamilton Depression Rating Scale 24 Item - Hypochondriasis (somatisation).HAMD 24 - Hypochondriasis (Somatisation)
HAMD316C130350HAMD3-InsightHamilton Depression Rating Scale 24 Item - Insight.HAMD 24 - Insight
HAMD317C130351HAMD3-Weight LossHamilton Depression Rating Scale 24 Item - Weight loss.HAMD 24 - Weight Loss
HAMD318C130352HAMD3-Diurnal VariationHamilton Depression Rating Scale 24 Item - Diurnal variation.HAMD 24 - Diurnal Variation
HAMD319C130353HAMD3-Depersonalization/DerealizationHamilton Depression Rating Scale 24 Item - Depersonalization/derealization.HAMD 24 - Depersonalization and Derealisation
HAMD320C130354HAMD3-Paranoid SymptomsHamilton Depression Rating Scale 24 Item - Paranoid symptoms.HAMD 24 - Paranoid Symptoms
HAMD321C130355HAMD3-Observational/Compulsive SymptomsHamilton Depression Rating Scale 24 Item - Observational/compulsive symptoms.HAMD 24 - Obsessional and Compulsive Symptoms
HAMD322C130356HAMD3-HelplessnessHamilton Depression Rating Scale 24 Item - Helplessness.HAMD 24 - Helplessness
HAMD323C130357HAMD3-HopelessnessHamilton Depression Rating Scale 24 Item - Hopelessness.HAMD 24 - Hopelessness
HAMD324C130358HAMD3-WorthlessnessHamilton Depression Rating Scale 24 Item - Worthlessness.HAMD 24 - Worthlessness
HAMD325C130359HAMD3-Total ScoreHamilton Depression Rating Scale 24 Item - Total score.HAMD 24 - Total Score
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CL.C130244.HAMD3TNHamilton Depression Rating Scale - 24 Item Clinical Classification Test Name
(HAMD3TN)
text
Extensible: No
C130244Hamilton Depression Rating Scale - 24 Item Clinical Classification Test NameHamilton Depression Rating Scale - 24 Item test name.CDISC Clinical Classification HAMD 24 Test Name Terminology
HAMD3-Anxiety - PsychicC130344HAMD3-Anxiety - PsychicHamilton Depression Rating Scale 24 Item - Anxiety - psychic.HAMD 24 - Anxiety, Psychic
HAMD3-Anxiety - SomaticC130345HAMD3-Anxiety - SomaticHamilton Depression Rating Scale 24 Item - Anxiety - somatic.HAMD 24 - Anxiety, Somatic
HAMD3-Depersonalization/DerealizationC130353HAMD3-Depersonalization/DerealizationHamilton Depression Rating Scale 24 Item - Depersonalization/derealization.HAMD 24 - Depersonalization and Derealisation
HAMD3-Depressed MoodC130335HAMD3-Depressed MoodHamilton Depression Rating Scale 24 Item - Depressed mood.HAMD 24 - Depressed Mood
HAMD3-Diurnal VariationC130352HAMD3-Diurnal VariationHamilton Depression Rating Scale 24 Item - Diurnal variation.HAMD 24 - Diurnal Variation
HAMD3-GI Symptoms (Appetite)C130346HAMD3-GI Symptoms (Appetite)Hamilton Depression Rating Scale 24 Item - Gastrointestinal symptoms (appetite).HAMD 24 - Gastrointestinal Symptoms (Appetite)
HAMD3-HelplessnessC130356HAMD3-HelplessnessHamilton Depression Rating Scale 24 Item - Helplessness.HAMD 24 - Helplessness
HAMD3-HopelessnessC130357HAMD3-HopelessnessHamilton Depression Rating Scale 24 Item - Hopelessness.HAMD 24 - Hopelessness
HAMD3-Hypochondriasis (Somatisation)C130349HAMD3-Hypochondriasis (Somatisation)Hamilton Depression Rating Scale 24 Item - Hypochondriasis (somatisation).HAMD 24 - Hypochondriasis (Somatisation)
HAMD3-InsightC130350HAMD3-InsightHamilton Depression Rating Scale 24 Item - Insight.HAMD 24 - Insight
HAMD3-Insomnia - InitialC130338HAMD3-Insomnia - InitialHamilton Depression Rating Scale 24 Item - Insomnia - initial.HAMD 24 - Insomnia - Initial
HAMD3-Insomnia - LateC130340HAMD3-Insomnia - LateHamilton Depression Rating Scale 24 Item - Insomnia - late.HAMD 24 - Insomnia - Late
HAMD3-Insomnia - MiddleC130339HAMD3-Insomnia - MiddleHamilton Depression Rating Scale 24 Item - Insomnia - middle.HAMD 24 - Insomnia - Middle
HAMD3-Low Self-Esteem, GuiltC130336HAMD3-Low Self-Esteem, GuiltHamilton Depression Rating Scale 24 Item - Low self-esteem, guilt.HAMD 24 - Low Self-esteem, Guilt
HAMD3-Observational/Compulsive SymptomsC130355HAMD3-Observational/Compulsive SymptomsHamilton Depression Rating Scale 24 Item - Observational/compulsive symptoms.HAMD 24 - Obsessional and Compulsive Symptoms
HAMD3-Paranoid SymptomsC130354HAMD3-Paranoid SymptomsHamilton Depression Rating Scale 24 Item - Paranoid symptoms.HAMD 24 - Paranoid Symptoms
HAMD3-Psychomotor AgitationC130343HAMD3-Psychomotor AgitationHamilton Depression Rating Scale 24 Item - Psychomotor agitation.HAMD 24 - Psychomotor Agitation
HAMD3-Psychomotor RetardationC130342HAMD3-Psychomotor RetardationHamilton Depression Rating Scale 24 Item - Psychomotor retardation.HAMD 24 - Psychomotor Retardation
HAMD3-Sexual DisturbancesC130348HAMD3-Sexual DisturbancesHamilton Depression Rating Scale 24 Item - Sexual disturbances.HAMD 24 - Sexual Disturbances
HAMD3-Somatic Symptoms - GeneralC130347HAMD3-Somatic Symptoms - GeneralHamilton Depression Rating Scale 24 Item - Somatic symptoms - general.HAMD 24 - Somatic Symptoms, General
HAMD3-Suicidal ThoughtsC130337HAMD3-Suicidal ThoughtsHamilton Depression Rating Scale 24 Item - Suicidal thoughts.HAMD 24 - Suicidal Thoughts
HAMD3-Total ScoreC130359HAMD3-Total ScoreHamilton Depression Rating Scale 24 Item - Total score.HAMD 24 - Total Score
HAMD3-Weight LossC130351HAMD3-Weight LossHamilton Depression Rating Scale 24 Item - Weight loss.HAMD 24 - Weight Loss
HAMD3-Work and InterestsC130341HAMD3-Work and InterestsHamilton Depression Rating Scale 24 Item - Work and interests.HAMD 24 - Work and Interests
HAMD3-WorthlessnessC130358HAMD3-WorthlessnessHamilton Depression Rating Scale 24 Item - Worthlessness.HAMD 24 - Worthlessness
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CL.C130243.HAMD4TCHamilton Depression Rating Scale - 6 Clinician Version Clinical Classification Test Code
(HAMD4TC)
text
Extensible: No
C130243Hamilton Depression Rating Scale - 6 Clinician Version Clinical Classification Test CodeHamilton Depression Rating Scale - 6 Clinician Version test code.CDISC Clinical Classification HAM-D6 Clinician Version Test Code Terminology
HAMD401C130328HAMD4-Depressed MoodThe Hamilton Depression Rating Scale 6 - Clinician Version - Depressed mood.HAM-D6 - Clinician Version - Depressed Mood
HAMD402C130329HAMD4-Low Self-esteem and GuiltThe Hamilton Depression Rating Scale 6 - Clinician Version - Low self-esteem and guilt.HAM-D6 - Clinician Version - Low Self-esteem and Guilt
HAMD403C130330HAMD4-Social Life Activities/InterestsThe Hamilton Depression Rating Scale 6 - Clinician Version - Social life activities and interests.HAM-D6 - Clinician Version - Social Life Activities or Interests
HAMD404C130331HAMD4-Psychomotor Retardation, GeneralThe Hamilton Depression Rating Scale 6 - Clinician Version - Psychomotor retardation, general.HAM-D6 - Clinician Version - Psychomotor Retardation, General
HAMD405C130332HAMD4-Psychic AnxietyThe Hamilton Depression Rating Scale 6 - Clinician Version - Psychic anxiety.HAM-D6 - Clinician Version - Psychic Anxiety
HAMD406C130333HAMD4-Tiredness and PainsThe Hamilton Depression Rating Scale 6 - Clinician Version - Tiredness and pains.HAM-D6 - Clinician Version - Tiredness and Pains
HAMD407C130334HAMD4-Total ScoreThe Hamilton Depression Rating Scale 6 - Clinician Version - Total score.HAM-D6 - Clinician Version - Total Score
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CL.C130242.HAMD4TNHamilton Depression Rating Scale - 6 Clinician Version Clinical Classification Test Name
(HAMD4TN)
text
Extensible: No
C130242Hamilton Depression Rating Scale - 6 Clinician Version Clinical Classification Test NameHamilton Depression Rating Scale - 6 Clinician Version test name.CDISC Clinical Classification HAM-D6 Clinician Version Test Name Terminology
HAMD4-Depressed MoodC130328HAMD4-Depressed MoodThe Hamilton Depression Rating Scale 6 - Clinician Version - Depressed mood.HAM-D6 - Clinician Version - Depressed Mood
HAMD4-Low Self-esteem and GuiltC130329HAMD4-Low Self-esteem and GuiltThe Hamilton Depression Rating Scale 6 - Clinician Version - Low self-esteem and guilt.HAM-D6 - Clinician Version - Low Self-esteem and Guilt
HAMD4-Psychic AnxietyC130332HAMD4-Psychic AnxietyThe Hamilton Depression Rating Scale 6 - Clinician Version - Psychic anxiety.HAM-D6 - Clinician Version - Psychic Anxiety
HAMD4-Psychomotor Retardation, GeneralC130331HAMD4-Psychomotor Retardation, GeneralThe Hamilton Depression Rating Scale 6 - Clinician Version - Psychomotor retardation, general.HAM-D6 - Clinician Version - Psychomotor Retardation, General
HAMD4-Social Life Activities/InterestsC130330HAMD4-Social Life Activities/InterestsThe Hamilton Depression Rating Scale 6 - Clinician Version - Social life activities and interests.HAM-D6 - Clinician Version - Social Life Activities or Interests
HAMD4-Tiredness and PainsC130333HAMD4-Tiredness and PainsThe Hamilton Depression Rating Scale 6 - Clinician Version - Tiredness and pains.HAM-D6 - Clinician Version - Tiredness and Pains
HAMD4-Total ScoreC130334HAMD4-Total ScoreThe Hamilton Depression Rating Scale 6 - Clinician Version - Total score.HAM-D6 - Clinician Version - Total Score
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CL.C130259.HAMDS1TCHamilton Depression Rating Scale - 6 Self-Report Questionnaire Test Code
(HAMDS1TC)
text
Extensible: No
C130259Hamilton Depression Rating Scale - 6 Self-Report Questionnaire Test CodeHamilton Depression Rating Scale - 6 Self-Report test code.CDISC Questionnaire HAM-D6 Self-Report Version Test Code Terminology
HAMDS101C130545HAMDS1-Depressed MoodHamilton Depression Rating Scale 6 - Self-Report Version - (1)=Depressed mood per clinician version: How you have been feeling over the past three days, including today.HAM-D6 Self-Report Version - Depressed Mood
HAMDS102C130546HAMDS1-Low Self-esteem and GuiltHamilton Depression Rating Scale 6 - Self-Report Version - (2)=Low self-esteem and guilt per clinician version: How you have been feeling over the past three days, including today.HAM-D6 Self-Report Version - Low Self-esteem and Guilt
HAMDS103C130547HAMDS1-Social Life Activities/InterestsHamilton Depression Rating Scale 6 - Self-Report Version - (3)=Social life activities and interests per clinician version: How you have been feeling over the past three days, including today.HAM-D6 Self-Report Version - Social Life Activities or Interests
HAMDS104C130548HAMDS1-Psychomotor Retardation, GeneralHamilton Depression Rating Scale 6 - Self-Report Version - (4)=Psychomotor retardation, general per clinician version: How you have been feeling over the past three days, including today.HAM-D6 Self-Report Version - Psychomotor Retardation
HAMDS105C130549HAMDS1-Psychic AnxietyHamilton Depression Rating Scale 6 - Self-Report Version - (5)=Psychic anxiety per clinician version: How you have been feeling over the past three days, including today.HAM-D6 Self-Report Version - Psychic Anxiety
HAMDS106C130550HAMDS1-Tiredness and PainsHamilton Depression Rating Scale 6 - Self-Report Version - (6)=Tiredness and pains per clinician version: How you have been feeling over the past three days, including today.HAM-D6 Self-Report Version - Tiredness and Pains
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CL.C130258.HAMDS1TNHamilton Depression Rating Scale - 6 Self-Report Questionnaire Test Name
(HAMDS1TN)
text
Extensible: No
C130258Hamilton Depression Rating Scale - 6 Self-Report Questionnaire Test NameHamilton Depression Rating Scale - 6 Self-Report test name.CDISC Questionnaire HAM-D6 Self-Report Version Test Name Terminology
HAMDS1-Depressed MoodC130545HAMDS1-Depressed MoodHamilton Depression Rating Scale 6 - Self-Report Version - (1)=Depressed mood per clinician version: How you have been feeling over the past three days, including today.HAM-D6 Self-Report Version - Depressed Mood
HAMDS1-Low Self-esteem and GuiltC130546HAMDS1-Low Self-esteem and GuiltHamilton Depression Rating Scale 6 - Self-Report Version - (2)=Low self-esteem and guilt per clinician version: How you have been feeling over the past three days, including today.HAM-D6 Self-Report Version - Low Self-esteem and Guilt
HAMDS1-Psychic AnxietyC130549HAMDS1-Psychic AnxietyHamilton Depression Rating Scale 6 - Self-Report Version - (5)=Psychic anxiety per clinician version: How you have been feeling over the past three days, including today.HAM-D6 Self-Report Version - Psychic Anxiety
HAMDS1-Psychomotor Retardation, GeneralC130548HAMDS1-Psychomotor Retardation, GeneralHamilton Depression Rating Scale 6 - Self-Report Version - (4)=Psychomotor retardation, general per clinician version: How you have been feeling over the past three days, including today.HAM-D6 Self-Report Version - Psychomotor Retardation
HAMDS1-Social Life Activities/InterestsC130547HAMDS1-Social Life Activities/InterestsHamilton Depression Rating Scale 6 - Self-Report Version - (3)=Social life activities and interests per clinician version: How you have been feeling over the past three days, including today.HAM-D6 Self-Report Version - Social Life Activities or Interests
HAMDS1-Tiredness and PainsC130550HAMDS1-Tiredness and PainsHamilton Depression Rating Scale 6 - Self-Report Version - (6)=Tiredness and pains per clinician version: How you have been feeling over the past three days, including today.HAM-D6 Self-Report Version - Tiredness and Pains
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CL.C101821.HAMD2TCHamilton Depression Rating Scale 21-Item Clinical Classification Test Code
(HAMD2TC)
text
Extensible: No
C101821Hamilton Depression Rating Scale 21-Item Clinical Classification Test CodeHamilton Depression Rating Scale 21-Item test code.CDISC Clinical Classification HAMD 21 Test Code Terminology
HAMD201C102087HAMD2-Depressed MoodHamilton Depression Rating Scale 21 Item - Depressed mood: sadness, hopeless, helpless, worthless.HAMD-21 - Depressed Mood
HAMD202C102088HAMD2-Feelings of GuiltHamilton Depression Rating Scale 21 Item - Feelings of guilt.HAMD-21 - Feelings of Guilt
HAMD203C102089HAMD2-SuicideHamilton Depression Rating Scale 21 Item - Suicide.HAMD-21 - Suicide
HAMD204C102090HAMD2-Insomnia EarlyHamilton Depression Rating Scale 21 Item - Insomnia early.HAMD-21 - Insomnia Early
HAMD205C102091HAMD2-Insomnia MiddleHamilton Depression Rating Scale 21 Item - Insomnia middle.HAMD-21 - Insomnia Middle
HAMD206C102092HAMD2-Insomnia LateHamilton Depression Rating Scale 21 Item - Insomnia late.HAMD-21 - Insomnia Late
HAMD207C102093HAMD2-Work and ActivitiesHamilton Depression Rating Scale 21 Item - Work and activities.HAMD-21 - Work and Activities
HAMD208C102094HAMD2-RetardationHamilton Depression Rating Scale 21 Item - Retardation: psychomotor (slowness of thought and speech; impaired ability to concentrate; decreased motor activity).HAMD-21 - Retardation
HAMD209C102095HAMD2-AgitationHamilton Depression Rating Scale 21 Item - Agitation.HAMD-21 - Agitation
HAMD210C102096HAMD2-Anxiety PsychologicalHamilton Depression Rating Scale 21 Item - Anxiety Psychological.HAMD-21 - Anxiety Psychological
HAMD211C102097HAMD2-Anxiety SomaticHamilton Depression Rating Scale 21 Item - Anxiety somatic: physiological concomitants of anxiety, (i.e., effects of autonomic overactivity, 'butterflies,' indigestion, stomach cramps, belching, diarrhea, palpitations, hyperventilation, paresthesia, sweating, flushing, tremor, headache, urinary frequency).HAMD-21 - Anxiety Somatic
HAMD212C102098HAMD2-Somatic Symptoms Gastro-intestinalHamilton Depression Rating Scale 21 Item - Somatic symptoms gastro-intestinal.HAMD-21 - Somatic Symptoms Gastro-intestinal
HAMD213C102099HAMD2-Somatic Symptoms GeneralHamilton Depression Rating Scale 21 Item - Somatic symptoms general.HAMD-21 - Somatic Symptoms General
HAMD214C102100HAMD2-Genital SymptomsHamilton Depression Rating Scale 21 Item - Genital symptoms: symptoms such as: loss of libido; impaired sexual performance; menstrual disturbances.HAMD-21 - Genital Symptoms
HAMD215C102101HAMD2-HypochondriasisHamilton Depression Rating Scale 21 Item - Hypochondriasis.HAMD-21 - Hypochondriasis
HAMD216AC102102HAMD2-Loss of Weight by HistoryHamilton Depression Rating Scale 21 Item - Loss of weight when rating by history.HAMD-21 - Loss of Weight by History
HAMD216BC102103HAMD2-Loss of Weight MeasuredHamilton Depression Rating Scale 21 Item - Loss of weight on weekly ratings by war psychiatrist, when actual weight changes are measured.HAMD-21 - Loss of Weight Measured
HAMD217C102104HAMD2-InsightHamilton Depression Rating Scale 21 Item - Insight.HAMD-21 - Insight
HAMD218AC102105HAMD2-Diurnal VariationHamilton Depression Rating Scale 21 Item - Diurnal variation.HAMD-21 - Diurnal Variation
HAMD218BC102106HAMD2-Diurnal Variation SeverityHamilton Depression Rating Scale 21 Item - Diurnal variation severity.HAMD-21 - Diurnal Variation Severity
HAMD219C102107HAMD2-Depersonalization/DerealizationHamilton Depression Rating Scale 21 Item - Depersonalization and derealization: such as feelings of unreality; nihilistic ideas.HAMD-21 - Depersonalization and Derealization
HAMD220C102108HAMD2-Paranoid SymptomsHamilton Depression Rating Scale 21 Item - Paranoid symptoms.HAMD-21 - Paranoid Symptoms
HAMD221C102109HAMD2-Obsessional/Compulsive SymptomsHamilton Depression Rating Scale 21 Item - Obsessional and compulsive symptoms.HAMD-21 - Obsessional and Compulsive Symptoms
HAMD222C102110HAMD2-Total ScoreHamilton Depression Rating Scale 21 Item - Total score.HAMD-21 - Total Score
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CL.C101822.HAMD2TNHamilton Depression Rating Scale 21-Item Clinical Classification Test Name
(HAMD2TN)
text
Extensible: No
C101822Hamilton Depression Rating Scale 21-Item Clinical Classification Test NameHamilton Depression Rating Scale 21-Item test name.CDISC Clinical Classification HAMD 21 Test Name Terminology
HAMD2-AgitationC102095HAMD2-AgitationHamilton Depression Rating Scale 21 Item - Agitation.HAMD-21 - Agitation
HAMD2-Anxiety PsychologicalC102096HAMD2-Anxiety PsychologicalHamilton Depression Rating Scale 21 Item - Anxiety Psychological.HAMD-21 - Anxiety Psychological
HAMD2-Anxiety SomaticC102097HAMD2-Anxiety SomaticHamilton Depression Rating Scale 21 Item - Anxiety somatic: physiological concomitants of anxiety, (i.e., effects of autonomic overactivity, 'butterflies,' indigestion, stomach cramps, belching, diarrhea, palpitations, hyperventilation, paresthesia, sweating, flushing, tremor, headache, urinary frequency).HAMD-21 - Anxiety Somatic
HAMD2-Depersonalization/DerealizationC102107HAMD2-Depersonalization/DerealizationHamilton Depression Rating Scale 21 Item - Depersonalization and derealization: such as feelings of unreality; nihilistic ideas.HAMD-21 - Depersonalization and Derealization
HAMD2-Depressed MoodC102087HAMD2-Depressed MoodHamilton Depression Rating Scale 21 Item - Depressed mood: sadness, hopeless, helpless, worthless.HAMD-21 - Depressed Mood
HAMD2-Diurnal Variation SeverityC102106HAMD2-Diurnal Variation SeverityHamilton Depression Rating Scale 21 Item - Diurnal variation severity.HAMD-21 - Diurnal Variation Severity
HAMD2-Diurnal VariationC102105HAMD2-Diurnal VariationHamilton Depression Rating Scale 21 Item - Diurnal variation.HAMD-21 - Diurnal Variation
HAMD2-Feelings of GuiltC102088HAMD2-Feelings of GuiltHamilton Depression Rating Scale 21 Item - Feelings of guilt.HAMD-21 - Feelings of Guilt
HAMD2-Genital SymptomsC102100HAMD2-Genital SymptomsHamilton Depression Rating Scale 21 Item - Genital symptoms: symptoms such as: loss of libido; impaired sexual performance; menstrual disturbances.HAMD-21 - Genital Symptoms
HAMD2-HypochondriasisC102101HAMD2-HypochondriasisHamilton Depression Rating Scale 21 Item - Hypochondriasis.HAMD-21 - Hypochondriasis
HAMD2-InsightC102104HAMD2-InsightHamilton Depression Rating Scale 21 Item - Insight.HAMD-21 - Insight
HAMD2-Insomnia EarlyC102090HAMD2-Insomnia EarlyHamilton Depression Rating Scale 21 Item - Insomnia early.HAMD-21 - Insomnia Early
HAMD2-Insomnia LateC102092HAMD2-Insomnia LateHamilton Depression Rating Scale 21 Item - Insomnia late.HAMD-21 - Insomnia Late
HAMD2-Insomnia MiddleC102091HAMD2-Insomnia MiddleHamilton Depression Rating Scale 21 Item - Insomnia middle.HAMD-21 - Insomnia Middle
HAMD2-Loss of Weight by HistoryC102102HAMD2-Loss of Weight by HistoryHamilton Depression Rating Scale 21 Item - Loss of weight when rating by history.HAMD-21 - Loss of Weight by History
HAMD2-Loss of Weight MeasuredC102103HAMD2-Loss of Weight MeasuredHamilton Depression Rating Scale 21 Item - Loss of weight on weekly ratings by war psychiatrist, when actual weight changes are measured.HAMD-21 - Loss of Weight Measured
HAMD2-Obsessional/Compulsive SymptomsC102109HAMD2-Obsessional/Compulsive SymptomsHamilton Depression Rating Scale 21 Item - Obsessional and compulsive symptoms.HAMD-21 - Obsessional and Compulsive Symptoms
HAMD2-Paranoid SymptomsC102108HAMD2-Paranoid SymptomsHamilton Depression Rating Scale 21 Item - Paranoid symptoms.HAMD-21 - Paranoid Symptoms
HAMD2-RetardationC102094HAMD2-RetardationHamilton Depression Rating Scale 21 Item - Retardation: psychomotor (slowness of thought and speech; impaired ability to concentrate; decreased motor activity).HAMD-21 - Retardation
HAMD2-Somatic Symptoms Gastro-intestinalC102098HAMD2-Somatic Symptoms Gastro-intestinalHamilton Depression Rating Scale 21 Item - Somatic symptoms gastro-intestinal.HAMD-21 - Somatic Symptoms Gastro-intestinal
HAMD2-Somatic Symptoms GeneralC102099HAMD2-Somatic Symptoms GeneralHamilton Depression Rating Scale 21 Item - Somatic symptoms general.HAMD-21 - Somatic Symptoms General
HAMD2-SuicideC102089HAMD2-SuicideHamilton Depression Rating Scale 21 Item - Suicide.HAMD-21 - Suicide
HAMD2-Total ScoreC102110HAMD2-Total ScoreHamilton Depression Rating Scale 21 Item - Total score.HAMD-21 - Total Score
HAMD2-Work and ActivitiesC102093HAMD2-Work and ActivitiesHamilton Depression Rating Scale 21 Item - Work and activities.HAMD-21 - Work and Activities
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CL.C138213.HSB01TCHAS-BLED Bleeding Risk Score Clinical Classification Test Code
(HSB01TC)
text
Extensible: No
C138213HAS-BLED Bleeding Risk Score Clinical Classification Test CodeHAS-BLED Bleeding Risk Score test code.CDISC Clinical Classification HAS-BLED Test Code Terminology
HSB0101C138357HSB01-HypertensionHAS-BLED Bleeding Risk Score - Hypertension.HAS-BLED - Hypertension
HSB0102C138358HSB01-Abnormal Renal and Liver FunctionHAS-BLED Bleeding Risk Score - Abnormal renal and liver function.HAS-BLED - Abnormal Renal and Liver Function
HSB0103C138359HSB01-StrokeHAS-BLED Bleeding Risk Score - Stroke.HAS-BLED - Stroke
HSB0104C138360HSB01-BleedingHAS-BLED Bleeding Risk Score - Bleeding.HAS-BLED - Bleeding
HSB0105C138361HSB01-Labile INRsHAS-BLED Bleeding Risk Score - Labile INRs.HAS-BLED - Labile INRs
HSB0106C138362HSB01-ElderlyHAS-BLED Bleeding Risk Score - Elderly.HAS-BLED - Elderly
HSB0107C138363HSB01-Drugs or AlcoholHAS-BLED Bleeding Risk Score - Drugs or alcohol.HAS-BLED - Drugs or Alcohol
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CL.C138212.HSB01TNHAS-BLED Bleeding Risk Score Clinical Classification Test Name
(HSB01TN)
text
Extensible: No
C138212HAS-BLED Bleeding Risk Score Clinical Classification Test NameHAS-BLED Bleeding Risk Score test name.CDISC Clinical Classification HAS-BLED Test Name Terminology
HSB01-Abnormal Renal and Liver FunctionC138358HSB01-Abnormal Renal and Liver FunctionHAS-BLED Bleeding Risk Score - Abnormal renal and liver function.HAS-BLED - Abnormal Renal and Liver Function
HSB01-BleedingC138360HSB01-BleedingHAS-BLED Bleeding Risk Score - Bleeding.HAS-BLED - Bleeding
HSB01-Drugs or AlcoholC138363HSB01-Drugs or AlcoholHAS-BLED Bleeding Risk Score - Drugs or alcohol.HAS-BLED - Drugs or Alcohol
HSB01-ElderlyC138362HSB01-ElderlyHAS-BLED Bleeding Risk Score - Elderly.HAS-BLED - Elderly
HSB01-HypertensionC138357HSB01-HypertensionHAS-BLED Bleeding Risk Score - Hypertension.HAS-BLED - Hypertension
HSB01-Labile INRsC138361HSB01-Labile INRsHAS-BLED Bleeding Risk Score - Labile INRs.HAS-BLED - Labile INRs
HSB01-StrokeC138359HSB01-StrokeHAS-BLED Bleeding Risk Score - Stroke.HAS-BLED - Stroke
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CL.C115390.HAI01TCHauser Ambulation Index Functional Test Test Code
(HAI01TC)
text
Extensible: No
C115390Hauser Ambulation Index Functional Test Test CodeHauser Ambulation Index test code.CDISC Functional Test HAI Test Code Terminology
HAI0101C115806HAI01-Ambulation IndexHauser Ambulation Index - Ambulation index.HAI - Ambulation Index
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CL.C115389.HAI01TNHauser Ambulation Index Functional Test Test Name
(HAI01TN)
text
Extensible: No
C115389Hauser Ambulation Index Functional Test Test NameHauser Ambulation Index test name.CDISC Functional Test HAI Test Name Terminology
HAI01-Ambulation IndexC115806HAI01-Ambulation IndexHauser Ambulation Index - Ambulation index.HAI - Ambulation Index
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CL.C106667.HAQ01TCHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale Questionnaire Test Code
(HAQ01TC)
text
Extensible: No
C106667Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale Questionnaire Test CodeHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale test code.CDISC Questionnaire HAQ-DI With VAS Test Code Terminology
HAQ0101C106809HAQ01-Dress YourselfHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Dressing & Grooming: Are you able to dress yourself, including tying shoelaces and doing buttons?HAQ-DI With VAS - Able to Dress Yourself
HAQ0102C106810HAQ01-Shampoo Your HairHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Dressing & Grooming: Are you able to shampoo your hair?HAQ-DI With VAS - Able to Shampoo Hair
HAQ0103C106811HAQ01-Stand Up From a Straight ChairHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Arising: Are you able to stand up from a straight chair?HAQ-DI With VAS - Able to Stand Up From Chair
HAQ0104C106812HAQ01-Get In and Out of BedHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Arising: Are you able to get in and out of bed?HAQ-DI With VAS - Able to Get In and Out of Bed
HAQ0105C106813HAQ01-Cut Your MeatHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Eating: Are you able to cut your meat?HAQ-DI With VAS - Able to Cut Meat
HAQ0106C106814HAQ01-Lift a Full Cup or Glass to MouthHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Eating: Are you able to lift a full cup or glass to your mouth?HAQ-DI With VAS - Able to Lift Cup or Glass to Mouth
HAQ0107C106815HAQ01-Open a New Milk CartonHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Eating: Are you able to open a new milk carton?HAQ-DI With VAS - Able to Open Milk Carton
HAQ0108C106816HAQ01-Walk Outdoors on Flat GroundHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Walking: Are you able to walk outdoors on flat ground?HAQ-DI With VAS - Able to Walk Outdoors On Flat Ground
HAQ0109C106817HAQ01-Climb Up Five StepsHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Walking: Are you able to climb up five steps?HAQ-DI With VAS - Able to Climb Up Steps
HAQ0110C106818HAQ01-Aid: CaneHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Cane.HAQ-DI With VAS - Aids or Devices - Cane
HAQ0111C106819HAQ01-Aid: WalkerHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Walker.HAQ-DI With VAS - Aids or Devices - Walker
HAQ0112C106820HAQ01-Aid: CrutchesHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Crutches.HAQ-DI With VAS - Aids or Devices - Crutches
HAQ0113C106821HAQ01-Aid: WheelchairHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Wheelchair.HAQ-DI With VAS - Aids or Devices - Wheelchair
HAQ0114C106822HAQ01-Aid: Devices Used for DressingHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Devices used for dressing (button hook, zipper pull, long-handled shoe horn, etc.).HAQ-DI With VAS - Aids or Devices - Used For Dressing
HAQ0115C106823HAQ01-Aid: Built Up or Special UtensilsHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Built up or special utensils.HAQ-DI With VAS - Aids or Devices - Built Up or Special Utensils
HAQ0116C106824HAQ01-Aid: Special or Built Up ChairHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Special or built up chair.HAQ-DI With VAS - Aids or Devices - Special or Built Up Chair
HAQ0117C106825HAQ01-Othr Aid (Dress/Arising/Eat/Walk)Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Other.HAQ-DI With VAS - Aids or Devices For Dress/Arising/Eat/Walk-Other
HAQ0118C106826HAQ01-Spec Aid (Dress/Arising/Eat/Walk)Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Other (specify).HAQ-DI With VAS - Aids or Devices For Dress/Arising/Eat/Walk-Specify
HAQ0119C106827HAQ01-Help: Dressing and GroomingHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Usually need help from another person: Dressing and grooming.HAQ-DI With VAS - Help From Another Person - Dressing and Grooming
HAQ0120C106828HAQ01-Help: ArisingHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Usually need help from another person: Arising.HAQ-DI With VAS - Help From Another Person - Arising
HAQ0121C106829HAQ01-Help: EatingHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Usually need help from another person: Eating.HAQ-DI With VAS - Help From Another Person - Eating
HAQ0122C106830HAQ01-Help: WalkingHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Usually need help from another person: Walking.HAQ-DI With VAS - Help From Another Person - Walking
HAQ0123C106831HAQ01-Wash and Dry Your BodyHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Hygiene: Are you able to wash and dry your body?HAQ-DI With VAS - Able to Wash and Dry Body
HAQ0124C106832HAQ01-Take a Tub BathHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Hygiene: Are you able to take a tub bath?HAQ-DI With VAS - Able to Take Tub Bath
HAQ0125C106833HAQ01-Get On and Off The ToiletHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Hygiene: Are you able to get on and off the toilet?HAQ-DI With VAS - Able to Get On and Off Toilet
HAQ0126C106834HAQ01-Reach-Get Down 5 Lb Obj Above HeadHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Reach: Are you able to reach and get down a 5 pound object (such as a bag of sugar) from just above your head?HAQ-DI With VAS - Able to Reach and Get Down Object From Above Head
HAQ0127C106835HAQ01-Bend Down Pick Up Clothing - FloorHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Reach: Are you able to bend down to pick up clothing from the floor?HAQ-DI With VAS - Able to Bend Down and Pick Up Clothing From Floor
HAQ0128C106836HAQ01-Open Car DoorsHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Grip: Are you able to open car doors?HAQ-DI With VAS - Able to Open Car Doors
HAQ0129C106837HAQ01-Open Jars Previously OpenedHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Grip: Are you able to open jars which have been previously opened?HAQ-DI With VAS - Able to Open Previously Opened Jars
HAQ0130C106838HAQ01-Turn Faucets On And OffHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Grip: Are you able to turn faucets on and off?HAQ-DI With VAS - Able to Turn Faucets On and Off
HAQ0131C106839HAQ01-Run Errands and ShopHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Activities: Are you able to run errands and shop?HAQ-DI With VAS - Able to Run Errands and Shop
HAQ0132C106840HAQ01-Get In and Out of a CarHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Activities: Are you able to get in and out of a car?HAQ-DI With VAS - Able to Get In and Out of Car
HAQ0133C106841HAQ01-Able to Do ChoresHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Activities: Are you able to do chores such as vacuuming or yardwork?HAQ-DI With VAS - Able to Do Chores - Vacuuming or Yardwork
HAQ0134C106842HAQ01-Aid: Raised Toilet SeatHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Raised toilet seat.HAQ-DI With VAS - Aids or Devices - Raised Toilet Seat
HAQ0135C106843HAQ01-Aid: Bathtub SeatHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Bathtub seat.HAQ-DI With VAS - Aids or Devices - Bathtub Seat
HAQ0136C107020HAQ01-Aid: Jar Opener (Previously Open)Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Jar opener (for jars previously opened).HAQ-DI With VAS - Aids or Devices - Jar Opener (Jars Previously Opened)
HAQ0137C106844HAQ01-Aid: Bathtub BarHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Bathtub bar.HAQ-DI With VAS - Aids or Devices - Bathtub Bar
HAQ0138C106845HAQ01-Aid: Long-Handled Appl ReachHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Long-handled appliances for reach.HAQ-DI With VAS - Aids or Devices - Long-Handled Appliances for Reach
HAQ0139C106846HAQ01-Aid: Long-Handled Appl BathroomHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Long-handled appliances in bathroom.HAQ-DI With VAS - Aids or Devices - Long-Handled Appliances in Bathroom
HAQ0140C107093HAQ01-Othr Aid (Hygiene/Reach/Grip/Act)Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Other.HAQ-DI With VAS - Aids or Devices For Hygiene/Reach/Grip/Act-Other
HAQ0141C107094HAQ01-Spec Aid (Hygiene/Reach/Grip/Act)Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Other (specify).HAQ-DI With VAS - Aids or Devices For Hygiene/Reach/Grip/Act-Specify
HAQ0142C106847HAQ01-Help: HygieneHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Usually need help from another person: Hygiene.HAQ-DI With VAS - Help From Another Person - Hygiene
HAQ0143C106848HAQ01-Help: ReachHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Usually need help from another person: Reach.HAQ-DI With VAS - Help From Another Person - Reach
HAQ0144C106849HAQ01-Help: Gripping and Opening ThingsHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Usually need help from another person: Gripping and opening things.HAQ-DI With VAS - Help From Another Person - Gripping and Opening Things
HAQ0145C106850HAQ01-Help: Errands and ChoresHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Usually need help from another person: Errands and chores.HAQ-DI With VAS - Help From Another Person - Errands and Chores
HAQ0146C106851HAQ01-Severity of PainHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - How much pain have you had because of your illness in the past week?HAQ-DI With VAS - Severity of Pain in the Past Week
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CL.C106666.HAQ01TNHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale Questionnaire Test Name
(HAQ01TN)
text
Extensible: No
C106666Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale Questionnaire Test NameHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale test name.CDISC Questionnaire HAQ-DI With VAS Test Name Terminology
HAQ01-Able to Do ChoresC106841HAQ01-Able to Do ChoresHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Activities: Are you able to do chores such as vacuuming or yardwork?HAQ-DI With VAS - Able to Do Chores - Vacuuming or Yardwork
HAQ01-Aid: Bathtub BarC106844HAQ01-Aid: Bathtub BarHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Bathtub bar.HAQ-DI With VAS - Aids or Devices - Bathtub Bar
HAQ01-Aid: Bathtub SeatC106843HAQ01-Aid: Bathtub SeatHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Bathtub seat.HAQ-DI With VAS - Aids or Devices - Bathtub Seat
HAQ01-Aid: Built Up or Special UtensilsC106823HAQ01-Aid: Built Up or Special UtensilsHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Built up or special utensils.HAQ-DI With VAS - Aids or Devices - Built Up or Special Utensils
HAQ01-Aid: CaneC106818HAQ01-Aid: CaneHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Cane.HAQ-DI With VAS - Aids or Devices - Cane
HAQ01-Aid: CrutchesC106820HAQ01-Aid: CrutchesHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Crutches.HAQ-DI With VAS - Aids or Devices - Crutches
HAQ01-Aid: Devices Used for DressingC106822HAQ01-Aid: Devices Used for DressingHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Devices used for dressing (button hook, zipper pull, long-handled shoe horn, etc.).HAQ-DI With VAS - Aids or Devices - Used For Dressing
HAQ01-Aid: Jar Opener (Previously Open)C107020HAQ01-Aid: Jar Opener (Previously Open)Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Jar opener (for jars previously opened).HAQ-DI With VAS - Aids or Devices - Jar Opener (Jars Previously Opened)
HAQ01-Aid: Long-Handled Appl BathroomC106846HAQ01-Aid: Long-Handled Appl BathroomHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Long-handled appliances in bathroom.HAQ-DI With VAS - Aids or Devices - Long-Handled Appliances in Bathroom
HAQ01-Aid: Long-Handled Appl ReachC106845HAQ01-Aid: Long-Handled Appl ReachHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Long-handled appliances for reach.HAQ-DI With VAS - Aids or Devices - Long-Handled Appliances for Reach
HAQ01-Aid: Raised Toilet SeatC106842HAQ01-Aid: Raised Toilet SeatHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Raised toilet seat.HAQ-DI With VAS - Aids or Devices - Raised Toilet Seat
HAQ01-Aid: Special or Built Up ChairC106824HAQ01-Aid: Special or Built Up ChairHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Special or built up chair.HAQ-DI With VAS - Aids or Devices - Special or Built Up Chair
HAQ01-Aid: WalkerC106819HAQ01-Aid: WalkerHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Walker.HAQ-DI With VAS - Aids or Devices - Walker
HAQ01-Aid: WheelchairC106821HAQ01-Aid: WheelchairHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Wheelchair.HAQ-DI With VAS - Aids or Devices - Wheelchair
HAQ01-Bend Down Pick Up Clothing - FloorC106835HAQ01-Bend Down Pick Up Clothing - FloorHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Reach: Are you able to bend down to pick up clothing from the floor?HAQ-DI With VAS - Able to Bend Down and Pick Up Clothing From Floor
HAQ01-Climb Up Five StepsC106817HAQ01-Climb Up Five StepsHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Walking: Are you able to climb up five steps?HAQ-DI With VAS - Able to Climb Up Steps
HAQ01-Cut Your MeatC106813HAQ01-Cut Your MeatHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Eating: Are you able to cut your meat?HAQ-DI With VAS - Able to Cut Meat
HAQ01-Dress YourselfC106809HAQ01-Dress YourselfHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Dressing & Grooming: Are you able to dress yourself, including tying shoelaces and doing buttons?HAQ-DI With VAS - Able to Dress Yourself
HAQ01-Get In and Out of a CarC106840HAQ01-Get In and Out of a CarHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Activities: Are you able to get in and out of a car?HAQ-DI With VAS - Able to Get In and Out of Car
HAQ01-Get In and Out of BedC106812HAQ01-Get In and Out of BedHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Arising: Are you able to get in and out of bed?HAQ-DI With VAS - Able to Get In and Out of Bed
HAQ01-Get On and Off The ToiletC106833HAQ01-Get On and Off The ToiletHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Hygiene: Are you able to get on and off the toilet?HAQ-DI With VAS - Able to Get On and Off Toilet
HAQ01-Help: ArisingC106828HAQ01-Help: ArisingHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Usually need help from another person: Arising.HAQ-DI With VAS - Help From Another Person - Arising
HAQ01-Help: Dressing and GroomingC106827HAQ01-Help: Dressing and GroomingHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Usually need help from another person: Dressing and grooming.HAQ-DI With VAS - Help From Another Person - Dressing and Grooming
HAQ01-Help: EatingC106829HAQ01-Help: EatingHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Usually need help from another person: Eating.HAQ-DI With VAS - Help From Another Person - Eating
HAQ01-Help: Errands and ChoresC106850HAQ01-Help: Errands and ChoresHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Usually need help from another person: Errands and chores.HAQ-DI With VAS - Help From Another Person - Errands and Chores
HAQ01-Help: Gripping and Opening ThingsC106849HAQ01-Help: Gripping and Opening ThingsHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Usually need help from another person: Gripping and opening things.HAQ-DI With VAS - Help From Another Person - Gripping and Opening Things
HAQ01-Help: HygieneC106847HAQ01-Help: HygieneHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Usually need help from another person: Hygiene.HAQ-DI With VAS - Help From Another Person - Hygiene
HAQ01-Help: ReachC106848HAQ01-Help: ReachHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Usually need help from another person: Reach.HAQ-DI With VAS - Help From Another Person - Reach
HAQ01-Help: WalkingC106830HAQ01-Help: WalkingHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Usually need help from another person: Walking.HAQ-DI With VAS - Help From Another Person - Walking
HAQ01-Lift a Full Cup or Glass to MouthC106814HAQ01-Lift a Full Cup or Glass to MouthHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Eating: Are you able to lift a full cup or glass to your mouth?HAQ-DI With VAS - Able to Lift Cup or Glass to Mouth
HAQ01-Open a New Milk CartonC106815HAQ01-Open a New Milk CartonHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Eating: Are you able to open a new milk carton?HAQ-DI With VAS - Able to Open Milk Carton
HAQ01-Open Car DoorsC106836HAQ01-Open Car DoorsHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Grip: Are you able to open car doors?HAQ-DI With VAS - Able to Open Car Doors
HAQ01-Open Jars Previously OpenedC106837HAQ01-Open Jars Previously OpenedHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Grip: Are you able to open jars which have been previously opened?HAQ-DI With VAS - Able to Open Previously Opened Jars
HAQ01-Othr Aid (Dress/Arising/Eat/Walk)C106825HAQ01-Othr Aid (Dress/Arising/Eat/Walk)Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Other.HAQ-DI With VAS - Aids or Devices For Dress/Arising/Eat/Walk-Other
HAQ01-Othr Aid (Hygiene/Reach/Grip/Act)C107093HAQ01-Othr Aid (Hygiene/Reach/Grip/Act)Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Other.HAQ-DI With VAS - Aids or Devices For Hygiene/Reach/Grip/Act-Other
HAQ01-Reach-Get Down 5 Lb Obj Above HeadC106834HAQ01-Reach-Get Down 5 Lb Obj Above HeadHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Reach: Are you able to reach and get down a 5 pound object (such as a bag of sugar) from just above your head?HAQ-DI With VAS - Able to Reach and Get Down Object From Above Head
HAQ01-Run Errands and ShopC106839HAQ01-Run Errands and ShopHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Activities: Are you able to run errands and shop?HAQ-DI With VAS - Able to Run Errands and Shop
HAQ01-Severity of PainC106851HAQ01-Severity of PainHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - How much pain have you had because of your illness in the past week?HAQ-DI With VAS - Severity of Pain in the Past Week
HAQ01-Shampoo Your HairC106810HAQ01-Shampoo Your HairHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Dressing & Grooming: Are you able to shampoo your hair?HAQ-DI With VAS - Able to Shampoo Hair
HAQ01-Spec Aid (Dress/Arising/Eat/Walk)C106826HAQ01-Spec Aid (Dress/Arising/Eat/Walk)Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Other (specify).HAQ-DI With VAS - Aids or Devices For Dress/Arising/Eat/Walk-Specify
HAQ01-Spec Aid (Hygiene/Reach/Grip/Act)C107094HAQ01-Spec Aid (Hygiene/Reach/Grip/Act)Health Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Other (specify).HAQ-DI With VAS - Aids or Devices For Hygiene/Reach/Grip/Act-Specify
HAQ01-Stand Up From a Straight ChairC106811HAQ01-Stand Up From a Straight ChairHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Arising: Are you able to stand up from a straight chair?HAQ-DI With VAS - Able to Stand Up From Chair
HAQ01-Take a Tub BathC106832HAQ01-Take a Tub BathHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Hygiene: Are you able to take a tub bath?HAQ-DI With VAS - Able to Take Tub Bath
HAQ01-Turn Faucets On And OffC106838HAQ01-Turn Faucets On And OffHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Grip: Are you able to turn faucets on and off?HAQ-DI With VAS - Able to Turn Faucets On and Off
HAQ01-Walk Outdoors on Flat GroundC106816HAQ01-Walk Outdoors on Flat GroundHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Walking: Are you able to walk outdoors on flat ground?HAQ-DI With VAS - Able to Walk Outdoors On Flat Ground
HAQ01-Wash and Dry Your BodyC106831HAQ01-Wash and Dry Your BodyHealth Assessment Questionnaire Disability Index With Pain Visual Analog Scale - Hygiene: Are you able to wash and dry your body?HAQ-DI With VAS - Able to Wash and Dry Body
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CL.C132523.HAQ02TCHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale Questionnaire Test Code
(HAQ02TC)
text
Extensible: No
C132523Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale Questionnaire Test CodeHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale test code.CDISC Questionnaire HAQ-DI Without VAS Test Code Terminology
HAQ0201C132573HAQ02-Dress YourselfHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Dressing & Grooming: Are you able to dress yourself, including tying shoelaces and doing buttons?HAQ-DI Without VAS - Dress Yourself
HAQ0202C132574HAQ02-Shampoo Your HairHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Dressing & Grooming: Are you able to shampoo your hair?HAQ-DI Without VAS - Shampoo Your Hair
HAQ0203C132575HAQ02-Stand Up From a Straight ChairHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Arising: Are you able to stand up from a straight chair?HAQ-DI Without VAS - Stand Up From a Straight Chair
HAQ0204C132576HAQ02-Get In and Out of BedHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Arising: Are you able to get in and out of bed?HAQ-DI Without VAS - Get In and Out of Bed
HAQ0205C132577HAQ02-Cut Your MeatHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Eating: Are you able to cut your meat?HAQ-DI Without VAS - Cut Your Meat
HAQ0206C132578HAQ02-Lift a Full Cup or Glass to MouthHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Eating: Are you able to lift a full cup or glass to your mouth?HAQ-DI Without VAS - Lift a Full Cup or Glass to Mouth
HAQ0207C132579HAQ02-Open a New Milk CartonHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Eating: Are you able to open a new milk carton?HAQ-DI Without VAS - Open a New Milk Carton
HAQ0208C132580HAQ02-Walk Outdoors on Flat GroundHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Walking: Are you able to walk outdoors on flat ground?HAQ-DI Without VAS - Walk Outdoors on Flat Ground
HAQ0209C132581HAQ02-Climb Up Five StepsHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Walking: Are you able to climb up five steps?HAQ-DI Without VAS - Climb Up Five Steps
HAQ0210C132582HAQ02-Aid: CaneHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Cane.HAQ-DI Without VAS - Aid: Cane
HAQ0211C132583HAQ02-Aid: WalkerHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Walker.HAQ-DI Without VAS - Aid: Walker
HAQ0212C132584HAQ02-Aid: CrutchesHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Crutches.HAQ-DI Without VAS - Aid: Crutches
HAQ0213C132585HAQ02-Aid: WheelchairHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Wheelchair.HAQ-DI Without VAS - Aid: Wheelchair
HAQ0214C132586HAQ02-Aid: Devices Used for DressingHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Devices used for Dressing (button hook, zipper pull, long-handled shoe horn, etc.).HAQ-DI Without VAS - Aid: Devices Used for Dressing
HAQ0215C132587HAQ02-Aid: Built Up or Special UtensilsHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Built up or special utensils.HAQ-DI Without VAS - Aid: Built Up or Special Utensils
HAQ0216C132588HAQ02-Aid: Special or Built Up ChairHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Special or built up chair.HAQ-DI Without VAS - Aid: Special or Built Up Chair
HAQ0217C132589HAQ02-Othr Aid (Dress/Arising/Eat/Walk)Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Other.HAQ-DI Without VAS - Other Aid (Dress or Arising or Eat or Walk)
HAQ0218C132590HAQ02-Spec Aid (Dress/Arising/Eat/Walk)Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Other (specify).HAQ-DI Without VAS - Special Aid (Dress or Arising or Eat or Walk)
HAQ0219C132591HAQ02-Help: Dressing and GroomingHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Usually need help from another person: Dressing and grooming.HAQ-DI Without VAS - Help: Dressing and Grooming
HAQ0220C132592HAQ02-Help: ArisingHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Usually need help from another person: Arising.HAQ-DI Without VAS - Help: Arising
HAQ0221C132593HAQ02-Help: EatingHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Usually need help from another person: Eating.HAQ-DI Without VAS - Help: Eating
HAQ0222C132594HAQ02-Help: WalkingHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Usually need help from another person: Walking.HAQ-DI Without VAS - Help: Walking
HAQ0223C132595HAQ02-Wash and Dry Your BodyHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Hygiene: Are you able to wash and dry your body?HAQ-DI Without VAS - Wash and Dry Your Body
HAQ0224C132596HAQ02-Take a Tub BathHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Hygiene: Are you able to take a tub bath?HAQ-DI Without VAS - Take a Tub Bath
HAQ0225C132597HAQ02-Get On and Off The ToiletHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Hygiene: Are you able to get on and off the toilet?HAQ-DI Without VAS - Get On and Off The Toilet
HAQ0226C132598HAQ02-Reach-Get Down 5 Lb Obj Above HeadHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Reach: Are you able to reach and get down a 5-pound object (such as a bag of sugar) from just above your head?HAQ-DI Without VAS - Reach-Get Down 5 Lb Object Above Head
HAQ0227C132599HAQ02-Bend Down Pick Up Clothing - FloorHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Reach: Are you able to bend down to pick up clothing from the floor?HAQ-DI Without VAS - Bend Down Pick Up Clothing - Floor
HAQ0228C132600HAQ02-Open Car DoorsHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Grip: Are you able to open car doors?HAQ-DI Without VAS - Open Car Doors
HAQ0229C132601HAQ02-Open Jars Previously OpenedHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Grip: Are you able to open jars which have been previously opened?HAQ-DI Without VAS - Open Jars Previously Opened
HAQ0230C132602HAQ02-Turn Faucets On And OffHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Grip: Are you able to turn faucets on and off?HAQ-DI Without VAS - Turn Faucets On And Off
HAQ0231C132603HAQ02-Run Errands and ShopHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Activities: Are you able to run errands and shop?HAQ-DI Without VAS - Run Errands and Shop
HAQ0232C132604HAQ02-Get In and Out of a CarHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Activities: Are you able to get in and out of a car?HAQ-DI Without VAS - Get In and Out of a Car
HAQ0233C132605HAQ02-Able to Do ChoresHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Activities: Are you able to do chores such as vacuuming or yardwork?HAQ-DI Without VAS - Able to Do Chores
HAQ0234C132606HAQ02-Aid: Raised Toilet SeatHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Raised toilet seat.HAQ-DI Without VAS - Aid: Raised Toilet Seat
HAQ0235C132607HAQ02-Aid: Bathtub SeatHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Bathtub seat.HAQ-DI Without VAS - Aid: Bathtub Seat
HAQ0236C132608HAQ02-Aid: Jar Opener (Previously Open)Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Jar opener (for jars previously opened).HAQ-DI Without VAS - Aid: Jar Opener (Previously Open)
HAQ0237C132609HAQ02-Aid: Bathtub BarHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Bathtub bar.HAQ-DI Without VAS - Aid: Bathtub Bar
HAQ0238C132610HAQ02-Aid: Long-Handled Appl ReachHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Long-handled appliances for reach.HAQ-DI Without VAS - Aid: Long-Handled Appliances Reach
HAQ0239C132611HAQ02-Aid: Long-Handled Appl BathroomHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Long-handled appliances in bathroom.HAQ-DI Without VAS - Aid: Long-Handled Appliances Bathroom
HAQ0240C132612HAQ02-Othr Aid (Hygiene/Reach/Grip/Act)Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Other.HAQ-DI Without VAS - Other Aid (Hygiene or Reach or Grip or Act)
HAQ0241C132613HAQ02-Spec Aid (Hygiene/Reach/Grip/Act)Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Other (specify).HAQ-DI Without VAS - Special Aid (Hygiene or Reach or Grip or Act)
HAQ0242C132614HAQ02-Help: HygieneHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Usually need help from another person: Hygiene.HAQ-DI Without VAS - Help: Hygiene
HAQ0243C132615HAQ02-Help: ReachHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Usually need help from another person: Reach.HAQ-DI Without VAS - Help: Reach
HAQ0244C132616HAQ02-Help: Gripping and Opening ThingsHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Usually need help from another person: Gripping and opening things.HAQ-DI Without VAS - Help: Gripping and Opening Things
HAQ0245C132617HAQ02-Help: Errands and ChoresHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Usually need help from another person: Errands and chores.HAQ-DI Without VAS - Help: Errands and Chores
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CL.C132522.HAQ02TNHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale Questionnaire Test Name
(HAQ02TN)
text
Extensible: No
C132522Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale Questionnaire Test NameHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale test name.CDISC Questionnaire HAQ-DI Without VAS Test Name Terminology
HAQ02-Able to Do ChoresC132605HAQ02-Able to Do ChoresHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Activities: Are you able to do chores such as vacuuming or yardwork?HAQ-DI Without VAS - Able to Do Chores
HAQ02-Aid: Bathtub BarC132609HAQ02-Aid: Bathtub BarHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Bathtub bar.HAQ-DI Without VAS - Aid: Bathtub Bar
HAQ02-Aid: Bathtub SeatC132607HAQ02-Aid: Bathtub SeatHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Bathtub seat.HAQ-DI Without VAS - Aid: Bathtub Seat
HAQ02-Aid: Built Up or Special UtensilsC132587HAQ02-Aid: Built Up or Special UtensilsHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Built up or special utensils.HAQ-DI Without VAS - Aid: Built Up or Special Utensils
HAQ02-Aid: CaneC132582HAQ02-Aid: CaneHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Cane.HAQ-DI Without VAS - Aid: Cane
HAQ02-Aid: CrutchesC132584HAQ02-Aid: CrutchesHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Crutches.HAQ-DI Without VAS - Aid: Crutches
HAQ02-Aid: Devices Used for DressingC132586HAQ02-Aid: Devices Used for DressingHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Devices used for Dressing (button hook, zipper pull, long-handled shoe horn, etc.).HAQ-DI Without VAS - Aid: Devices Used for Dressing
HAQ02-Aid: Jar Opener (Previously Open)C132608HAQ02-Aid: Jar Opener (Previously Open)Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Jar opener (for jars previously opened).HAQ-DI Without VAS - Aid: Jar Opener (Previously Open)
HAQ02-Aid: Long-Handled Appl BathroomC132611HAQ02-Aid: Long-Handled Appl BathroomHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Long-handled appliances in bathroom.HAQ-DI Without VAS - Aid: Long-Handled Appliances Bathroom
HAQ02-Aid: Long-Handled Appl ReachC132610HAQ02-Aid: Long-Handled Appl ReachHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Long-handled appliances for reach.HAQ-DI Without VAS - Aid: Long-Handled Appliances Reach
HAQ02-Aid: Raised Toilet SeatC132606HAQ02-Aid: Raised Toilet SeatHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Raised toilet seat.HAQ-DI Without VAS - Aid: Raised Toilet Seat
HAQ02-Aid: Special or Built Up ChairC132588HAQ02-Aid: Special or Built Up ChairHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Special or built up chair.HAQ-DI Without VAS - Aid: Special or Built Up Chair
HAQ02-Aid: WalkerC132583HAQ02-Aid: WalkerHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Walker.HAQ-DI Without VAS - Aid: Walker
HAQ02-Aid: WheelchairC132585HAQ02-Aid: WheelchairHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Wheelchair.HAQ-DI Without VAS - Aid: Wheelchair
HAQ02-Bend Down Pick Up Clothing - FloorC132599HAQ02-Bend Down Pick Up Clothing - FloorHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Reach: Are you able to bend down to pick up clothing from the floor?HAQ-DI Without VAS - Bend Down Pick Up Clothing - Floor
HAQ02-Climb Up Five StepsC132581HAQ02-Climb Up Five StepsHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Walking: Are you able to climb up five steps?HAQ-DI Without VAS - Climb Up Five Steps
HAQ02-Cut Your MeatC132577HAQ02-Cut Your MeatHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Eating: Are you able to cut your meat?HAQ-DI Without VAS - Cut Your Meat
HAQ02-Dress YourselfC132573HAQ02-Dress YourselfHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Dressing & Grooming: Are you able to dress yourself, including tying shoelaces and doing buttons?HAQ-DI Without VAS - Dress Yourself
HAQ02-Get In and Out of a CarC132604HAQ02-Get In and Out of a CarHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Activities: Are you able to get in and out of a car?HAQ-DI Without VAS - Get In and Out of a Car
HAQ02-Get In and Out of BedC132576HAQ02-Get In and Out of BedHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Arising: Are you able to get in and out of bed?HAQ-DI Without VAS - Get In and Out of Bed
HAQ02-Get On and Off The ToiletC132597HAQ02-Get On and Off The ToiletHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Hygiene: Are you able to get on and off the toilet?HAQ-DI Without VAS - Get On and Off The Toilet
HAQ02-Help: ArisingC132592HAQ02-Help: ArisingHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Usually need help from another person: Arising.HAQ-DI Without VAS - Help: Arising
HAQ02-Help: Dressing and GroomingC132591HAQ02-Help: Dressing and GroomingHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Usually need help from another person: Dressing and grooming.HAQ-DI Without VAS - Help: Dressing and Grooming
HAQ02-Help: EatingC132593HAQ02-Help: EatingHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Usually need help from another person: Eating.HAQ-DI Without VAS - Help: Eating
HAQ02-Help: Errands and ChoresC132617HAQ02-Help: Errands and ChoresHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Usually need help from another person: Errands and chores.HAQ-DI Without VAS - Help: Errands and Chores
HAQ02-Help: Gripping and Opening ThingsC132616HAQ02-Help: Gripping and Opening ThingsHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Usually need help from another person: Gripping and opening things.HAQ-DI Without VAS - Help: Gripping and Opening Things
HAQ02-Help: HygieneC132614HAQ02-Help: HygieneHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Usually need help from another person: Hygiene.HAQ-DI Without VAS - Help: Hygiene
HAQ02-Help: ReachC132615HAQ02-Help: ReachHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Usually need help from another person: Reach.HAQ-DI Without VAS - Help: Reach
HAQ02-Help: WalkingC132594HAQ02-Help: WalkingHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Usually need help from another person: Walking.HAQ-DI Without VAS - Help: Walking
HAQ02-Lift a Full Cup or Glass to MouthC132578HAQ02-Lift a Full Cup or Glass to MouthHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Eating: Are you able to lift a full cup or glass to your mouth?HAQ-DI Without VAS - Lift a Full Cup or Glass to Mouth
HAQ02-Open a New Milk CartonC132579HAQ02-Open a New Milk CartonHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Eating: Are you able to open a new milk carton?HAQ-DI Without VAS - Open a New Milk Carton
HAQ02-Open Car DoorsC132600HAQ02-Open Car DoorsHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Grip: Are you able to open car doors?HAQ-DI Without VAS - Open Car Doors
HAQ02-Open Jars Previously OpenedC132601HAQ02-Open Jars Previously OpenedHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Grip: Are you able to open jars which have been previously opened?HAQ-DI Without VAS - Open Jars Previously Opened
HAQ02-Othr Aid (Dress/Arising/Eat/Walk)C132589HAQ02-Othr Aid (Dress/Arising/Eat/Walk)Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Other.HAQ-DI Without VAS - Other Aid (Dress or Arising or Eat or Walk)
HAQ02-Othr Aid (Hygiene/Reach/Grip/Act)C132612HAQ02-Othr Aid (Hygiene/Reach/Grip/Act)Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Other.HAQ-DI Without VAS - Other Aid (Hygiene or Reach or Grip or Act)
HAQ02-Reach-Get Down 5 Lb Obj Above HeadC132598HAQ02-Reach-Get Down 5 Lb Obj Above HeadHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Reach: Are you able to reach and get down a 5-pound object (such as a bag of sugar) from just above your head?HAQ-DI Without VAS - Reach-Get Down 5 Lb Object Above Head
HAQ02-Run Errands and ShopC132603HAQ02-Run Errands and ShopHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Activities: Are you able to run errands and shop?HAQ-DI Without VAS - Run Errands and Shop
HAQ02-Shampoo Your HairC132574HAQ02-Shampoo Your HairHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Dressing & Grooming: Are you able to shampoo your hair?HAQ-DI Without VAS - Shampoo Your Hair
HAQ02-Spec Aid (Dress/Arising/Eat/Walk)C132590HAQ02-Spec Aid (Dress/Arising/Eat/Walk)Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Other (specify).HAQ-DI Without VAS - Special Aid (Dress or Arising or Eat or Walk)
HAQ02-Spec Aid (Hygiene/Reach/Grip/Act)C132613HAQ02-Spec Aid (Hygiene/Reach/Grip/Act)Health Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Aids or devices that you usually use for any of these activities: Other (specify).HAQ-DI Without VAS - Special Aid (Hygiene or Reach or Grip or Act)
HAQ02-Stand Up From a Straight ChairC132575HAQ02-Stand Up From a Straight ChairHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Arising: Are you able to stand up from a straight chair?HAQ-DI Without VAS - Stand Up From a Straight Chair
HAQ02-Take a Tub BathC132596HAQ02-Take a Tub BathHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Hygiene: Are you able to take a tub bath?HAQ-DI Without VAS - Take a Tub Bath
HAQ02-Turn Faucets On And OffC132602HAQ02-Turn Faucets On And OffHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Grip: Are you able to turn faucets on and off?HAQ-DI Without VAS - Turn Faucets On And Off
HAQ02-Walk Outdoors on Flat GroundC132580HAQ02-Walk Outdoors on Flat GroundHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Walking: Are you able to walk outdoors on flat ground?HAQ-DI Without VAS - Walk Outdoors on Flat Ground
HAQ02-Wash and Dry Your BodyC132595HAQ02-Wash and Dry Your BodyHealth Assessment Questionnaire Disability Index Without Pain Visual Analog Scale - Hygiene: Are you able to wash and dry your body?HAQ-DI Without VAS - Wash and Dry Your Body
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CL.C103469.HADS01TCHospital Anxiety and Depression Scale Questionnaire Test Code
(HADS01TC)
text
Extensible: No
C103469Hospital Anxiety and Depression Scale Questionnaire Test CodeHospital Anxiety and Depression Scale test code.CDISC Questionnaire HADS Test Code Terminology
HADS0101C103573HADS01-I Feel Tense or Wound UpHospital Anxiety and Depression Scale - I feel tense or 'wound up.'HADS - I Feel Tense or Wound Up
HADS0102C103574HADS01-Enjoy the Things I Used to EnjoyHospital Anxiety and Depression Scale - I still enjoy the things I used to enjoy.HADS - I Still Enjoy the Things I Used to Enjoy
HADS0103C103575HADS01-Something Awful About to HappenHospital Anxiety and Depression Scale - I get a sort of frightened feeling as if something awful is about to happen.HADS - I Get a Frightened Feeling Something Awful is About to Happen
HADS0104C103576HADS01-I Can Laugh and See Funny SideHospital Anxiety and Depression Scale - I can laugh and see the funny side of things.HADS - I Can Laugh and See Funny Side of Things
HADS0105C103577HADS01-Worrying Thoughts Go Through MindHospital Anxiety and Depression Scale - Worrying thoughts go through my mind.HADS - Worrying Thoughts Go Through My Mind
HADS0106C103578HADS01-I Feel CheerfulHospital Anxiety and Depression Scale - I feel cheerful.HADS - I Feel Cheerful
HADS0107C103579HADS01-Sit at Ease and Feel RelaxedHospital Anxiety and Depression Scale - I can sit at ease and feel relaxed.HADS - I Can Sit at Ease and Feel Relaxed
HADS0108C103580HADS01-I Feel as if I am Slowed DownHospital Anxiety and Depression Scale - I feel as if I am slowed down.HADS - I Feel as if I am Slowed Down
HADS0109C103581HADS01-Butterflies in the StomachHospital Anxiety and Depression Scale - I get a sort of frightened feeling like 'butterflies' in the stomach.HADS - I Get Frightened Feeling Like Butterflies in the Stomach
HADS0110C103582HADS01-Lost Interest in My AppearanceHospital Anxiety and Depression Scale - I have lost interest in my appearance.HADS - I Have Lost Interest in My Appearance
HADS0111C103583HADS01-Feel Restless be on the MoveHospital Anxiety and Depression Scale - I feel restless as if I have to be on the move.HADS - I Feel Restless as if I Have to be on the Move
HADS0112C103584HADS01-Look Forward with EnjoymentHospital Anxiety and Depression Scale - I look forward with enjoyment to things.HADS - I Look Forward with Enjoyment to Things
HADS0113C103585HADS01-I Get Sudden Feelings of PanicHospital Anxiety and Depression Scale - I get sudden feelings of panic.HADS - I Get Sudden Feelings of Panic
HADS0114C103586HADS01-Enjoy Good Book/Radio/TelevisionHospital Anxiety and Depression Scale - I can enjoy a good book or radio or television programme.HADS - I Can Enjoy a Good Book or Radio or Television Programme
HADS0115C118111HADS01-Total Score AnxietyHospital Anxiety and Depression Scale - Total score anxiety.HADS - Total Score Anxiety
HADS0116C118112HADS01-Total Score DepressionHospital Anxiety and Depression Scale - Total score depression.HADS - Total Score Depression
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CL.C103468.HADS01TNHospital Anxiety and Depression Scale Questionnaire Test Name
(HADS01TN)
text
Extensible: No
C103468Hospital Anxiety and Depression Scale Questionnaire Test NameHospital Anxiety and Depression Scale test name.CDISC Questionnaire HADS Test Name Terminology
HADS01-Butterflies in the StomachC103581HADS01-Butterflies in the StomachHospital Anxiety and Depression Scale - I get a sort of frightened feeling like 'butterflies' in the stomach.HADS - I Get Frightened Feeling Like Butterflies in the Stomach
HADS01-Enjoy Good Book/Radio/TelevisionC103586HADS01-Enjoy Good Book/Radio/TelevisionHospital Anxiety and Depression Scale - I can enjoy a good book or radio or television programme.HADS - I Can Enjoy a Good Book or Radio or Television Programme
HADS01-Enjoy the Things I Used to EnjoyC103574HADS01-Enjoy the Things I Used to EnjoyHospital Anxiety and Depression Scale - I still enjoy the things I used to enjoy.HADS - I Still Enjoy the Things I Used to Enjoy
HADS01-Feel Restless be on the MoveC103583HADS01-Feel Restless be on the MoveHospital Anxiety and Depression Scale - I feel restless as if I have to be on the move.HADS - I Feel Restless as if I Have to be on the Move
HADS01-I Can Laugh and See Funny SideC103576HADS01-I Can Laugh and See Funny SideHospital Anxiety and Depression Scale - I can laugh and see the funny side of things.HADS - I Can Laugh and See Funny Side of Things
HADS01-I Feel as if I am Slowed DownC103580HADS01-I Feel as if I am Slowed DownHospital Anxiety and Depression Scale - I feel as if I am slowed down.HADS - I Feel as if I am Slowed Down
HADS01-I Feel CheerfulC103578HADS01-I Feel CheerfulHospital Anxiety and Depression Scale - I feel cheerful.HADS - I Feel Cheerful
HADS01-I Feel Tense or Wound UpC103573HADS01-I Feel Tense or Wound UpHospital Anxiety and Depression Scale - I feel tense or 'wound up.'HADS - I Feel Tense or Wound Up
HADS01-I Get Sudden Feelings of PanicC103585HADS01-I Get Sudden Feelings of PanicHospital Anxiety and Depression Scale - I get sudden feelings of panic.HADS - I Get Sudden Feelings of Panic
HADS01-Look Forward with EnjoymentC103584HADS01-Look Forward with EnjoymentHospital Anxiety and Depression Scale - I look forward with enjoyment to things.HADS - I Look Forward with Enjoyment to Things
HADS01-Lost Interest in My AppearanceC103582HADS01-Lost Interest in My AppearanceHospital Anxiety and Depression Scale - I have lost interest in my appearance.HADS - I Have Lost Interest in My Appearance
HADS01-Sit at Ease and Feel RelaxedC103579HADS01-Sit at Ease and Feel RelaxedHospital Anxiety and Depression Scale - I can sit at ease and feel relaxed.HADS - I Can Sit at Ease and Feel Relaxed
HADS01-Something Awful About to HappenC103575HADS01-Something Awful About to HappenHospital Anxiety and Depression Scale - I get a sort of frightened feeling as if something awful is about to happen.HADS - I Get a Frightened Feeling Something Awful is About to Happen
HADS01-Total Score AnxietyC118111HADS01-Total Score AnxietyHospital Anxiety and Depression Scale - Total score anxiety.HADS - Total Score Anxiety
HADS01-Total Score DepressionC118112HADS01-Total Score DepressionHospital Anxiety and Depression Scale - Total score depression.HADS - Total Score Depression
HADS01-Worrying Thoughts Go Through MindC103577HADS01-Worrying Thoughts Go Through MindHospital Anxiety and Depression Scale - Worrying thoughts go through my mind.HADS - Worrying Thoughts Go Through My Mind
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CL.C166188.HDCAB1TCHuntington's Disease Cognitive Assessment Battery Functional Test Test Code
(HDCAB1TC)
text
Extensible: No
C166188Huntington's Disease Cognitive Assessment Battery Functional Test Test CodeHuntington's Disease Cognitive Assessment Battery test code.CDISC Functional Test HD-CAB Test Code Terminology
HDCAB101C166331HDCAB1-Paced TappingHuntington's Disease Cognitive Assessment Battery - Paced Tapping key variable for composite score: 1/SD of the inter-tap interval for the self-paced taps.HD-CAB - Paced Tapping
HDCAB102C166332HDCAB1-Emotion RecognitionHuntington's Disease Cognitive Assessment Battery - Emotion Recognition key variable for composite score: Number of correct responses to the negative expressions (anger, fear, sadness, disgust) out of 24 possible.HD-CAB - Emotion Recognition
HDCAB103C166333HDCAB1-One Touch Stockings of CambridgeHuntington's Disease Cognitive Assessment Battery - One Touch Stockings of Cambridge key variable for composite score: Mean time to correct response (sec) averaged across all 10 trials (reverse scored).HD-CAB - One Touch Stockings of Cambridge
HDCAB104C166334HDCAB1-Symbol Digit Modalities TestHuntington's Disease Cognitive Assessment Battery - Symbol Digit Modalities Test key variable for composite score: Number of correct responses in 90 seconds out of 110 possible responses.HD-CAB - Symbol Digit Modalities Test
HDCAB105C166335HDCAB1-Hopkins Verbal Learning Test RevHuntington's Disease Cognitive Assessment Battery - Hopkins Verbal Learning Test - Revised key variable for composite score: Total number of words correctly recalled over Trials 1-4 out of 48 possible.HD-CAB - Hopkins Verbal Learning Test Revised
HDCAB106C166336HDCAB1-Trail Making Test-BHuntington's Disease Cognitive Assessment Battery - Trail Making Test-B key variable for composite score: Time to completion (sec) of TMT Part B with upper time limit of 240 seconds (reverse scored).HD-CAB - Trail Making Test-B
HDCAB107C166337HDCAB1-HD-CAB Total ScoreHuntington's Disease Cognitive Assessment Battery - HD-CAB total score.HD-CAB - HD-CAB Total Score
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CL.C166187.HDCAB1TNHuntington's Disease Cognitive Assessment Battery Functional Test Test Name
(HDCAB1TN)
text
Extensible: No
C166187Huntington's Disease Cognitive Assessment Battery Functional Test Test NameHuntington's Disease Cognitive Assessment Battery test name.CDISC Functional Test HD-CAB Test Name Terminology
HDCAB1-Emotion RecognitionC166332HDCAB1-Emotion RecognitionHuntington's Disease Cognitive Assessment Battery - Emotion Recognition key variable for composite score: Number of correct responses to the negative expressions (anger, fear, sadness, disgust) out of 24 possible.HD-CAB - Emotion Recognition
HDCAB1-HD-CAB Total ScoreC166337HDCAB1-HD-CAB Total ScoreHuntington's Disease Cognitive Assessment Battery - HD-CAB total score.HD-CAB - HD-CAB Total Score
HDCAB1-Hopkins Verbal Learning Test RevC166335HDCAB1-Hopkins Verbal Learning Test RevHuntington's Disease Cognitive Assessment Battery - Hopkins Verbal Learning Test - Revised key variable for composite score: Total number of words correctly recalled over Trials 1-4 out of 48 possible.HD-CAB - Hopkins Verbal Learning Test Revised
HDCAB1-One Touch Stockings of CambridgeC166333HDCAB1-One Touch Stockings of CambridgeHuntington's Disease Cognitive Assessment Battery - One Touch Stockings of Cambridge key variable for composite score: Mean time to correct response (sec) averaged across all 10 trials (reverse scored).HD-CAB - One Touch Stockings of Cambridge
HDCAB1-Paced TappingC166331HDCAB1-Paced TappingHuntington's Disease Cognitive Assessment Battery - Paced Tapping key variable for composite score: 1/SD of the inter-tap interval for the self-paced taps.HD-CAB - Paced Tapping
HDCAB1-Symbol Digit Modalities TestC166334HDCAB1-Symbol Digit Modalities TestHuntington's Disease Cognitive Assessment Battery - Symbol Digit Modalities Test key variable for composite score: Number of correct responses in 90 seconds out of 110 possible responses.HD-CAB - Symbol Digit Modalities Test
HDCAB1-Trail Making Test-BC166336HDCAB1-Trail Making Test-BHuntington's Disease Cognitive Assessment Battery - Trail Making Test-B key variable for composite score: Time to completion (sec) of TMT Part B with upper time limit of 240 seconds (reverse scored).HD-CAB - Trail Making Test-B
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CL.C163393.HCS01TCHypoglycemic Confidence Scale Questionnaire Test Code
(HCS01TC)
text
Extensible: No
C163393Hypoglycemic Confidence Scale Questionnaire Test CodeHypoglycemic Confidence Scale test code.CDISC Questionnaire HCS Test Code Terminology
HCS0101C163860HCS01-When You Are ExercisingHypoglycemic Confidence Scale - How confident are you that you can stay safe from serious problems with hypoglycemia: When you are exercising?HCS - When You Are Exercising
HCS0102C163861HCS01-When You Are SleepingHypoglycemic Confidence Scale - How confident are you that you can stay safe from serious problems with hypoglycemia: When you are sleeping?HCS - When You Are Sleeping
HCS0103C163862HCS01-When You Are DrivingHypoglycemic Confidence Scale - How confident are you that you can stay safe from serious problems with hypoglycemia: When you are driving?HCS - When You Are Driving
HCS0104C163863HCS01-When You Are in Social SituationsHypoglycemic Confidence Scale - How confident are you that you can stay safe from serious problems with hypoglycemia: When you are in social situations?HCS - When You Are in Social Situations
HCS0105C163864HCS01-When You Are AloneHypoglycemic Confidence Scale - How confident are you that you can stay safe from serious problems with hypoglycemia: When you are alone?HCS - When You Are Alone
HCS0106C163865HCS01-Avoid Serious ProblemsHypoglycemic Confidence Scale - In general, how confident are you that you can: Avoid serious problems due to hypoglycemia?HCS - Avoid Serious Problems
HCS0107C163866HCS01-Catch Before Sugars Get Too LowHypoglycemic Confidence Scale - In general, how confident are you that you can: Catch and respond to hypoglycemia before your blood sugars get too low?HCS - Catch Before Sugars Get Too Low
HCS0108C163867HCS01-Continue to Do Things Really WantHypoglycemic Confidence Scale - In general, how confident are you that you can: Continue to do the things you really want to do in your life, despite the risks of hypoglycemia?HCS - Continue to Do Things Really Want
HCS0109C163868HCS01-Your Ability to Avoid ProblemsHypoglycemic Confidence Scale - If you have a spouse or partner: What is your best guess about how confident your spouse or partner feels about your ability to avoid serious problems due to hypoglycemia?HCS - Your Ability to Avoid Problems
HCS0110C163869HCS01-Mean HCS ScoreHypoglycemic Confidence Scale - Mean HCS score.HCS - Mean HCS Score
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CL.C163392.HCS01TNHypoglycemic Confidence Scale Questionnaire Test Name
(HCS01TN)
text
Extensible: No
C163392Hypoglycemic Confidence Scale Questionnaire Test NameHypoglycemic Confidence Scale test name.CDISC Questionnaire HCS Test Name Terminology
HCS01-Avoid Serious ProblemsC163865HCS01-Avoid Serious ProblemsHypoglycemic Confidence Scale - In general, how confident are you that you can: Avoid serious problems due to hypoglycemia?HCS - Avoid Serious Problems
HCS01-Catch Before Sugars Get Too LowC163866HCS01-Catch Before Sugars Get Too LowHypoglycemic Confidence Scale - In general, how confident are you that you can: Catch and respond to hypoglycemia before your blood sugars get too low?HCS - Catch Before Sugars Get Too Low
HCS01-Continue to Do Things Really WantC163867HCS01-Continue to Do Things Really WantHypoglycemic Confidence Scale - In general, how confident are you that you can: Continue to do the things you really want to do in your life, despite the risks of hypoglycemia?HCS - Continue to Do Things Really Want
HCS01-Mean HCS ScoreC163869HCS01-Mean HCS ScoreHypoglycemic Confidence Scale - Mean HCS score.HCS - Mean HCS Score
HCS01-When You Are AloneC163864HCS01-When You Are AloneHypoglycemic Confidence Scale - How confident are you that you can stay safe from serious problems with hypoglycemia: When you are alone?HCS - When You Are Alone
HCS01-When You Are DrivingC163862HCS01-When You Are DrivingHypoglycemic Confidence Scale - How confident are you that you can stay safe from serious problems with hypoglycemia: When you are driving?HCS - When You Are Driving
HCS01-When You Are ExercisingC163860HCS01-When You Are ExercisingHypoglycemic Confidence Scale - How confident are you that you can stay safe from serious problems with hypoglycemia: When you are exercising?HCS - When You Are Exercising
HCS01-When You Are in Social SituationsC163863HCS01-When You Are in Social SituationsHypoglycemic Confidence Scale - How confident are you that you can stay safe from serious problems with hypoglycemia: When you are in social situations?HCS - When You Are in Social Situations
HCS01-When You Are SleepingC163861HCS01-When You Are SleepingHypoglycemic Confidence Scale - How confident are you that you can stay safe from serious problems with hypoglycemia: When you are sleeping?HCS - When You Are Sleeping
HCS01-Your Ability to Avoid ProblemsC163868HCS01-Your Ability to Avoid ProblemsHypoglycemic Confidence Scale - If you have a spouse or partner: What is your best guess about how confident your spouse or partner feels about your ability to avoid serious problems due to hypoglycemia?HCS - Your Ability to Avoid Problems
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CL.C113856.IVIS01TCImpact of Visual Impairment Scale Questionnaire Test Code
(IVIS01TC)
text
Extensible: No
C113856Impact of Visual Impairment Scale Questionnaire Test CodeImpact of Visual Impairment Scale test code.CDISC Questionnaire Impact of Visual Impairment Scale Test Code Terminology
IVIS0101C113962IVIS01-Read or Access Personal LettersImpact of Visual Impairment Scale - During the past 4 weeks, how difficult did you find it to read or access personal letters or notes?IVIS - Read or Access Personal Letters
IVIS0102C113963IVIS01-Read or Access Printed MaterialsImpact of Visual Impairment Scale - During the past 4 weeks, how difficult did you find it to read or access printed materials, such as books, magazines, newspaper, etc.?IVIS - Read or Access Printed Materials
IVIS0103C113964IVIS01-Read or Access DialsImpact of Visual Impairment Scale - During the past 4 weeks, how difficult did you find it to read or access dials, such as on stoves, thermostats, etc.?IVIS - Read or Access Dials
IVIS0104C113965IVIS01-Watch TV/ID Faces From DistanceImpact of Visual Impairment Scale - During the past 4 weeks, how difficult did you find it to watch television or identify faces from a distance?IVIS - Watch TV or Identify Faces From Distance
IVIS0105C113966IVIS01-Identify House Number/Street SignImpact of Visual Impairment Scale - During the past 4 weeks, how difficult did you find it to identify house numbers, street signs, etc.?IVIS - Identify House Numbers or Street Signs
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CL.C113855.IVIS01TNImpact of Visual Impairment Scale Questionnaire Test Name
(IVIS01TN)
text
Extensible: No
C113855Impact of Visual Impairment Scale Questionnaire Test NameImpact of Visual Impairment Scale test name.CDISC Questionnaire Impact of Visual Impairment Scale Test Name Terminology
IVIS01-Identify House Number/Street SignC113966IVIS01-Identify House Number/Street SignImpact of Visual Impairment Scale - During the past 4 weeks, how difficult did you find it to identify house numbers, street signs, etc.?IVIS - Identify House Numbers or Street Signs
IVIS01-Read or Access DialsC113964IVIS01-Read or Access DialsImpact of Visual Impairment Scale - During the past 4 weeks, how difficult did you find it to read or access dials, such as on stoves, thermostats, etc.?IVIS - Read or Access Dials
IVIS01-Read or Access Personal LettersC113962IVIS01-Read or Access Personal LettersImpact of Visual Impairment Scale - During the past 4 weeks, how difficult did you find it to read or access personal letters or notes?IVIS - Read or Access Personal Letters
IVIS01-Read or Access Printed MaterialsC113963IVIS01-Read or Access Printed MaterialsImpact of Visual Impairment Scale - During the past 4 weeks, how difficult did you find it to read or access printed materials, such as books, magazines, newspaper, etc.?IVIS - Read or Access Printed Materials
IVIS01-Watch TV/ID Faces From DistanceC113965IVIS01-Watch TV/ID Faces From DistanceImpact of Visual Impairment Scale - During the past 4 weeks, how difficult did you find it to watch television or identify faces from a distance?IVIS - Watch TV or Identify Faces From Distance
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CL.C103471.IIEF01TCInternational Index of Erectile Function Questionnaire Test Code
(IIEF01TC)
text
Extensible: No
C103471International Index of Erectile Function Questionnaire Test CodeInternational Index of Erectile Function test code.CDISC Questionnaire IIEF Test Code Terminology
IIEF0101C103587IIEF01-Erection During Sexual Activity;IIEF01-Erection FrequencyInternational Index of Erectile Function - Over the past four weeks how often were you able to get an erection during sexual activity?IIEF - Able to Get an Erection During Sexual Activity
IIEF0102C103588IIEF01-Erection Firmness;IIEF01-Erection Hard Enough to PenetrateInternational Index of Erectile Function - Over the past four weeks when you had erections with sexual stimulation, how often were your erections hard enough for penetration?IIEF - Erections Hard Enough for Penetration
IIEF0103C103589IIEF01-Able to Penetrate Your Partner;IIEF01-Penetration AbilityInternational Index of Erectile Function - Over the past four weeks when you attempted sexual intercourse, how often were you able to penetrate (enter) your partner?IIEF - Able to Penetrate Your Partner
IIEF0104C103590IIEF01-Maintain Erection After Penetrate;IIEF01-Maintenance FrequencyInternational Index of Erectile Function - Over the past four weeks during sexual intercourse, how often were you able to maintain your erection after you had penetrated (entered) your partner?IIEF - Able to Maintain Your Erection After You Had Penetrated Your Partner
IIEF0105C103591IIEF01-Maintain Erection to Completion;IIEF01-Maintenance AbilityInternational Index of Erectile Function - Over the past four weeks during sexual intercourse, how difficult was it to maintain your erection to completion of intercourse?IIEF - Maintain Your Erection to Completion of Intercourse
IIEF0106C103592IIEF01-Intercourse Frequency;IIEF01-Times Attempted Sexual IntercoursInternational Index of Erectile Function - Over the past four weeks how many times have you attempted sexual intercourse?IIEF - How Many Times Have You Attempted Sexual Intercourse
IIEF0107C103593IIEF01-How Often was it Satisfactory;IIEF01-Intercourse SatisfactionInternational Index of Erectile Function - Over the past four weeks when you attempted sexual intercourse, how often was it satisfactory for you?IIEF - How Often was it Satisfactory for You
IIEF0108C103594IIEF01-Enjoyed Sexual Intercourse;IIEF01-Intercourse EnjoymentInternational Index of Erectile Function - Over the past four weeks how much have you enjoyed sexual intercourse?IIEF - How Much Have You Enjoyed Sexual Intercourse
IIEF0109C103595IIEF01-Ejaculation Frequency;IIEF01-How Often Did You EjaculateInternational Index of Erectile Function - Over the past four weeks when you had sexual stimulation or intercourse, how often did you ejaculate?IIEF - How Often Did You Ejaculate
IIEF0110C103596IIEF01-Did You Have Feeling of Orgasm;IIEF01-Orgasm FrequencyInternational Index of Erectile Function - Over the past four weeks when you had sexual stimulation or intercourse, how often did you have the feeling of orgasm with our without ejaculation?IIEF - Did You Have Feeling of Orgasm With or Without Ejaculation
IIEF0111C103597IIEF01-Desire Frequency;IIEF01-Have You Felt Sexual DesireInternational Index of Erectile Function - Over the past four weeks how often have you felt sexual desire?IIEF - How Often Have You Felt Sexual Desire
IIEF0112C103598IIEF01-Desire Level;IIEF01-Rate Your Level of Sexual DesireInternational Index of Erectile Function - Over the past four weeks how would you rate your level of sexual desire?IIEF - Rate Your Level of Sexual Desire
IIEF0113C103599IIEF01-Overall Satisfaction;IIEF01-Satisfied with Overall Sex LifeInternational Index of Erectile Function - Over the past four weeks how satisfied have you been with your overall sex life?IIEF - Satisfied with Overall Sex Life
IIEF0114C103600IIEF01-Relationship Satisfaction;IIEF01-Satisfy with Sexual RelationshipInternational Index of Erectile Function - Over the past four weeks how satisfied have you been with your sexual relationship with your partner?IIEF - Satisfied with Your Sexual Relationship with Your Partner
IIEF0115C103601IIEF01-Confidence to Get/Keep Erection;IIEF01-Erection ConfidenceInternational Index of Erectile Function - Over the past four weeks how do you rate your confidence that you could get and keep an erection?IIEF - Your Confidence to Get and Keep an Erection
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CL.C103470.IIEF01TNInternational Index of Erectile Function Questionnaire Test Name
(IIEF01TN)
text
Extensible: No
C103470International Index of Erectile Function Questionnaire Test NameInternational Index of Erectile Function test name.CDISC Questionnaire IIEF Test Name Terminology
IIEF01-Able to Penetrate Your PartnerC103589IIEF01-Able to Penetrate Your Partner;IIEF01-Penetration AbilityInternational Index of Erectile Function - Over the past four weeks when you attempted sexual intercourse, how often were you able to penetrate (enter) your partner?IIEF - Able to Penetrate Your Partner
IIEF01-Confidence to Get/Keep ErectionC103601IIEF01-Confidence to Get/Keep Erection;IIEF01-Erection ConfidenceInternational Index of Erectile Function - Over the past four weeks how do you rate your confidence that you could get and keep an erection?IIEF - Your Confidence to Get and Keep an Erection
IIEF01-Did You Have Feeling of OrgasmC103596IIEF01-Did You Have Feeling of Orgasm;IIEF01-Orgasm FrequencyInternational Index of Erectile Function - Over the past four weeks when you had sexual stimulation or intercourse, how often did you have the feeling of orgasm with our without ejaculation?IIEF - Did You Have Feeling of Orgasm With or Without Ejaculation
IIEF01-Enjoyed Sexual IntercourseC103594IIEF01-Enjoyed Sexual Intercourse;IIEF01-Intercourse EnjoymentInternational Index of Erectile Function - Over the past four weeks how much have you enjoyed sexual intercourse?IIEF - How Much Have You Enjoyed Sexual Intercourse
IIEF01-Erection During Sexual ActivityC103587IIEF01-Erection During Sexual Activity;IIEF01-Erection FrequencyInternational Index of Erectile Function - Over the past four weeks how often were you able to get an erection during sexual activity?IIEF - Able to Get an Erection During Sexual Activity
IIEF01-Erection Hard Enough to PenetrateC103588IIEF01-Erection Firmness;IIEF01-Erection Hard Enough to PenetrateInternational Index of Erectile Function - Over the past four weeks when you had erections with sexual stimulation, how often were your erections hard enough for penetration?IIEF - Erections Hard Enough for Penetration
IIEF01-Have You Felt Sexual DesireC103597IIEF01-Desire Frequency;IIEF01-Have You Felt Sexual DesireInternational Index of Erectile Function - Over the past four weeks how often have you felt sexual desire?IIEF - How Often Have You Felt Sexual Desire
IIEF01-How Often Did You EjaculateC103595IIEF01-Ejaculation Frequency;IIEF01-How Often Did You EjaculateInternational Index of Erectile Function - Over the past four weeks when you had sexual stimulation or intercourse, how often did you ejaculate?IIEF - How Often Did You Ejaculate
IIEF01-How Often was it SatisfactoryC103593IIEF01-How Often was it Satisfactory;IIEF01-Intercourse SatisfactionInternational Index of Erectile Function - Over the past four weeks when you attempted sexual intercourse, how often was it satisfactory for you?IIEF - How Often was it Satisfactory for You
IIEF01-Maintain Erection After PenetrateC103590IIEF01-Maintain Erection After Penetrate;IIEF01-Maintenance FrequencyInternational Index of Erectile Function - Over the past four weeks during sexual intercourse, how often were you able to maintain your erection after you had penetrated (entered) your partner?IIEF - Able to Maintain Your Erection After You Had Penetrated Your Partner
IIEF01-Maintain Erection to CompletionC103591IIEF01-Maintain Erection to Completion;IIEF01-Maintenance AbilityInternational Index of Erectile Function - Over the past four weeks during sexual intercourse, how difficult was it to maintain your erection to completion of intercourse?IIEF - Maintain Your Erection to Completion of Intercourse
IIEF01-Rate Your Level of Sexual DesireC103598IIEF01-Desire Level;IIEF01-Rate Your Level of Sexual DesireInternational Index of Erectile Function - Over the past four weeks how would you rate your level of sexual desire?IIEF - Rate Your Level of Sexual Desire
IIEF01-Satisfied with Overall Sex LifeC103599IIEF01-Overall Satisfaction;IIEF01-Satisfied with Overall Sex LifeInternational Index of Erectile Function - Over the past four weeks how satisfied have you been with your overall sex life?IIEF - Satisfied with Overall Sex Life
IIEF01-Satisfy with Sexual RelationshipC103600IIEF01-Relationship Satisfaction;IIEF01-Satisfy with Sexual RelationshipInternational Index of Erectile Function - Over the past four weeks how satisfied have you been with your sexual relationship with your partner?IIEF - Satisfied with Your Sexual Relationship with Your Partner
IIEF01-Times Attempted Sexual IntercoursC103592IIEF01-Intercourse Frequency;IIEF01-Times Attempted Sexual IntercoursInternational Index of Erectile Function - Over the past four weeks how many times have you attempted sexual intercourse?IIEF - How Many Times Have You Attempted Sexual Intercourse
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CL.C141665.IPAQ04TCInternational Physical Activity Questionnaire (August 2002) Short Last 7 Days Self-Administered Format Questionnaire Test Code
(IPAQ04TC)
text
Extensible: No
C141665International Physical Activity Questionnaire (August 2002) Short Last 7 Days Self-Administered Format Questionnaire Test CodeInternational Physical Activity Questionnaire (August 2002) Short Last 7 Days Self-Administered Format test code.CDISC Questionnaire IPAQ Short Last 7 Days Self-administered Format Version Test Code Terminology
IPA0401C141708IPA04-Days Vigorous Physical ActivitiesInternational Physical Activity Questionnaire (August 2002) - Short Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you do vigorous physical activities like heavy lifting, digging, aerobics, or fast bicycling?: days per week.IPAQ Short Last 7 Days Self-administered Format Version - Days Vigorous Physical Activities
IPA0402C141710IPA04-Vigorous Physical Hr & Min per DayInternational Physical Activity Questionnaire (August 2002) - Short Last 7 Days Self-Administered Format - How much time did you usually spend doing vigorous physical activities on one of those days?: hours and minutes per day.IPAQ Short Last 7 Days Self-administered Format Version - Vigorous Physical Hr and Min per Day
IPA0403C141713IPA04-Days Moderate Physical ActivitiesInternational Physical Activity Questionnaire (August 2002) - Short Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you do moderate physical activities like carrying light loads, bicycling at a regular pace, or doubles tennis?: days per week.IPAQ Short Last 7 Days Self-administered Format Version - Days Moderate Physical Activities
IPA0404C141715IPA04-Moderate Physical Hr & Min per DayInternational Physical Activity Questionnaire (August 2002) - Short Last 7 Days Self-Administered Format - How much time did you usually spend doing moderate physical activities on one of those days?: hours and minutes per day.IPAQ Short Last 7 Days Self-administered Format Version - Moderate Physical Hr and Min per Day
IPA0405C141718IPA04-Days Walk at Least 10 MinutesInternational Physical Activity Questionnaire (August 2002) - Short Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you walk for at least 10 minutes at a time?: days per week.IPAQ Short Last 7 Days Self-administered Format Version - Days Walk at Least 10 Minutes
IPA0406C141720IPA04-Walking Hr & Min per DayInternational Physical Activity Questionnaire (August 2002) - Short Last 7 Days Self-Administered Format - How much time did you usually spend walking on one of those days?: hours and minutes per day.IPAQ Short Last 7 Days Self-administered Format Version - Walking Hr and Min per Day
IPA0407C141723IPA04-Sitting Weekday Hr & Min per DayInternational Physical Activity Questionnaire (August 2002) - Short Last 7 Days Self-Administered Format - During the last 7 days, how much time did you spend sitting on a weekday?: hours and minutes per day.IPAQ Short Last 7 Days Self-administered Format Version - Sitting Weekday Hr and Min per Day
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CL.C141664.IPAQ04TNInternational Physical Activity Questionnaire (August 2002) Short Last 7 Days Self-Administered Format Questionnaire Test Name
(IPAQ04TN)
text
Extensible: No
C141664International Physical Activity Questionnaire (August 2002) Short Last 7 Days Self-Administered Format Questionnaire Test NameInternational Physical Activity Questionnaire (August 2002) Short Last 7 Days Self-Administered Format test name.CDISC Questionnaire IPAQ Short Last 7 Days Self-administered Format Version Test Name Terminology
IPA04-Days Moderate Physical ActivitiesC141713IPA04-Days Moderate Physical ActivitiesInternational Physical Activity Questionnaire (August 2002) - Short Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you do moderate physical activities like carrying light loads, bicycling at a regular pace, or doubles tennis?: days per week.IPAQ Short Last 7 Days Self-administered Format Version - Days Moderate Physical Activities
IPA04-Days Vigorous Physical ActivitiesC141708IPA04-Days Vigorous Physical ActivitiesInternational Physical Activity Questionnaire (August 2002) - Short Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you do vigorous physical activities like heavy lifting, digging, aerobics, or fast bicycling?: days per week.IPAQ Short Last 7 Days Self-administered Format Version - Days Vigorous Physical Activities
IPA04-Days Walk at Least 10 MinutesC141718IPA04-Days Walk at Least 10 MinutesInternational Physical Activity Questionnaire (August 2002) - Short Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you walk for at least 10 minutes at a time?: days per week.IPAQ Short Last 7 Days Self-administered Format Version - Days Walk at Least 10 Minutes
IPA04-Moderate Physical Hr & Min per DayC141715IPA04-Moderate Physical Hr & Min per DayInternational Physical Activity Questionnaire (August 2002) - Short Last 7 Days Self-Administered Format - How much time did you usually spend doing moderate physical activities on one of those days?: hours and minutes per day.IPAQ Short Last 7 Days Self-administered Format Version - Moderate Physical Hr and Min per Day
IPA04-Sitting Weekday Hr & Min per DayC141723IPA04-Sitting Weekday Hr & Min per DayInternational Physical Activity Questionnaire (August 2002) - Short Last 7 Days Self-Administered Format - During the last 7 days, how much time did you spend sitting on a weekday?: hours and minutes per day.IPAQ Short Last 7 Days Self-administered Format Version - Sitting Weekday Hr and Min per Day
IPA04-Vigorous Physical Hr & Min per DayC141710IPA04-Vigorous Physical Hr & Min per DayInternational Physical Activity Questionnaire (August 2002) - Short Last 7 Days Self-Administered Format - How much time did you usually spend doing vigorous physical activities on one of those days?: hours and minutes per day.IPAQ Short Last 7 Days Self-administered Format Version - Vigorous Physical Hr and Min per Day
IPA04-Walking Hr & Min per DayC141720IPA04-Walking Hr & Min per DayInternational Physical Activity Questionnaire (August 2002) - Short Last 7 Days Self-Administered Format - How much time did you usually spend walking on one of those days?: hours and minutes per day.IPAQ Short Last 7 Days Self-administered Format Version - Walking Hr and Min per Day
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CL.C141671.IPAQ01TCInternational Physical Activity Questionnaire (August 2002) Short Last 7 Days Telephone Format Questionnaire Test Code
(IPAQ01TC)
text
Extensible: No
C141671International Physical Activity Questionnaire (August 2002) Short Last 7 Days Telephone Format Questionnaire Test CodeInternational Physical Activity Questionnaire (August 2002) Short Last 7 Days Telephone Format test code.CDISC Questionnaire IPAQ Short Last 7 Days Telephone Format Version Test Code Terminology
IPA0101C141848IPA01-Days Vigorous Physical ActivitiesInternational Physical Activity Questionnaire (August 2002) - Short Last 7 Days Telephone Format - During the last 7 days, on how many days did you do vigorous physical activities?IPAQ Short Last 7 Days Telephone Format Version - Days Vigorous Physical Activities
IPA0102AC141849IPA01-Vigorous Physical Hr & Min per DayInternational Physical Activity Questionnaire (August 2002) - Short Last 7 Days Telephone Format - How much time did you usually spend doing vigorous physical activities on one of those days?: Hours and minutes per day.IPAQ Short Last 7 Days Telephone Format Version - Vigorous Physical Hr and Min per Day
IPA0102BC141851IPA01-Total Vigorous Hr & Min per WeekInternational Physical Activity Questionnaire (August 2002) - Short Last 7 Days Telephone Format - How much time in total would you spend over the last 7 days doing vigorous physical activities?: Hours and minutes per week.IPAQ Short Last 7 Days Telephone Format Version - Total Vigorous Hr and Min per Week
IPA0103C141853IPA01-Days Moderate Physical ActivitiesInternational Physical Activity Questionnaire (August 2002) - Short Last 7 Days Telephone Format - During the last 7 days, on how many days did you do moderate physical activities?IPAQ Short Last 7 Days Telephone Format Version - Days Moderate Physical Activities
IPA0104AC141854IPA01-Moderate Physical Hr & Min per DayInternational Physical Activity Questionnaire (August 2002) - Short Last 7 Days Telephone Format - How much time did you usually spend doing moderate physical activities on one of those days?: Hours and minutes per day.IPAQ Short Last 7 Days Telephone Format Version - Moderate Physical Hr and Min per Day
IPA0104BC141856IPA01-Total Moderate Hr & Min per WeekInternational Physical Activity Questionnaire (August 2002) - Short Last 7 Days Telephone Format - What is the total amount of time you spent over the last 7 days doing moderate physical activities?: Hours and minutes per week.IPAQ Short Last 7 Days Telephone Format Version - Total Moderate Hr and Min per Week
IPA0105C141858IPA01-Days Walk at Least 10 MinutesInternational Physical Activity Questionnaire (August 2002) - Short Last 7 Days Telephone Format - During the last 7 days, on how many days did you walk for at least 10 minutes at a time?IPAQ Short Last 7 Days Telephone Format Version - Days Walk at Least 10 Minutes
IPA0106AC141859IPA01-Walking Hr & Min per DayInternational Physical Activity Questionnaire (August 2002) - Short Last 7 Days Telephone Format - How much time did you usually spend walking on one of those days?: Hours and minutes per day.IPAQ Short Last 7 Days Telephone Format Version - Walking Hr and Min per Day
IPA0106BC141861IPA01-Total Walking Hr & Min per WeekInternational Physical Activity Questionnaire (August 2002) - Short Last 7 Days Telephone Format - What is the total amount of time you spent walking over the last 7 days?: Hours and minutes per week.IPAQ Short Last 7 Days Telephone Format Version - Total Walking Hr and Min per Week
IPA0107AC141863IPA01-Sitting Hr & Min per WeekdayInternational Physical Activity Questionnaire (August 2002) - Short Last 7 Days Telephone Format - During the last 7 days, how much time did you usually spend sitting on a weekday?: Hours and minutes per weekday.IPAQ Short Last 7 Days Telephone Format Version - Sitting Hr and Min per Weekday
IPA0107BC141865IPA01-Total Sitting Hr & Min WednesdayInternational Physical Activity Questionnaire (August 2002) - Short Last 7 Days Telephone Format - What is the total amount of time you spent sitting last Wednesday?: Hours and minutes on Wednesday.IPAQ Short Last 7 Days Telephone Format Version - Total Sitting Hr and Min Wednesday
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CL.C141670.IPAQ01TNInternational Physical Activity Questionnaire (August 2002) Short Last 7 Days Telephone Format Questionnaire Test Name
(IPAQ01TN)
text
Extensible: No
C141670International Physical Activity Questionnaire (August 2002) Short Last 7 Days Telephone Format Questionnaire Test NameInternational Physical Activity Questionnaire (August 2002) Short Last 7 Days Telephone Format test name.CDISC Questionnaire IPAQ Short Last 7 Days Telephone Format Version Test Name Terminology
IPA01-Days Moderate Physical ActivitiesC141853IPA01-Days Moderate Physical ActivitiesInternational Physical Activity Questionnaire (August 2002) - Short Last 7 Days Telephone Format - During the last 7 days, on how many days did you do moderate physical activities?IPAQ Short Last 7 Days Telephone Format Version - Days Moderate Physical Activities
IPA01-Days Vigorous Physical ActivitiesC141848IPA01-Days Vigorous Physical ActivitiesInternational Physical Activity Questionnaire (August 2002) - Short Last 7 Days Telephone Format - During the last 7 days, on how many days did you do vigorous physical activities?IPAQ Short Last 7 Days Telephone Format Version - Days Vigorous Physical Activities
IPA01-Days Walk at Least 10 MinutesC141858IPA01-Days Walk at Least 10 MinutesInternational Physical Activity Questionnaire (August 2002) - Short Last 7 Days Telephone Format - During the last 7 days, on how many days did you walk for at least 10 minutes at a time?IPAQ Short Last 7 Days Telephone Format Version - Days Walk at Least 10 Minutes
IPA01-Moderate Physical Hr & Min per DayC141854IPA01-Moderate Physical Hr & Min per DayInternational Physical Activity Questionnaire (August 2002) - Short Last 7 Days Telephone Format - How much time did you usually spend doing moderate physical activities on one of those days?: Hours and minutes per day.IPAQ Short Last 7 Days Telephone Format Version - Moderate Physical Hr and Min per Day
IPA01-Sitting Hr & Min per WeekdayC141863IPA01-Sitting Hr & Min per WeekdayInternational Physical Activity Questionnaire (August 2002) - Short Last 7 Days Telephone Format - During the last 7 days, how much time did you usually spend sitting on a weekday?: Hours and minutes per weekday.IPAQ Short Last 7 Days Telephone Format Version - Sitting Hr and Min per Weekday
IPA01-Total Moderate Hr & Min per WeekC141856IPA01-Total Moderate Hr & Min per WeekInternational Physical Activity Questionnaire (August 2002) - Short Last 7 Days Telephone Format - What is the total amount of time you spent over the last 7 days doing moderate physical activities?: Hours and minutes per week.IPAQ Short Last 7 Days Telephone Format Version - Total Moderate Hr and Min per Week
IPA01-Total Sitting Hr & Min WednesdayC141865IPA01-Total Sitting Hr & Min WednesdayInternational Physical Activity Questionnaire (August 2002) - Short Last 7 Days Telephone Format - What is the total amount of time you spent sitting last Wednesday?: Hours and minutes on Wednesday.IPAQ Short Last 7 Days Telephone Format Version - Total Sitting Hr and Min Wednesday
IPA01-Total Vigorous Hr & Min per WeekC141851IPA01-Total Vigorous Hr & Min per WeekInternational Physical Activity Questionnaire (August 2002) - Short Last 7 Days Telephone Format - How much time in total would you spend over the last 7 days doing vigorous physical activities?: Hours and minutes per week.IPAQ Short Last 7 Days Telephone Format Version - Total Vigorous Hr and Min per Week
IPA01-Total Walking Hr & Min per WeekC141861IPA01-Total Walking Hr & Min per WeekInternational Physical Activity Questionnaire (August 2002) - Short Last 7 Days Telephone Format - What is the total amount of time you spent walking over the last 7 days?: Hours and minutes per week.IPAQ Short Last 7 Days Telephone Format Version - Total Walking Hr and Min per Week
IPA01-Vigorous Physical Hr & Min per DayC141849IPA01-Vigorous Physical Hr & Min per DayInternational Physical Activity Questionnaire (August 2002) - Short Last 7 Days Telephone Format - How much time did you usually spend doing vigorous physical activities on one of those days?: Hours and minutes per day.IPAQ Short Last 7 Days Telephone Format Version - Vigorous Physical Hr and Min per Day
IPA01-Walking Hr & Min per DayC141859IPA01-Walking Hr & Min per DayInternational Physical Activity Questionnaire (August 2002) - Short Last 7 Days Telephone Format - How much time did you usually spend walking on one of those days?: Hours and minutes per day.IPAQ Short Last 7 Days Telephone Format Version - Walking Hr and Min per Day
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CL.C141669.IPAQ02TCInternational Physical Activity Questionnaire (November 2002) Long Last 7 Days Telephone Format Questionnaire Test Code
(IPAQ02TC)
text
Extensible: No
C141669International Physical Activity Questionnaire (November 2002) Long Last 7 Days Telephone Format Questionnaire Test CodeInternational Physical Activity Questionnaire (November 2002) Long Last 7 Days Telephone Format test code.CDISC Questionnaire IPAQ Long Last 7 Days Telephone Format Version Test Code Terminology
IPA0201C141779IPA02-Currently Have Job or Unpaid WorkInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - Do you currently have a job or do any unpaid work outside your home?IPAQ Long Last 7 Days Telephone Format Version - Currently Have Job or Unpaid Work
IPA0202C141780IPA02-Days Vigorous as Part of WorkInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, on how many days did you do vigorous physical activities as part of your work?IPAQ Long Last 7 Days Telephone Format Version - Days Vigorous as Part of Work
IPA0203AC141781IPA02-Vigorous Work Hr & Min per DayInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time did you usually spend on one of those days doing vigorous physical activities as part of your work?: Hours and minutes per day.IPAQ Long Last 7 Days Telephone Format Version - Vigorous Work Hr and Min per Day
IPA0203BC141783IPA02-Vigorous Work Hr & Min per WeekInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - What is the total amount of time you spent over the last 7 days doing vigorous physical activities as part of your work?: Hours and minutes per week.IPAQ Long Last 7 Days Telephone Format Version - Vigorous Work Hr and Min per Week
IPA0204C141785IPA02-Days Moderate as Part of WorkInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, on how many days did you do moderate physical activities as part of your work?IPAQ Long Last 7 Days Telephone Format Version - Days Moderate as Part of Work
IPA0205AC141786IPA02-Moderate Work Hr & Min per DayInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time did you usually spend on one of those days doing moderate physical activities as part of your work?: Hours and minutes per day.IPAQ Long Last 7 Days Telephone Format Version - Moderate Work Hr and Min per Day
IPA0205BC141788IPA02-Moderate Work Hr & Min per WeekInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - What is the total amount of time you spent over the last 7 days doing moderate physical activities as part of your work?: Hours and minutes per week.IPAQ Long Last 7 Days Telephone Format Version - Moderate Work Hr and Min per Week
IPA0206C141790IPA02-Days Walk as Part of Your WorkInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, on how many days did you walk as part of your work?IPAQ Long Last 7 Days Telephone Format Version - Days Walk as Part of Your Work
IPA0207AC141791IPA02-Walking Work Hr & Min per DayInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time did you usually spend on one of those days walking as part of your work?: Hours and minutes per day.IPAQ Long Last 7 Days Telephone Format Version - Walking Work Hr and Min per Day
IPA0207BC141793IPA02-Walking Work Hr & Min per WeekInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - What is the total amount of time you spent walking over the last 7 days as part of your work?: Hours and minutes per week.IPAQ Long Last 7 Days Telephone Format Version - Walking Work Hr and Min per Week
IPA0208C141795IPA02-Days Travel in a Motor VehicleInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, on how many days did you travel in a motor vehicle like a train, bus, car or tram?IPAQ Long Last 7 Days Telephone Format Version - Days Travel in a Motor Vehicle
IPA0209AC141796IPA02-Traveling Hr & Min per DayInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time did you usually spend on one of those days traveling in a car, bus, train or other kind of motor vehicle?: Hours and minutes per day.IPAQ Long Last 7 Days Telephone Format Version - Traveling Hr and Min per Day
IPA0209BC141798IPA02-Traveling Hr & Min per WeekInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - What is the total amount of time you spent over the last 7 days traveling in a motor vehicle?: Hours and minutes per week.IPAQ Long Last 7 Days Telephone Format Version - Traveling Hr and Min per Week
IPA0210C141800IPA02-Days Bicycle Place to PlaceInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, on how many days did you bicycle to go from place to place?IPAQ Long Last 7 Days Telephone Format Version - Days Bicycle Place to Place
IPA0211AC141801IPA02-Bicycle Hr & Min per DayInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time did you usually spend on one of those days to bicycle from place to place?: Hours and minutes per day.IPAQ Long Last 7 Days Telephone Format Version - Bicycle Hr and Min per Day
IPA0211BC141803IPA02-Bicycling Hr & Min per WeekInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - What is the total amount of time you spent bicycling over the last 7 days to travel from place to place?: Hours and minutes per week.IPAQ Long Last 7 Days Telephone Format Version - Bicycling Hr and Min per Week
IPA0212C141805IPA02-Days Walk Place to PlaceInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, on how many days did you walk to go from place to place?IPAQ Long Last 7 Days Telephone Format Version - Days Walk Place to Place
IPA0213AC141806IPA02-Walking Place Hr & Min per DayInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time did you usually spend on one of those days walking from place to place?: Hours and minutes per day.IPAQ Long Last 7 Days Telephone Format Version - Walking Place Hr and Min per Day
IPA0213BC141808IPA02-Walking Place Hr & Min per WeekInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - What is the total amount of time you spent over the last 7 days walking from place to place?: Hours and minutes per week.IPAQ Long Last 7 Days Telephone Format Version - Walking Place Hr and Min per Week
IPA0214C141810IPA02-Days Vigorous in the Garden/YardInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, on how many days did you do vigorous physical activities in the garden or yard?IPAQ Long Last 7 Days Telephone Format Version - Days Vigorous in the Garden/Yard
IPA0215AC141811IPA02-Vigorous Garden Hr & Min per DayInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time did you usually spend on one of those days doing vigorous physical activities in the garden or yard?: Hours and minutes per day.IPAQ Long Last 7 Days Telephone Format Version - Vigorous Garden Hr and Min per Day
IPA0215BC141813IPA02-Vigorous Garden Hr & Min per WeekInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - What is the total amount of time you spent over the last 7 days doing vigorous physical activities in the garden or yard?: Hours and minutes per week.IPAQ Long Last 7 Days Telephone Format Version - Vigorous Garden Hr and Min per Week
IPA0216C141815IPA02-Days Moderate in the Garden/YardInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, on how many days did you do moderate activities in the garden or yard?IPAQ Long Last 7 Days Telephone Format Version - Days Moderate in the Garden/Yard
IPA0217AC141816IPA02-Moderate Garden Hr & Min per DayInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time did you usually spend on one of those days doing moderate physical activities in the garden or yard?: Hours and minutes per day.IPAQ Long Last 7 Days Telephone Format Version - Moderate Garden Hr and Min per Day
IPA0217BC141818IPA02-Moderate Garden Hr & Min per WeekInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - What is the total amount of time you spent over the last 7 days doing moderate physical activities in the garden or yard?: Hours and minutes per week.IPAQ Long Last 7 Days Telephone Format Version - Moderate Garden Hr and Min per Week
IPA0218C141820IPA02-Days Moderate Inside Your HomeInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, on how many days did you do moderate activities inside your home?IPAQ Long Last 7 Days Telephone Format Version - Days Moderate Inside Your Home
IPA0219AC141821IPA02-Moderate Home Hr & Min per DayInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time did you usually spend on one of those days doing moderate physical activities inside your home?: Hours and minutes per day.IPAQ Long Last 7 Days Telephone Format Version - Moderate Home Hr and Min per Day
IPA0219BC141823IPA02-Moderate Home Hr & Min per WeekInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - What is the total amount of time you spent over the last 7 days doing moderate physical activities inside your home?: Hours and minutes per week.IPAQ Long Last 7 Days Telephone Format Version - Moderate Home Hr and Min per Week
IPA0220C141825IPA02-Days Walk in Your Leisure TimeInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - Not counting any walking you have already mentioned, during the last 7 days, on how many days did you walk for at least 10 minutes at a time in your leisure time?IPAQ Long Last 7 Days Telephone Format Version - Days Walk in Your Leisure Time
IPA0221AC141826IPA02-Walking Leisure Hr & Min per DayInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time did you usually spend on one of those days walking in your leisure time?: Hours and minutes per day.IPAQ Long Last 7 Days Telephone Format Version - Walking Leisure Hr and Min per Day
IPA0221BC141828IPA02-Walking Leisure Hr & Min per WeekInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - What is the total amount of time you spent over the last 7 days walking in your leisure time?: Hours and minutes per week.IPAQ Long Last 7 Days Telephone Format Version - Walking Leisure Hr and Min per Week
IPA0222C141830IPA02-Days Vigorous in Your Leisure TimeInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, on how many days did you do vigorous physical activities in your leisure time?IPAQ Long Last 7 Days Telephone Format Version - Days Vigorous in Your Leisure Time
IPA0223AC141831IPA02-Vigorous Leisure Hr & Min per DayInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time did you usually spend on one of those days doing vigorous physical activities in your leisure time?: Hours and minutes per day.IPAQ Long Last 7 Days Telephone Format Version - Vigorous Leisure Hr and Min per Day
IPA0223BC141833IPA02-Vigorous Leisure Hr & Min per WeekInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - What is the total amount of time you spent over the last 7 days doing vigorous physical activities in your leisure time?: Hours and minutes per week.IPAQ Long Last 7 Days Telephone Format Version - Vigorous Leisure Hr and Min per Week
IPA0224C141835IPA02-Days Moderate in Your Leisure TimeInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, on how many days did you do moderate physical activities in your leisure time?IPAQ Long Last 7 Days Telephone Format Version - Days Moderate in Your Leisure Time
IPA0225AC141836IPA02-Moderate Leisure Hr & Min per DayInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time did you usually spend on one of those days doing moderate physical activities in your leisure time?: Hours and minutes per day.IPAQ Long Last 7 Days Telephone Format Version - Moderate Leisure Hr and Min per Day
IPA0225BC141838IPA02-Moderate Leisure Hr & Min per WeekInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - What is the total amount of time you spent over the last 7 days doing moderate physical activities in your leisure time?: Hours and minutes per week.IPAQ Long Last 7 Days Telephone Format Version - Moderate Leisure Hr and Min per Week
IPA0226AC141840IPA02-Sitting Weekday Hr & Min per DayInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, how much time did you usually spend sitting on a weekday?: Hours and minutes per day.IPAQ Long Last 7 Days Telephone Format Version - Sitting Weekday Hr and Min per Day
IPA0226BC141842IPA02-Sitting Hr & Min on WednesdayInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time in total did you spend sitting on Wednesday?: Hours and minutes on Wednesday.IPAQ Long Last 7 Days Telephone Format Version - Sitting Hr and Min on Wednesday
IPA0227AC141844IPA02-Sitting Weekend Hr & Min per DayInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, how much time did you usually spend sitting on a weekend day?: Hours and minutes per day.IPAQ Long Last 7 Days Telephone Format Version - Sitting Weekend Hr and Min per Day
IPA0227BC141846IPA02-Sitting Hr & Min on SaturdayInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time in total did you spend sitting on Saturday?: Hours and minutes on Saturday.IPAQ Long Last 7 Days Telephone Format Version - Sitting Hr and Min on Saturday
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CL.C141668.IPAQ02TNInternational Physical Activity Questionnaire (November 2002) Long Last 7 Days Telephone Format Questionnaire Test Name
(IPAQ02TN)
text
Extensible: No
C141668International Physical Activity Questionnaire (November 2002) Long Last 7 Days Telephone Format Questionnaire Test NameInternational Physical Activity Questionnaire (November 2002) Long Last 7 Days Telephone Format test name.CDISC Questionnaire IPAQ Long Last 7 Days Telephone Format Version Test Name Terminology
IPA02-Bicycle Hr & Min per DayC141801IPA02-Bicycle Hr & Min per DayInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time did you usually spend on one of those days to bicycle from place to place?: Hours and minutes per day.IPAQ Long Last 7 Days Telephone Format Version - Bicycle Hr and Min per Day
IPA02-Bicycling Hr & Min per WeekC141803IPA02-Bicycling Hr & Min per WeekInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - What is the total amount of time you spent bicycling over the last 7 days to travel from place to place?: Hours and minutes per week.IPAQ Long Last 7 Days Telephone Format Version - Bicycling Hr and Min per Week
IPA02-Currently Have Job or Unpaid WorkC141779IPA02-Currently Have Job or Unpaid WorkInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - Do you currently have a job or do any unpaid work outside your home?IPAQ Long Last 7 Days Telephone Format Version - Currently Have Job or Unpaid Work
IPA02-Days Bicycle Place to PlaceC141800IPA02-Days Bicycle Place to PlaceInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, on how many days did you bicycle to go from place to place?IPAQ Long Last 7 Days Telephone Format Version - Days Bicycle Place to Place
IPA02-Days Moderate as Part of WorkC141785IPA02-Days Moderate as Part of WorkInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, on how many days did you do moderate physical activities as part of your work?IPAQ Long Last 7 Days Telephone Format Version - Days Moderate as Part of Work
IPA02-Days Moderate in the Garden/YardC141815IPA02-Days Moderate in the Garden/YardInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, on how many days did you do moderate activities in the garden or yard?IPAQ Long Last 7 Days Telephone Format Version - Days Moderate in the Garden/Yard
IPA02-Days Moderate in Your Leisure TimeC141835IPA02-Days Moderate in Your Leisure TimeInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, on how many days did you do moderate physical activities in your leisure time?IPAQ Long Last 7 Days Telephone Format Version - Days Moderate in Your Leisure Time
IPA02-Days Moderate Inside Your HomeC141820IPA02-Days Moderate Inside Your HomeInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, on how many days did you do moderate activities inside your home?IPAQ Long Last 7 Days Telephone Format Version - Days Moderate Inside Your Home
IPA02-Days Travel in a Motor VehicleC141795IPA02-Days Travel in a Motor VehicleInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, on how many days did you travel in a motor vehicle like a train, bus, car or tram?IPAQ Long Last 7 Days Telephone Format Version - Days Travel in a Motor Vehicle
IPA02-Days Vigorous as Part of WorkC141780IPA02-Days Vigorous as Part of WorkInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, on how many days did you do vigorous physical activities as part of your work?IPAQ Long Last 7 Days Telephone Format Version - Days Vigorous as Part of Work
IPA02-Days Vigorous in the Garden/YardC141810IPA02-Days Vigorous in the Garden/YardInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, on how many days did you do vigorous physical activities in the garden or yard?IPAQ Long Last 7 Days Telephone Format Version - Days Vigorous in the Garden/Yard
IPA02-Days Vigorous in Your Leisure TimeC141830IPA02-Days Vigorous in Your Leisure TimeInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, on how many days did you do vigorous physical activities in your leisure time?IPAQ Long Last 7 Days Telephone Format Version - Days Vigorous in Your Leisure Time
IPA02-Days Walk as Part of Your WorkC141790IPA02-Days Walk as Part of Your WorkInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, on how many days did you walk as part of your work?IPAQ Long Last 7 Days Telephone Format Version - Days Walk as Part of Your Work
IPA02-Days Walk in Your Leisure TimeC141825IPA02-Days Walk in Your Leisure TimeInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - Not counting any walking you have already mentioned, during the last 7 days, on how many days did you walk for at least 10 minutes at a time in your leisure time?IPAQ Long Last 7 Days Telephone Format Version - Days Walk in Your Leisure Time
IPA02-Days Walk Place to PlaceC141805IPA02-Days Walk Place to PlaceInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, on how many days did you walk to go from place to place?IPAQ Long Last 7 Days Telephone Format Version - Days Walk Place to Place
IPA02-Moderate Garden Hr & Min per DayC141816IPA02-Moderate Garden Hr & Min per DayInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time did you usually spend on one of those days doing moderate physical activities in the garden or yard?: Hours and minutes per day.IPAQ Long Last 7 Days Telephone Format Version - Moderate Garden Hr and Min per Day
IPA02-Moderate Garden Hr & Min per WeekC141818IPA02-Moderate Garden Hr & Min per WeekInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - What is the total amount of time you spent over the last 7 days doing moderate physical activities in the garden or yard?: Hours and minutes per week.IPAQ Long Last 7 Days Telephone Format Version - Moderate Garden Hr and Min per Week
IPA02-Moderate Home Hr & Min per DayC141821IPA02-Moderate Home Hr & Min per DayInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time did you usually spend on one of those days doing moderate physical activities inside your home?: Hours and minutes per day.IPAQ Long Last 7 Days Telephone Format Version - Moderate Home Hr and Min per Day
IPA02-Moderate Home Hr & Min per WeekC141823IPA02-Moderate Home Hr & Min per WeekInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - What is the total amount of time you spent over the last 7 days doing moderate physical activities inside your home?: Hours and minutes per week.IPAQ Long Last 7 Days Telephone Format Version - Moderate Home Hr and Min per Week
IPA02-Moderate Leisure Hr & Min per DayC141836IPA02-Moderate Leisure Hr & Min per DayInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time did you usually spend on one of those days doing moderate physical activities in your leisure time?: Hours and minutes per day.IPAQ Long Last 7 Days Telephone Format Version - Moderate Leisure Hr and Min per Day
IPA02-Moderate Leisure Hr & Min per WeekC141838IPA02-Moderate Leisure Hr & Min per WeekInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - What is the total amount of time you spent over the last 7 days doing moderate physical activities in your leisure time?: Hours and minutes per week.IPAQ Long Last 7 Days Telephone Format Version - Moderate Leisure Hr and Min per Week
IPA02-Moderate Work Hr & Min per DayC141786IPA02-Moderate Work Hr & Min per DayInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time did you usually spend on one of those days doing moderate physical activities as part of your work?: Hours and minutes per day.IPAQ Long Last 7 Days Telephone Format Version - Moderate Work Hr and Min per Day
IPA02-Moderate Work Hr & Min per WeekC141788IPA02-Moderate Work Hr & Min per WeekInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - What is the total amount of time you spent over the last 7 days doing moderate physical activities as part of your work?: Hours and minutes per week.IPAQ Long Last 7 Days Telephone Format Version - Moderate Work Hr and Min per Week
IPA02-Sitting Hr & Min on SaturdayC141846IPA02-Sitting Hr & Min on SaturdayInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time in total did you spend sitting on Saturday?: Hours and minutes on Saturday.IPAQ Long Last 7 Days Telephone Format Version - Sitting Hr and Min on Saturday
IPA02-Sitting Hr & Min on WednesdayC141842IPA02-Sitting Hr & Min on WednesdayInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time in total did you spend sitting on Wednesday?: Hours and minutes on Wednesday.IPAQ Long Last 7 Days Telephone Format Version - Sitting Hr and Min on Wednesday
IPA02-Sitting Weekday Hr & Min per DayC141840IPA02-Sitting Weekday Hr & Min per DayInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, how much time did you usually spend sitting on a weekday?: Hours and minutes per day.IPAQ Long Last 7 Days Telephone Format Version - Sitting Weekday Hr and Min per Day
IPA02-Sitting Weekend Hr & Min per DayC141844IPA02-Sitting Weekend Hr & Min per DayInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - During the last 7 days, how much time did you usually spend sitting on a weekend day?: Hours and minutes per day.IPAQ Long Last 7 Days Telephone Format Version - Sitting Weekend Hr and Min per Day
IPA02-Traveling Hr & Min per DayC141796IPA02-Traveling Hr & Min per DayInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time did you usually spend on one of those days traveling in a car, bus, train or other kind of motor vehicle?: Hours and minutes per day.IPAQ Long Last 7 Days Telephone Format Version - Traveling Hr and Min per Day
IPA02-Traveling Hr & Min per WeekC141798IPA02-Traveling Hr & Min per WeekInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - What is the total amount of time you spent over the last 7 days traveling in a motor vehicle?: Hours and minutes per week.IPAQ Long Last 7 Days Telephone Format Version - Traveling Hr and Min per Week
IPA02-Vigorous Garden Hr & Min per DayC141811IPA02-Vigorous Garden Hr & Min per DayInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time did you usually spend on one of those days doing vigorous physical activities in the garden or yard?: Hours and minutes per day.IPAQ Long Last 7 Days Telephone Format Version - Vigorous Garden Hr and Min per Day
IPA02-Vigorous Garden Hr & Min per WeekC141813IPA02-Vigorous Garden Hr & Min per WeekInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - What is the total amount of time you spent over the last 7 days doing vigorous physical activities in the garden or yard?: Hours and minutes per week.IPAQ Long Last 7 Days Telephone Format Version - Vigorous Garden Hr and Min per Week
IPA02-Vigorous Leisure Hr & Min per DayC141831IPA02-Vigorous Leisure Hr & Min per DayInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time did you usually spend on one of those days doing vigorous physical activities in your leisure time?: Hours and minutes per day.IPAQ Long Last 7 Days Telephone Format Version - Vigorous Leisure Hr and Min per Day
IPA02-Vigorous Leisure Hr & Min per WeekC141833IPA02-Vigorous Leisure Hr & Min per WeekInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - What is the total amount of time you spent over the last 7 days doing vigorous physical activities in your leisure time?: Hours and minutes per week.IPAQ Long Last 7 Days Telephone Format Version - Vigorous Leisure Hr and Min per Week
IPA02-Vigorous Work Hr & Min per DayC141781IPA02-Vigorous Work Hr & Min per DayInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time did you usually spend on one of those days doing vigorous physical activities as part of your work?: Hours and minutes per day.IPAQ Long Last 7 Days Telephone Format Version - Vigorous Work Hr and Min per Day
IPA02-Vigorous Work Hr & Min per WeekC141783IPA02-Vigorous Work Hr & Min per WeekInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - What is the total amount of time you spent over the last 7 days doing vigorous physical activities as part of your work?: Hours and minutes per week.IPAQ Long Last 7 Days Telephone Format Version - Vigorous Work Hr and Min per Week
IPA02-Walking Leisure Hr & Min per DayC141826IPA02-Walking Leisure Hr & Min per DayInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time did you usually spend on one of those days walking in your leisure time?: Hours and minutes per day.IPAQ Long Last 7 Days Telephone Format Version - Walking Leisure Hr and Min per Day
IPA02-Walking Leisure Hr & Min per WeekC141828IPA02-Walking Leisure Hr & Min per WeekInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - What is the total amount of time you spent over the last 7 days walking in your leisure time?: Hours and minutes per week.IPAQ Long Last 7 Days Telephone Format Version - Walking Leisure Hr and Min per Week
IPA02-Walking Place Hr & Min per DayC141806IPA02-Walking Place Hr & Min per DayInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time did you usually spend on one of those days walking from place to place?: Hours and minutes per day.IPAQ Long Last 7 Days Telephone Format Version - Walking Place Hr and Min per Day
IPA02-Walking Place Hr & Min per WeekC141808IPA02-Walking Place Hr & Min per WeekInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - What is the total amount of time you spent over the last 7 days walking from place to place?: Hours and minutes per week.IPAQ Long Last 7 Days Telephone Format Version - Walking Place Hr and Min per Week
IPA02-Walking Work Hr & Min per DayC141791IPA02-Walking Work Hr & Min per DayInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - How much time did you usually spend on one of those days walking as part of your work?: Hours and minutes per day.IPAQ Long Last 7 Days Telephone Format Version - Walking Work Hr and Min per Day
IPA02-Walking Work Hr & Min per WeekC141793IPA02-Walking Work Hr & Min per WeekInternational Physical Activity Questionnaire (November 2002) - Long Last 7 Days Telephone Format - What is the total amount of time you spent walking over the last 7 days as part of your work?: Hours and minutes per week.IPAQ Long Last 7 Days Telephone Format Version - Walking Work Hr and Min per Week
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CL.C141667.IPAQ03TCInternational Physical Activity Questionnaire (October 2002) Long Last 7 Days Self-Administered Format Questionnaire Test Code
(IPAQ03TC)
text
Extensible: No
C141667International Physical Activity Questionnaire (October 2002) Long Last 7 Days Self-Administered Format Questionnaire Test CodeInternational Physical Activity Questionnaire (October 2002) Long Last 7 Days Self-Administered Format test code.CDISC Questionnaire IPAQ Long Last 7 Days Self-Administered Format Version Test Code Terminology
IPA0301C141726IPA03-Currently Have Job or Unpaid WorkInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - Do you currently have a job or do any unpaid work outside your home?IPAQ Long Last 7 Days Self-Administered Format Version - Currently Have Job or Unpaid Work
IPA0302C141727IPA03-Days Vigorous as Part of WorkInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you do vigorous physical activities like heavy lifting, digging, heavy construction, or climbing up stairs as part of your work?: days per week.IPAQ Long Last 7 Days Self-Administered Format Version - Days Vigorous as Part of Work
IPA0303C141729IPA03-Vigorous Work Hr & Min per DayInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - How much time did you usually spend on one of those days doing vigorous physical activities as part of your work?: hours and minutes per day.IPAQ Long Last 7 Days Self-Administered Format Version - Vigorous Work Hr and Min per Day
IPA0304C141731IPA03-Days Moderate as Part of WorkInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you do moderate physical activities like carrying light loads as part of your work?: days per week.IPAQ Long Last 7 Days Self-Administered Format Version - Days Moderate as Part of Work
IPA0305C141733IPA03-Moderate Work Hr & Min per DayInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - How much time did you usually spend on one of those days doing moderate physical activities as part of your work?: hours and minutes per day.IPAQ Long Last 7 Days Self-Administered Format Version - Moderate Work Hr and Min per Day
IPA0306C141735IPA03-Days Walk as Part of Your WorkInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you walk for at least 10 minutes at a time as part of your work?: days per week.IPAQ Long Last 7 Days Self-Administered Format Version - Days Walk as Part of Your Work
IPA0307C141737IPA03-Walking Work Hr & Min per DayInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - How much time did you usually spend on one of those days walking as part of your work?: hours and minutes per day.IPAQ Long Last 7 Days Self-Administered Format Version - Walking Work Hr and Min per Day
IPA0308C141739IPA03-Days Travel in a Motor VehicleInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you travel in a motor vehicle like a train, bus, car or tram?: days per week.IPAQ Long Last 7 Days Self-Administered Format Version - Days Travel in a Motor Vehicle
IPA0309C141741IPA03-Traveling Hr & Min per DayInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - How much time did you usually spend on one of those days traveling in a train, bus, car, tram, or other kind of motor vehicle?: hours and minutes per day.IPAQ Long Last 7 Days Self-Administered Format Version - Traveling Hr and Min per Day
IPA0310C141743IPA03-Days Bicycle Place to PlaceInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you bicycle for at least 10 minutes at a time to go from place to place?: days per week.IPAQ Long Last 7 Days Self-Administered Format Version - Days Bicycle Place to Place
IPA0311C141745IPA03-Bicycle Hr & Min per DayInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - How much time did you usually spend on one of those days to bicycle from place to place?: hours and minutes per day.IPAQ Long Last 7 Days Self-Administered Format Version - Bicycle Hr and Min per Day
IPA0312C141747IPA03-Days Walk Place to PlaceInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you walk for at least 10 minutes at a time to go from place to place?: days per week.IPAQ Long Last 7 Days Self-Administered Format Version - Days Walk Place to Place
IPA0313C141749IPA03-Walking Place Hr & Min per DayInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - How much time did you usually spend on one of those days walking from place to place?: hours and minutes per day.IPAQ Long Last 7 Days Self-Administered Format Version - Walking Place Hr and Min per Day
IPA0314C141751IPA03-Days Vigorous in the Garden/YardInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you do vigorous physical activities like heavy lifting, chopping wood, shoveling snow, or digging in the garden or yard?: days per week.IPAQ Long Last 7 Days Self-Administered Format Version - Days Vigorous in the Garden/Yard
IPA0315C141753IPA03-Vigorous Garden Hr & Min per DayInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - How much time did you usually spend on one of those days doing vigorous physical activities in the garden or yard?: hours and minutes per day.IPAQ Long Last 7 Days Self-Administered Format Version - Vigorous Garden Hr and Min per Day
IPA0316C141755IPA03-Days Moderate in the Garden/YardInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you do moderate activities like carrying light loads, sweeping, washing windows, and raking in the garden or yard?: days per week.IPAQ Long Last 7 Days Self-Administered Format Version - Days Moderate in the Garden/Yard
IPA0317C141757IPA03-Moderate Garden Hr & Min per DayInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - How much time did you usually spend on one of those days doing moderate physical activities in the garden or yard?: hours and minutes per day.IPAQ Long Last 7 Days Self-Administered Format Version - Moderate Garden Hr and Min per Day
IPA0318C141759IPA03-Days Moderate Inside HomeInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you do moderate activities like carrying light loads, washing windows, scrubbing floors and sweeping inside your home?: days per week.IPAQ Long Last 7 Days Self-Administered Format Version - Days Moderate Inside Home
IPA0319C141761IPA03-Moderate Home Hr & Min per DayInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - How much time did you usually spend on one of those days doing moderate physical activities inside your home?: hours and minutes per day.IPAQ Long Last 7 Days Self-Administered Format Version - Moderate Home Hr and Min per Day
IPA0320C141763IPA03-Days Walk in Leisure TimeInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you walk for at least 10 minutes at a time in your leisure time?: days per week.IPAQ Long Last 7 Days Self-Administered Format Version - Days Walk in Leisure Time
IPA0321C141765IPA03-Walking Leisure Hr & Min per DayInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - How much time did you usually spend on one of those days walking in your leisure time?: hours and minutes per day.IPAQ Long Last 7 Days Self-Administered Format Version - Walking Leisure Hr and Min per Day
IPA0322C141767IPA03-Days Vigorous in Leisure TimeInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you do vigorous physical activities like aerobics, running, fast bicycling, or fast swimming in your leisure time?: days per week.IPAQ Long Last 7 Days Self-Administered Format Version - Days Vigorous in Leisure Time
IPA0323C141769IPA03-Vigorous Leisure Hr & Min per DayInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - How much time did you usually spend on one of those days doing vigorous physical activities in your leisure time?: hours and minutes per day.IPAQ Long Last 7 Days Self-Administered Format Version - Vigorous Leisure Hr and Min per Day
IPA0324C141771IPA03-Days Moderate in Leisure TimeInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you do moderate physical activities like bicycling at a regular pace, swimming at a regular pace, and doubles tennis in your leisure time?: days per week.IPAQ Long Last 7 Days Self-Administered Format Version - Days Moderate in Leisure Time
IPA0325C141773IPA03-Moderate Leisure Hr & Min per DayInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - How much time did you usually spend on one of those days doing moderate physical activities in your leisure time?: hours and minutes per day.IPAQ Long Last 7 Days Self-Administered Format Version - Moderate Leisure Hr and Min per Day
IPA0326C141775IPA03-Sitting Weekday Hr & Min per DayInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, how much time did you usually spend sitting on a weekday?: hours and minutes per day.IPAQ Long Last 7 Days Self-Administered Format Version - Sitting Weekday Hr and Min per Day
IPA0327C141777IPA03-Sitting Weekend Hr & Min per DayInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, how much time did you usually spend sitting on a weekend day?: hours and minutes per day.IPAQ Long Last 7 Days Self-Administered Format Version - Sitting Weekend Hr and Min per Day
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CL.C141666.IPAQ03TNInternational Physical Activity Questionnaire (October 2002) Long Last 7 Days Self-Administered Format Questionnaire Test Name
(IPAQ03TN)
text
Extensible: No
C141666International Physical Activity Questionnaire (October 2002) Long Last 7 Days Self-Administered Format Questionnaire Test NameInternational Physical Activity Questionnaire (October 2002) Long Last 7 Days Self-Administered Format test name.CDISC Questionnaire IPAQ Long Last 7 Days Self-Administered Format Version Test Name Terminology
IPA03-Bicycle Hr & Min per DayC141745IPA03-Bicycle Hr & Min per DayInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - How much time did you usually spend on one of those days to bicycle from place to place?: hours and minutes per day.IPAQ Long Last 7 Days Self-Administered Format Version - Bicycle Hr and Min per Day
IPA03-Currently Have Job or Unpaid WorkC141726IPA03-Currently Have Job or Unpaid WorkInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - Do you currently have a job or do any unpaid work outside your home?IPAQ Long Last 7 Days Self-Administered Format Version - Currently Have Job or Unpaid Work
IPA03-Days Bicycle Place to PlaceC141743IPA03-Days Bicycle Place to PlaceInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you bicycle for at least 10 minutes at a time to go from place to place?: days per week.IPAQ Long Last 7 Days Self-Administered Format Version - Days Bicycle Place to Place
IPA03-Days Moderate as Part of WorkC141731IPA03-Days Moderate as Part of WorkInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you do moderate physical activities like carrying light loads as part of your work?: days per week.IPAQ Long Last 7 Days Self-Administered Format Version - Days Moderate as Part of Work
IPA03-Days Moderate in Leisure TimeC141771IPA03-Days Moderate in Leisure TimeInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you do moderate physical activities like bicycling at a regular pace, swimming at a regular pace, and doubles tennis in your leisure time?: days per week.IPAQ Long Last 7 Days Self-Administered Format Version - Days Moderate in Leisure Time
IPA03-Days Moderate in the Garden/YardC141755IPA03-Days Moderate in the Garden/YardInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you do moderate activities like carrying light loads, sweeping, washing windows, and raking in the garden or yard?: days per week.IPAQ Long Last 7 Days Self-Administered Format Version - Days Moderate in the Garden/Yard
IPA03-Days Moderate Inside HomeC141759IPA03-Days Moderate Inside HomeInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you do moderate activities like carrying light loads, washing windows, scrubbing floors and sweeping inside your home?: days per week.IPAQ Long Last 7 Days Self-Administered Format Version - Days Moderate Inside Home
IPA03-Days Travel in a Motor VehicleC141739IPA03-Days Travel in a Motor VehicleInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you travel in a motor vehicle like a train, bus, car or tram?: days per week.IPAQ Long Last 7 Days Self-Administered Format Version - Days Travel in a Motor Vehicle
IPA03-Days Vigorous as Part of WorkC141727IPA03-Days Vigorous as Part of WorkInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you do vigorous physical activities like heavy lifting, digging, heavy construction, or climbing up stairs as part of your work?: days per week.IPAQ Long Last 7 Days Self-Administered Format Version - Days Vigorous as Part of Work
IPA03-Days Vigorous in Leisure TimeC141767IPA03-Days Vigorous in Leisure TimeInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you do vigorous physical activities like aerobics, running, fast bicycling, or fast swimming in your leisure time?: days per week.IPAQ Long Last 7 Days Self-Administered Format Version - Days Vigorous in Leisure Time
IPA03-Days Vigorous in the Garden/YardC141751IPA03-Days Vigorous in the Garden/YardInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you do vigorous physical activities like heavy lifting, chopping wood, shoveling snow, or digging in the garden or yard?: days per week.IPAQ Long Last 7 Days Self-Administered Format Version - Days Vigorous in the Garden/Yard
IPA03-Days Walk as Part of Your WorkC141735IPA03-Days Walk as Part of Your WorkInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you walk for at least 10 minutes at a time as part of your work?: days per week.IPAQ Long Last 7 Days Self-Administered Format Version - Days Walk as Part of Your Work
IPA03-Days Walk in Leisure TimeC141763IPA03-Days Walk in Leisure TimeInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you walk for at least 10 minutes at a time in your leisure time?: days per week.IPAQ Long Last 7 Days Self-Administered Format Version - Days Walk in Leisure Time
IPA03-Days Walk Place to PlaceC141747IPA03-Days Walk Place to PlaceInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, on how many days did you walk for at least 10 minutes at a time to go from place to place?: days per week.IPAQ Long Last 7 Days Self-Administered Format Version - Days Walk Place to Place
IPA03-Moderate Garden Hr & Min per DayC141757IPA03-Moderate Garden Hr & Min per DayInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - How much time did you usually spend on one of those days doing moderate physical activities in the garden or yard?: hours and minutes per day.IPAQ Long Last 7 Days Self-Administered Format Version - Moderate Garden Hr and Min per Day
IPA03-Moderate Home Hr & Min per DayC141761IPA03-Moderate Home Hr & Min per DayInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - How much time did you usually spend on one of those days doing moderate physical activities inside your home?: hours and minutes per day.IPAQ Long Last 7 Days Self-Administered Format Version - Moderate Home Hr and Min per Day
IPA03-Moderate Leisure Hr & Min per DayC141773IPA03-Moderate Leisure Hr & Min per DayInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - How much time did you usually spend on one of those days doing moderate physical activities in your leisure time?: hours and minutes per day.IPAQ Long Last 7 Days Self-Administered Format Version - Moderate Leisure Hr and Min per Day
IPA03-Moderate Work Hr & Min per DayC141733IPA03-Moderate Work Hr & Min per DayInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - How much time did you usually spend on one of those days doing moderate physical activities as part of your work?: hours and minutes per day.IPAQ Long Last 7 Days Self-Administered Format Version - Moderate Work Hr and Min per Day
IPA03-Sitting Weekday Hr & Min per DayC141775IPA03-Sitting Weekday Hr & Min per DayInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, how much time did you usually spend sitting on a weekday?: hours and minutes per day.IPAQ Long Last 7 Days Self-Administered Format Version - Sitting Weekday Hr and Min per Day
IPA03-Sitting Weekend Hr & Min per DayC141777IPA03-Sitting Weekend Hr & Min per DayInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - During the last 7 days, how much time did you usually spend sitting on a weekend day?: hours and minutes per day.IPAQ Long Last 7 Days Self-Administered Format Version - Sitting Weekend Hr and Min per Day
IPA03-Traveling Hr & Min per DayC141741IPA03-Traveling Hr & Min per DayInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - How much time did you usually spend on one of those days traveling in a train, bus, car, tram, or other kind of motor vehicle?: hours and minutes per day.IPAQ Long Last 7 Days Self-Administered Format Version - Traveling Hr and Min per Day
IPA03-Vigorous Garden Hr & Min per DayC141753IPA03-Vigorous Garden Hr & Min per DayInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - How much time did you usually spend on one of those days doing vigorous physical activities in the garden or yard?: hours and minutes per day.IPAQ Long Last 7 Days Self-Administered Format Version - Vigorous Garden Hr and Min per Day
IPA03-Vigorous Leisure Hr & Min per DayC141769IPA03-Vigorous Leisure Hr & Min per DayInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - How much time did you usually spend on one of those days doing vigorous physical activities in your leisure time?: hours and minutes per day.IPAQ Long Last 7 Days Self-Administered Format Version - Vigorous Leisure Hr and Min per Day
IPA03-Vigorous Work Hr & Min per DayC141729IPA03-Vigorous Work Hr & Min per DayInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - How much time did you usually spend on one of those days doing vigorous physical activities as part of your work?: hours and minutes per day.IPAQ Long Last 7 Days Self-Administered Format Version - Vigorous Work Hr and Min per Day
IPA03-Walking Leisure Hr & Min per DayC141765IPA03-Walking Leisure Hr & Min per DayInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - How much time did you usually spend on one of those days walking in your leisure time?: hours and minutes per day.IPAQ Long Last 7 Days Self-Administered Format Version - Walking Leisure Hr and Min per Day
IPA03-Walking Place Hr & Min per DayC141749IPA03-Walking Place Hr & Min per DayInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - How much time did you usually spend on one of those days walking from place to place?: hours and minutes per day.IPAQ Long Last 7 Days Self-Administered Format Version - Walking Place Hr and Min per Day
IPA03-Walking Work Hr & Min per DayC141737IPA03-Walking Work Hr & Min per DayInternational Physical Activity Questionnaire (October 2002) - Long Last 7 Days Self-Administered Format - How much time did you usually spend on one of those days walking as part of your work?: hours and minutes per day.IPAQ Long Last 7 Days Self-Administered Format Version - Walking Work Hr and Min per Day
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CL.C182461.IPS0101T06ORInternational Prostate Symptom Score Questionnaire ORRES for IPS0101 Through IPS0106 TN/TC
(IPS0101T06OR)
text
Extensible: No
C182461International Prostate Symptom Score Questionnaire ORRES for IPS0101 Through IPS0106 TN/TCInternational Prostate Symptom Score original result for IPS0101 through IPS0106 test and test code.CDISC Questionnaire International Prostate Symptom Score IPS0101 Through IPS0106 Original Response Terminology
About Half the TimeC182637IPS0101 through IPS0106-About Half the TimeInternational Prostate Symptom Score original result for IPS0101 through IPS0106-About half the time.International Prostate Symptom Score IPS0101 Through IPS0106 Original Result - About Half the Time
Almost AlwaysC182639IPS0101 through IPS0106-Almost AlwaysInternational Prostate Symptom Score original result for IPS0101 through IPS0106-Almost always.International Prostate Symptom Score IPS0101 Through IPS0106 Original Result - Almost Always
Less Than 1 Time in 5C182635IPS0101 through IPS0106-Less Than 1 Time in 5International Prostate Symptom Score original result for IPS0101 through IPS0106-Less than 1 time in 5.International Prostate Symptom Score IPS0101 Through IPS0106 Original Result - Less Than 1 Time in 5
Less Than Half the TimeC182636IPS0101 through IPS0106-Less Than Half the TimeInternational Prostate Symptom Score original result for IPS0101 through IPS0106-Less than half the time.International Prostate Symptom Score IPS0101 Through IPS0106 Original Result - Less Than Half the Time
More Than Half the TimeC182638IPS0101 through IPS0106-More Than Half the TimeInternational Prostate Symptom Score original result for IPS0101 through IPS0106-More than half the time.International Prostate Symptom Score IPS0101 Through IPS0106 Original Result - More Than Half the Time
Not at AllC182634IPS0101 through IPS0106-Not at AllInternational Prostate Symptom Score original result for IPS0101 through IPS0106-Not at all.International Prostate Symptom Score IPS0101 Through IPS0106 Original Result - Not at All
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CL.C182462.IPS0107ORInternational Prostate Symptom Score Questionnaire ORRES for IPS0107 TN/TC
(IPS0107OR)
text
Extensible: No
C182462International Prostate Symptom Score Questionnaire ORRES for IPS0107 TN/TCInternational Prostate Symptom Score original result for IPS0107 test and test code.CDISC Questionnaire International Prostate Symptom Score IPS0107 Original Response Terminology
1 TimeC182647IPS0107-1 TimeInternational Prostate Symptom Score original result for IPS0107-1 time.International Prostate Symptom Score IPS0107 Original Result - 1 Time
2 TimesC182648IPS0107-2 TimesInternational Prostate Symptom Score original result for IPS0107-2 times.International Prostate Symptom Score IPS0107 Original Result - 2 Times
3 TimesC182649IPS0107-3 TimesInternational Prostate Symptom Score original result for IPS0107-3 times.International Prostate Symptom Score IPS0107 Original Result - 3 Times
4 TimesC182650IPS0107-4 TimesInternational Prostate Symptom Score original result for IPS0107-4 times.International Prostate Symptom Score IPS0107 Original Result - 4 Times
5 or More TimesC182651IPS0107-5 or More TimesInternational Prostate Symptom Score original result for IPS0107-5 or more times.International Prostate Symptom Score IPS0107 Original Result - 5 or More Times
NoneC182646IPS0107-NoneInternational Prostate Symptom Score original result for IPS0107-None.International Prostate Symptom Score IPS0107 Original Result - None
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CL.C182463.IPS0109ORInternational Prostate Symptom Score Questionnaire ORRES for IPS0109 TN/TC
(IPS0109OR)
text
Extensible: No
C182463International Prostate Symptom Score Questionnaire ORRES for IPS0109 TN/TCInternational Prostate Symptom Score original result for IPS0109 test and test code.CDISC Questionnaire International Prostate Symptom Score IPS0109 Original Response Terminology
DelightedC182658IPS0109-DelightedInternational Prostate Symptom Score original result for IPS0109-Delighted.International Prostate Symptom Score IPS0109 Original Result - Delighted
Mixed (about equally satisfied and dissatisfied)C182661IPS0109-Mixed (about equally satisfied and dissatisfied)International Prostate Symptom Score original result for IPS0109-Mixed (about equally satisfied and dissatisfied).International Prostate Symptom Score IPS0109 Original Result - Mixed (about equally satisfied and dissatisfied)
Mostly dissatisfiedC182662IPS0109-Mostly dissatisfiedInternational Prostate Symptom Score original result for IPS0109-Mostly dissatisfied.International Prostate Symptom Score IPS0109 Original Result - Mostly dissatisfied
Mostly satisfiedC182660IPS0109-Mostly satisfiedInternational Prostate Symptom Score original result for IPS0109-Mostly satisfied.International Prostate Symptom Score IPS0109 Original Result - Mostly satisfied
PleasedC182659IPS0109-PleasedInternational Prostate Symptom Score original result for IPS0109-Pleased.International Prostate Symptom Score IPS0109 Original Result - Pleased
TerribleC182664IPS0109-TerribleInternational Prostate Symptom Score original result for IPS0109-Terrible.International Prostate Symptom Score IPS0109 Original Result - Terrible
UnhappyC182663IPS0109-UnhappyInternational Prostate Symptom Score original result for IPS0109-Unhappy.International Prostate Symptom Score IPS0109 Original Result - Unhappy
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CL.C182499.IPS0101T06STRInternational Prostate Symptom Score Questionnaire STRESC for IPS0101 Through IPS0106 TN/TC
(IPS0101T06STR)
text
Extensible: No
C182499International Prostate Symptom Score Questionnaire STRESC for IPS0101 Through IPS0106 TN/TCInternational Prostate Symptom Score standardized character result for IPS0101 Through IPS0106 test and test code.CDISC Questionnaire International Prostate Symptom Score IPS0101 Through IPS0106 Standardized Character Response Terminology
0C182640IPS0101 through IPS0106-0International Prostate Symptom Score standardized character result for IPS0101 through IPS0106-Not at all.International Prostate Symptom Score IPS0101 Through IPS0106 Standardized Character Result 0
1C182641IPS0101 through IPS0106-1International Prostate Symptom Score standardized character result for IPS0101 through IPS0106-Less than 1 time in 5.International Prostate Symptom Score IPS0101 Through IPS0106 Standardized Character Result 1
2C182642IPS0101 through IPS0106-2International Prostate Symptom Score standardized character result for IPS0101 through IPS0106-Less than half the time.International Prostate Symptom Score IPS0101 Through IPS0106 Standardized Character Result 2
3C182643IPS0101 through IPS0106-3International Prostate Symptom Score standardized character result for IPS0101 through IPS0106-About half the time.International Prostate Symptom Score IPS0101 Through IPS0106 Standardized Character Result 3
4C182644IPS0101 through IPS0106-4International Prostate Symptom Score standardized character result for IPS0101 through IPS0106-More than half the time.International Prostate Symptom Score IPS0101 Through IPS0106 Standardized Character Result 4
5C182645IPS0101 through IPS0106-5International Prostate Symptom Score standardized character result for IPS0101 through IPS0106-Almost always.International Prostate Symptom Score IPS0101 Through IPS0106 Standardized Character Result 5
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CL.C182500.IPS0107STRInternational Prostate Symptom Score Questionnaire STRESC for IPS0107 TN/TC
(IPS0107STR)
text
Extensible: No
C182500International Prostate Symptom Score Questionnaire STRESC for IPS0107 TN/TCInternational Prostate Symptom Score standardized character result for IPS0107 test and test code.CDISC Questionnaire International Prostate Symptom Score IPS0107 Standardized Character Response Terminology
0C182652IPS0107-0International Prostate Symptom Score standardized character result for IPS0107-None.International Prostate Symptom Score IPS0107 Standardized Character Result 0
1C182653IPS0107-1International Prostate Symptom Score standardized character result for IPS0107-1 time.International Prostate Symptom Score IPS0107 Standardized Character Result 1
2C182654IPS0107-2International Prostate Symptom Score standardized character result for IPS0107-2 times.International Prostate Symptom Score IPS0107 Standardized Character Result 2
3C182655IPS0107-3International Prostate Symptom Score standardized character result for IPS0107-3 times.International Prostate Symptom Score IPS0107 Standardized Character Result 3
4C182656IPS0107-4International Prostate Symptom Score standardized character result for IPS0107-4 times.International Prostate Symptom Score IPS0107 Standardized Character Result 4
5C182657IPS0107-5International Prostate Symptom Score standardized character result for IPS0107-5 or more times.International Prostate Symptom Score IPS0107 Standardized Character Result 5
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CL.C182501.IPS0109STRInternational Prostate Symptom Score Questionnaire STRESC for IPS0109 TN/TC
(IPS0109STR)
text
Extensible: No
C182501International Prostate Symptom Score Questionnaire STRESC for IPS0109 TN/TCInternational Prostate Symptom Score standardized character result for IPS0109 test and test code.CDISC Questionnaire International Prostate Symptom Score IPS0109 Standardized Character Response Terminology
0C182665IPS0109-0International Prostate Symptom Score standardized character result for IPS0109-Delighted.International Prostate Symptom Score IPS0109 Standardized Character Result 0
1C182666IPS0109-1International Prostate Symptom Score standardized character result for IPS0109-Pleased.International Prostate Symptom Score IPS0109 Standardized Character Result 1
2C182667IPS0109-2International Prostate Symptom Score standardized character result for IPS0109-Mostly satisfied.International Prostate Symptom Score IPS0109 Standardized Character Result 2
3C182668IPS0109-3International Prostate Symptom Score standardized character result for IPS0109-Mixed (about equally satisfied and dissatisfied).International Prostate Symptom Score IPS0109 Standardized Character Result 3
4C182669IPS0109-4International Prostate Symptom Score standardized character result for IPS0109-Mostly dissatisfied.International Prostate Symptom Score IPS0109 Standardized Character Result 4
5C182670IPS0109-5International Prostate Symptom Score standardized character result for IPS0109-Unhappy.International Prostate Symptom Score IPS0109 Standardized Character Result 5
6C182671IPS0109-6International Prostate Symptom Score standardized character result for IPS0109-Terrible.International Prostate Symptom Score IPS0109 Standardized Character Result 6
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CL.C183547.IPS01TCInternational Prostate Symptom Score Questionnaire Test Code
(IPS01TC)
text
Extensible: No
C183547International Prostate Symptom Score Questionnaire Test CodeInternational Prostate Symptom Score test code.CDISC Questionnaire IPSS Test Code Terminology
IPS0101C183599IPS01-Sensation of Not Emptying BladderInternational Prostate Symptom Score - During the last month or so, how often have you had a sensation of not emptying your bladder completely after you finished urinating?IPSS - Sensation of Not Emptying Bladder
IPS0102C183600IPS01-Urinate Again Less Than 2 HoursInternational Prostate Symptom Score - During the last month or so, how often have you had to urinate again less than 2 hours after you finished urinating?IPSS - Urinate Again Less Than 2 Hours
IPS0103C183601IPS01-Stop Start Several Times UrinatedInternational Prostate Symptom Score - During the last month or so, how often have you found you stopped and started again several times when you urinated?IPSS - Stop Start Several Times Urinated
IPS0104C183602IPS01-Difficult to Postpone UrinationInternational Prostate Symptom Score - During the last month or so, how often have you found it difficult to postpone urination?IPSS - Difficult to Postpone Urination
IPS0105C183603IPS01-Had Weak Urinary StreamInternational Prostate Symptom Score - During the last month or so, how often have you had a weak urinary stream?IPSS - Had Weak Urinary Stream
IPS0106C183604IPS01-Push or Strain to Begin UrinationInternational Prostate Symptom Score - During the last month or so, how often have you had to push or strain to begin urination?IPSS - Push or Strain to Begin Urination
IPS0107C183605IPS01-Times Get Up to Urinate at NightInternational Prostate Symptom Score - During the last month, how many times did you most typically get up to urinate from the time you went to bed at night until the time you got up in the morning?IPSS - Times Get Up to Urinate at Night
IPS0108C183606IPS01-Total ScoreInternational Prostate Symptom Score - AUA symptom total score.IPSS - Total Score
IPS0109C183607IPS01-Life With Symptoms Feel About ItInternational Prostate Symptom Score - If you were to spend the rest of your life with your prostate symptoms just as they are now, how would you feel about that?IPSS - Life With Symptoms Feel About It
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CL.C183546.IPS01TNInternational Prostate Symptom Score Questionnaire Test Name
(IPS01TN)
text
Extensible: No
C183546International Prostate Symptom Score Questionnaire Test NameInternational Prostate Symptom Score test name.CDISC Questionnaire IPSS Test Name Terminology
IPS01-Difficult to Postpone UrinationC183602IPS01-Difficult to Postpone UrinationInternational Prostate Symptom Score - During the last month or so, how often have you found it difficult to postpone urination?IPSS - Difficult to Postpone Urination
IPS01-Had Weak Urinary StreamC183603IPS01-Had Weak Urinary StreamInternational Prostate Symptom Score - During the last month or so, how often have you had a weak urinary stream?IPSS - Had Weak Urinary Stream
IPS01-Life With Symptoms Feel About ItC183607IPS01-Life With Symptoms Feel About ItInternational Prostate Symptom Score - If you were to spend the rest of your life with your prostate symptoms just as they are now, how would you feel about that?IPSS - Life With Symptoms Feel About It
IPS01-Push or Strain to Begin UrinationC183604IPS01-Push or Strain to Begin UrinationInternational Prostate Symptom Score - During the last month or so, how often have you had to push or strain to begin urination?IPSS - Push or Strain to Begin Urination
IPS01-Sensation of Not Emptying BladderC183599IPS01-Sensation of Not Emptying BladderInternational Prostate Symptom Score - During the last month or so, how often have you had a sensation of not emptying your bladder completely after you finished urinating?IPSS - Sensation of Not Emptying Bladder
IPS01-Stop Start Several Times UrinatedC183601IPS01-Stop Start Several Times UrinatedInternational Prostate Symptom Score - During the last month or so, how often have you found you stopped and started again several times when you urinated?IPSS - Stop Start Several Times Urinated
IPS01-Times Get Up to Urinate at NightC183605IPS01-Times Get Up to Urinate at NightInternational Prostate Symptom Score - During the last month, how many times did you most typically get up to urinate from the time you went to bed at night until the time you got up in the morning?IPSS - Times Get Up to Urinate at Night
IPS01-Total ScoreC183606IPS01-Total ScoreInternational Prostate Symptom Score - AUA symptom total score.IPSS - Total Score
IPS01-Urinate Again Less Than 2 HoursC183600IPS01-Urinate Again Less Than 2 HoursInternational Prostate Symptom Score - During the last month or so, how often have you had to urinate again less than 2 hours after you finished urinating?IPSS - Urinate Again Less Than 2 Hours
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CL.C130247.IDSC1TCInventory of Depressive Symptomatology Clinician-Rated Version Clinical Classification Test Code
(IDSC1TC)
text
Extensible: No
C130247Inventory of Depressive Symptomatology Clinician-Rated Version Clinical Classification Test CodeInventory of Depressive Symptomatology Clinician-Rated Version test code.CDISC Clinical Classification IDS-C Test Code Terminology
IDSC101C130360IDSC1-Sleep Onset InsomniaInventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Sleep onset insomnia.IDS-C - Sleep Onset Insomnia
IDSC102C130361IDSC1-Mid-Nocturnal InsomniaInventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Mid-nocturnal insomnia.IDS-C - Mid-Nocturnal Insomnia
IDSC103C130362IDSC1-Early Morning InsomniaInventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Early morning insomnia.IDS-C - Early Morning Insomnia
IDSC104C130363IDSC1-HypersomniaInventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Hypersomnia.IDS-C - Hypersomnia
IDSC105C130364IDSC1-Mood (Sad)Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Mood (sad).IDS-C - Mood (Sad)
IDSC106C130365IDSC1-Mood (Irritable)Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Mood (irritable).IDS-C - Mood (Irritable)
IDSC107C130366IDSC1-Mood (Anxious)Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Mood (anxious).IDS-C - Mood (Anxious)
IDSC108C130367IDSC1-Reactivity of MoodInventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Reactivity of mood.IDS-C - Reactivity of Mood
IDSC109C130368IDSC1-Mood VariationInventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Mood variation.IDS-C - Mood Variation
IDSC109AC130369IDSC1-Mood Worse Morn/Afternoon/NightInventory of Depressive Symptomatology - Clinician-Rated - Is mood typically worse in morning, afternoon, or night.IDS-C - Mood Worse in Morning, Afternoon, or Night
IDSC109BC130370IDSC1-Mood Attributed to EnvironmentInventory of Depressive Symptomatology - Clinician-Rated - Is mood variation attributed to environment by the patient?IDS-C - Mood Variation Attributed to Environment
IDSC110C130371IDSC1-Quality of MoodInventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Quality of mood.IDS-C - Quality of Mood
IDSC111C130372IDSC1-Appetite (Decreased)Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Appetite (decreased).IDS-C - Appetite (Decreased)
IDSC112C130373IDSC1-Appetite (Increased)Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Appetite (increased).IDS-C - Appetite (Increased)
IDSC113C130374IDSC1-Weight (Decrease)Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Weight (decrease) within the last two weeks.IDS-C - Weight (Decrease)
IDSC114C130375IDSC1-Weight (Increase)Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Weight (increase) within the last two weeks.IDS-C - Weight (Increase)
IDSC115C130376IDSC1-Concentration/Decision MakingInventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Concentration/decision making.IDS-C - Concentration or Decision Making
IDSC116C130377IDSC1-Outlook (Self)Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Outlook (self).IDS-C - Outlook (Self)
IDSC117C130378IDSC1-Outlook (Future)Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Outlook (future).IDS-C - Outlook (Future)
IDSC118C130379IDSC1-Suicidal IdeationInventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Suicidal ideation.IDS-C - Suicidal Ideation
IDSC119C130380IDSC1-InvolvementInventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Involvement.IDS-C - Involvement
IDSC120C130381IDSC1-Energy/FatiguabilityInventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Energy/fatiguability.IDS-C - Energy or Fatiguability
IDSC121C130382IDSC1-Pleasure/Enjoyment (Exclude Sex)Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Pleasure/enjoyment (exclude sexual activities).IDS-C - Pleasure or Enjoyment
IDSC122C130383IDSC1-Sexual InterestInventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Sexual interest.IDS-C - Sexual Interest
IDSC123C130384IDSC1-Psychomotor SlowingInventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Psychomotor slowing.IDS-C - Psychomotor Slowing
IDSC124C130385IDSC1-Psychomotor AgitationInventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Psychomotor agitation.IDS-C - Psychomotor Agitation
IDSC125C130386IDSC1-Somatic ComplaintsInventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Somatic complaints.IDS-C - Somatic Complaints
IDSC126C130387IDSC1-Sympathetic ArousalInventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Sympathetic arousal.IDS-C - Sympathetic Arousal
IDSC127C130388IDSC1-Panic/Phobic SymptomsInventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Panic/phobic symptoms.IDS-C - Panic or Phobic Symptoms
IDSC128C130389IDSC1-GastrointestinalInventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Gastrointestinal.IDS-C - Gastrointestinal
IDSC129C130390IDSC1-Interpersonal SensitivityInventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Interpersonal sensitivity.IDS-C - Interpersonal Sensitivity
IDSC130C130391IDSC1-Leaden Paralysis/Physical EnergyInventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Leaden paralysis/physical energy.IDS-C - Leaden Paralysis or Physical Energy
IDSC131C130392IDSC1-ScoreInventory of Depressive Symptomatology - Clinician-Rated - Score.IDS-C - Score
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CL.C130246.IDSC1TNInventory of Depressive Symptomatology Clinician-Rated Version Clinical Classification Test Name
(IDSC1TN)
text
Extensible: No
C130246Inventory of Depressive Symptomatology Clinician-Rated Version Clinical Classification Test NameInventory of Depressive Symptomatology Clinician-Rated Version test name.CDISC Clinical Classification IDS-C Test Name Terminology
IDSC1-Appetite (Decreased)C130372IDSC1-Appetite (Decreased)Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Appetite (decreased).IDS-C - Appetite (Decreased)
IDSC1-Appetite (Increased)C130373IDSC1-Appetite (Increased)Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Appetite (increased).IDS-C - Appetite (Increased)
IDSC1-Concentration/Decision MakingC130376IDSC1-Concentration/Decision MakingInventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Concentration/decision making.IDS-C - Concentration or Decision Making
IDSC1-Early Morning InsomniaC130362IDSC1-Early Morning InsomniaInventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Early morning insomnia.IDS-C - Early Morning Insomnia
IDSC1-Energy/FatiguabilityC130381IDSC1-Energy/FatiguabilityInventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Energy/fatiguability.IDS-C - Energy or Fatiguability
IDSC1-GastrointestinalC130389IDSC1-GastrointestinalInventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Gastrointestinal.IDS-C - Gastrointestinal
IDSC1-HypersomniaC130363IDSC1-HypersomniaInventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Hypersomnia.IDS-C - Hypersomnia
IDSC1-Interpersonal SensitivityC130390IDSC1-Interpersonal SensitivityInventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Interpersonal sensitivity.IDS-C - Interpersonal Sensitivity
IDSC1-InvolvementC130380IDSC1-InvolvementInventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Involvement.IDS-C - Involvement
IDSC1-Leaden Paralysis/Physical EnergyC130391IDSC1-Leaden Paralysis/Physical EnergyInventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Leaden paralysis/physical energy.IDS-C - Leaden Paralysis or Physical Energy
IDSC1-Mid-Nocturnal InsomniaC130361IDSC1-Mid-Nocturnal InsomniaInventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Mid-nocturnal insomnia.IDS-C - Mid-Nocturnal Insomnia
IDSC1-Mood (Anxious)C130366IDSC1-Mood (Anxious)Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Mood (anxious).IDS-C - Mood (Anxious)
IDSC1-Mood (Irritable)C130365IDSC1-Mood (Irritable)Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Mood (irritable).IDS-C - Mood (Irritable)
IDSC1-Mood (Sad)C130364IDSC1-Mood (Sad)Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Mood (sad).IDS-C - Mood (Sad)
IDSC1-Mood Attributed to EnvironmentC130370IDSC1-Mood Attributed to EnvironmentInventory of Depressive Symptomatology - Clinician-Rated - Is mood variation attributed to environment by the patient?IDS-C - Mood Variation Attributed to Environment
IDSC1-Mood VariationC130368IDSC1-Mood VariationInventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Mood variation.IDS-C - Mood Variation
IDSC1-Mood Worse Morn/Afternoon/NightC130369IDSC1-Mood Worse Morn/Afternoon/NightInventory of Depressive Symptomatology - Clinician-Rated - Is mood typically worse in morning, afternoon, or night.IDS-C - Mood Worse in Morning, Afternoon, or Night
IDSC1-Outlook (Future)C130378IDSC1-Outlook (Future)Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Outlook (future).IDS-C - Outlook (Future)
IDSC1-Outlook (Self)C130377IDSC1-Outlook (Self)Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Outlook (self).IDS-C - Outlook (Self)
IDSC1-Panic/Phobic SymptomsC130388IDSC1-Panic/Phobic SymptomsInventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Panic/phobic symptoms.IDS-C - Panic or Phobic Symptoms
IDSC1-Pleasure/Enjoyment (Exclude Sex)C130382IDSC1-Pleasure/Enjoyment (Exclude Sex)Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Pleasure/enjoyment (exclude sexual activities).IDS-C - Pleasure or Enjoyment
IDSC1-Psychomotor AgitationC130385IDSC1-Psychomotor AgitationInventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Psychomotor agitation.IDS-C - Psychomotor Agitation
IDSC1-Psychomotor SlowingC130384IDSC1-Psychomotor SlowingInventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Psychomotor slowing.IDS-C - Psychomotor Slowing
IDSC1-Quality of MoodC130371IDSC1-Quality of MoodInventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Quality of mood.IDS-C - Quality of Mood
IDSC1-Reactivity of MoodC130367IDSC1-Reactivity of MoodInventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Reactivity of mood.IDS-C - Reactivity of Mood
IDSC1-ScoreC130392IDSC1-ScoreInventory of Depressive Symptomatology - Clinician-Rated - Score.IDS-C - Score
IDSC1-Sexual InterestC130383IDSC1-Sexual InterestInventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Sexual interest.IDS-C - Sexual Interest
IDSC1-Sleep Onset InsomniaC130360IDSC1-Sleep Onset InsomniaInventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Sleep onset insomnia.IDS-C - Sleep Onset Insomnia
IDSC1-Somatic ComplaintsC130386IDSC1-Somatic ComplaintsInventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Somatic complaints.IDS-C - Somatic Complaints
IDSC1-Suicidal IdeationC130379IDSC1-Suicidal IdeationInventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Suicidal ideation.IDS-C - Suicidal Ideation
IDSC1-Sympathetic ArousalC130387IDSC1-Sympathetic ArousalInventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Sympathetic arousal.IDS-C - Sympathetic Arousal
IDSC1-Weight (Decrease)C130374IDSC1-Weight (Decrease)Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Weight (decrease) within the last two weeks.IDS-C - Weight (Decrease)
IDSC1-Weight (Increase)C130375IDSC1-Weight (Increase)Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Weight (increase) within the last two weeks.IDS-C - Weight (Increase)
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CL.C130261.IDSR1TCInventory of Depressive Symptomatology Self-Report Version Questionnaire Test Code
(IDSR1TC)
text
Extensible: No
C130261Inventory of Depressive Symptomatology Self-Report Version Questionnaire Test CodeInventory of Depressive Symptomatology Self-Report Version test code.CDISC Questionnaire IDS-SR Test Code Terminology
IDSR101C130551IDSR1-Falling AsleepInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Falling asleep.IDS-SR - Falling Asleep
IDSR102C130552IDSR1-Sleep During the NightInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Sleep during the night.IDS-SR - Sleep During the Night
IDSR103C130553IDSR1-Waking Up Too EarlyInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Waking up too early.IDS-SR - Waking Up Too Early
IDSR104C130554IDSR1-Sleeping Too MuchInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Sleeping too much.IDS-SR - Sleeping Too Much
IDSR105C130555IDSR1-Feeling SadInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Feeling sad.IDS-SR - Feeling Sad
IDSR106C130556IDSR1-Feeling IrritableInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Feeling irritable.IDS-SR - Feeling Irritable
IDSR107C130557IDSR1-Feeling Anxious or TenseInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Feeling anxious or tense.IDS-SR - Feeling Anxious or Tense
IDSR108C130558IDSR1-Your Mood to Good/Desired EventsInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Response of your mood to good or desired events.IDS-SR - Response of Your Mood to Good or Desired Events
IDSR109C130559IDSR1-Mood in Relation to Time of DayInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Mood in relation to the time of day.IDS-SR - Mood in Relation to the Time of Day
IDSR109AC130560IDSR1-Mood Worse Morn/Afternoon/NightInventory of Depressive Symptomatology - Self-Report - Is your mood typically worse in the morning, afternoon or night?IDS-SR - Mood Worse in Morning, Afternoon, or Night
IDSR109BC130561IDSR1-Mood Attributed to EnvironmentInventory of Depressive Symptomatology - Self-Report - Is your mood variation attributed to the environment?IDS-SR - Mood Variation Attributed to Environment
IDSR110C130562IDSR1-Quality of Your MoodInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: The quality of your mood.IDS-SR - The Quality of Your Mood
IDSR111C130563IDSR1-Decreased AppetiteInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Decreased appetite.IDS-SR - Decreased Appetite
IDSR112C130564IDSR1-Increased AppetiteInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Increased appetite.IDS-SR - Increased Appetite
IDSR113C130565IDSR1-Weight (Decrease)Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: within the last two weeks: Weight (decrease).IDS-SR - Weight (Decrease)
IDSR114C130566IDSR1-Weight (Increase)Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: within the last two weeks: Weight (increase).IDS-SR - Weight (Increase)
IDSR115C130567IDSR1-Concentration/Decision MakingInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Concentration/decision making.IDS-SR - Concentration or Decision Making
IDSR116C130568IDSR1-View of MyselfInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: View of myself.IDS-SR - View of Myself
IDSR117C130569IDSR1-View of My FutureInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: View of my future.IDS-SR - View of My Future
IDSR118C130570IDSR1-Thoughts of Death or SuicideInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Thoughts of death or suicide.IDS-SR - Thoughts of Death or Suicide
IDSR119C130571IDSR1-General InterestInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: General interest.IDS-SR - General Interest
IDSR120C130572IDSR1-Energy LevelInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Energy level.IDS-SR - Energy Level
IDSR121C130573IDSR1-Pleasure/Enjoyment (Exclude Sex)Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Capacity for pleasure or enjoyment (excluding sex).IDS-SR - Capacity for Pleasure or Enjoyment
IDSR122C130574IDSR1-Interest in SexInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Interest in sex.IDS-SR - Interest in Sex
IDSR123C130575IDSR1-Feeling Slowed DownInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Feeling slowed down.IDS-SR - Feeling Slowed Down
IDSR124C130576IDSR1-Feeling RestlessInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Feeling restless.IDS-SR - Feeling Restless
IDSR125C130577IDSR1-Aches and PainsInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Aches and pains.IDS-SR - Aches and Pains
IDSR126C130578IDSR1-Other Bodily SymptomsInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Other bodily symptoms.IDS-SR - Other Bodily Symptoms
IDSR127C130579IDSR1-Panic/Phobic SymptomsInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Panic/phobic symptoms.IDS-SR - Panic or Phobic Symptoms
IDSR128C130580IDSR1-Constipation/DiarrheaInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Constipation/diarrhea.IDS-SR - Constipation or Diarrhea
IDSR129C130581IDSR1-Interpersonal SensitivityInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Interpersonal sensitivity.IDS-SR - Interpersonal Sensitivity
IDSR130C130582IDSR1-Leaden Paralysis/Physical EnergyInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Leaden paralysis/physical energy.IDS-SR - Leaden Paralysis or Physical Energy
IDSR131C130583IDSR1-ScoreInventory of Depressive Symptomatology - Self-Report - Score.IDS-SR - Score
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CL.C130260.IDSR1TNInventory of Depressive Symptomatology Self-Report Version Questionnaire Test Name
(IDSR1TN)
text
Extensible: No
C130260Inventory of Depressive Symptomatology Self-Report Version Questionnaire Test NameInventory of Depressive Symptomatology Self-Report Version test name.CDISC Questionnaire IDS-SR Test Name Terminology
IDSR1-Aches and PainsC130577IDSR1-Aches and PainsInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Aches and pains.IDS-SR - Aches and Pains
IDSR1-Concentration/Decision MakingC130567IDSR1-Concentration/Decision MakingInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Concentration/decision making.IDS-SR - Concentration or Decision Making
IDSR1-Constipation/DiarrheaC130580IDSR1-Constipation/DiarrheaInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Constipation/diarrhea.IDS-SR - Constipation or Diarrhea
IDSR1-Decreased AppetiteC130563IDSR1-Decreased AppetiteInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Decreased appetite.IDS-SR - Decreased Appetite
IDSR1-Energy LevelC130572IDSR1-Energy LevelInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Energy level.IDS-SR - Energy Level
IDSR1-Falling AsleepC130551IDSR1-Falling AsleepInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Falling asleep.IDS-SR - Falling Asleep
IDSR1-Feeling Anxious or TenseC130557IDSR1-Feeling Anxious or TenseInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Feeling anxious or tense.IDS-SR - Feeling Anxious or Tense
IDSR1-Feeling IrritableC130556IDSR1-Feeling IrritableInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Feeling irritable.IDS-SR - Feeling Irritable
IDSR1-Feeling RestlessC130576IDSR1-Feeling RestlessInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Feeling restless.IDS-SR - Feeling Restless
IDSR1-Feeling SadC130555IDSR1-Feeling SadInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Feeling sad.IDS-SR - Feeling Sad
IDSR1-Feeling Slowed DownC130575IDSR1-Feeling Slowed DownInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Feeling slowed down.IDS-SR - Feeling Slowed Down
IDSR1-General InterestC130571IDSR1-General InterestInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: General interest.IDS-SR - General Interest
IDSR1-Increased AppetiteC130564IDSR1-Increased AppetiteInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Increased appetite.IDS-SR - Increased Appetite
IDSR1-Interest in SexC130574IDSR1-Interest in SexInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Interest in sex.IDS-SR - Interest in Sex
IDSR1-Interpersonal SensitivityC130581IDSR1-Interpersonal SensitivityInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Interpersonal sensitivity.IDS-SR - Interpersonal Sensitivity
IDSR1-Leaden Paralysis/Physical EnergyC130582IDSR1-Leaden Paralysis/Physical EnergyInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Leaden paralysis/physical energy.IDS-SR - Leaden Paralysis or Physical Energy
IDSR1-Mood Attributed to EnvironmentC130561IDSR1-Mood Attributed to EnvironmentInventory of Depressive Symptomatology - Self-Report - Is your mood variation attributed to the environment?IDS-SR - Mood Variation Attributed to Environment
IDSR1-Mood in Relation to Time of DayC130559IDSR1-Mood in Relation to Time of DayInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Mood in relation to the time of day.IDS-SR - Mood in Relation to the Time of Day
IDSR1-Mood Worse Morn/Afternoon/NightC130560IDSR1-Mood Worse Morn/Afternoon/NightInventory of Depressive Symptomatology - Self-Report - Is your mood typically worse in the morning, afternoon or night?IDS-SR - Mood Worse in Morning, Afternoon, or Night
IDSR1-Other Bodily SymptomsC130578IDSR1-Other Bodily SymptomsInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Other bodily symptoms.IDS-SR - Other Bodily Symptoms
IDSR1-Panic/Phobic SymptomsC130579IDSR1-Panic/Phobic SymptomsInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Panic/phobic symptoms.IDS-SR - Panic or Phobic Symptoms
IDSR1-Pleasure/Enjoyment (Exclude Sex)C130573IDSR1-Pleasure/Enjoyment (Exclude Sex)Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Capacity for pleasure or enjoyment (excluding sex).IDS-SR - Capacity for Pleasure or Enjoyment
IDSR1-Quality of Your MoodC130562IDSR1-Quality of Your MoodInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: The quality of your mood.IDS-SR - The Quality of Your Mood
IDSR1-ScoreC130583IDSR1-ScoreInventory of Depressive Symptomatology - Self-Report - Score.IDS-SR - Score
IDSR1-Sleep During the NightC130552IDSR1-Sleep During the NightInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Sleep during the night.IDS-SR - Sleep During the Night
IDSR1-Sleeping Too MuchC130554IDSR1-Sleeping Too MuchInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Sleeping too much.IDS-SR - Sleeping Too Much
IDSR1-Thoughts of Death or SuicideC130570IDSR1-Thoughts of Death or SuicideInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Thoughts of death or suicide.IDS-SR - Thoughts of Death or Suicide
IDSR1-View of My FutureC130569IDSR1-View of My FutureInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: View of my future.IDS-SR - View of My Future
IDSR1-View of MyselfC130568IDSR1-View of MyselfInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: View of myself.IDS-SR - View of Myself
IDSR1-Waking Up Too EarlyC130553IDSR1-Waking Up Too EarlyInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Waking up too early.IDS-SR - Waking Up Too Early
IDSR1-Weight (Decrease)C130565IDSR1-Weight (Decrease)Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: within the last two weeks: Weight (decrease).IDS-SR - Weight (Decrease)
IDSR1-Weight (Increase)C130566IDSR1-Weight (Increase)Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: within the last two weeks: Weight (increase).IDS-SR - Weight (Increase)
IDSR1-Your Mood to Good/Desired EventsC130558IDSR1-Your Mood to Good/Desired EventsInventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Response of your mood to good or desired events.IDS-SR - Response of Your Mood to Good or Desired Events
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CL.C124684.CRSR01TCJFK Coma Recovery Scale-Revised Clinical Classification Test Code
(CRSR01TC)
text
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C124684JFK Coma Recovery Scale-Revised Clinical Classification Test CodeJFK Coma Recovery Scale-Revised test code.CDISC Clinical Classification CRS-R Test Code Terminology
CRSR0101C124736CRSR01-DiagnosisJFK Coma Recovery Scale-Revised - Diagnosis.CRS-R - Diagnosis
CRSR0102C124737CRSR01-EtiologyJFK Coma Recovery Scale-Revised - Etiology.CRS-R - Etiology
CRSR0103C124738CRSR01-Date of OnsetJFK Coma Recovery Scale-Revised - Date of onset.CRS-R - Date of Onset
CRSR0104C124739CRSR01-Date of AdmissionJFK Coma Recovery Scale-Revised - Date of admission.CRS-R - Date of Admission
CRSR0105C124740CRSR01-Auditory Function ScaleJFK Coma Recovery Scale-Revised - Auditory function scale.CRS-R - Auditory Function Scale
CRSR0106C124741CRSR01-Visual Function ScaleJFK Coma Recovery Scale-Revised - Visual function scale.CRS-R - Visual Function Scale
CRSR0107C124742CRSR01-Motor Function ScaleJFK Coma Recovery Scale-Revised - Motor function scale.CRS-R - Motor Function Scale
CRSR0108C124743CRSR01-Oromotor/Verbal FunctionJFK Coma Recovery Scale-Revised - Oromotor/verbal function scale.CRS-R - Oromotor/Verbal Function
CRSR0109C124744CRSR01-Communication ScaleJFK Coma Recovery Scale-Revised - Communication scale.CRS-R - Communication Scale
CRSR0110C124745CRSR01-Arousal ScaleJFK Coma Recovery Scale-Revised - Arousal scale.CRS-R - Arousal Scale
CRSR0111C124746CRSR01-Total ScoreJFK Coma Recovery Scale-Revised - Total score.CRS-R - Total Score
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CL.C124683.CRSR01TNJFK Coma Recovery Scale-Revised Clinical Classification Test Name
(CRSR01TN)
text
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C124683JFK Coma Recovery Scale-Revised Clinical Classification Test NameJFK Coma Recovery Scale-Revised test name.CDISC Clinical Classification CRS-R Test Name Terminology
CRSR01-Arousal ScaleC124745CRSR01-Arousal ScaleJFK Coma Recovery Scale-Revised - Arousal scale.CRS-R - Arousal Scale
CRSR01-Auditory Function ScaleC124740CRSR01-Auditory Function ScaleJFK Coma Recovery Scale-Revised - Auditory function scale.CRS-R - Auditory Function Scale
CRSR01-Communication ScaleC124744CRSR01-Communication ScaleJFK Coma Recovery Scale-Revised - Communication scale.CRS-R - Communication Scale
CRSR01-Date of AdmissionC124739CRSR01-Date of AdmissionJFK Coma Recovery Scale-Revised - Date of admission.CRS-R - Date of Admission
CRSR01-Date of OnsetC124738CRSR01-Date of OnsetJFK Coma Recovery Scale-Revised - Date of onset.CRS-R - Date of Onset
CRSR01-DiagnosisC124736CRSR01-DiagnosisJFK Coma Recovery Scale-Revised - Diagnosis.CRS-R - Diagnosis
CRSR01-EtiologyC124737CRSR01-EtiologyJFK Coma Recovery Scale-Revised - Etiology.CRS-R - Etiology
CRSR01-Motor Function ScaleC124742CRSR01-Motor Function ScaleJFK Coma Recovery Scale-Revised - Motor function scale.CRS-R - Motor Function Scale
CRSR01-Oromotor/Verbal FunctionC124743CRSR01-Oromotor/Verbal FunctionJFK Coma Recovery Scale-Revised - Oromotor/verbal function scale.CRS-R - Oromotor/Verbal Function
CRSR01-Total ScoreC124746CRSR01-Total ScoreJFK Coma Recovery Scale-Revised - Total score.CRS-R - Total Score
CRSR01-Visual Function ScaleC124741CRSR01-Visual Function ScaleJFK Coma Recovery Scale-Revised - Visual function scale.CRS-R - Visual Function Scale
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CL.C182469.KPSS0101ORKarnofsky Performance Status Scale Clinical Classification ORRES for KPSS0101 TN/TC
(KPSS0101OR)
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C182469Karnofsky Performance Status Scale Clinical Classification ORRES for KPSS0101 TN/TCKarnofsky Performance Status Scale original result for KPSS0101 test and test code.CDISC Clinical Classification Karnofsky Performance Status Scale KPSS0101 Original Response Terminology
Able to carry on normal activity; minor signs or symptoms of disease.C182717KPSS0101-Able to carry on normal activity;minor signs or symptoms of diseaseKarnofsky Performance Status Scale original result for KPSS0101-Able to carry on normal activity; minor signs or symptoms of disease.Karnofsky Performance Status Scale KPSS0101 Original Result - Able to carry on normal activity; minor signs or symptoms of disease
Cares for self; unable to carry on normal activity or to do active work.C182719KPSS0101-Cares for self;unable to carry on normal activity or to do active workKarnofsky Performance Status Scale original result for KPSS0101-Cares for self; unable to carry on normal activity or to do active work.Karnofsky Performance Status Scale KPSS0101 Original Result - Cares for self; unable to carry on normal activity or to do active work
DeadC182726KPSS0101-DeadKarnofsky Performance Status Scale original result for KPSS0101-Dead.Karnofsky Performance Status Scale KPSS0101 Original Result - Dead
Disabled; requires special care and assistance.C182722KPSS0101-Disabled;requires special care and assistanceKarnofsky Performance Status Scale original result for KPSS0101-Disabled; requires special care and assistance.Karnofsky Performance Status Scale KPSS0101 Original Result - Disabled; requires special care and assistance
Moribund; fatal processes progressing rapidly.C182725KPSS0101-Moribund;fatal processes progressing rapidlyKarnofsky Performance Status Scale original result for KPSS0101-Moribund; fatal processes progressing rapidly.Karnofsky Performance Status Scale KPSS0101 Original Result - Moribund; fatal processes progressing rapidly
Normal activity with effort; some signs or symptoms of disease.C182718KPSS0101-Normal activity with effort;some signs or symptoms of diseaseKarnofsky Performance Status Scale original result for KPSS0101-Normal activity with effort; some signs or symptoms of disease.Karnofsky Performance Status Scale KPSS0101 Original Result - Normal activity with effort; some signs or symptoms of disease
Normal no complaints; no evidence of disease.C182716KPSS0101-Normal no complaints;no evidence of diseaseKarnofsky Performance Status Scale original result for KPSS0101-Normal no complaints; no evidence of disease.Karnofsky Performance Status Scale KPSS0101 Original Result - Normal no complaints; no evidence of disease
Requires considerable assistance and frequent medical care.C182721KPSS0101-Requires considerable assistance and frequent medical careKarnofsky Performance Status Scale original result for KPSS0101-Requires considerable assistance and frequent medical care.Karnofsky Performance Status Scale KPSS0101 Original Result - Requires considerable assistance and frequent medical care
Requires occasional assistance, but is able to care for most of his personal needs.C182720KPSS0101-Requires occasional assistance, but is able to care for most of his personal needsKarnofsky Performance Status Scale original result for KPSS0101-Requires occasional assistance, but is able to care for most of his personal needs.Karnofsky Performance Status Scale KPSS0101 Original Result - Requires occasional assistance, but is able to care for most of his personal needs
Severely disabled; hospital admission is indicated although death not imminent.C182723KPSS0101-Severely disabled;hospital admission is indicated although death not imminentKarnofsky Performance Status Scale original result for KPSS0101-Severely disabled; hospital admission is indicated although death not imminent.Karnofsky Performance Status Scale KPSS0101 Original Result - Severely disabled; hospital admission is indicated although death not imminent
Very sick; hospital admission necessary; active supportive treatment necessary.C182724KPSS0101-Very sick;hospital admission necessary;active supportive treatment necessaryKarnofsky Performance Status Scale original result for KPSS0101-Very sick; hospital admission necessary; active supportive treatment necessary.Karnofsky Performance Status Scale KPSS0101 Original Result - Very sick; hospital admission necessary; active supportive treatment necessary
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CL.C182507.KPSS0101STRKarnofsky Performance Status Scale Clinical Classification STRESC for KPSS0101 TN/TC
(KPSS0101STR)
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C182507Karnofsky Performance Status Scale Clinical Classification STRESC for KPSS0101 TN/TCKarnofsky Performance Status Scale standardized character result for KPSS0101 test and test code.CDISC Clinical Classification Karnofsky Performance Status Scale KPSS0101 Standardized Character Response Terminology
0C182737KPSS0101-0Karnofsky Performance Status Scale standardized character result for KPSS0101-Dead.Karnofsky Performance Status Scale KPSS0101 Standardized Character Result 0
10C182736KPSS0101-10Karnofsky Performance Status Scale standardized character result for KPSS0101-Moribund; fatal processes progressing rapidly.Karnofsky Performance Status Scale KPSS0101 Standardized Character Result 10
100C182727KPSS0101-100Karnofsky Performance Status Scale standardized character result for KPSS0101-Normal no complaints; no evidence of disease.Karnofsky Performance Status Scale KPSS0101 Standardized Character Result 100
20C182735KPSS0101-20Karnofsky Performance Status Scale standardized character result for KPSS0101-Very sick; hospital admission necessary; active supportive treatment necessary.Karnofsky Performance Status Scale KPSS0101 Standardized Character Result 20
30C182734KPSS0101-30Karnofsky Performance Status Scale standardized character result for KPSS0101-Severely disabled; hospital admission is indicated although death not imminent.Karnofsky Performance Status Scale KPSS0101 Standardized Character Result 30
40C182733KPSS0101-40Karnofsky Performance Status Scale standardized character result for KPSS0101-Disabled; requires special care and assistance.Karnofsky Performance Status Scale KPSS0101 Standardized Character Result 40
50C182732KPSS0101-50Karnofsky Performance Status Scale standardized character result for KPSS0101-Requires considerable assistance and frequent medical care.Karnofsky Performance Status Scale KPSS0101 Standardized Character Result 50
60C182731KPSS0101-60Karnofsky Performance Status Scale standardized character result for KPSS0101-Requires occasional assistance, but is able to care for most of his personal needs.Karnofsky Performance Status Scale KPSS0101 Standardized Character Result 60
70C182730KPSS0101-70Karnofsky Performance Status Scale standardized character result for KPSS0101-Cares for self; unable to carry on normal activity or to do active work.Karnofsky Performance Status Scale KPSS0101 Standardized Character Result 70
80C182729KPSS0101-80Karnofsky Performance Status Scale standardized character result for KPSS0101-Normal activity with effort; some signs or symptoms of disease.Karnofsky Performance Status Scale KPSS0101 Standardized Character Result 80
90C182728KPSS0101-90Karnofsky Performance Status Scale standardized character result for KPSS0101-Able to carry on normal activity; minor signs or symptoms of disease.Karnofsky Performance Status Scale KPSS0101 Standardized Character Result 90
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CL.C100170.KPSS01TCKarnofsky Performance Status Scale Clinical Classification Test Code
(KPSS01TC)
text
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C100170Karnofsky Performance Status Scale Clinical Classification Test CodeKarnofsky Performance Status Scale test code.CDISC Clinical Classification KPS Scale Test Code Terminology
KPSS0101C100417KPSS01-Karnofsky Performance StatusKarnofsky Performance Status Scale - Karnofsky Performance Status.KPS Scale - Karnofsky Performance Status
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CL.C100169.KPSS01TNKarnofsky Performance Status Scale Clinical Classification Test Name
(KPSS01TN)
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C100169Karnofsky Performance Status Scale Clinical Classification Test NameKarnofsky Performance Status Scale test name.CDISC Clinical Classification KPS Scale Test Name Terminology
KPSS01-Karnofsky Performance StatusC100417KPSS01-Karnofsky Performance StatusKarnofsky Performance Status Scale - Karnofsky Performance Status.KPS Scale - Karnofsky Performance Status
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CL.C170529.KDIGO1TCKidney Disease Improving Global Outcomes Staging For Acute Kidney Injury Clinical Classification Test Code
(KDIGO1TC)
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C170529Kidney Disease Improving Global Outcomes Staging For Acute Kidney Injury Clinical Classification Test CodeKidney Disease Improving Global Outcomes Staging For Acute Kidney Injury test code.CDISC Clinical Classification KDIGO-AKI Test Code Terminology
KDIGO101C170692KDIGO1-KDIGO AKI StageKidney Disease: Improving Global Outcomes Staging For Acute Kidney Injury - KDIGO AKI stage.KDIGO-AKI - KDIGO AKI Stage
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CL.C170528.KDIGO1TNKidney Disease Improving Global Outcomes Staging For Acute Kidney Injury Clinical Classification Test Name
(KDIGO1TN)
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C170528Kidney Disease Improving Global Outcomes Staging For Acute Kidney Injury Clinical Classification Test NameKidney Disease Improving Global Outcomes Staging For Acute Kidney Injury test name.CDISC Clinical Classification KDIGO-AKI Test Name Terminology
KDIGO1-KDIGO AKI StageC170692KDIGO1-KDIGO AKI StageKidney Disease: Improving Global Outcomes Staging For Acute Kidney Injury - KDIGO AKI stage.KDIGO-AKI - KDIGO AKI Stage
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CL.C130251.KDPI01TCKidney Donor Profile Index Clinical Classification Test Code
(KDPI01TC)
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C130251Kidney Donor Profile Index Clinical Classification Test CodeKidney Donor Profile Index test code.CDISC Clinical Classification KDPI Test Code Terminology
KDPI0101C130393KDPI01-KDPI ScoreKidney Donor Profile Index - KDPI score.KDPI - KDPI Score
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CL.C130250.KDPI01TNKidney Donor Profile Index Clinical Classification Test Name
(KDPI01TN)
text
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C130250Kidney Donor Profile Index Clinical Classification Test NameKidney Donor Profile Index test name.CDISC Clinical Classification KDPI Test Name Terminology
KDPI01-KDPI ScoreC130393KDPI01-KDPI ScoreKidney Donor Profile Index - KDPI score.KDPI - KDPI Score
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CL.C112439.EDSS01TCKurtzke Expanded Disability Status Scale Clinical Classification Test Code
(EDSS01TC)
text
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C112439Kurtzke Expanded Disability Status Scale Clinical Classification Test CodeKurtzke Expanded Disability Status Scale test code.CDISC Clinical Classification EDSS Test Code Terminology
EDSS0101C112550EDSS01-Expanded Disability ScoreKurtzke Expanded Disability Status Scale - Expanded disability score.EDSS - Expanded Disability Score
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CL.C112438.EDSS01TNKurtzke Expanded Disability Status Scale Clinical Classification Test Name
(EDSS01TN)
text
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C112438Kurtzke Expanded Disability Status Scale Clinical Classification Test NameKurtzke Expanded Disability Status Scale test name.CDISC Clinical Classification EDSS Test Name Terminology
EDSS01-Expanded Disability ScoreC112550EDSS01-Expanded Disability ScoreKurtzke Expanded Disability Status Scale - Expanded disability score.EDSS - Expanded Disability Score
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CL.C182475.KFSS101ORKurtzke Functional System Scores Clinical Classification ORRES for KFSS101 TN/TC
(KFSS101OR)
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C182475Kurtzke Functional System Scores Clinical Classification ORRES for KFSS101 TN/TCKurtzke Functional System Scores original result for KFSS101 test and test code.CDISC Clinical Classification Kurtzke Functional System Scores KFSS101 Original Response Terminology
Abnormal signs without disabilityC182767KFSS101-Abnormal signs without disabilityKurtzke Functional System Scores original result for KFSS101-Abnormal signs without disability.Kurtzke Functional System Scores KFSS101 Original Result - Abnormal signs without disability
Marked paraparesis or hemiparesis; moderate quadriparesis; or monoplegiaC182770KFSS101-Marked paraparesis or hemiparesis;moderate quadriparesis;or monoplegiaKurtzke Functional System Scores original result for KFSS101-Marked paraparesis or hemiparesis; moderate quadriparesis; or monoplegia.Kurtzke Functional System Scores KFSS101 Original Result - Marked paraparesis or hemiparesis; moderate quadriparesis; or monoplegia
Mild or moderate paraparesis or hemiparesis; severe monoparesisC182769KFSS101-Mild or moderate paraparesis or hemiparesis;severe monoparesisKurtzke Functional System Scores original result for KFSS101-Mild or moderate paraparesis or hemiparesis; severe monoparesis.Kurtzke Functional System Scores KFSS101 Original Result - Mild or moderate paraparesis or hemiparesis; severe monoparesis
Minimal disabilityC182768KFSS101-Minimal disabilityKurtzke Functional System Scores original result for KFSS101-Minimal disability.Kurtzke Functional System Scores KFSS101 Original Result - Minimal disability
NormalC182766KFSS101-NormalKurtzke Functional System Scores original result for KFSS101-Normal.Kurtzke Functional System Scores KFSS101 Original Result - Normal
Paraplegia, hemiplegia, or marked quadriparesisC182771KFSS101-Paraplegia, hemiplegia, or marked quadriparesisKurtzke Functional System Scores original result for KFSS101-Paraplegia, hemiplegia, or marked quadriparesis.Kurtzke Functional System Scores KFSS101 Original Result - Paraplegia, hemiplegia, or marked quadriparesis
QuadriplegiaC182772KFSS101-QuadriplegiaKurtzke Functional System Scores original result for KFSS101-Quadriplegia.Kurtzke Functional System Scores KFSS101 Original Result - Quadriplegia
UnknownC182773KFSS101-UnknownKurtzke Functional System Scores original result for KFSS101-Unknown.Kurtzke Functional System Scores KFSS101 Original Result - Unknown
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CL.C182476.KFSS102ORKurtzke Functional System Scores Clinical Classification ORRES for KFSS102 TN/TC
(KFSS102OR)
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C182476Kurtzke Functional System Scores Clinical Classification ORRES for KFSS102 TN/TCKurtzke Functional System Scores original result for KFSS102 test and test code.CDISC Clinical Classification Kurtzke Functional System Scores KFSS102 Original Response Terminology
Abnormal signs without disabilityC182783KFSS102-Abnormal signs without disabilityKurtzke Functional System Scores original result for KFSS102-Abnormal signs without disability.Kurtzke Functional System Scores KFSS102 Original Result - Abnormal signs without disability
Mild ataxiaC182784KFSS102-Mild ataxiaKurtzke Functional System Scores original result for KFSS102-Mild ataxia.Kurtzke Functional System Scores KFSS102 Original Result - Mild ataxia
Moderate truncal or limb ataxiaC182785KFSS102-Moderate truncal or limb ataxiasKurtzke Functional System Scores original result for KFSS102-Moderate truncal or limb ataxia.Kurtzke Functional System Scores KFSS102 Original Result - Moderate truncal or limb ataxia
NormalC182782KFSS102-NormalKurtzke Functional System Scores original result for KFSS102-Normal.Kurtzke Functional System Scores KFSS102 Original Result - Normal
Severe ataxia, all limbsC182786KFSS102-Severe ataxia, all limbsKurtzke Functional System Scores original result for KFSS102-Severe ataxia, all limbs.Kurtzke Functional System Scores KFSS102 Original Result - Severe ataxia, all limbs
Unable to perform coordinated movements due to ataxiaC182787KFSS102-Unable to perform coordinated movements due to ataxiaKurtzke Functional System Scores original result for KFSS102-Unable to perform coordinated movements due to ataxia.Kurtzke Functional System Scores KFSS102 Original Result - Unable to perform coordinated movements due to ataxia
UnknownC182788KFSS102-UnknownKurtzke Functional System Scores original result for KFSS102-Unknown.Kurtzke Functional System Scores KFSS102 Original Result - Unknown
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CL.C182477.KFSS102A&6AORKurtzke Functional System Scores Clinical Classification ORRES for KFSS102A and KFSS106A TN/TC
(KFSS102A&6AOR)
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C182477Kurtzke Functional System Scores Clinical Classification ORRES for KFSS102A and KFSS106A TN/TCKurtzke Functional System Scores original result for KFSS102A and KFSS106A test and test code.CDISC Clinical Classification Kurtzke Functional System Scores KFSS102A and KFSS106A Original Response Terminology
CHECKEDC182796KFSS102 and KFSS106A-CHECKEDKurtzke Functional System Scores original result for KFSS102 and KFSS106A-Checked.Kurtzke Functional System Scores KFSS102 and KFSS106A Original Result - CHECKED
NOT CHECKEDC182797KFSS102 and KFSS106A-NOT CHECKEDKurtzke Functional System Scores original result for KFSS102 and KFSS106A-Not checked.Kurtzke Functional System Scores KFSS102 and KFSS106A Original Result - NOT CHECKED
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CL.C182478.KFSS103ORKurtzke Functional System Scores Clinical Classification ORRES for KFSS103 TN/TC
(KFSS103OR)
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C182478Kurtzke Functional System Scores Clinical Classification ORRES for KFSS103 TN/TCKurtzke Functional System Scores original result for KFSS103 test and test code.CDISC Clinical Classification Kurtzke Functional System Scores KFSS103 Original Response Terminology
Inability to swallow or speakC182805KFSS103-Inability to swallow or speakKurtzke Functional System Scores original result for KFSS103-Inability to swallow or speak.Kurtzke Functional System Scores KFSS103 Original Result - Inability to swallow or speak
Marked dysarthria or other marked disabilityC182804KFSS103-Marked dysarthria or other marked disabilityKurtzke Functional System Scores original result for KFSS103-Marked dysarthria or other marked disability.Kurtzke Functional System Scores KFSS103 Original Result - Marked dysarthria or other marked disability
Moderate nystagmus or other mild disabilityC182802KFSS103-Moderate nystagmus or other mild disabilityKurtzke Functional System Scores original result for KFSS103-Moderate nystagmus or other mild disability.Kurtzke Functional System Scores KFSS103 Original Result - Moderate nystagmus or other mild disability
NormalC182800KFSS103-Normal.Kurtzke Functional System Scores original result for KFSS103-Normal.Kurtzke Functional System Scores KFSS103 Original Result - Normal
Severe nystagmus, marked extraocular weakness, or moderate disability of other cranial nervesC182803KFSS103-Severe nystagmus, marked extraocular weakness, or moderate disability of other cranial nervesKurtzke Functional System Scores original result for KFSS103-Severe nystagmus, marked extraocular weakness, or moderate disability of other cranial nerves.Kurtzke Functional System Scores KFSS103 Original Result - Severe nystagmus, marked extraocular weakness, or moderate disability of other cranial nerves
Signs onlyC182801KFSS103-Signs onlyKurtzke Functional System Scores original result for KFSS103-Signs only.Kurtzke Functional System Scores KFSS103 Original Result - Signs only
UnknownC182806KFSS103-UnknownKurtzke Functional System Scores original result for KFSS103-Unknown.Kurtzke Functional System Scores KFSS103 Original Result - Unknown
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CL.C182479.KFSS104ORKurtzke Functional System Scores Clinical Classification ORRES for KFSS104 TN/TC
(KFSS104OR)
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C182479Kurtzke Functional System Scores Clinical Classification ORRES for KFSS104 TN/TCKurtzke Functional System Scores original result for KFSS104 test and test code.CDISC Clinical Classification Kurtzke Functional System Scores KFSS104 Original Response Terminology
Loss (essentially) of sensation in one or two limbs; or moderate decrease in touch or pain and/or loss of proprioception for most of the body below the headC182819KFSS104-Loss (essentially) of sensation in one or two limbs;or moderate decrease in touch or pain and/or loss of proprioception for most of the body below the headKurtzke Functional System Scores original result for KFSS104-Loss (essentially) of sensation in one or two limbs; or moderate decrease in touch or pain and/or loss of proprioception for most of the body below the head.Kurtzke Functional System Scores KFSS104 Original Result - Loss (essentially) of sensation in one or two limbs; or moderate decrease in touch or pain and/or loss of proprioception for most of the body below the head
Marked decrease in touch or pain or loss of proprioception, alone or combined, in one or two limbs; or moderate decrease in touch or pain and/or severe proprioceptive decrease in more than two limbsC182818KFSS104-Marked decrease in touch or pain or loss of proprioception, alone or combined, in one or two limbs;or moderate decrease in touch or pain and/or severe proprioceptive decrease in more than two limbsKurtzke Functional System Scores original result for KFSS104-Marked decrease in touch or pain or loss of proprioception, alone or combined, in one or two limbs; or moderate decrease in touch or pain and/or severe proprioceptive decrease in more than two limbs.Kurtzke Functional System Scores KFSS104 Original Result - Marked decrease in touch or pain or loss of proprioception, alone or combined, in one or two limbs; or moderate decrease in touch or pain and/or severe proprioceptive decrease in more than two limbs
Mild decrease in touch or pain or position sense, and/or moderate decrease in vibration in one or two limbs; or vibratory (c/s figure writing) decrease alone in three or four limbsC182816KFSS104-Mild decrease in touch or pain or position sense, and/or moderate decrease in vibration in one or two limbs;or vibratory (c/s figure writing) decrease alone in three or four limbsKurtzke Functional System Scores original result for KFSS104-Mild decrease in touch or pain or position sense, and/or moderate decrease in vibration in one or two limbs; or vibratory (c/s figure writing) decrease alone in three or four limbs.Kurtzke Functional System Scores KFSS104 Original Result - Mild decrease in touch or pain or position sense, and/or moderate decrease in vibration in one or two limbs; or vibratory (c/s figure writing) decrease alone in three or four limbs
Moderate decrease in touch or pain or position sense, and/or lost vibration in 1 or 2 limbs; or mild decrease in touch or pain and/or moderate decrease in all proprioceptive tests in 3 or 4 limbsC182817KFSS104-Moderate decrease in touch or pain or position sense, and/or lost vibration in 1 or 2 limbs;or mild decrease in touch or pain and/or moderate decrease in all proprioceptive tests in 3 or 4 limbsKurtzke Functional System Scores original result for KFSS104-Moderate decrease in touch or pain or position sense, and/or lost vibration in 1 or 2 limbs; or mild decrease in touch or pain and/or moderate decrease in all proprioceptive tests in 3 or 4 limbs.Kurtzke Functional System Scores KFSS104 Original Result - Moderate decrease in touch or pain or position sense, and/or lost vibration in 1 or 2 limbs; or mild decrease in touch or pain and/or moderate decrease in all proprioceptive tests in 3 or 4 limbs
NormalC182814KFSS104-NormalKurtzke Functional System Scores original result for KFSS104-Normal.Kurtzke Functional System Scores KFSS104 Original Result - Normal
Sensation essentially lost below the headC182820KFSS104-Sensation essentially lost below the headKurtzke Functional System Scores original result for KFSS104-Sensation essentially lost below the head.Kurtzke Functional System Scores KFSS104 Original Result - Sensation essentially lost below the head
UnknownC182821KFSS104-UnknownKurtzke Functional System Scores original result for KFSS104-Unknown.Kurtzke Functional System Scores KFSS104 Original Result - Unknown
Vibration or figure-writing decrease only, in one or two limbsC182815KFSS104-Vibration or figure-writing decrease only, in one or two limbsKurtzke Functional System Scores original result for KFSS104-Vibration or figure-writing decrease only, in one or two limbs.Kurtzke Functional System Scores KFSS104 Original Result - Vibration or figure-writing decrease only, in one or two limbs
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CL.C182480.KFSS105ORKurtzke Functional System Scores Clinical Classification ORRES for KFSS105 TN/TC
(KFSS105OR)
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C182480Kurtzke Functional System Scores Clinical Classification ORRES for KFSS105 TN/TCKurtzke Functional System Scores original result for KFSS105 test and test code.CDISC Clinical Classification Kurtzke Functional System Scores KFSS105 Original Response Terminology
Frequent urinary incontinenceC182833KFSS105-Frequent urinary incontinenceKurtzke Functional System Scores original result for KFSS105-Frequent urinary incontinence.Kurtzke Functional System Scores KFSS105 Original Result - Frequent urinary incontinence
In need of almost constant catheterizationC182834KFSS105-In need of almost constant catheterizationKurtzke Functional System Scores original result for KFSS105-In need of almost constant catheterization.Kurtzke Functional System Scores KFSS105 Original Result - In need of almost constant catheterization
Loss of bladder functionC182835KFSS105-Loss of bladder functionKurtzke Functional System Scores original result for KFSS105-Loss of bladder function.Kurtzke Functional System Scores KFSS105 Original Result - Loss of bladder function
Loss of bowel and bladder functionC182836KFSS105-Loss of bowel and bladder functionKurtzke Functional System Scores original result for KFSS105-Loss of bowel and bladder function.Kurtzke Functional System Scores KFSS105 Original Result - Loss of bowel and bladder function
Mild urinary hesitancy, urgency, or retentionC182831KFSS105-Mild urinary hesitancy, urgency, or retentionKurtzke Functional System Scores original result for KFSS105-Mild urinary hesitancy, urgency, or retention.Kurtzke Functional System Scores KFSS105 Original Result - Mild urinary hesitancy, urgency, or retention
Moderate hesitancy, urgency, retention of bowel or bladder, or rare urinary incontinenceC182832KFSS105-Moderate hesitancy, urgency, retention of bowel or bladder, or rare urinary incontinenceKurtzke Functional System Scores original result for KFSS105-Moderate hesitancy, urgency, retention of bowel or bladder, or rare urinary incontinences.Kurtzke Functional System Scores KFSS105 Original Result - Moderate hesitancy, urgency, retention of bowel or bladder, or rare urinary incontinence
NormalC182830KFSS105-NormalKurtzke Functional System Scores original result for KFSS105-Normal.Kurtzke Functional System Scores KFSS105 Original Result - Normal
UnknownC182837KFSS105-UnknownKurtzke Functional System Scores original result for KFSS105-Unknown.Kurtzke Functional System Scores KFSS105 Original Result - Unknown
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CL.C182481.KFSS106ORKurtzke Functional System Scores Clinical Classification ORRES for KFSS106 TN/TC
(KFSS106OR)
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C182481Kurtzke Functional System Scores Clinical Classification ORRES for KFSS106 TN/TCKurtzke Functional System Scores original result for KFSS106 test and test code.CDISC Clinical Classification Kurtzke Functional System Scores KFSS106 Original Response Terminology
Grade 5 plus maximal visual acuity of better eye of 20/60 or lessC182852KFSS106-Grade 5 plus maximal visual acuity of better eye of 20/60 or lessKurtzke Functional System Scores original result for KFSS106-Grade 5 plus maximal visual acuity of better eye of 20/60 or less.Kurtzke Functional System Scores KFSS106 Original Result - Grade 5 plus maximal visual acuity of better eye of 20/60 or less
NormalC182846KFSS106-NormalKurtzke Functional System Scores original result for KFSS106-Normal.Kurtzke Functional System Scores KFSS106 Original Result - Normal
Scotoma with visual acuity (corrected) better than 20/30C182847KFSS106-Scotoma with visual acuity (corrected) better than 20/30Kurtzke Functional System Scores original result for KFSS106-Scotoma with visual acuity (corrected) better than 20/30.Kurtzke Functional System Scores KFSS106 Original Result - Scotoma with visual acuity (corrected) better than 20/30
UnknownC182853KFSS106-UnknownKurtzke Functional System Scores original result for KFSS106-Unknown.Kurtzke Functional System Scores KFSS106 Original Result - Unknown
Worse eye with large scotoma, or moderate decrease in fields, but with maximal visual acuity (corrected) of 20/60 to 20/99C182849KFSS106-Worse eye with large scotoma, or moderate decrease in fields, but with maximal visual acuity (corrected) of 20/60 to 20/99Kurtzke Functional System Scores original result for KFSS106-Worse eye with large scotoma, or moderate decrease in fields, but with maximal visual acuity (corrected) of 20/60 to 20/99.Kurtzke Functional System Scores KFSS106 Original Result - Worse eye with large scotoma, or moderate decrease in fields, but with maximal visual acuity (corrected) of 20/60 to 20/99
Worse eye with marked decrease of fields and maximal visual acuity (corrected) of 20/100 to 20/200; grade 3 plus maximal acuity of better eye of 20/60 or lessC182850KFSS106-Worse eye with marked decrease of fields and maximal visual acuity (corrected) of 20/100 to 20/200;grade 3 plus maximal acuity of better eye of 20/60 or lessKurtzke Functional System Scores original result for KFSS106-Worse eye with marked decrease of fields and maximal visual acuity (corrected) of 20/100 to 20/200; grade 3 plus maximal acuity of better eye of 20/60 or less.Kurtzke Functional System Scores KFSS106 Original Result - Worse eye with marked decrease of fields and maximal visual acuity (corrected) of 20/100 to 20/200; grade 3 plus maximal acuity of better eye of 20/60 or less
Worse eye with maximal visual acuity (corrected) less than 20/200; grade 4 plus maximal acuity of better eye of 20/60 or lessC182851KFSS106-Worse eye with maximal visual acuity (corrected) less than 20/200;grade 4 plus maximal acuity of better eye of 20/60 or lessKurtzke Functional System Scores original result for KFSS106-Worse eye with maximal visual acuity (corrected) less than 20/200; grade 4 plus maximal acuity of better eye of 20/60 or less.Kurtzke Functional System Scores KFSS106 Original Result - Worse eye with maximal visual acuity (corrected) less than 20/200; grade 4 plus maximal acuity of better eye of 20/60 or less
Worse eye with scotoma with maximal visual acuity (corrected) of 20/30 to 20/59C182848KFSS106-Worse eye with scotoma with maximal visual acuity (corrected) of 20/30 to 20/59Kurtzke Functional System Scores original result for KFSS106-Worse eye with scotoma with maximal visual acuity (corrected) of 20/30 to 20/59.Kurtzke Functional System Scores KFSS106 Original Result - Worse eye with scotoma with maximal visual acuity (corrected) of 20/30 to 20/59
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CL.C182482.KFSS107ORKurtzke Functional System Scores Clinical Classification ORRES for KFSS107 TN/TC
(KFSS107OR)
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C182482Kurtzke Functional System Scores Clinical Classification ORRES for KFSS107 TN/TCKurtzke Functional System Scores original result for KFSS107 test and test code.CDISC Clinical Classification Kurtzke Functional System Scores KFSS107 Original Response Terminology
Dementia or chronic brain syndrome - severe or incompetentC182867KFSS107-Dementia or chronic brain syndrome - severe or incompetentKurtzke Functional System Scores original result for KFSS107-Dementia or chronic brain syndrome - severe or incompetent.Kurtzke Functional System Scores KFSS107 Original Result - Dementia or chronic brain syndrome - severe or incompetent
Marked decrease in mentation (chronic brain syndrome - moderate)C182866KFSS107-Marked decrease in mentation (chronic brain syndrome - moderate)Kurtzke Functional System Scores original result for KFSS107-Marked decrease in mentation (chronic brain syndrome - moderate).Kurtzke Functional System Scores KFSS107 Original Result - Marked decrease in mentation (chronic brain syndrome - moderate)
Mild decrease in mentationC182864KFSS107-Mild decrease in mentationKurtzke Functional System Scores original result for KFSS107-Mild decrease in mentation.Kurtzke Functional System Scores KFSS107 Original Result - Mild decrease in mentation
Moderate decrease in mentationC182865KFSS107-Moderate decrease in mentationKurtzke Functional System Scores original result for KFSS107-Moderate decrease in mentation.Kurtzke Functional System Scores KFSS107 Original Result - Moderate decrease in mentation
Mood alteration only (does not affect DSS score)C182863KFSS107-Mood alteration only (does not affect DSS score)Kurtzke Functional System Scores original result for KFSS107-Mood alteration only (does not affect DSS score).Kurtzke Functional System Scores KFSS107 Original Result - Mood alteration only (does not affect DSS score)
NormalC182862KFSS107-NormalKurtzke Functional System Scores original result for KFSS107-Normal.Kurtzke Functional System Scores KFSS107 Original Result - Normal
UnknownC182868KFSS107-UnknownKurtzke Functional System Scores original result for KFSS107-Unknown.Kurtzke Functional System Scores KFSS107 Original Result - Unknown
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CL.C182483.KFSS108ORKurtzke Functional System Scores Clinical Classification ORRES for KFSS108 TN/TC
(KFSS108OR)
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C182483Kurtzke Functional System Scores Clinical Classification ORRES for KFSS108 TN/TCKurtzke Functional System Scores original result for KFSS108 test and test code.CDISC Clinical Classification Kurtzke Functional System Scores KFSS108 Original Response Terminology
Any other neurologic findings attributed to MS (specify)C182877KFSS108-Any other neurologic findings attributed to MS (specify)Kurtzke Functional System Scores original result for KFSS108-Any other neurologic findings attributed to MS (specify).Kurtzke Functional System Scores KFSS108 Original Result - Any other neurologic findings attributed to MS (specify)
NoneC182876KFSS108-NoneKurtzke Functional System Scores original result for KFSS108-None.Kurtzke Functional System Scores KFSS108 Original Result - None
UnknownC182878KFSS108-UnknownKurtzke Functional System Scores original result for KFSS108-Unknown.Kurtzke Functional System Scores KFSS108 Original Result - Unknown
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CL.C182513.KFSS101STRKurtzke Functional System Scores Clinical Classification STRESC for KFSS101 TN/TC
(KFSS101STR)
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C182513Kurtzke Functional System Scores Clinical Classification STRESC for KFSS101 TN/TCKurtzke Functional System Scores standardized character result for KFSS101 test and test code.CDISC Clinical Classification Kurtzke Functional System Scores KFSS101 Standardized Character Response Terminology
0C182774KFSS101-0Kurtzke Functional System Scores standardized character result for KFSS101-Normal.Kurtzke Functional System Scores KFSS101 Standardized Character Result 0
1C182775KFSS101-1Kurtzke Functional System Scores standardized character result for KFSS101-Abnormal signs without disability.Kurtzke Functional System Scores KFSS101 Standardized Character Result 1
2C182776KFSS101-2Kurtzke Functional System Scores standardized character result for KFSS101-Minimal disability.Kurtzke Functional System Scores KFSS101 Standardized Character Result 2
3C182777KFSS101-3Kurtzke Functional System Scores standardized character result for KFSS101-Mild or moderate paraparesis or hemiparesis; severe monoparesis.Kurtzke Functional System Scores KFSS101 Standardized Character Result 3
4C182778KFSS101-4Kurtzke Functional System Scores standardized character result for KFSS101-Marked paraparesis or hemiparesis; moderate quadriparesis; or monoplegia.Kurtzke Functional System Scores KFSS101 Standardized Character Result 4
5C182779KFSS101-5Kurtzke Functional System Scores standardized character result for KFSS101-Paraplegia, hemiplegia, or marked quadriparesis.Kurtzke Functional System Scores KFSS101 Standardized Character Result 5
6C182780KFSS101-6Kurtzke Functional System Scores standardized character result for KFSS101-Quadriplegia.Kurtzke Functional System Scores KFSS101 Standardized Character Result 6
UnknownC182781KFSS101-UnknownKurtzke Functional System Scores standardized character result for KFSS101-Unknown.Kurtzke Functional System Scores KFSS101 Standardized Character Result Unknown
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CL.C182514.KFSS102STRKurtzke Functional System Scores Clinical Classification STRESC for KFSS102 TN/TC
(KFSS102STR)
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C182514Kurtzke Functional System Scores Clinical Classification STRESC for KFSS102 TN/TCKurtzke Functional System Scores standardized character result for KFSS102 test and test code.CDISC Clinical Classification Kurtzke Functional System Scores KFSS102 Standardized Character Response Terminology
0C182789KFSS102-0Kurtzke Functional System Scores standardized character result for KFSS102-Normal.Kurtzke Functional System Scores KFSS102 Standardized Character Result 0
1C182790KFSS102-1Kurtzke Functional System Scores standardized character result for KFSS102-Abnormal signs without disability.Kurtzke Functional System Scores KFSS102 Standardized Character Result 1
2C182791KFSS102-2Kurtzke Functional System Scores standardized character result for KFSS102-Mild ataxia.Kurtzke Functional System Scores KFSS102 Standardized Character Result 2
3C182792KFSS102-3Kurtzke Functional System Scores standardized character result for KFSS102-Moderate truncal or limb ataxia.Kurtzke Functional System Scores KFSS102 Standardized Character Result 3
4C182793KFSS102-4Kurtzke Functional System Scores standardized character result for KFSS102-Severe ataxia, all limbs.Kurtzke Functional System Scores KFSS102 Standardized Character Result 4
5C182794KFSS102-5Kurtzke Functional System Scores standardized character result for KFSS102-Unable to perform coordinated movements due to ataxia.Kurtzke Functional System Scores KFSS102 Standardized Character Result 5
UnknownC182795KFSS102-UnknownKurtzke Functional System Scores standardized character result for KFSS102-Unknown.Kurtzke Functional System Scores KFSS102 Standardized Character Result Unknown
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CL.C182515.KFSS102A&6ASTRKurtzke Functional System Scores Clinical Classification STRESC for KFSS102A and KFSS106A TN/TC
(KFSS102A&6ASTR)
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C182515Kurtzke Functional System Scores Clinical Classification STRESC for KFSS102A and KFSS106A TN/TCKurtzke Functional System Scores standardized character result for KFSS102A and KFSS106A test and test code.CDISC Clinical Classification Kurtzke Functional System Scores KFSS102A and KFSS106A Standardized Character Response Terminology
CHECKEDC182798KFSS102A and KFSS106A-CHECKEDKurtzke Functional System Scores standardized character result for KFSS102A and KFSS106A-Checked.Kurtzke Functional System Scores KFSS102A and KFSS106A Standardized Character Result Checked - Checked
NOT CHECKEDC182799KFSS102A and KFSS106A-NOT CHECKEDKurtzke Functional System Scores standardized character result for KFSS102A and KFSS106A-Not checked.Kurtzke Functional System Scores KFSS102A and KFSS106A Standardized Character Result Not Checked - Not Checked
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CL.C182516.KFSS103STRKurtzke Functional System Scores Clinical Classification STRESC for KFSS103 TN/TC
(KFSS103STR)
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C182516Kurtzke Functional System Scores Clinical Classification STRESC for KFSS103 TN/TCKurtzke Functional System Scores standardized character result for KFSS103 test and test code.CDISC Clinical Classification Kurtzke Functional System Scores KFSS103 Standardized Character Response Terminology
0C182807KFSS103-0Kurtzke Functional System Scores standardized character result for KFSS103-Normal.Kurtzke Functional System Scores KFSS103 Standardized Character Result 0
1C182808KFSS103-1Kurtzke Functional System Scores standardized character result for KFSS103-Signs only.Kurtzke Functional System Scores KFSS103 Standardized Character Result 1
2C182809KFSS103-2Kurtzke Functional System Scores standardized character result for KFSS103-Moderate nystagmus or other mild disability.Kurtzke Functional System Scores KFSS103 Standardized Character Result 2
3C182810KFSS103-3Kurtzke Functional System Scores standardized character result for KFSS103-Severe nystagmus, marked extraocular weakness, or moderate disability of other cranial nerves.Kurtzke Functional System Scores KFSS103 Standardized Character Result 3
4C182811KFSS103-4Kurtzke Functional System Scores standardized character result for KFSS103-Marked dysarthria or other marked disability.Kurtzke Functional System Scores KFSS103 Standardized Character Result 4
5C182812KFSS103-5Kurtzke Functional System Scores standardized character result for KFSS103-Inability to swallow or speak.Kurtzke Functional System Scores KFSS103 Standardized Character Result 5
UnknownC182813KFSS103-UnknownKurtzke Functional System Scores standardized character result for KFSS103-Unknown.Kurtzke Functional System Scores KFSS103 Standardized Character Result Unknown
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CL.C182517.KFSS104STRKurtzke Functional System Scores Clinical Classification STRESC for KFSS104 TN/TC
(KFSS104STR)
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C182517Kurtzke Functional System Scores Clinical Classification STRESC for KFSS104 TN/TCKurtzke Functional System Scores standardized character result for KFSS104 test and test code.CDISC Clinical Classification Kurtzke Functional System Scores KFSS104 Standardized Character Response Terminology
0C182822KFSS104-0Kurtzke Functional System Scores standardized character result for KFSS104-Normal.Kurtzke Functional System Scores KFSS104 Standardized Character Result 0
1C182823KFSS104-1Kurtzke Functional System Scores standardized character result for KFSS104-Vibration or figure-writing decrease only, in one or two limbs.Kurtzke Functional System Scores KFSS104 Standardized Character Result 1
2C182824KFSS104-2Kurtzke Functional System Scores standardized character result for KFSS104-Mild decrease in touch or pain or position sense, and/or moderate decrease in vibration in one or two limbs; or vibratory (c/s figure writing) decrease alone in three or four limbs.Kurtzke Functional System Scores KFSS104 Standardized Character Result 2
3C182825KFSS104-3Kurtzke Functional System Scores standardized character result for KFSS104-Moderate decrease in touch or pain or position sense, and/or lost vibration in 1 or 2 limbs; or mild decrease in touch or pain and/or moderate decrease in all proprioceptive tests in 3 or 4 limbs.Kurtzke Functional System Scores KFSS104 Standardized Character Result 3
4C182826KFSS104-4Kurtzke Functional System Scores standardized character result for KFSS104-Marked decrease in touch or pain or loss of proprioception, alone or combined, in one or two limbs; or moderate decrease in touch or pain and/or severe proprioceptive decrease in more than two limbs.Kurtzke Functional System Scores KFSS104 Standardized Character Result 4
5C182827KFSS104-5Kurtzke Functional System Scores standardized character result for KFSS104-Loss (essentially) of sensation in one or two limbs; or moderate decrease in touch or pain and/or loss of proprioception for most of the body below the head.Kurtzke Functional System Scores KFSS104 Standardized Character Result 5
6C182828KFSS104-6Kurtzke Functional System Scores standardized character result for KFSS104-Sensation essentially lost below the head.Kurtzke Functional System Scores KFSS104 Standardized Character Result 6
UnknownC182829KFSS104-UnknownKurtzke Functional System Scores standardized character result for KFSS104-Unknown.Kurtzke Functional System Scores KFSS104 Standardized Character Result Unknown
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CL.C182518.KFSS105STRKurtzke Functional System Scores Clinical Classification STRESC for KFSS105 TN/TC
(KFSS105STR)
text
Extensible: No
C182518Kurtzke Functional System Scores Clinical Classification STRESC for KFSS105 TN/TCKurtzke Functional System Scores standardized character result for KFSS105 test and test code.CDISC Clinical Classification Kurtzke Functional System Scores KFSS105 Standardized Character Response Terminology
0C182838KFSS105-0Kurtzke Functional System Scores standardized character result for KFSS105-Normal.Kurtzke Functional System Scores KFSS105 Standardized Character Result 0
1C182839KFSS105-1Kurtzke Functional System Scores standardized character result for KFSS105-Mild urinary hesitancy, urgency, or retention.Kurtzke Functional System Scores KFSS105 Standardized Character Result 1
2C182840KFSS105-2Kurtzke Functional System Scores standardized character result for KFSS105-Moderate hesitancy, urgency, retention of bowel or bladder, or rare urinary incontinences.Kurtzke Functional System Scores KFSS105 Standardized Character Result 2
3C182841KFSS105-3Kurtzke Functional System Scores standardized character result for KFSS105-Frequent urinary incontinence.Kurtzke Functional System Scores KFSS105 Standardized Character Result 3
4C182842KFSS105-4Kurtzke Functional System Scores standardized character result for KFSS105-In need of almost constant catheterization.Kurtzke Functional System Scores KFSS105 Standardized Character Result 4
5C182843KFSS105-5Kurtzke Functional System Scores standardized character result for KFSS105-Loss of bladder function.Kurtzke Functional System Scores KFSS105 Standardized Character Result 5
6C182844KFSS105-6Kurtzke Functional System Scores standardized character result for KFSS105-Loss of bowel and bladder function.Kurtzke Functional System Scores KFSS105 Standardized Character Result 6
UnknownC182845KFSS105-UnknownKurtzke Functional System Scores standardized character result for KFSS105-Unknown.Kurtzke Functional System Scores KFSS105 Standardized Character Result Unknown
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CL.C182519.KFSS106STRKurtzke Functional System Scores Clinical Classification STRESC for KFSS106 TN/TC
(KFSS106STR)
text
Extensible: No
C182519Kurtzke Functional System Scores Clinical Classification STRESC for KFSS106 TN/TCKurtzke Functional System Scores standardized character result for KFSS106 test and test code.CDISC Clinical Classification Kurtzke Functional System Scores KFSS106 Standardized Character Response Terminology
0C182854KFSS106-0Kurtzke Functional System Scores standardized character result for KFSS106-Normal.Kurtzke Functional System Scores KFSS106 Standardized Character Result 0
1C182855KFSS106-1Kurtzke Functional System Scores standardized character result for KFSS106-Scotoma with visual acuity (corrected) better than 20/30.Kurtzke Functional System Scores KFSS106 Standardized Character Result 1
2C182856KFSS106-2Kurtzke Functional System Scores standardized character result for KFSS106-Worse eye with scotoma with maximal visual acuity (corrected) of 20/30 to 20/59.Kurtzke Functional System Scores KFSS106 Standardized Character Result 2
3C182857KFSS106-3Kurtzke Functional System Scores standardized character result for KFSS106-Worse eye with large scotoma, or moderate decrease in fields, but with maximal visual acuity (corrected) of 20/60 to 20/99.Kurtzke Functional System Scores KFSS106 Standardized Character Result 3
4C182858KFSS106-4Kurtzke Functional System Scores standardized character result for KFSS106-Worse eye with marked decrease of fields and maximal visual acuity (corrected) of 20/100 to 20/200; grade 3 plus maximal acuity of better eye of 20/60 or less.Kurtzke Functional System Scores KFSS106 Standardized Character Result 4
5C182859KFSS106-5Kurtzke Functional System Scores standardized character result for KFSS106-Worse eye with maximal visual acuity (corrected) less than 20/200; grade 4 plus maximal acuity of better eye of 20/60 or less.Kurtzke Functional System Scores KFSS106 Standardized Character Result 5
6C182860KFSS106-6Kurtzke Functional System Scores standardized character result for KFSS106-Grade 5 plus maximal visual acuity of better eye of 20/60 or less.Kurtzke Functional System Scores KFSS106 Standardized Character Result 6
UnknownC182861KFSS106-UnknownKurtzke Functional System Scores standardized character result for KFSS106-Unknown.Kurtzke Functional System Scores KFSS106 Standardized Character Result Unknown
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CL.C182520.KFSS107STRKurtzke Functional System Scores Clinical Classification STRESC for KFSS107 TN/TC
(KFSS107STR)
text
Extensible: No
C182520Kurtzke Functional System Scores Clinical Classification STRESC for KFSS107 TN/TCKurtzke Functional System Scores standardized character result for KFSS107 test and test code.CDISC Clinical Classification Kurtzke Functional System Scores KFSS107 Standardized Character Response Terminology
0C182869KFSS107-0Kurtzke Functional System Scores standardized character result for KFSS107-Normal.Kurtzke Functional System Scores KFSS107 Standardized Character Result 0
1C182870KFSS107-1Kurtzke Functional System Scores standardized character result for KFSS107-Mood alteration only (does not affect DSS score).Kurtzke Functional System Scores KFSS107 Standardized Character Result 1
2C182871KFSS107-2Kurtzke Functional System Scores standardized character result for KFSS107-Mild decrease in mentation.Kurtzke Functional System Scores KFSS107 Standardized Character Result 2
3C182872KFSS107-3Kurtzke Functional System Scores standardized character result for KFSS107-Moderate decrease in mentation.Kurtzke Functional System Scores KFSS107 Standardized Character Result 3
4C182873KFSS107-4Kurtzke Functional System Scores standardized character result for KFSS107-Marked decrease in mentation (chronic brain syndrome - moderate).Kurtzke Functional System Scores KFSS107 Standardized Character Result 4
5C182874KFSS107-5Kurtzke Functional System Scores standardized character result for KFSS107-Dementia or chronic brain syndrome - severe or incompetent.Kurtzke Functional System Scores KFSS107 Standardized Character Result 5
UnknownC182875KFSS107-UnknownKurtzke Functional System Scores standardized character result for KFSS107-Unknown.Kurtzke Functional System Scores KFSS107 Standardized Character Result Unknown
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CL.C182521.KFSS108STRKurtzke Functional System Scores Clinical Classification STRESC for KFSS108 TN/TC
(KFSS108STR)
text
Extensible: No
C182521Kurtzke Functional System Scores Clinical Classification STRESC for KFSS108 TN/TCKurtzke Functional System Scores standardized character result for KFSS108 test and test code.CDISC Clinical Classification Kurtzke Functional System Scores KFSS108 Standardized Character Response Terminology
0C182879KFSS108-0Kurtzke Functional System Scores standardized character result for KFSS108-None.Kurtzke Functional System Scores KFSS108 Standardized Character Result 0
1C182880KFSS108-1Kurtzke Functional System Scores standardized character result for KFSS108-Any other neurologic findings attributed to MS (specify).Kurtzke Functional System Scores KFSS108 Standardized Character Result 1
UnknownC182881KFSS108-UnknownKurtzke Functional System Scores standardized character result for KFSS108-Unknown.Kurtzke Functional System Scores KFSS108 Standardized Character Result Unknown
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CL.C112443.KFSS1TCKurtzke Functional Systems Scores Clinical Classification Test Code
(KFSS1TC)
text
Extensible: No
C112443Kurtzke Functional Systems Scores Clinical Classification Test CodeKurtzke Functional Systems Scores test code.CDISC Clinical Classification KFSS Test Code Terminology
KFSS101C112609KFSS1-Pyramidal FunctionsKurtzke Functional Systems Scores - Pyramidal functions.KFSS - Pyramidal Functions
KFSS102C112610KFSS1-Cerebellar FunctionsKurtzke Functional Systems Scores - Cerebellar functions.KFSS - Cerebellar Functions
KFSS102AC112611KFSS1-Weakness Interferes With TestingKurtzke Functional Systems Scores - Check here when weakness (grade 3 or more on pyramidal) interferes with testing.KFSS - Weakness Interferes With Testing
KFSS103C112612KFSS1-Brain Stem FunctionsKurtzke Functional Systems Scores - Brain stem functions.KFSS - Brain Stem Functions
KFSS104C112613KFSS1-Sensory FunctionsKurtzke Functional Systems Scores - Sensory functions.KFSS - Sensory Functions
KFSS105C112614KFSS1-Bowel and Bladder FunctionsKurtzke Functional Systems Scores - Bowel and bladder functions.KFSS - Bowel and Bladder Functions
KFSS106C112615KFSS1-Visual or Optic FunctionsKurtzke Functional Systems Scores - Visual (or optic) functions.KFSS - Visual (or Optic) Functions
KFSS106AC112616KFSS1-Presence of Temporal PallorKurtzke Functional Systems Scores - Check here for presence of temporal pallor.KFSS - Presence of Temporal Pallor
KFSS107C112617KFSS1-Cerebral or Mental FunctionsKurtzke Functional Systems Scores - Cerebral (or mental) functions.KFSS - Cerebral (or Mental) Functions
KFSS108C113884KFSS1-Other FunctionsKurtzke Functional Systems Scores - Other functions.KFSS - Other Functions
KFSS108AC113885KFSS1-Other Functions SpecifyKurtzke Functional Systems Scores - Any other neurologic findings attributed to MS (specify).KFSS - Other Functions Specify
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CL.C112442.KFSS1TNKurtzke Functional Systems Scores Clinical Classification Test Name
(KFSS1TN)
text
Extensible: No
C112442Kurtzke Functional Systems Scores Clinical Classification Test NameKurtzke Functional Systems Scores test name.CDISC Clinical Classification KFSS Test Name Terminology
KFSS1-Bowel and Bladder FunctionsC112614KFSS1-Bowel and Bladder FunctionsKurtzke Functional Systems Scores - Bowel and bladder functions.KFSS - Bowel and Bladder Functions
KFSS1-Brain Stem FunctionsC112612KFSS1-Brain Stem FunctionsKurtzke Functional Systems Scores - Brain stem functions.KFSS - Brain Stem Functions
KFSS1-Cerebellar FunctionsC112610KFSS1-Cerebellar FunctionsKurtzke Functional Systems Scores - Cerebellar functions.KFSS - Cerebellar Functions
KFSS1-Cerebral or Mental FunctionsC112617KFSS1-Cerebral or Mental FunctionsKurtzke Functional Systems Scores - Cerebral (or mental) functions.KFSS - Cerebral (or Mental) Functions
KFSS1-Other Functions SpecifyC113885KFSS1-Other Functions SpecifyKurtzke Functional Systems Scores - Any other neurologic findings attributed to MS (specify).KFSS - Other Functions Specify
KFSS1-Other FunctionsC113884KFSS1-Other FunctionsKurtzke Functional Systems Scores - Other functions.KFSS - Other Functions
KFSS1-Presence of Temporal PallorC112616KFSS1-Presence of Temporal PallorKurtzke Functional Systems Scores - Check here for presence of temporal pallor.KFSS - Presence of Temporal Pallor
KFSS1-Pyramidal FunctionsC112609KFSS1-Pyramidal FunctionsKurtzke Functional Systems Scores - Pyramidal functions.KFSS - Pyramidal Functions
KFSS1-Sensory FunctionsC112613KFSS1-Sensory FunctionsKurtzke Functional Systems Scores - Sensory functions.KFSS - Sensory Functions
KFSS1-Visual or Optic FunctionsC112615KFSS1-Visual or Optic FunctionsKurtzke Functional Systems Scores - Visual (or optic) functions.KFSS - Visual (or Optic) Functions
KFSS1-Weakness Interferes With TestingC112611KFSS1-Weakness Interferes With TestingKurtzke Functional Systems Scores - Check here when weakness (grade 3 or more on pyramidal) interferes with testing.KFSS - Weakness Interferes With Testing
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CL.C138215.LPPSS1TCLansky Play-Performance Status Scale Clinical Classification Test Code
(LPPSS1TC)
text
Extensible: No
C138215Lansky Play-Performance Status Scale Clinical Classification Test CodeLansky Play-Performance Status Scale test code.CDISC Clinical Classification LPSS Test Code Terminology
LPPSS101C138364LPPSS1-Lansky Play-Performance StatusLansky Play-Performance Status Scale - Lansky play-performance status.LPSS - Lansky Play-Performance Status
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CL.C138214.LPPSS1TNLansky Play-Performance Status Scale Clinical Classification Test Name
(LPPSS1TN)
text
Extensible: No
C138214Lansky Play-Performance Status Scale Clinical Classification Test NameLansky Play-Performance Status Scale test name.CDISC Clinical Classification LPSS Test Name Terminology
LPPSS1-Lansky Play-Performance StatusC138364LPPSS1-Lansky Play-Performance StatusLansky Play-Performance Status Scale - Lansky play-performance status.LPSS - Lansky Play-Performance Status
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CL.C135690.LEC01TCLife Events Checklist for DSM-5 Standard Version Questionnaire Test Code
(LEC01TC)
text
Extensible: No
C135690Life Events Checklist for DSM-5 Standard Version Questionnaire Test CodeLife Events Checklist for DSM-5 Standard Version test code.CDISC Questionnaire LEC-5 Standard Version Test Code Terminology
LEC0101AC135820LEC01-Natural Disaster: HappenedLife Events Checklist for DSM-5, Standard Version - Natural disaster (for example, flood, hurricane, tornado, earthquake): Happened to me.LEC-5 Standard Version - Natural Disaster: Happened
LEC0101BC135821LEC01-Natural Disaster: WitnessedLife Events Checklist for DSM-5, Standard Version - Natural disaster (for example, flood, hurricane, tornado, earthquake): Witnessed it.LEC-5 Standard Version - Natural Disaster: Witnessed
LEC0101CC135822LEC01-Natural Disaster: LearnedLife Events Checklist for DSM-5, Standard Version - Natural disaster (for example, flood, hurricane, tornado, earthquake): Learned about it.LEC-5 Standard Version - Natural Disaster: Learned
LEC0101DC135823LEC01-Natural Disaster: JobLife Events Checklist for DSM-5, Standard Version - Natural disaster (for example, flood, hurricane, tornado, earthquake): Part of my job.LEC-5 Standard Version - Natural Disaster: Job
LEC0101EC135824LEC01-Natural Disaster: Not SureLife Events Checklist for DSM-5, Standard Version - Natural disaster (for example, flood, hurricane, tornado, earthquake): Not sure.LEC-5 Standard Version - Natural Disaster: Not Sure
LEC0101FC135825LEC01-Natural Disaster: Not ApplyLife Events Checklist for DSM-5, Standard Version - Natural disaster (for example, flood, hurricane, tornado, earthquake): Doesn't apply.LEC-5 Standard Version - Natural Disaster: Not Apply
LEC0102AC135826LEC01-Fire or Explosion: HappenedLife Events Checklist for DSM-5, Standard Version - Fire or explosion: Happened to me.LEC-5 Standard Version - Fire or Explosion: Happened
LEC0102BC135827LEC01-Fire or Explosion: WitnessedLife Events Checklist for DSM-5, Standard Version - Fire or explosion: Witnessed it.LEC-5 Standard Version - Fire or Explosion: Witnessed
LEC0102CC135828LEC01-Fire or Explosion: LearnedLife Events Checklist for DSM-5, Standard Version - Fire or explosion: Learned about it.LEC-5 Standard Version - Fire or Explosion: Learned
LEC0102DC135829LEC01-Fire or Explosion: JobLife Events Checklist for DSM-5, Standard Version - Fire or explosion: Part of my job.LEC-5 Standard Version - Fire or Explosion: Job
LEC0102EC135830LEC01-Fire or Explosion: Not SureLife Events Checklist for DSM-5, Standard Version - Fire or explosion: Not sure.LEC-5 Standard Version - Fire or Explosion: Not Sure
LEC0102FC135831LEC01-Fire or Explosion: Not ApplyLife Events Checklist for DSM-5, Standard Version - Fire or explosion: Doesn't apply.LEC-5 Standard Version - Fire or Explosion: Not Apply
LEC0103AC135832LEC01-Transportation Accident: HappenedLife Events Checklist for DSM-5, Standard Version - Transportation accident (for example, car accident, boat accident, train wreck, plane crash): Happened to me.LEC-5 Standard Version - Transportation Accident: Happened
LEC0103BC135833LEC01-Transportation Accident: WitnessedLife Events Checklist for DSM-5, Standard Version - Transportation accident (for example, car accident, boat accident, train wreck, plane crash): Witnessed it.LEC-5 Standard Version - Transportation Accident: Witnessed
LEC0103CC135834LEC01-Transportation Accident: LearnedLife Events Checklist for DSM-5, Standard Version - Transportation accident (for example, car accident, boat accident, train wreck, plane crash): Learned about it.LEC-5 Standard Version - Transportation Accident: Learned
LEC0103DC135835LEC01-Transportation Accident: JobLife Events Checklist for DSM-5, Standard Version - Transportation accident (for example, car accident, boat accident, train wreck, plane crash): Part of my job.LEC-5 Standard Version - Transportation Accident: Job
LEC0103EC135836LEC01-Transportation Accident: Not SureLife Events Checklist for DSM-5, Standard Version - Transportation accident (for example, car accident, boat accident, train wreck, plane crash): Not sure.LEC-5 Standard Version - Transportation Accident: Not Sure
LEC0103FC135837LEC01-Transportation Accident: Not ApplyLife Events Checklist for DSM-5, Standard Version - Transportation accident (for example, car accident, boat accident, train wreck, plane crash): Doesn't apply.LEC-5 Standard Version - Transportation Accident: Not Apply
LEC0104AC135838LEC01-Serious Accident: HappenedLife Events Checklist for DSM-5, Standard Version - Serious accident at work, home, or during recreational activity: Happened to me.LEC-5 Standard Version - Serious Accident: Happened
LEC0104BC135839LEC01-Serious Accident: WitnessedLife Events Checklist for DSM-5, Standard Version - Serious accident at work, home, or during recreational activity: Witnessed it.LEC-5 Standard Version - Serious Accident: Witnessed
LEC0104CC135840LEC01-Serious Accident: LearnedLife Events Checklist for DSM-5, Standard Version - Serious accident at work, home, or during recreational activity: Learned about it.LEC-5 Standard Version - Serious Accident: Learned
LEC0104DC135841LEC01-Serious Accident: JobLife Events Checklist for DSM-5, Standard Version - Serious accident at work, home, or during recreational activity: Part of my job.LEC-5 Standard Version - Serious Accident: Job
LEC0104EC135842LEC01-Serious Accident: Not SureLife Events Checklist for DSM-5, Standard Version - Serious accident at work, home, or during recreational activity: Not sure.LEC-5 Standard Version - Serious Accident: Not Sure
LEC0104FC135843LEC01-Serious Accident: Not ApplyLife Events Checklist for DSM-5, Standard Version - Serious accident at work, home, or during recreational activity: Doesn't apply.LEC-5 Standard Version - Serious Accident: Not Apply
LEC0105AC135844LEC01-Toxic Substance: HappenedLife Events Checklist for DSM-5, Standard Version - Exposure to toxic substance (for example, dangerous chemicals, radiation): Happened to me.LEC-5 Standard Version - Toxic Substance: Happened
LEC0105BC135845LEC01-Toxic Substance: WitnessedLife Events Checklist for DSM-5, Standard Version - Exposure to toxic substance (for example, dangerous chemicals, radiation): Witnessed it.LEC-5 Standard Version - Toxic Substance: Witnessed
LEC0105CC135846LEC01-Toxic Substance: LearnedLife Events Checklist for DSM-5, Standard Version - Exposure to toxic substance (for example, dangerous chemicals, radiation): Learned about it.LEC-5 Standard Version - Toxic Substance: Learned
LEC0105DC135847LEC01-Toxic Substance: JobLife Events Checklist for DSM-5, Standard Version - Exposure to toxic substance (for example, dangerous chemicals, radiation): Part of my job.LEC-5 Standard Version - Toxic Substance: Job
LEC0105EC135848LEC01-Toxic Substance: Not SureLife Events Checklist for DSM-5, Standard Version - Exposure to toxic substance (for example, dangerous chemicals, radiation): Not sure.LEC-5 Standard Version - Toxic Substance: Not Sure
LEC0105FC135849LEC01-Toxic Substance: Not ApplyLife Events Checklist for DSM-5, Standard Version - Exposure to toxic substance (for example, dangerous chemicals, radiation): Doesn't apply.LEC-5 Standard Version - Toxic Substance: Not Apply
LEC0106AC135850LEC01-Physical Assault: HappenedLife Events Checklist for DSM-5, Standard Version - Physical assault (for example, being attacked, hit, slapped, kicked, beaten up): Happened to me.LEC-5 Standard Version - Physical Assault: Happened
LEC0106BC135851LEC01-Physical Assault: WitnessedLife Events Checklist for DSM-5, Standard Version - Physical assault (for example, being attacked, hit, slapped, kicked, beaten up): Witnessed it.LEC-5 Standard Version - Physical Assault: Witnessed
LEC0106CC135852LEC01-Physical Assault: LearnedLife Events Checklist for DSM-5, Standard Version - Physical assault (for example, being attacked, hit, slapped, kicked, beaten up): Learned about it.LEC-5 Standard Version - Physical Assault: Learned
LEC0106DC135853LEC01-Physical Assault: JobLife Events Checklist for DSM-5, Standard Version - Physical assault (for example, being attacked, hit, slapped, kicked, beaten up): Part of my job.LEC-5 Standard Version - Physical Assault: Job
LEC0106EC135854LEC01-Physical Assault: Not SureLife Events Checklist for DSM-5, Standard Version - Physical assault (for example, being attacked, hit, slapped, kicked, beaten up): Not sure.LEC-5 Standard Version - Physical Assault: Not Sure
LEC0106FC135855LEC01-Physical Assault: Not ApplyLife Events Checklist for DSM-5, Standard Version - Physical assault (for example, being attacked, hit, slapped, kicked, beaten up): Doesn't apply.LEC-5 Standard Version - Physical Assault: Not Apply
LEC0107AC135856LEC01-Assault With a Weapon: HappenedLife Events Checklist for DSM-5, Standard Version - Assault with a weapon (for example, being shot, stabbed, threatened with a knife, gun, bomb): Happened to me.LEC-5 Standard Version - Assault With a Weapon: Happened
LEC0107BC135857LEC01-Assault With a Weapon: WitnessedLife Events Checklist for DSM-5, Standard Version - Assault with a weapon (for example, being shot, stabbed, threatened with a knife, gun, bomb): Witnessed it.LEC-5 Standard Version - Assault With a Weapon: Witnessed
LEC0107CC135858LEC01-Assault With a Weapon: LearnedLife Events Checklist for DSM-5, Standard Version - Assault with a weapon (for example, being shot, stabbed, threatened with a knife, gun, bomb): Learned about it.LEC-5 Standard Version - Assault With a Weapon: Learned
LEC0107DC135859LEC01-Assault With a Weapon: JobLife Events Checklist for DSM-5, Standard Version - Assault with a weapon (for example, being shot, stabbed, threatened with a knife, gun, bomb): Part of my job.LEC-5 Standard Version - Assault With a Weapon: Job
LEC0107EC135860LEC01-Assault With a Weapon: Not SureLife Events Checklist for DSM-5, Standard Version - Assault with a weapon (for example, being shot, stabbed, threatened with a knife, gun, bomb): Not sure.LEC-5 Standard Version - Assault With a Weapon: Not Sure
LEC0107FC135861LEC01-Assault With a Weapon: Not ApplyLife Events Checklist for DSM-5, Standard Version - Assault with a weapon (for example, being shot, stabbed, threatened with a knife, gun, bomb): Doesn't apply.LEC-5 Standard Version - Assault With a Weapon: Not Apply
LEC0108AC135862LEC01-Sexual Assault: HappenedLife Events Checklist for DSM-5, Standard Version - Sexual assault (rape, attempted rape, made to perform any type of sexual act through force or threat of harm): Happened to me.LEC-5 Standard Version - Sexual Assault: Happened
LEC0108BC135863LEC01-Sexual Assault: WitnessedLife Events Checklist for DSM-5, Standard Version - Sexual assault (rape, attempted rape, made to perform any type of sexual act through force or threat of harm): Witnessed it.LEC-5 Standard Version - Sexual Assault: Witnessed
LEC0108CC135864LEC01-Sexual Assault: LearnedLife Events Checklist for DSM-5, Standard Version - Sexual assault (rape, attempted rape, made to perform any type of sexual act through force or threat of harm): Learned about it.LEC-5 Standard Version - Sexual Assault: Learned
LEC0108DC135865LEC01-Sexual Assault: JobLife Events Checklist for DSM-5, Standard Version - Sexual assault (rape, attempted rape, made to perform any type of sexual act through force or threat of harm): Part of my job.LEC-5 Standard Version - Sexual Assault: Job
LEC0108EC135866LEC01-Sexual Assault: Not SureLife Events Checklist for DSM-5, Standard Version - Sexual assault (rape, attempted rape, made to perform any type of sexual act through force or threat of harm): Not sure.LEC-5 Standard Version - Sexual Assault: Not Sure
LEC0108FC135867LEC01-Sexual Assault: Not ApplyLife Events Checklist for DSM-5, Standard Version - Sexual assault (rape, attempted rape, made to perform any type of sexual act through force or threat of harm): Doesn't apply.LEC-5 Standard Version - Sexual Assault: Not Apply
LEC0109AC135868LEC01-Unwanted Sex Experience: HappenedLife Events Checklist for DSM-5, Standard Version - Other unwanted or uncomfortable sexual experience: Happened to me.LEC-5 Standard Version - Unwanted Sex Experience: Happened
LEC0109BC135869LEC01-Unwanted Sex Experience: WitnessedLife Events Checklist for DSM-5, Standard Version - Other unwanted or uncomfortable sexual experience: Witnessed it.LEC-5 Standard Version - Unwanted Sex Experience: Witnessed
LEC0109CC135870LEC01-Unwanted Sex Experience: LearnedLife Events Checklist for DSM-5, Standard Version - Other unwanted or uncomfortable sexual experience: Learned about it.LEC-5 Standard Version - Unwanted Sex Experience: Learned
LEC0109DC135871LEC01-Unwanted Sex Experience: JobLife Events Checklist for DSM-5, Standard Version - Other unwanted or uncomfortable sexual experience: Part of my job.LEC-5 Standard Version - Unwanted Sex Experience: Job
LEC0109EC135872LEC01-Unwanted Sex Experience: Not SureLife Events Checklist for DSM-5, Standard Version - Other unwanted or uncomfortable sexual experience: Not sure.LEC-5 Standard Version - Unwanted Sex Experience: Not Sure
LEC0109FC135873LEC01-Unwanted Sex Experience: Not ApplyLife Events Checklist for DSM-5, Standard Version - Other unwanted or uncomfortable sexual experience: Doesn't apply.LEC-5 Standard Version - Unwanted Sex Experience: Not Apply
LEC0110AC135874LEC01-Combat/Exp to War-Zone: HappenedLife Events Checklist for DSM-5, Standard Version - Combat or exposure to a war-zone (in the military or as a civilian): Happened to me.LEC-5 Standard Version - Combat or Exposure to War-Zone: Happened
LEC0110BC135875LEC01-Combat/Exp to War-Zone: WitnessedLife Events Checklist for DSM-5, Standard Version - Combat or exposure to a war-zone (in the military or as a civilian): Witnessed it.LEC-5 Standard Version - Combat or Exposure to War-Zone: Witnessed
LEC0110CC135876LEC01-Combat/Exp to War-Zone: LearnedLife Events Checklist for DSM-5, Standard Version - Combat or exposure to a war-zone (in the military or as a civilian): Learned about it.LEC-5 Standard Version - Combat or Exposure to War-Zone: Learned
LEC0110DC135877LEC01-Combat/Exp to War-Zone: JobLife Events Checklist for DSM-5, Standard Version - Combat or exposure to a war-zone (in the military or as a civilian): Part of my job.LEC-5 Standard Version - Combat or Exposure to War-Zone: Job
LEC0110EC135878LEC01-Combat/Exp to War-Zone: Not SureLife Events Checklist for DSM-5, Standard Version - Combat or exposure to a war-zone (in the military or as a civilian): Not sure.LEC-5 Standard Version - Combat or Exposure to War-Zone: Not Sure
LEC0110FC135879LEC01-Combat/Exp to War-Zone: Not ApplyLife Events Checklist for DSM-5, Standard Version - Combat or exposure to a war-zone (in the military or as a civilian): Doesn't apply.LEC-5 Standard Version - Combat or Exposure to War-Zone: Not Apply
LEC0111AC135880LEC01-Captivity: HappenedLife Events Checklist for DSM-5, Standard Version - Captivity (for example, being kidnapped, abducted, held hostage, prisoner of war): Happened to me.LEC-5 Standard Version - Captivity: Happened
LEC0111BC135881LEC01-Captivity: WitnessedLife Events Checklist for DSM-5, Standard Version - Captivity (for example, being kidnapped, abducted, held hostage, prisoner of war): Witnessed it.LEC-5 Standard Version - Captivity: Witnessed
LEC0111CC135882LEC01-Captivity: LearnedLife Events Checklist for DSM-5, Standard Version - Captivity (for example, being kidnapped, abducted, held hostage, prisoner of war): Learned about it.LEC-5 Standard Version - Captivity: Learned
LEC0111DC135883LEC01-Captivity: JobLife Events Checklist for DSM-5, Standard Version - Captivity (for example, being kidnapped, abducted, held hostage, prisoner of war): Part of my job.LEC-5 Standard Version - Captivity: Job
LEC0111EC135884LEC01-Captivity: Not SureLife Events Checklist for DSM-5, Standard Version - Captivity (for example, being kidnapped, abducted, held hostage, prisoner of war): Not sure.LEC-5 Standard Version - Captivity: Not Sure
LEC0111FC135885LEC01-Captivity: Not ApplyLife Events Checklist for DSM-5, Standard Version - Captivity (for example, being kidnapped, abducted, held hostage, prisoner of war): Doesn't apply.LEC-5 Standard Version - Captivity: Not Apply
LEC0112AC135886LEC01-Life-threatening Illness: HappenedLife Events Checklist for DSM-5, Standard Version - Life-threatening illness or injury: Happened to me.LEC-5 Standard Version - Life-threatening Illness: Happened
LEC0112BC135887LEC01-Life-threatening Illness: WitnessLife Events Checklist for DSM-5, Standard Version - Life-threatening illness or injury: Witnessed it.LEC-5 Standard Version - Life-threatening Illness: Witnessed
LEC0112CC135888LEC01-Life-threatening Illness: LearnedLife Events Checklist for DSM-5, Standard Version - Life-threatening illness or injury: Learned about it.LEC-5 Standard Version - Life-threatening Illness: Learned
LEC0112DC135889LEC01-Life-threatening Illness: JobLife Events Checklist for DSM-5, Standard Version - Life-threatening illness or injury: Part of my job.LEC-5 Standard Version - Life-threatening Illness: Job
LEC0112EC135890LEC01-Life-threatening Illness: Not SureLife Events Checklist for DSM-5, Standard Version - Life-threatening illness or injury: Not sure.LEC-5 Standard Version - Life-threatening Illness: Not Sure
LEC0112FC135891LEC01-Life-threatening Illness: No ApplyLife Events Checklist for DSM-5, Standard Version - Life-threatening illness or injury: Doesn't apply.LEC-5 Standard Version - Life-threatening Illness: Not Apply
LEC0113AC135892LEC01-Severe Human Suffering: HappenedLife Events Checklist for DSM-5, Standard Version - Severe human suffering: Happened to me.LEC-5 Standard Version - Severe Human Suffering: Happened
LEC0113BC135893LEC01-Severe Human Suffering: WitnessedLife Events Checklist for DSM-5, Standard Version - Severe human suffering: Witnessed it.LEC-5 Standard Version - Severe Human Suffering: Witnessed
LEC0113CC135894LEC01-Severe Human Suffering: LearnedLife Events Checklist for DSM-5, Standard Version - Severe human suffering: Learned about it.LEC-5 Standard Version - Severe Human Suffering: Learned
LEC0113DC135895LEC01-Severe Human Suffering: JobLife Events Checklist for DSM-5, Standard Version - Severe human suffering: Part of my job.LEC-5 Standard Version - Severe Human Suffering: Job
LEC0113EC135896LEC01-Severe Human Suffering: Not SureLife Events Checklist for DSM-5, Standard Version - Severe human suffering: Not sure.LEC-5 Standard Version - Severe Human Suffering: Not Sure
LEC0113FC135897LEC01-Severe Human Suffering: Not ApplyLife Events Checklist for DSM-5, Standard Version - Severe human suffering: Doesn't apply.LEC-5 Standard Version - Severe Human Suffering: Not Apply
LEC0114AC135898LEC01-Sudden Violent Death: HappenedLife Events Checklist for DSM-5, Standard Version - Sudden violent death (for example, homicide, suicide): Happened to me.LEC-5 Standard Version - Sudden Violent Death: Happened
LEC0114BC135899LEC01-Sudden Violent Death: WitnessedLife Events Checklist for DSM-5, Standard Version - Sudden violent death (for example, homicide, suicide): Witnessed it.LEC-5 Standard Version - Sudden Violent Death: Witnessed
LEC0114CC135900LEC01-Sudden Violent Death: LearnedLife Events Checklist for DSM-5, Standard Version - Sudden violent death (for example, homicide, suicide): Learned about it.LEC-5 Standard Version - Sudden Violent Death: Learned
LEC0114DC135901LEC01-Sudden Violent Death: JobLife Events Checklist for DSM-5, Standard Version - Sudden violent death (for example, homicide, suicide): Part of my job.LEC-5 Standard Version - Sudden Violent Death: Job
LEC0114EC135902LEC01-Sudden Violent Death: Not SureLife Events Checklist for DSM-5, Standard Version - Sudden violent death (for example, homicide, suicide): Not sure.LEC-5 Standard Version - Sudden Violent Death: Not Sure
LEC0114FC135903LEC01-Sudden Violent Death: Not ApplyLife Events Checklist for DSM-5, Standard Version - Sudden violent death (for example, homicide, suicide): Doesn't apply.LEC-5 Standard Version - Sudden Violent Death: Not Apply
LEC0115AC135904LEC01-Sudden Accidental Death: HappenedLife Events Checklist for DSM-5, Standard Version - Sudden accidental death: Happened to me.LEC-5 Standard Version - Sudden Accidental Death: Happened
LEC0115BC135905LEC01-Sudden Accidental Death: WitnessedLife Events Checklist for DSM-5, Standard Version - Sudden accidental death: Witnessed it.LEC-5 Standard Version - Sudden Accidental Death: Witnessed
LEC0115CC135906LEC01-Sudden Accidental Death: LearnedLife Events Checklist for DSM-5, Standard Version - Sudden accidental death: Learned about it.LEC-5 Standard Version - Sudden Accidental Death: Learned
LEC0115DC135907LEC01-Sudden Accidental Death: JobLife Events Checklist for DSM-5, Standard Version - Sudden accidental death: Part of my job.LEC-5 Standard Version - Sudden Accidental Death: Job
LEC0115EC135908LEC01-Sudden Accidental Death: Not SureLife Events Checklist for DSM-5, Standard Version - Sudden accidental death: Not sure.LEC-5 Standard Version - Sudden Accidental Death: Not Sure
LEC0115FC135909LEC01-Sudden Accidental Death: Not ApplyLife Events Checklist for DSM-5, Standard Version - Sudden accidental death: Doesn't apply.LEC-5 Standard Version - Sudden Accidental Death: Not Apply
LEC0116AC135910LEC01-Serious Injury Caused: HappenedLife Events Checklist for DSM-5, Standard Version - Serious injury, harm, or death you caused to someone else: Happened to me.LEC-5 Standard Version - Serious Injury Caused: Happened
LEC0116BC135911LEC01-Serious Injury Caused: WitnessedLife Events Checklist for DSM-5, Standard Version - Serious injury, harm, or death you caused to someone else: Witnessed it.LEC-5 Standard Version - Serious Injury Caused: Witnessed
LEC0116CC135912LEC01-Serious Injury Caused: LearnedLife Events Checklist for DSM-5, Standard Version - Serious injury, harm, or death you caused to someone else: Learned about it.LEC-5 Standard Version - Serious Injury Caused: Learned
LEC0116DC135913LEC01-Serious Injury Caused: JobLife Events Checklist for DSM-5, Standard Version - Serious injury, harm, or death you caused to someone else: Part of my job.LEC-5 Standard Version - Serious Injury Caused: Job
LEC0116EC135914LEC01-Serious Injury Caused: Not SureLife Events Checklist for DSM-5, Standard Version - Serious injury, harm, or death you caused to someone else: Not sure.LEC-5 Standard Version - Serious Injury Caused: Not Sure
LEC0116FC135915LEC01-Serious Injury Caused: Not ApplyLife Events Checklist for DSM-5, Standard Version - Serious injury, harm, or death you caused to someone else: Doesn't apply.LEC-5 Standard Version - Serious Injury Caused: Not Apply
LEC0117AC135916LEC01-Other Stressful Event: HappenedLife Events Checklist for DSM-5, Standard Version - Any other very stressful event or experience: Happened to me.LEC-5 Standard Version - Other Stressful Event: Happened
LEC0117BC135917LEC01-Other Stressful Event: WitnessedLife Events Checklist for DSM-5, Standard Version - Any other very stressful event or experience: Witnessed it.LEC-5 Standard Version - Other Stressful Event: Witnessed
LEC0117CC135918LEC01-Other Stressful Event: LearnedLife Events Checklist for DSM-5, Standard Version - Any other very stressful event or experience: Learned about it.LEC-5 Standard Version - Other Stressful Event: Learned
LEC0117DC135919LEC01-Other Stressful Event: JobLife Events Checklist for DSM-5, Standard Version - Any other very stressful event or experience: Part of my job.LEC-5 Standard Version - Other Stressful Event: Job
LEC0117EC135920LEC01-Other Stressful Event: Not SureLife Events Checklist for DSM-5, Standard Version - Any other very stressful event or experience: Not sure.LEC-5 Standard Version - Other Stressful Event: Not Sure
LEC0117FC135921LEC01-Other Stressful Event: Not ApplyLife Events Checklist for DSM-5, Standard Version - Any other very stressful event or experience: Doesn't apply.LEC-5 Standard Version - Other Stressful Event: Not Apply
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CL.C135689.LEC01TNLife Events Checklist for DSM-5 Standard Version Questionnaire Test Name
(LEC01TN)
text
Extensible: No
C135689Life Events Checklist for DSM-5 Standard Version Questionnaire Test NameLife Events Checklist for DSM-5 Standard Version test name.CDISC Questionnaire LEC-5 Standard Version Test Name Terminology
LEC01-Assault With a Weapon: HappenedC135856LEC01-Assault With a Weapon: HappenedLife Events Checklist for DSM-5, Standard Version - Assault with a weapon (for example, being shot, stabbed, threatened with a knife, gun, bomb): Happened to me.LEC-5 Standard Version - Assault With a Weapon: Happened
LEC01-Assault With a Weapon: JobC135859LEC01-Assault With a Weapon: JobLife Events Checklist for DSM-5, Standard Version - Assault with a weapon (for example, being shot, stabbed, threatened with a knife, gun, bomb): Part of my job.LEC-5 Standard Version - Assault With a Weapon: Job
LEC01-Assault With a Weapon: LearnedC135858LEC01-Assault With a Weapon: LearnedLife Events Checklist for DSM-5, Standard Version - Assault with a weapon (for example, being shot, stabbed, threatened with a knife, gun, bomb): Learned about it.LEC-5 Standard Version - Assault With a Weapon: Learned
LEC01-Assault With a Weapon: Not ApplyC135861LEC01-Assault With a Weapon: Not ApplyLife Events Checklist for DSM-5, Standard Version - Assault with a weapon (for example, being shot, stabbed, threatened with a knife, gun, bomb): Doesn't apply.LEC-5 Standard Version - Assault With a Weapon: Not Apply
LEC01-Assault With a Weapon: Not SureC135860LEC01-Assault With a Weapon: Not SureLife Events Checklist for DSM-5, Standard Version - Assault with a weapon (for example, being shot, stabbed, threatened with a knife, gun, bomb): Not sure.LEC-5 Standard Version - Assault With a Weapon: Not Sure
LEC01-Assault With a Weapon: WitnessedC135857LEC01-Assault With a Weapon: WitnessedLife Events Checklist for DSM-5, Standard Version - Assault with a weapon (for example, being shot, stabbed, threatened with a knife, gun, bomb): Witnessed it.LEC-5 Standard Version - Assault With a Weapon: Witnessed
LEC01-Captivity: HappenedC135880LEC01-Captivity: HappenedLife Events Checklist for DSM-5, Standard Version - Captivity (for example, being kidnapped, abducted, held hostage, prisoner of war): Happened to me.LEC-5 Standard Version - Captivity: Happened
LEC01-Captivity: JobC135883LEC01-Captivity: JobLife Events Checklist for DSM-5, Standard Version - Captivity (for example, being kidnapped, abducted, held hostage, prisoner of war): Part of my job.LEC-5 Standard Version - Captivity: Job
LEC01-Captivity: LearnedC135882LEC01-Captivity: LearnedLife Events Checklist for DSM-5, Standard Version - Captivity (for example, being kidnapped, abducted, held hostage, prisoner of war): Learned about it.LEC-5 Standard Version - Captivity: Learned
LEC01-Captivity: Not ApplyC135885LEC01-Captivity: Not ApplyLife Events Checklist for DSM-5, Standard Version - Captivity (for example, being kidnapped, abducted, held hostage, prisoner of war): Doesn't apply.LEC-5 Standard Version - Captivity: Not Apply
LEC01-Captivity: Not SureC135884LEC01-Captivity: Not SureLife Events Checklist for DSM-5, Standard Version - Captivity (for example, being kidnapped, abducted, held hostage, prisoner of war): Not sure.LEC-5 Standard Version - Captivity: Not Sure
LEC01-Captivity: WitnessedC135881LEC01-Captivity: WitnessedLife Events Checklist for DSM-5, Standard Version - Captivity (for example, being kidnapped, abducted, held hostage, prisoner of war): Witnessed it.LEC-5 Standard Version - Captivity: Witnessed
LEC01-Combat/Exp to War-Zone: HappenedC135874LEC01-Combat/Exp to War-Zone: HappenedLife Events Checklist for DSM-5, Standard Version - Combat or exposure to a war-zone (in the military or as a civilian): Happened to me.LEC-5 Standard Version - Combat or Exposure to War-Zone: Happened
LEC01-Combat/Exp to War-Zone: JobC135877LEC01-Combat/Exp to War-Zone: JobLife Events Checklist for DSM-5, Standard Version - Combat or exposure to a war-zone (in the military or as a civilian): Part of my job.LEC-5 Standard Version - Combat or Exposure to War-Zone: Job
LEC01-Combat/Exp to War-Zone: LearnedC135876LEC01-Combat/Exp to War-Zone: LearnedLife Events Checklist for DSM-5, Standard Version - Combat or exposure to a war-zone (in the military or as a civilian): Learned about it.LEC-5 Standard Version - Combat or Exposure to War-Zone: Learned
LEC01-Combat/Exp to War-Zone: Not ApplyC135879LEC01-Combat/Exp to War-Zone: Not ApplyLife Events Checklist for DSM-5, Standard Version - Combat or exposure to a war-zone (in the military or as a civilian): Doesn't apply.LEC-5 Standard Version - Combat or Exposure to War-Zone: Not Apply
LEC01-Combat/Exp to War-Zone: Not SureC135878LEC01-Combat/Exp to War-Zone: Not SureLife Events Checklist for DSM-5, Standard Version - Combat or exposure to a war-zone (in the military or as a civilian): Not sure.LEC-5 Standard Version - Combat or Exposure to War-Zone: Not Sure
LEC01-Combat/Exp to War-Zone: WitnessedC135875LEC01-Combat/Exp to War-Zone: WitnessedLife Events Checklist for DSM-5, Standard Version - Combat or exposure to a war-zone (in the military or as a civilian): Witnessed it.LEC-5 Standard Version - Combat or Exposure to War-Zone: Witnessed
LEC01-Fire or Explosion: HappenedC135826LEC01-Fire or Explosion: HappenedLife Events Checklist for DSM-5, Standard Version - Fire or explosion: Happened to me.LEC-5 Standard Version - Fire or Explosion: Happened
LEC01-Fire or Explosion: JobC135829LEC01-Fire or Explosion: JobLife Events Checklist for DSM-5, Standard Version - Fire or explosion: Part of my job.LEC-5 Standard Version - Fire or Explosion: Job
LEC01-Fire or Explosion: LearnedC135828LEC01-Fire or Explosion: LearnedLife Events Checklist for DSM-5, Standard Version - Fire or explosion: Learned about it.LEC-5 Standard Version - Fire or Explosion: Learned
LEC01-Fire or Explosion: Not ApplyC135831LEC01-Fire or Explosion: Not ApplyLife Events Checklist for DSM-5, Standard Version - Fire or explosion: Doesn't apply.LEC-5 Standard Version - Fire or Explosion: Not Apply
LEC01-Fire or Explosion: Not SureC135830LEC01-Fire or Explosion: Not SureLife Events Checklist for DSM-5, Standard Version - Fire or explosion: Not sure.LEC-5 Standard Version - Fire or Explosion: Not Sure
LEC01-Fire or Explosion: WitnessedC135827LEC01-Fire or Explosion: WitnessedLife Events Checklist for DSM-5, Standard Version - Fire or explosion: Witnessed it.LEC-5 Standard Version - Fire or Explosion: Witnessed
LEC01-Life-threatening Illness: HappenedC135886LEC01-Life-threatening Illness: HappenedLife Events Checklist for DSM-5, Standard Version - Life-threatening illness or injury: Happened to me.LEC-5 Standard Version - Life-threatening Illness: Happened
LEC01-Life-threatening Illness: JobC135889LEC01-Life-threatening Illness: JobLife Events Checklist for DSM-5, Standard Version - Life-threatening illness or injury: Part of my job.LEC-5 Standard Version - Life-threatening Illness: Job
LEC01-Life-threatening Illness: LearnedC135888LEC01-Life-threatening Illness: LearnedLife Events Checklist for DSM-5, Standard Version - Life-threatening illness or injury: Learned about it.LEC-5 Standard Version - Life-threatening Illness: Learned
LEC01-Life-threatening Illness: No ApplyC135891LEC01-Life-threatening Illness: No ApplyLife Events Checklist for DSM-5, Standard Version - Life-threatening illness or injury: Doesn't apply.LEC-5 Standard Version - Life-threatening Illness: Not Apply
LEC01-Life-threatening Illness: Not SureC135890LEC01-Life-threatening Illness: Not SureLife Events Checklist for DSM-5, Standard Version - Life-threatening illness or injury: Not sure.LEC-5 Standard Version - Life-threatening Illness: Not Sure
LEC01-Life-threatening Illness: WitnessC135887LEC01-Life-threatening Illness: WitnessLife Events Checklist for DSM-5, Standard Version - Life-threatening illness or injury: Witnessed it.LEC-5 Standard Version - Life-threatening Illness: Witnessed
LEC01-Natural Disaster: HappenedC135820LEC01-Natural Disaster: HappenedLife Events Checklist for DSM-5, Standard Version - Natural disaster (for example, flood, hurricane, tornado, earthquake): Happened to me.LEC-5 Standard Version - Natural Disaster: Happened
LEC01-Natural Disaster: JobC135823LEC01-Natural Disaster: JobLife Events Checklist for DSM-5, Standard Version - Natural disaster (for example, flood, hurricane, tornado, earthquake): Part of my job.LEC-5 Standard Version - Natural Disaster: Job
LEC01-Natural Disaster: LearnedC135822LEC01-Natural Disaster: LearnedLife Events Checklist for DSM-5, Standard Version - Natural disaster (for example, flood, hurricane, tornado, earthquake): Learned about it.LEC-5 Standard Version - Natural Disaster: Learned
LEC01-Natural Disaster: Not ApplyC135825LEC01-Natural Disaster: Not ApplyLife Events Checklist for DSM-5, Standard Version - Natural disaster (for example, flood, hurricane, tornado, earthquake): Doesn't apply.LEC-5 Standard Version - Natural Disaster: Not Apply
LEC01-Natural Disaster: Not SureC135824LEC01-Natural Disaster: Not SureLife Events Checklist for DSM-5, Standard Version - Natural disaster (for example, flood, hurricane, tornado, earthquake): Not sure.LEC-5 Standard Version - Natural Disaster: Not Sure
LEC01-Natural Disaster: WitnessedC135821LEC01-Natural Disaster: WitnessedLife Events Checklist for DSM-5, Standard Version - Natural disaster (for example, flood, hurricane, tornado, earthquake): Witnessed it.LEC-5 Standard Version - Natural Disaster: Witnessed
LEC01-Other Stressful Event: HappenedC135916LEC01-Other Stressful Event: HappenedLife Events Checklist for DSM-5, Standard Version - Any other very stressful event or experience: Happened to me.LEC-5 Standard Version - Other Stressful Event: Happened
LEC01-Other Stressful Event: JobC135919LEC01-Other Stressful Event: JobLife Events Checklist for DSM-5, Standard Version - Any other very stressful event or experience: Part of my job.LEC-5 Standard Version - Other Stressful Event: Job
LEC01-Other Stressful Event: LearnedC135918LEC01-Other Stressful Event: LearnedLife Events Checklist for DSM-5, Standard Version - Any other very stressful event or experience: Learned about it.LEC-5 Standard Version - Other Stressful Event: Learned
LEC01-Other Stressful Event: Not ApplyC135921LEC01-Other Stressful Event: Not ApplyLife Events Checklist for DSM-5, Standard Version - Any other very stressful event or experience: Doesn't apply.LEC-5 Standard Version - Other Stressful Event: Not Apply
LEC01-Other Stressful Event: Not SureC135920LEC01-Other Stressful Event: Not SureLife Events Checklist for DSM-5, Standard Version - Any other very stressful event or experience: Not sure.LEC-5 Standard Version - Other Stressful Event: Not Sure
LEC01-Other Stressful Event: WitnessedC135917LEC01-Other Stressful Event: WitnessedLife Events Checklist for DSM-5, Standard Version - Any other very stressful event or experience: Witnessed it.LEC-5 Standard Version - Other Stressful Event: Witnessed
LEC01-Physical Assault: HappenedC135850LEC01-Physical Assault: HappenedLife Events Checklist for DSM-5, Standard Version - Physical assault (for example, being attacked, hit, slapped, kicked, beaten up): Happened to me.LEC-5 Standard Version - Physical Assault: Happened
LEC01-Physical Assault: JobC135853LEC01-Physical Assault: JobLife Events Checklist for DSM-5, Standard Version - Physical assault (for example, being attacked, hit, slapped, kicked, beaten up): Part of my job.LEC-5 Standard Version - Physical Assault: Job
LEC01-Physical Assault: LearnedC135852LEC01-Physical Assault: LearnedLife Events Checklist for DSM-5, Standard Version - Physical assault (for example, being attacked, hit, slapped, kicked, beaten up): Learned about it.LEC-5 Standard Version - Physical Assault: Learned
LEC01-Physical Assault: Not ApplyC135855LEC01-Physical Assault: Not ApplyLife Events Checklist for DSM-5, Standard Version - Physical assault (for example, being attacked, hit, slapped, kicked, beaten up): Doesn't apply.LEC-5 Standard Version - Physical Assault: Not Apply
LEC01-Physical Assault: Not SureC135854LEC01-Physical Assault: Not SureLife Events Checklist for DSM-5, Standard Version - Physical assault (for example, being attacked, hit, slapped, kicked, beaten up): Not sure.LEC-5 Standard Version - Physical Assault: Not Sure
LEC01-Physical Assault: WitnessedC135851LEC01-Physical Assault: WitnessedLife Events Checklist for DSM-5, Standard Version - Physical assault (for example, being attacked, hit, slapped, kicked, beaten up): Witnessed it.LEC-5 Standard Version - Physical Assault: Witnessed
LEC01-Serious Accident: HappenedC135838LEC01-Serious Accident: HappenedLife Events Checklist for DSM-5, Standard Version - Serious accident at work, home, or during recreational activity: Happened to me.LEC-5 Standard Version - Serious Accident: Happened
LEC01-Serious Accident: JobC135841LEC01-Serious Accident: JobLife Events Checklist for DSM-5, Standard Version - Serious accident at work, home, or during recreational activity: Part of my job.LEC-5 Standard Version - Serious Accident: Job
LEC01-Serious Accident: LearnedC135840LEC01-Serious Accident: LearnedLife Events Checklist for DSM-5, Standard Version - Serious accident at work, home, or during recreational activity: Learned about it.LEC-5 Standard Version - Serious Accident: Learned
LEC01-Serious Accident: Not ApplyC135843LEC01-Serious Accident: Not ApplyLife Events Checklist for DSM-5, Standard Version - Serious accident at work, home, or during recreational activity: Doesn't apply.LEC-5 Standard Version - Serious Accident: Not Apply
LEC01-Serious Accident: Not SureC135842LEC01-Serious Accident: Not SureLife Events Checklist for DSM-5, Standard Version - Serious accident at work, home, or during recreational activity: Not sure.LEC-5 Standard Version - Serious Accident: Not Sure
LEC01-Serious Accident: WitnessedC135839LEC01-Serious Accident: WitnessedLife Events Checklist for DSM-5, Standard Version - Serious accident at work, home, or during recreational activity: Witnessed it.LEC-5 Standard Version - Serious Accident: Witnessed
LEC01-Serious Injury Caused: HappenedC135910LEC01-Serious Injury Caused: HappenedLife Events Checklist for DSM-5, Standard Version - Serious injury, harm, or death you caused to someone else: Happened to me.LEC-5 Standard Version - Serious Injury Caused: Happened
LEC01-Serious Injury Caused: JobC135913LEC01-Serious Injury Caused: JobLife Events Checklist for DSM-5, Standard Version - Serious injury, harm, or death you caused to someone else: Part of my job.LEC-5 Standard Version - Serious Injury Caused: Job
LEC01-Serious Injury Caused: LearnedC135912LEC01-Serious Injury Caused: LearnedLife Events Checklist for DSM-5, Standard Version - Serious injury, harm, or death you caused to someone else: Learned about it.LEC-5 Standard Version - Serious Injury Caused: Learned
LEC01-Serious Injury Caused: Not ApplyC135915LEC01-Serious Injury Caused: Not ApplyLife Events Checklist for DSM-5, Standard Version - Serious injury, harm, or death you caused to someone else: Doesn't apply.LEC-5 Standard Version - Serious Injury Caused: Not Apply
LEC01-Serious Injury Caused: Not SureC135914LEC01-Serious Injury Caused: Not SureLife Events Checklist for DSM-5, Standard Version - Serious injury, harm, or death you caused to someone else: Not sure.LEC-5 Standard Version - Serious Injury Caused: Not Sure
LEC01-Serious Injury Caused: WitnessedC135911LEC01-Serious Injury Caused: WitnessedLife Events Checklist for DSM-5, Standard Version - Serious injury, harm, or death you caused to someone else: Witnessed it.LEC-5 Standard Version - Serious Injury Caused: Witnessed
LEC01-Severe Human Suffering: HappenedC135892LEC01-Severe Human Suffering: HappenedLife Events Checklist for DSM-5, Standard Version - Severe human suffering: Happened to me.LEC-5 Standard Version - Severe Human Suffering: Happened
LEC01-Severe Human Suffering: JobC135895LEC01-Severe Human Suffering: JobLife Events Checklist for DSM-5, Standard Version - Severe human suffering: Part of my job.LEC-5 Standard Version - Severe Human Suffering: Job
LEC01-Severe Human Suffering: LearnedC135894LEC01-Severe Human Suffering: LearnedLife Events Checklist for DSM-5, Standard Version - Severe human suffering: Learned about it.LEC-5 Standard Version - Severe Human Suffering: Learned
LEC01-Severe Human Suffering: Not ApplyC135897LEC01-Severe Human Suffering: Not ApplyLife Events Checklist for DSM-5, Standard Version - Severe human suffering: Doesn't apply.LEC-5 Standard Version - Severe Human Suffering: Not Apply
LEC01-Severe Human Suffering: Not SureC135896LEC01-Severe Human Suffering: Not SureLife Events Checklist for DSM-5, Standard Version - Severe human suffering: Not sure.LEC-5 Standard Version - Severe Human Suffering: Not Sure
LEC01-Severe Human Suffering: WitnessedC135893LEC01-Severe Human Suffering: WitnessedLife Events Checklist for DSM-5, Standard Version - Severe human suffering: Witnessed it.LEC-5 Standard Version - Severe Human Suffering: Witnessed
LEC01-Sexual Assault: HappenedC135862LEC01-Sexual Assault: HappenedLife Events Checklist for DSM-5, Standard Version - Sexual assault (rape, attempted rape, made to perform any type of sexual act through force or threat of harm): Happened to me.LEC-5 Standard Version - Sexual Assault: Happened
LEC01-Sexual Assault: JobC135865LEC01-Sexual Assault: JobLife Events Checklist for DSM-5, Standard Version - Sexual assault (rape, attempted rape, made to perform any type of sexual act through force or threat of harm): Part of my job.LEC-5 Standard Version - Sexual Assault: Job
LEC01-Sexual Assault: LearnedC135864LEC01-Sexual Assault: LearnedLife Events Checklist for DSM-5, Standard Version - Sexual assault (rape, attempted rape, made to perform any type of sexual act through force or threat of harm): Learned about it.LEC-5 Standard Version - Sexual Assault: Learned
LEC01-Sexual Assault: Not ApplyC135867LEC01-Sexual Assault: Not ApplyLife Events Checklist for DSM-5, Standard Version - Sexual assault (rape, attempted rape, made to perform any type of sexual act through force or threat of harm): Doesn't apply.LEC-5 Standard Version - Sexual Assault: Not Apply
LEC01-Sexual Assault: Not SureC135866LEC01-Sexual Assault: Not SureLife Events Checklist for DSM-5, Standard Version - Sexual assault (rape, attempted rape, made to perform any type of sexual act through force or threat of harm): Not sure.LEC-5 Standard Version - Sexual Assault: Not Sure
LEC01-Sexual Assault: WitnessedC135863LEC01-Sexual Assault: WitnessedLife Events Checklist for DSM-5, Standard Version - Sexual assault (rape, attempted rape, made to perform any type of sexual act through force or threat of harm): Witnessed it.LEC-5 Standard Version - Sexual Assault: Witnessed
LEC01-Sudden Accidental Death: HappenedC135904LEC01-Sudden Accidental Death: HappenedLife Events Checklist for DSM-5, Standard Version - Sudden accidental death: Happened to me.LEC-5 Standard Version - Sudden Accidental Death: Happened
LEC01-Sudden Accidental Death: JobC135907LEC01-Sudden Accidental Death: JobLife Events Checklist for DSM-5, Standard Version - Sudden accidental death: Part of my job.LEC-5 Standard Version - Sudden Accidental Death: Job
LEC01-Sudden Accidental Death: LearnedC135906LEC01-Sudden Accidental Death: LearnedLife Events Checklist for DSM-5, Standard Version - Sudden accidental death: Learned about it.LEC-5 Standard Version - Sudden Accidental Death: Learned
LEC01-Sudden Accidental Death: Not ApplyC135909LEC01-Sudden Accidental Death: Not ApplyLife Events Checklist for DSM-5, Standard Version - Sudden accidental death: Doesn't apply.LEC-5 Standard Version - Sudden Accidental Death: Not Apply
LEC01-Sudden Accidental Death: Not SureC135908LEC01-Sudden Accidental Death: Not SureLife Events Checklist for DSM-5, Standard Version - Sudden accidental death: Not sure.LEC-5 Standard Version - Sudden Accidental Death: Not Sure
LEC01-Sudden Accidental Death: WitnessedC135905LEC01-Sudden Accidental Death: WitnessedLife Events Checklist for DSM-5, Standard Version - Sudden accidental death: Witnessed it.LEC-5 Standard Version - Sudden Accidental Death: Witnessed
LEC01-Sudden Violent Death: HappenedC135898LEC01-Sudden Violent Death: HappenedLife Events Checklist for DSM-5, Standard Version - Sudden violent death (for example, homicide, suicide): Happened to me.LEC-5 Standard Version - Sudden Violent Death: Happened
LEC01-Sudden Violent Death: JobC135901LEC01-Sudden Violent Death: JobLife Events Checklist for DSM-5, Standard Version - Sudden violent death (for example, homicide, suicide): Part of my job.LEC-5 Standard Version - Sudden Violent Death: Job
LEC01-Sudden Violent Death: LearnedC135900LEC01-Sudden Violent Death: LearnedLife Events Checklist for DSM-5, Standard Version - Sudden violent death (for example, homicide, suicide): Learned about it.LEC-5 Standard Version - Sudden Violent Death: Learned
LEC01-Sudden Violent Death: Not ApplyC135903LEC01-Sudden Violent Death: Not ApplyLife Events Checklist for DSM-5, Standard Version - Sudden violent death (for example, homicide, suicide): Doesn't apply.LEC-5 Standard Version - Sudden Violent Death: Not Apply
LEC01-Sudden Violent Death: Not SureC135902LEC01-Sudden Violent Death: Not SureLife Events Checklist for DSM-5, Standard Version - Sudden violent death (for example, homicide, suicide): Not sure.LEC-5 Standard Version - Sudden Violent Death: Not Sure
LEC01-Sudden Violent Death: WitnessedC135899LEC01-Sudden Violent Death: WitnessedLife Events Checklist for DSM-5, Standard Version - Sudden violent death (for example, homicide, suicide): Witnessed it.LEC-5 Standard Version - Sudden Violent Death: Witnessed
LEC01-Toxic Substance: HappenedC135844LEC01-Toxic Substance: HappenedLife Events Checklist for DSM-5, Standard Version - Exposure to toxic substance (for example, dangerous chemicals, radiation): Happened to me.LEC-5 Standard Version - Toxic Substance: Happened
LEC01-Toxic Substance: JobC135847LEC01-Toxic Substance: JobLife Events Checklist for DSM-5, Standard Version - Exposure to toxic substance (for example, dangerous chemicals, radiation): Part of my job.LEC-5 Standard Version - Toxic Substance: Job
LEC01-Toxic Substance: LearnedC135846LEC01-Toxic Substance: LearnedLife Events Checklist for DSM-5, Standard Version - Exposure to toxic substance (for example, dangerous chemicals, radiation): Learned about it.LEC-5 Standard Version - Toxic Substance: Learned
LEC01-Toxic Substance: Not ApplyC135849LEC01-Toxic Substance: Not ApplyLife Events Checklist for DSM-5, Standard Version - Exposure to toxic substance (for example, dangerous chemicals, radiation): Doesn't apply.LEC-5 Standard Version - Toxic Substance: Not Apply
LEC01-Toxic Substance: Not SureC135848LEC01-Toxic Substance: Not SureLife Events Checklist for DSM-5, Standard Version - Exposure to toxic substance (for example, dangerous chemicals, radiation): Not sure.LEC-5 Standard Version - Toxic Substance: Not Sure
LEC01-Toxic Substance: WitnessedC135845LEC01-Toxic Substance: WitnessedLife Events Checklist for DSM-5, Standard Version - Exposure to toxic substance (for example, dangerous chemicals, radiation): Witnessed it.LEC-5 Standard Version - Toxic Substance: Witnessed
LEC01-Transportation Accident: HappenedC135832LEC01-Transportation Accident: HappenedLife Events Checklist for DSM-5, Standard Version - Transportation accident (for example, car accident, boat accident, train wreck, plane crash): Happened to me.LEC-5 Standard Version - Transportation Accident: Happened
LEC01-Transportation Accident: JobC135835LEC01-Transportation Accident: JobLife Events Checklist for DSM-5, Standard Version - Transportation accident (for example, car accident, boat accident, train wreck, plane crash): Part of my job.LEC-5 Standard Version - Transportation Accident: Job
LEC01-Transportation Accident: LearnedC135834LEC01-Transportation Accident: LearnedLife Events Checklist for DSM-5, Standard Version - Transportation accident (for example, car accident, boat accident, train wreck, plane crash): Learned about it.LEC-5 Standard Version - Transportation Accident: Learned
LEC01-Transportation Accident: Not ApplyC135837LEC01-Transportation Accident: Not ApplyLife Events Checklist for DSM-5, Standard Version - Transportation accident (for example, car accident, boat accident, train wreck, plane crash): Doesn't apply.LEC-5 Standard Version - Transportation Accident: Not Apply
LEC01-Transportation Accident: Not SureC135836LEC01-Transportation Accident: Not SureLife Events Checklist for DSM-5, Standard Version - Transportation accident (for example, car accident, boat accident, train wreck, plane crash): Not sure.LEC-5 Standard Version - Transportation Accident: Not Sure
LEC01-Transportation Accident: WitnessedC135833LEC01-Transportation Accident: WitnessedLife Events Checklist for DSM-5, Standard Version - Transportation accident (for example, car accident, boat accident, train wreck, plane crash): Witnessed it.LEC-5 Standard Version - Transportation Accident: Witnessed
LEC01-Unwanted Sex Experience: HappenedC135868LEC01-Unwanted Sex Experience: HappenedLife Events Checklist for DSM-5, Standard Version - Other unwanted or uncomfortable sexual experience: Happened to me.LEC-5 Standard Version - Unwanted Sex Experience: Happened
LEC01-Unwanted Sex Experience: JobC135871LEC01-Unwanted Sex Experience: JobLife Events Checklist for DSM-5, Standard Version - Other unwanted or uncomfortable sexual experience: Part of my job.LEC-5 Standard Version - Unwanted Sex Experience: Job
LEC01-Unwanted Sex Experience: LearnedC135870LEC01-Unwanted Sex Experience: LearnedLife Events Checklist for DSM-5, Standard Version - Other unwanted or uncomfortable sexual experience: Learned about it.LEC-5 Standard Version - Unwanted Sex Experience: Learned
LEC01-Unwanted Sex Experience: Not ApplyC135873LEC01-Unwanted Sex Experience: Not ApplyLife Events Checklist for DSM-5, Standard Version - Other unwanted or uncomfortable sexual experience: Doesn't apply.LEC-5 Standard Version - Unwanted Sex Experience: Not Apply
LEC01-Unwanted Sex Experience: Not SureC135872LEC01-Unwanted Sex Experience: Not SureLife Events Checklist for DSM-5, Standard Version - Other unwanted or uncomfortable sexual experience: Not sure.LEC-5 Standard Version - Unwanted Sex Experience: Not Sure
LEC01-Unwanted Sex Experience: WitnessedC135869LEC01-Unwanted Sex Experience: WitnessedLife Events Checklist for DSM-5, Standard Version - Other unwanted or uncomfortable sexual experience: Witnessed it.LEC-5 Standard Version - Unwanted Sex Experience: Witnessed
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CL.C115406.MPAI1TCMayo-Portland Adaptability Inventory-4 Questionnaire Test Code
(MPAI1TC)
text
Extensible: No
C115406Mayo-Portland Adaptability Inventory-4 Questionnaire Test CodeMayo-Portland Adaptability Inventory-4 test code.CDISC Questionnaire MPAI-4 Test Code Terminology
MPAI101C115851MPAI1-MobilityMayo-Portland Adaptability Inventory-4 - Problems walking or moving; balance problems that interfere with moving about.MPAI-4 - Abilities: Mobility
MPAI102C115852MPAI1-Use of HandsMayo-Portland Adaptability Inventory-4 - Impaired strength or coordination in one or both hands.MPAI-4 - Abilities: Use of Hands
MPAI103C115853MPAI1-VisionMayo-Portland Adaptability Inventory-4 - Problems seeing; double vision; eye, brain, or nerve injuries that interfere with seeing.MPAI-4 - Abilities: Vision
MPAI104C115854MPAI1-AuditionMayo-Portland Adaptability Inventory-4 - Problems hearing; ringing in the ears.MPAI-4 - Abilities: Audition
MPAI105C115855MPAI1-DizzinessMayo-Portland Adaptability Inventory-4 - Feeling unsteady, dizzy, light-headed.MPAI-4 - Abilities: Dizziness
MPAI106C115856MPAI1-Motor SpeechMayo-Portland Adaptability Inventory-4 - Abnormal clearness or rate of speech; stuttering.MPAI-4 - Abilities: Motor Speech
MPAI107AC115857MPAI1-Verbal CommunicationMayo-Portland Adaptability Inventory-4 - Problems expressing or understanding language.MPAI-4 - Abilities: Verbal Communication
MPAI107BC115858MPAI1-Nonverbal CommunicationMayo-Portland Adaptability Inventory-4 - Restricted or unusual gestures or facial expressions; talking too much or not enough; missing nonverbal cues from others.MPAI-4 - Abilities: Nonverbal Communication
MPAI108C115859MPAI1-Attention/ConcentrationMayo-Portland Adaptability Inventory-4 - Problems ignoring distractions, shifting attention, keeping more than one thing in mind at a time.MPAI-4 - Abilities: Attention or Concentration
MPAI109C115860MPAI1-MemoryMayo-Portland Adaptability Inventory-4 - Problems learning and recalling new information.MPAI-4 - Abilities: Memory
MPAI110C115861MPAI1-Fund of InformationMayo-Portland Adaptability Inventory-4 - Problems remembering information learned in school or on the job; difficulty remembering information about self and family from years ago.MPAI-4 - Abilities: Fund of Information
MPAI111C115862MPAI1-Novel Problem-SolvingMayo-Portland Adaptability Inventory-4 - Problems thinking up solutions or picking the best solution to new problems.MPAI-4 - Abilities: Novel Problem-Solving
MPAI112C115863MPAI1-Visuospatial AbilitiesMayo-Portland Adaptability Inventory-4 - Problems drawing, assembling things, route-finding, being visually aware on both the left and right sides.MPAI-4 - Abilities: Visuospatial Abilities
MPAI113C115864MPAI1-AnxietyMayo-Portland Adaptability Inventory-4 - Tense, nervous, fearful, phobias, nightmares, flashbacks of stressful events.MPAI-4 - Adjustment: Anxiety
MPAI114C115865MPAI1-DepressionMayo-Portland Adaptability Inventory-4 - Sad, blue, hopeless, poor appetite, poor sleep, worry, self-criticism.MPAI-4 - Adjustment: Depression
MPAI115C115866MPAI1-Irritablity, Anger, AggressionMayo-Portland Adaptability Inventory-4 - Verbal or physical expressions of anger.MPAI-4 - Adjustment: Irritability, Anger, Aggression
MPAI116C115867MPAI1-Pain and HeadacheMayo-Portland Adaptability Inventory-4 - Verbal and nonverbal expressions of pain; activities limited by pain.MPAI-4 - Adjustment: Pain and Headache
MPAI117C115868MPAI1-FatigueMayo-Portland Adaptability Inventory-4 - Feeling tired; lack of energy; tiring easily.MPAI-4 - Adjustment: Fatigue
MPAI118C115869MPAI1-Sensitivity to Mild SymptomsMayo-Portland Adaptability Inventory-4 - Focusing on thinking, physical or emotional problems attributed to brain injury; rate only how concern or worry about these symptoms affects current functioning over and above the effects of the symptoms themselves.MPAI-4 - Adjustment: Sensitivity to Mild Symptoms
MPAI119C115870MPAI1-Inappropriate Social InteractionMayo-Portland Adaptability Inventory-4 - Acting childish, silly, rude, behavior not fitting for time and place.MPAI-4 - Adjustment: Inappropriate Social Interaction
MPAI120C115871MPAI1-Impaired Self-AwarenessMayo-Portland Adaptability Inventory-4 - Lack of recognition of personal limitations and disabilities and how they interfere with everyday activities and work or school.MPAI-4 - Adjustment: Impaired Self-Awareness
MPAI121C115872MPAI1-Family/Significant RelationshipsMayo-Portland Adaptability Inventory-4 - Interactions with close others; describe stress within the family or those closest to the person with brain injury; 'family functioning' means cooperating to accomplish those tasks that need to be done to keep the household running.MPAI-4 - Adjustment: Family or Significant Relationships
MPAI122C115873MPAI1-InitiationMayo-Portland Adaptability Inventory-4 - Problems getting started on activities without prompting.MPAI-4 - Participation: Initiation
MPAI123C115874MPAI1-Social Contact-Friends/CoworkersMayo-Portland Adaptability Inventory-4 - Social contact with friends, work associates, and other people who are not family, significant others, or professionals.MPAI-4 - Participation: Social Contact with Fiends, Work Associates and Others
MPAI124C115875MPAI1-Leisure and Recreation ActivitiesMayo-Portland Adaptability Inventory-4 - Leisure and recreational activities.MPAI-4 - Participation: Leisure and Recreational Activities
MPAI125C115876MPAI1-Self-CareMayo-Portland Adaptability Inventory-4 - Eating, dressing, bathing, hygiene.MPAI-4 - Participation: Self-Care
MPAI126C115877MPAI1-ResidenceMayo-Portland Adaptability Inventory-4 - Responsibilities of independent living and homemaking (such as meal preparation, home repairs and maintenance, personal health maintenance beyond basic hygiene including medication management) but not including managing money.MPAI-4 - Participation: Residence
MPAI127C115878MPAI1-TransportationMayo-Portland Adaptability Inventory-4 - Transportation.MPAI-4 - Participation: Transportation
MPAI128AC115879MPAI1-Paid EmploymentMayo-Portland Adaptability Inventory-4 - Hours per week at paid employment when primary desired social role is paid employment. 'Support' means special help from another person with responsibilities (such as, a job coach or shadow, tutor, helper) or reduced responsibilities. Modifications to the physical environment that facilitate employment are not considered as support.MPAI-4 - Participation: Paid Employment
MPAI128BC115880MPAI1-Other EmploymentMayo-Portland Adaptability Inventory-4 - Hours per week involved in constructive, role-appropriate activity other than paid employment when primary desired social role is not paid employment. 'Support' means special help from another person with responsibilities (such as, a job coach or shadow, tutor, helper) or reduced responsibilities. Modifications to the physical environment that facilitate employment are not considered as support.MPAI-4 - Participation: Other Employment
MPAI128CC115881MPAI1-Other Employment-Social RoleMayo-Portland Adaptability Inventory-4 - Primary social role when paid employment is not primary desired social role.MPAI-4 - Participation: Other Employment-Social Role
MPAI129C115882MPAI1-Managing Money and FinancesMayo-Portland Adaptability Inventory-4 - Shopping, keeping a check book or other bank account, managing personal income and investments.MPAI-4 - Participation: Managing Money and Finances
MPAI130AC115883MPAI1-Alcohol Use-Pre-InjuryMayo-Portland Adaptability Inventory-4 - Pre-injury use of alcoholic beverages.MPAI-4 - Alcohol Use Pre-Injury
MPAI130BC115884MPAI1-Alcohol Use-Post-InjuryMayo-Portland Adaptability Inventory-4 - Post-injury use of alcoholic beverages.MPAI-4 - Alcohol Use Post-Injury
MPAI131AC115885MPAI1-Drug Use-Pre-InjuryMayo-Portland Adaptability Inventory-4 - Pre-injury use of illegal drugs or abuse of prescription drugs.MPAI-4 - Drug Use Pre-Injury
MPAI131BC115886MPAI1-Drug Use-Post-InjuryMayo-Portland Adaptability Inventory-4 - Post-injury use of illegal drugs or abuse of prescription drugs.MPAI-4 - Drug Use Post-Injury
MPAI132AC115887MPAI1-Psychotic Symptoms-Pre-InjuryMayo-Portland Adaptability Inventory-4 - Pre-injury hallucinations, delusions, other persistent severely distorted perceptions of reality.MPAI-4 - Psychotic Symptoms Pre-Injury
MPAI132BC115888MPAI1-Psychotic Symptoms-Post-InjuryMayo-Portland Adaptability Inventory-4 - Post-injury hallucinations, delusions, other persistent severely distorted perceptions of reality.MPAI-4 - Psychotic Symptoms Post-Injury
MPAI133AC115889MPAI1-Law Violations-Pre-InjuryMayo-Portland Adaptability Inventory-4 - Pre-injury history before and after injury.MPAI-4 - Law Violations Pre-Injury
MPAI133BC115890MPAI1-Law Violations-Post-InjuryMayo-Portland Adaptability Inventory-4 - Post-injury history before and after injury.MPAI-4 - Law Violations Post-Injury
MPAI134AC115891MPAI1-Other Physical Cond-Pre-InjuryMayo-Portland Adaptability Inventory-4 - Pre-injury physical disability due to medical conditions other than brain injury, such as, spinal cord injury, amputation.MPAI-4 - Other Condition Causing Physical Impairment Pre-Injury
MPAI134BC115892MPAI1-Other Physical Cond-Post-InjuryMayo-Portland Adaptability Inventory-4 - Post-injury physical disability due to medical conditions other than brain injury, such as, spinal cord injury, amputation.MPAI-4 - Other Condition Causing Physical Impairment Post-Injury
MPAI135AC115893MPAI1-Other Cognitive Cond-Pre-InjuryMayo-Portland Adaptability Inventory-4 - Pre-injury cognitive disability due to nonpsychiatric medical conditions other than brain injury, such as, dementia, stroke, developmental disability.MPAI-4 - Other Condition Causing Cognitive Impairment Pre-Injury
MPAI135BC115894MPAI1-Other Cognitive Cond-Post-InjuryMayo-Portland Adaptability Inventory-4 - Post-injury cognitive disability due to nonpsychiatric medical conditions other than brain injury, such as, dementia, stroke, developmental disability.MPAI-4 - Other Condition Causing Cognitive Impairment Post-Injury
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CL.C115405.MPAI1TNMayo-Portland Adaptability Inventory-4 Questionnaire Test Name
(MPAI1TN)
text
Extensible: No
C115405Mayo-Portland Adaptability Inventory-4 Questionnaire Test NameMayo-Portland Adaptability Inventory-4 test name.CDISC Questionnaire MPAI-4 Test Name Terminology
MPAI1-Alcohol Use-Post-InjuryC115884MPAI1-Alcohol Use-Post-InjuryMayo-Portland Adaptability Inventory-4 - Post-injury use of alcoholic beverages.MPAI-4 - Alcohol Use Post-Injury
MPAI1-Alcohol Use-Pre-InjuryC115883MPAI1-Alcohol Use-Pre-InjuryMayo-Portland Adaptability Inventory-4 - Pre-injury use of alcoholic beverages.MPAI-4 - Alcohol Use Pre-Injury
MPAI1-AnxietyC115864MPAI1-AnxietyMayo-Portland Adaptability Inventory-4 - Tense, nervous, fearful, phobias, nightmares, flashbacks of stressful events.MPAI-4 - Adjustment: Anxiety
MPAI1-Attention/ConcentrationC115859MPAI1-Attention/ConcentrationMayo-Portland Adaptability Inventory-4 - Problems ignoring distractions, shifting attention, keeping more than one thing in mind at a time.MPAI-4 - Abilities: Attention or Concentration
MPAI1-AuditionC115854MPAI1-AuditionMayo-Portland Adaptability Inventory-4 - Problems hearing; ringing in the ears.MPAI-4 - Abilities: Audition
MPAI1-DepressionC115865MPAI1-DepressionMayo-Portland Adaptability Inventory-4 - Sad, blue, hopeless, poor appetite, poor sleep, worry, self-criticism.MPAI-4 - Adjustment: Depression
MPAI1-DizzinessC115855MPAI1-DizzinessMayo-Portland Adaptability Inventory-4 - Feeling unsteady, dizzy, light-headed.MPAI-4 - Abilities: Dizziness
MPAI1-Drug Use-Post-InjuryC115886MPAI1-Drug Use-Post-InjuryMayo-Portland Adaptability Inventory-4 - Post-injury use of illegal drugs or abuse of prescription drugs.MPAI-4 - Drug Use Post-Injury
MPAI1-Drug Use-Pre-InjuryC115885MPAI1-Drug Use-Pre-InjuryMayo-Portland Adaptability Inventory-4 - Pre-injury use of illegal drugs or abuse of prescription drugs.MPAI-4 - Drug Use Pre-Injury
MPAI1-Family/Significant RelationshipsC115872MPAI1-Family/Significant RelationshipsMayo-Portland Adaptability Inventory-4 - Interactions with close others; describe stress within the family or those closest to the person with brain injury; 'family functioning' means cooperating to accomplish those tasks that need to be done to keep the household running.MPAI-4 - Adjustment: Family or Significant Relationships
MPAI1-FatigueC115868MPAI1-FatigueMayo-Portland Adaptability Inventory-4 - Feeling tired; lack of energy; tiring easily.MPAI-4 - Adjustment: Fatigue
MPAI1-Fund of InformationC115861MPAI1-Fund of InformationMayo-Portland Adaptability Inventory-4 - Problems remembering information learned in school or on the job; difficulty remembering information about self and family from years ago.MPAI-4 - Abilities: Fund of Information
MPAI1-Impaired Self-AwarenessC115871MPAI1-Impaired Self-AwarenessMayo-Portland Adaptability Inventory-4 - Lack of recognition of personal limitations and disabilities and how they interfere with everyday activities and work or school.MPAI-4 - Adjustment: Impaired Self-Awareness
MPAI1-Inappropriate Social InteractionC115870MPAI1-Inappropriate Social InteractionMayo-Portland Adaptability Inventory-4 - Acting childish, silly, rude, behavior not fitting for time and place.MPAI-4 - Adjustment: Inappropriate Social Interaction
MPAI1-InitiationC115873MPAI1-InitiationMayo-Portland Adaptability Inventory-4 - Problems getting started on activities without prompting.MPAI-4 - Participation: Initiation
MPAI1-Irritablity, Anger, AggressionC115866MPAI1-Irritablity, Anger, AggressionMayo-Portland Adaptability Inventory-4 - Verbal or physical expressions of anger.MPAI-4 - Adjustment: Irritability, Anger, Aggression
MPAI1-Law Violations-Post-InjuryC115890MPAI1-Law Violations-Post-InjuryMayo-Portland Adaptability Inventory-4 - Post-injury history before and after injury.MPAI-4 - Law Violations Post-Injury
MPAI1-Law Violations-Pre-InjuryC115889MPAI1-Law Violations-Pre-InjuryMayo-Portland Adaptability Inventory-4 - Pre-injury history before and after injury.MPAI-4 - Law Violations Pre-Injury
MPAI1-Leisure and Recreation ActivitiesC115875MPAI1-Leisure and Recreation ActivitiesMayo-Portland Adaptability Inventory-4 - Leisure and recreational activities.MPAI-4 - Participation: Leisure and Recreational Activities
MPAI1-Managing Money and FinancesC115882MPAI1-Managing Money and FinancesMayo-Portland Adaptability Inventory-4 - Shopping, keeping a check book or other bank account, managing personal income and investments.MPAI-4 - Participation: Managing Money and Finances
MPAI1-MemoryC115860MPAI1-MemoryMayo-Portland Adaptability Inventory-4 - Problems learning and recalling new information.MPAI-4 - Abilities: Memory
MPAI1-MobilityC115851MPAI1-MobilityMayo-Portland Adaptability Inventory-4 - Problems walking or moving; balance problems that interfere with moving about.MPAI-4 - Abilities: Mobility
MPAI1-Motor SpeechC115856MPAI1-Motor SpeechMayo-Portland Adaptability Inventory-4 - Abnormal clearness or rate of speech; stuttering.MPAI-4 - Abilities: Motor Speech
MPAI1-Nonverbal CommunicationC115858MPAI1-Nonverbal CommunicationMayo-Portland Adaptability Inventory-4 - Restricted or unusual gestures or facial expressions; talking too much or not enough; missing nonverbal cues from others.MPAI-4 - Abilities: Nonverbal Communication
MPAI1-Novel Problem-SolvingC115862MPAI1-Novel Problem-SolvingMayo-Portland Adaptability Inventory-4 - Problems thinking up solutions or picking the best solution to new problems.MPAI-4 - Abilities: Novel Problem-Solving
MPAI1-Other Cognitive Cond-Post-InjuryC115894MPAI1-Other Cognitive Cond-Post-InjuryMayo-Portland Adaptability Inventory-4 - Post-injury cognitive disability due to nonpsychiatric medical conditions other than brain injury, such as, dementia, stroke, developmental disability.MPAI-4 - Other Condition Causing Cognitive Impairment Post-Injury
MPAI1-Other Cognitive Cond-Pre-InjuryC115893MPAI1-Other Cognitive Cond-Pre-InjuryMayo-Portland Adaptability Inventory-4 - Pre-injury cognitive disability due to nonpsychiatric medical conditions other than brain injury, such as, dementia, stroke, developmental disability.MPAI-4 - Other Condition Causing Cognitive Impairment Pre-Injury
MPAI1-Other EmploymentC115880MPAI1-Other EmploymentMayo-Portland Adaptability Inventory-4 - Hours per week involved in constructive, role-appropriate activity other than paid employment when primary desired social role is not paid employment. 'Support' means special help from another person with responsibilities (such as, a job coach or shadow, tutor, helper) or reduced responsibilities. Modifications to the physical environment that facilitate employment are not considered as support.MPAI-4 - Participation: Other Employment
MPAI1-Other Employment-Social RoleC115881MPAI1-Other Employment-Social RoleMayo-Portland Adaptability Inventory-4 - Primary social role when paid employment is not primary desired social role.MPAI-4 - Participation: Other Employment-Social Role
MPAI1-Other Physical Cond-Post-InjuryC115892MPAI1-Other Physical Cond-Post-InjuryMayo-Portland Adaptability Inventory-4 - Post-injury physical disability due to medical conditions other than brain injury, such as, spinal cord injury, amputation.MPAI-4 - Other Condition Causing Physical Impairment Post-Injury
MPAI1-Other Physical Cond-Pre-InjuryC115891MPAI1-Other Physical Cond-Pre-InjuryMayo-Portland Adaptability Inventory-4 - Pre-injury physical disability due to medical conditions other than brain injury, such as, spinal cord injury, amputation.MPAI-4 - Other Condition Causing Physical Impairment Pre-Injury
MPAI1-Paid EmploymentC115879MPAI1-Paid EmploymentMayo-Portland Adaptability Inventory-4 - Hours per week at paid employment when primary desired social role is paid employment. 'Support' means special help from another person with responsibilities (such as, a job coach or shadow, tutor, helper) or reduced responsibilities. Modifications to the physical environment that facilitate employment are not considered as support.MPAI-4 - Participation: Paid Employment
MPAI1-Pain and HeadacheC115867MPAI1-Pain and HeadacheMayo-Portland Adaptability Inventory-4 - Verbal and nonverbal expressions of pain; activities limited by pain.MPAI-4 - Adjustment: Pain and Headache
MPAI1-Psychotic Symptoms-Post-InjuryC115888MPAI1-Psychotic Symptoms-Post-InjuryMayo-Portland Adaptability Inventory-4 - Post-injury hallucinations, delusions, other persistent severely distorted perceptions of reality.MPAI-4 - Psychotic Symptoms Post-Injury
MPAI1-Psychotic Symptoms-Pre-InjuryC115887MPAI1-Psychotic Symptoms-Pre-InjuryMayo-Portland Adaptability Inventory-4 - Pre-injury hallucinations, delusions, other persistent severely distorted perceptions of reality.MPAI-4 - Psychotic Symptoms Pre-Injury
MPAI1-ResidenceC115877MPAI1-ResidenceMayo-Portland Adaptability Inventory-4 - Responsibilities of independent living and homemaking (such as meal preparation, home repairs and maintenance, personal health maintenance beyond basic hygiene including medication management) but not including managing money.MPAI-4 - Participation: Residence
MPAI1-Self-CareC115876MPAI1-Self-CareMayo-Portland Adaptability Inventory-4 - Eating, dressing, bathing, hygiene.MPAI-4 - Participation: Self-Care
MPAI1-Sensitivity to Mild SymptomsC115869MPAI1-Sensitivity to Mild SymptomsMayo-Portland Adaptability Inventory-4 - Focusing on thinking, physical or emotional problems attributed to brain injury; rate only how concern or worry about these symptoms affects current functioning over and above the effects of the symptoms themselves.MPAI-4 - Adjustment: Sensitivity to Mild Symptoms
MPAI1-Social Contact-Friends/CoworkersC115874MPAI1-Social Contact-Friends/CoworkersMayo-Portland Adaptability Inventory-4 - Social contact with friends, work associates, and other people who are not family, significant others, or professionals.MPAI-4 - Participation: Social Contact with Fiends, Work Associates and Others
MPAI1-TransportationC115878MPAI1-TransportationMayo-Portland Adaptability Inventory-4 - Transportation.MPAI-4 - Participation: Transportation
MPAI1-Use of HandsC115852MPAI1-Use of HandsMayo-Portland Adaptability Inventory-4 - Impaired strength or coordination in one or both hands.MPAI-4 - Abilities: Use of Hands
MPAI1-Verbal CommunicationC115857MPAI1-Verbal CommunicationMayo-Portland Adaptability Inventory-4 - Problems expressing or understanding language.MPAI-4 - Abilities: Verbal Communication
MPAI1-VisionC115853MPAI1-VisionMayo-Portland Adaptability Inventory-4 - Problems seeing; double vision; eye, brain, or nerve injuries that interfere with seeing.MPAI-4 - Abilities: Vision
MPAI1-Visuospatial AbilitiesC115863MPAI1-Visuospatial AbilitiesMayo-Portland Adaptability Inventory-4 - Problems drawing, assembling things, route-finding, being visually aware on both the left and right sides.MPAI-4 - Abilities: Visuospatial Abilities
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CL.C100152.MNSI1TCMichigan Neuropathy Screening Instrument Questionnaire Test Code
(MNSI1TC)
text
Extensible: No
C100152Michigan Neuropathy Screening Instrument Questionnaire Test CodeMichigan Neuropathy Screening Instrument test code.CDISC Questionnaire MNSI Test Code Terminology
MNSI101C100587MNSI1-Are Your Legs and/or Feet NumbMichigan Neuropathy Screening Instrument - History: Are your legs and/or feet numb?MNSI - Legs and/or Feet Numb
MNSI102C100588MNSI1-Ever Have Burning Pain Legs/FeetMichigan Neuropathy Screening Instrument - History: Do you ever have any burning pain in your legs and/or feet?MNSI - Burning Pain Legs/Feet
MNSI103C100589MNSI1-Are Feet Too Sensitive to TouchMichigan Neuropathy Screening Instrument - History: Are your feet too sensitive to touch?MNSI - Feet Too Sensitive to Touch
MNSI104C100590MNSI1-Get Muscle Cramps Legs/FeetMichigan Neuropathy Screening Instrument - History: Do you get muscle cramps in your legs and/or feet?MNSI - Muscle Cramps Legs/Feet
MNSI105C100591MNSI1-Ever Prickling Feelings Legs/FeetMichigan Neuropathy Screening Instrument - History: Do you ever have any prickling feelings in your legs or feet?MNSI - Prickling Feelings Legs/Feet
MNSI106C100592MNSI1-Hurt When Bed Covers Touch SkinMichigan Neuropathy Screening Instrument - History: Does it hurt when the bed covers touch your skin?MNSI - Hurt When Bed Covers Touch Skin
MNSI107C100593MNSI1-Able to Tell Hot from Cold WaterMichigan Neuropathy Screening Instrument - History: When you get into the tub or shower, are you able to tell the hot water from the cold water?MNSI - Able to Tell Hot from Cold Water
MNSI108C100594MNSI1-Ever Had Open Sore on FootMichigan Neuropathy Screening Instrument - History: Have you ever had an open sore on your foot?MNSI - Open Sore on Foot
MNSI109C100595MNSI1-Doctor Says Diabetic NeuropathyMichigan Neuropathy Screening Instrument - History: Has your doctor ever told you that you have diabetic neuropathy?MNSI - Doctor Says Diabetic Neuropathy
MNSI110C100596MNSI1-Feel Weak All Over Most TimesMichigan Neuropathy Screening Instrument - History: Do you feel weak all over most of the time?MNSI - Feel Weak All Over Most Times
MNSI111C100597MNSI1-Symptoms Worse at NightMichigan Neuropathy Screening Instrument - History: Are your symptoms worse at night?MNSI - Symptoms Worse at Night
MNSI112C100598MNSI1-Legs Hurt When WalkingMichigan Neuropathy Screening Instrument - History: Do your legs hurt when you walk?MNSI - Legs Hurt When Walking
MNSI113C100599MNSI1-Able to Sense Feet When WalkingMichigan Neuropathy Screening Instrument - History: Are you able to sense your feet when you walk?MNSI - Able to Sense Feet When Walking
MNSI114C100600MNSI1-Skin So Dry That Feet Crack OpenMichigan Neuropathy Screening Instrument - History: Is the skin on your feet so dry that it cracks open?MNSI - Skin So Dry That Feet Crack Open
MNSI115C100601MNSI1-Ever Had AmputationMichigan Neuropathy Screening Instrument - History: Have you ever had an amputation?MNSI - Ever Had Amputation
MNSI116C100602MNSI1-TotalMichigan Neuropathy Screening Instrument - History: Total.MNSI - History Total
MNSI117C100603MNSI1-Right Foot Appears NormalMichigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - normal.MNSI - Right Foot Appears Normal
MNSI118C100604MNSI1-Right Foot DeformitiesMichigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - deformities.MNSI - Right Foot Deformities
MNSI119C101019MNSI1-Right Foot Dry Skin, CallusMichigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - dry skin, callus.MNSI - Right Foot Dry Skin, Callus
MNSI120C100605MNSI1-Right Foot InfectionMichigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - infection.MNSI - Right Foot Infection
MNSI121C100606MNSI1-Right Foot FissureMichigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - fissure.MNSI - Right Foot Fissure
MNSI122C100607MNSI1-Right Foot Other Abnormal SpecifyMichigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - other, specify.MNSI - Right Foot Other Abnormal Specify
MNSI123C100608MNSI1-Left Foot Appears NormalMichigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - normal.MNSI - Left Foot Appears Normal
MNSI124C100609MNSI1-Left Foot DeformitiesMichigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - deformities.MNSI - Left Foot Deformities
MNSI125C101020MNSI1-Left Foot Dry Skin, CallusMichigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - dry skin, callus.MNSI - Left Foot Dry Skin, Callus
MNSI126C100610MNSI1-Left Foot InfectionMichigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - infection.MNSI - Left Foot Infection
MNSI127C100611MNSI1-Left Foot FissureMichigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - fissure.MNSI - Left Foot Fissure
MNSI128C100612MNSI1-Left Foot Other Abnormal SpecifyMichigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - other, specify.MNSI - Left Foot Other Abnormal Specify
MNSI129C100613MNSI1-Right Foot UlcerationMichigan Neuropathy Screening Instrument - Physical Assessment: Right foot - ulceration.MNSI - Right Foot Ulceration
MNSI130C100614MNSI1-Left Foot UlcerationMichigan Neuropathy Screening Instrument - Physical Assessment: Left foot - ulceration.MNSI - Left Foot Ulceration
MNSI131C100615MNSI1-Right Ankle ReflexesMichigan Neuropathy Screening Instrument - Physical Assessment: Right ankle reflexes.MNSI - Right Ankle Reflexes
MNSI132C100616MNSI1-Left Ankle ReflexesMichigan Neuropathy Screening Instrument - Physical Assessment: Left ankle reflexes.MNSI - Left Ankle Reflexes
MNSI133C100617MNSI1-Right Foot Vibration Great ToeMichigan Neuropathy Screening Instrument - Physical Assessment: Right foot - vibration perception at great toe.MNSI - Right Foot Vibration Great Toe
MNSI134C100618MNSI1-Left Foot Vibration Great ToeMichigan Neuropathy Screening Instrument - Physical Assessment: Left foot - vibration perception at great toe.MNSI - Left Foot Vibration Great Toe
MNSI135C100619MNSI1-Right Foot MonofilamentMichigan Neuropathy Screening Instrument - Physical Assessment: Right foot - monofilament.MNSI - Right Foot Monofilament
MNSI136C100620MNSI1-Left Foot MonofilamentMichigan Neuropathy Screening Instrument - Physical Assessment: Left foot - monofilament.MNSI - Left Foot Monofilament
MNSI137C100621MNSI1-Total ScoreMichigan Neuropathy Screening Instrument - Physical Assessment: Total Score.MNSI - Physical Assessment Total Score
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CL.C100151.MNSI1TNMichigan Neuropathy Screening Instrument Questionnaire Test Name
(MNSI1TN)
text
Extensible: No
C100151Michigan Neuropathy Screening Instrument Questionnaire Test NameMichigan Neuropathy Screening Instrument test name.CDISC Questionnaire MNSI Test Name Terminology
MNSI1-Able to Sense Feet When WalkingC100599MNSI1-Able to Sense Feet When WalkingMichigan Neuropathy Screening Instrument - History: Are you able to sense your feet when you walk?MNSI - Able to Sense Feet When Walking
MNSI1-Able to Tell Hot from Cold WaterC100593MNSI1-Able to Tell Hot from Cold WaterMichigan Neuropathy Screening Instrument - History: When you get into the tub or shower, are you able to tell the hot water from the cold water?MNSI - Able to Tell Hot from Cold Water
MNSI1-Are Feet Too Sensitive to TouchC100589MNSI1-Are Feet Too Sensitive to TouchMichigan Neuropathy Screening Instrument - History: Are your feet too sensitive to touch?MNSI - Feet Too Sensitive to Touch
MNSI1-Are Your Legs and/or Feet NumbC100587MNSI1-Are Your Legs and/or Feet NumbMichigan Neuropathy Screening Instrument - History: Are your legs and/or feet numb?MNSI - Legs and/or Feet Numb
MNSI1-Doctor Says Diabetic NeuropathyC100595MNSI1-Doctor Says Diabetic NeuropathyMichigan Neuropathy Screening Instrument - History: Has your doctor ever told you that you have diabetic neuropathy?MNSI - Doctor Says Diabetic Neuropathy
MNSI1-Ever Had AmputationC100601MNSI1-Ever Had AmputationMichigan Neuropathy Screening Instrument - History: Have you ever had an amputation?MNSI - Ever Had Amputation
MNSI1-Ever Had Open Sore on FootC100594MNSI1-Ever Had Open Sore on FootMichigan Neuropathy Screening Instrument - History: Have you ever had an open sore on your foot?MNSI - Open Sore on Foot
MNSI1-Ever Have Burning Pain Legs/FeetC100588MNSI1-Ever Have Burning Pain Legs/FeetMichigan Neuropathy Screening Instrument - History: Do you ever have any burning pain in your legs and/or feet?MNSI - Burning Pain Legs/Feet
MNSI1-Ever Prickling Feelings Legs/FeetC100591MNSI1-Ever Prickling Feelings Legs/FeetMichigan Neuropathy Screening Instrument - History: Do you ever have any prickling feelings in your legs or feet?MNSI - Prickling Feelings Legs/Feet
MNSI1-Feel Weak All Over Most TimesC100596MNSI1-Feel Weak All Over Most TimesMichigan Neuropathy Screening Instrument - History: Do you feel weak all over most of the time?MNSI - Feel Weak All Over Most Times
MNSI1-Get Muscle Cramps Legs/FeetC100590MNSI1-Get Muscle Cramps Legs/FeetMichigan Neuropathy Screening Instrument - History: Do you get muscle cramps in your legs and/or feet?MNSI - Muscle Cramps Legs/Feet
MNSI1-Hurt When Bed Covers Touch SkinC100592MNSI1-Hurt When Bed Covers Touch SkinMichigan Neuropathy Screening Instrument - History: Does it hurt when the bed covers touch your skin?MNSI - Hurt When Bed Covers Touch Skin
MNSI1-Left Ankle ReflexesC100616MNSI1-Left Ankle ReflexesMichigan Neuropathy Screening Instrument - Physical Assessment: Left ankle reflexes.MNSI - Left Ankle Reflexes
MNSI1-Left Foot Appears NormalC100608MNSI1-Left Foot Appears NormalMichigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - normal.MNSI - Left Foot Appears Normal
MNSI1-Left Foot DeformitiesC100609MNSI1-Left Foot DeformitiesMichigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - deformities.MNSI - Left Foot Deformities
MNSI1-Left Foot Dry Skin, CallusC101020MNSI1-Left Foot Dry Skin, CallusMichigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - dry skin, callus.MNSI - Left Foot Dry Skin, Callus
MNSI1-Left Foot FissureC100611MNSI1-Left Foot FissureMichigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - fissure.MNSI - Left Foot Fissure
MNSI1-Left Foot InfectionC100610MNSI1-Left Foot InfectionMichigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - infection.MNSI - Left Foot Infection
MNSI1-Left Foot MonofilamentC100620MNSI1-Left Foot MonofilamentMichigan Neuropathy Screening Instrument - Physical Assessment: Left foot - monofilament.MNSI - Left Foot Monofilament
MNSI1-Left Foot Other Abnormal SpecifyC100612MNSI1-Left Foot Other Abnormal SpecifyMichigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - other, specify.MNSI - Left Foot Other Abnormal Specify
MNSI1-Left Foot UlcerationC100614MNSI1-Left Foot UlcerationMichigan Neuropathy Screening Instrument - Physical Assessment: Left foot - ulceration.MNSI - Left Foot Ulceration
MNSI1-Left Foot Vibration Great ToeC100618MNSI1-Left Foot Vibration Great ToeMichigan Neuropathy Screening Instrument - Physical Assessment: Left foot - vibration perception at great toe.MNSI - Left Foot Vibration Great Toe
MNSI1-Legs Hurt When WalkingC100598MNSI1-Legs Hurt When WalkingMichigan Neuropathy Screening Instrument - History: Do your legs hurt when you walk?MNSI - Legs Hurt When Walking
MNSI1-Right Ankle ReflexesC100615MNSI1-Right Ankle ReflexesMichigan Neuropathy Screening Instrument - Physical Assessment: Right ankle reflexes.MNSI - Right Ankle Reflexes
MNSI1-Right Foot Appears NormalC100603MNSI1-Right Foot Appears NormalMichigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - normal.MNSI - Right Foot Appears Normal
MNSI1-Right Foot DeformitiesC100604MNSI1-Right Foot DeformitiesMichigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - deformities.MNSI - Right Foot Deformities
MNSI1-Right Foot Dry Skin, CallusC101019MNSI1-Right Foot Dry Skin, CallusMichigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - dry skin, callus.MNSI - Right Foot Dry Skin, Callus
MNSI1-Right Foot FissureC100606MNSI1-Right Foot FissureMichigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - fissure.MNSI - Right Foot Fissure
MNSI1-Right Foot InfectionC100605MNSI1-Right Foot InfectionMichigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - infection.MNSI - Right Foot Infection
MNSI1-Right Foot MonofilamentC100619MNSI1-Right Foot MonofilamentMichigan Neuropathy Screening Instrument - Physical Assessment: Right foot - monofilament.MNSI - Right Foot Monofilament
MNSI1-Right Foot Other Abnormal SpecifyC100607MNSI1-Right Foot Other Abnormal SpecifyMichigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - other, specify.MNSI - Right Foot Other Abnormal Specify
MNSI1-Right Foot UlcerationC100613MNSI1-Right Foot UlcerationMichigan Neuropathy Screening Instrument - Physical Assessment: Right foot - ulceration.MNSI - Right Foot Ulceration
MNSI1-Right Foot Vibration Great ToeC100617MNSI1-Right Foot Vibration Great ToeMichigan Neuropathy Screening Instrument - Physical Assessment: Right foot - vibration perception at great toe.MNSI - Right Foot Vibration Great Toe
MNSI1-Skin So Dry That Feet Crack OpenC100600MNSI1-Skin So Dry That Feet Crack OpenMichigan Neuropathy Screening Instrument - History: Is the skin on your feet so dry that it cracks open?MNSI - Skin So Dry That Feet Crack Open
MNSI1-Symptoms Worse at NightC100597MNSI1-Symptoms Worse at NightMichigan Neuropathy Screening Instrument - History: Are your symptoms worse at night?MNSI - Symptoms Worse at Night
MNSI1-Total ScoreC100621MNSI1-Total ScoreMichigan Neuropathy Screening Instrument - Physical Assessment: Total Score.MNSI - Physical Assessment Total Score
MNSI1-TotalC100602MNSI1-TotalMichigan Neuropathy Screening Instrument - History: Total.MNSI - History Total
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CL.C150770.MMS2TCMini-Mental State Examination 2 Standard Version Functional Test Test Code
(MMS2TC)
text
Extensible: No
C150770Mini-Mental State Examination 2 Standard Version Functional Test Test CodeMini-Mental State Examination 2 Standard Version test code.CDISC Functional Test MMSE-2 Standard Version Test Code Terminology
MMS201AC150994MMS2-Repeat Word 1Mini-Mental State Examination 2 Standard Version - Now repeat those words back to me: Word 1.MMSE-2 Standard Version - Repeat Word 1
MMS201BC150995MMS2-Repeat Word 2Mini-Mental State Examination 2 Standard Version - Now repeat those words back to me: Word 2.MMSE-2 Standard Version - Repeat Word 2
MMS201CC150996MMS2-Repeat Word 3Mini-Mental State Examination 2 Standard Version - Now repeat those words back to me: Word 3.MMSE-2 Standard Version - Repeat Word 3
MMS202AC150997MMS2-What Is the YearMini-Mental State Examination 2 Standard Version - What is the year?MMSE-2 Standard Version - What Is the Year
MMS202BC150998MMS2-What Is the SeasonMini-Mental State Examination 2 Standard Version - What is the season?MMSE-2 Standard Version - What Is the Season
MMS202CC150999MMS2-What Is the Month of YearMini-Mental State Examination 2 Standard Version - What is the month of the year?MMSE-2 Standard Version - What Is the Month of Year
MMS202DC151000MMS2-What Is the Day of WeekMini-Mental State Examination 2 Standard Version - What is the day of the week?MMSE-2 Standard Version - What Is the Day of Week
MMS202EC151001MMS2-What Is the DateMini-Mental State Examination 2 Standard Version - What is the date?MMSE-2 Standard Version - What Is the Date
MMS203AC151002MMS2-What Is the StateMini-Mental State Examination 2 Standard Version - Where are we now? What is the state (or province)?MMSE-2 Standard Version - What Is the State
MMS203BC151003MMS2-What Is the CountyMini-Mental State Examination 2 Standard Version - Where are we now? What is the county (or city/town)?MMSE-2 Standard Version - What Is the County
MMS203CC151004MMS2-What Is the City/TownMini-Mental State Examination 2 Standard Version - Where are we now? What is the city/town (or part of city/neighborhood)?MMSE-2 Standard Version - What Is the City/Town
MMS203DC151005MMS2-What Is the BuildingMini-Mental State Examination 2 Standard Version - Where are we now? What is the building (name or type)?MMSE-2 Standard Version - What Is the Building
MMS203EC151006MMS2-What Is the FloorMini-Mental State Examination 2 Standard Version - Where are we now? What is the floor of the building (room number or address)?MMSE-2 Standard Version - What Is the Floor
MMS204AC151007MMS2-Recall Word 1Mini-Mental State Examination 2 Standard Version - What were those three words I asked you to remember: Word 1?MMSE-2 Standard Version - Recall Word 1
MMS204BC151008MMS2-Recall Word 2Mini-Mental State Examination 2 Standard Version - What were those three words I asked you to remember: Word 2?MMSE-2 Standard Version - Recall Word 2
MMS204CC151009MMS2-Recall Word 3Mini-Mental State Examination 2 Standard Version - What were those three words I asked you to remember: Word 3?MMSE-2 Standard Version - Recall Word 3
MMS205AC151010MMS2-What is 100 Take Away 7Mini-Mental State Examination 2 Standard Version - What is 100 take away 7 [93]?MMSE-2 Standard Version - What is 100 Take Away 7
MMS205BC151011MMS2-Keep Subtracting 7 Step 2Mini-Mental State Examination 2 Standard Version - Keep going [86].MMSE-2 Standard Version - Keep Subtracting 7 Step 2
MMS205CC151012MMS2-Keep Subtracting 7 Step 3Mini-Mental State Examination 2 Standard Version - Keep going [79].MMSE-2 Standard Version - Keep Subtracting 7 Step 3
MMS205DC151013MMS2-Keep Subtracting 7 Step 4Mini-Mental State Examination 2 Standard Version - Keep going [72].MMSE-2 Standard Version - Keep Subtracting 7 Step 4
MMS205EC151014MMS2-Keep Subtracting 7 Step 5Mini-Mental State Examination 2 Standard Version - Keep going [65].MMSE-2 Standard Version - Keep Subtracting 7 Step 5
MMS206AC151015MMS2-Naming Object 1Mini-Mental State Examination 2 Standard Version - What is this: Object 1?MMSE-2 Standard Version - Naming Object 1
MMS206BC151016MMS2-Naming Object 2Mini-Mental State Examination 2 Standard Version - What is this: Object 2?MMSE-2 Standard Version - Naming Object 2
MMS207C151017MMS2-Repeat What I SayMini-Mental State Examination 2 Standard Version - Now I am going to ask you to repeat what I say. Ready? "It is a lovely, sunny day but too warm." Now you say that.MMSE-2 Standard Version - Repeat What I Say
MMS208AC151018MMS2-Point to the CircleMini-Mental State Examination 2 Standard Version - Look at these pictures and point to the circle.MMSE-2 Standard Version - Point to the Circle
MMS208BC151019MMS2-Point to the SquareMini-Mental State Examination 2 Standard Version - Then point to the square.MMSE-2 Standard Version - Point to the Square
MMS208CC151020MMS2-Point to the TriangleMini-Mental State Examination 2 Standard Version - Then point to the triangle.MMSE-2 Standard Version - Point to the Triangle
MMS209C151021MMS2-Do What This Says to DoMini-Mental State Examination 2 Standard Version - Please do what this says to do.MMSE-2 Standard Version - Do What This Says to Do
MMS210C151022MMS2-Write a SentenceMini-Mental State Examination 2 Standard Version - Please write a sentence.MMSE-2 Standard Version - Write a Sentence
MMS211C151023MMS2-Copy This DesignMini-Mental State Examination 2 Standard Version - Please copy this design.MMSE-2 Standard Version - Copy This Design
MMS212C151024MMS2-BV Total Raw ScoreMini-Mental State Examination 2 Standard Version - BV (Brief Version) total raw score.MMSE-2 Standard Version - BV Total Raw Score
MMS213C151025MMS2-SV Total Raw ScoreMini-Mental State Examination 2 Standard Version - SV (Standard Version) total raw score.MMSE-2 Standard Version - SV Total Raw Score
MMS214C151026MMS2-Level of ConsciousnessMini-Mental State Examination 2 Standard Version - Assessment of level of consciousness.MMSE-2 Standard Version - Level of Consciousness
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CL.C150769.MMS2TNMini-Mental State Examination 2 Standard Version Functional Test Test Name
(MMS2TN)
text
Extensible: No
C150769Mini-Mental State Examination 2 Standard Version Functional Test Test NameMini-Mental State Examination 2 Standard Version test name.CDISC Functional Test MMSE-2 Standard Version Test Name Terminology
MMS2-BV Total Raw ScoreC151024MMS2-BV Total Raw ScoreMini-Mental State Examination 2 Standard Version - BV (Brief Version) total raw score.MMSE-2 Standard Version - BV Total Raw Score
MMS2-Copy This DesignC151023MMS2-Copy This DesignMini-Mental State Examination 2 Standard Version - Please copy this design.MMSE-2 Standard Version - Copy This Design
MMS2-Do What This Says to DoC151021MMS2-Do What This Says to DoMini-Mental State Examination 2 Standard Version - Please do what this says to do.MMSE-2 Standard Version - Do What This Says to Do
MMS2-Keep Subtracting 7 Step 2C151011MMS2-Keep Subtracting 7 Step 2Mini-Mental State Examination 2 Standard Version - Keep going [86].MMSE-2 Standard Version - Keep Subtracting 7 Step 2
MMS2-Keep Subtracting 7 Step 3C151012MMS2-Keep Subtracting 7 Step 3Mini-Mental State Examination 2 Standard Version - Keep going [79].MMSE-2 Standard Version - Keep Subtracting 7 Step 3
MMS2-Keep Subtracting 7 Step 4C151013MMS2-Keep Subtracting 7 Step 4Mini-Mental State Examination 2 Standard Version - Keep going [72].MMSE-2 Standard Version - Keep Subtracting 7 Step 4
MMS2-Keep Subtracting 7 Step 5C151014MMS2-Keep Subtracting 7 Step 5Mini-Mental State Examination 2 Standard Version - Keep going [65].MMSE-2 Standard Version - Keep Subtracting 7 Step 5
MMS2-Level of ConsciousnessC151026MMS2-Level of ConsciousnessMini-Mental State Examination 2 Standard Version - Assessment of level of consciousness.MMSE-2 Standard Version - Level of Consciousness
MMS2-Naming Object 1C151015MMS2-Naming Object 1Mini-Mental State Examination 2 Standard Version - What is this: Object 1?MMSE-2 Standard Version - Naming Object 1
MMS2-Naming Object 2C151016MMS2-Naming Object 2Mini-Mental State Examination 2 Standard Version - What is this: Object 2?MMSE-2 Standard Version - Naming Object 2
MMS2-Point to the CircleC151018MMS2-Point to the CircleMini-Mental State Examination 2 Standard Version - Look at these pictures and point to the circle.MMSE-2 Standard Version - Point to the Circle
MMS2-Point to the SquareC151019MMS2-Point to the SquareMini-Mental State Examination 2 Standard Version - Then point to the square.MMSE-2 Standard Version - Point to the Square
MMS2-Point to the TriangleC151020MMS2-Point to the TriangleMini-Mental State Examination 2 Standard Version - Then point to the triangle.MMSE-2 Standard Version - Point to the Triangle
MMS2-Recall Word 1C151007MMS2-Recall Word 1Mini-Mental State Examination 2 Standard Version - What were those three words I asked you to remember: Word 1?MMSE-2 Standard Version - Recall Word 1
MMS2-Recall Word 2C151008MMS2-Recall Word 2Mini-Mental State Examination 2 Standard Version - What were those three words I asked you to remember: Word 2?MMSE-2 Standard Version - Recall Word 2
MMS2-Recall Word 3C151009MMS2-Recall Word 3Mini-Mental State Examination 2 Standard Version - What were those three words I asked you to remember: Word 3?MMSE-2 Standard Version - Recall Word 3
MMS2-Repeat What I SayC151017MMS2-Repeat What I SayMini-Mental State Examination 2 Standard Version - Now I am going to ask you to repeat what I say. Ready? "It is a lovely, sunny day but too warm." Now you say that.MMSE-2 Standard Version - Repeat What I Say
MMS2-Repeat Word 1C150994MMS2-Repeat Word 1Mini-Mental State Examination 2 Standard Version - Now repeat those words back to me: Word 1.MMSE-2 Standard Version - Repeat Word 1
MMS2-Repeat Word 2C150995MMS2-Repeat Word 2Mini-Mental State Examination 2 Standard Version - Now repeat those words back to me: Word 2.MMSE-2 Standard Version - Repeat Word 2
MMS2-Repeat Word 3C150996MMS2-Repeat Word 3Mini-Mental State Examination 2 Standard Version - Now repeat those words back to me: Word 3.MMSE-2 Standard Version - Repeat Word 3
MMS2-SV Total Raw ScoreC151025MMS2-SV Total Raw ScoreMini-Mental State Examination 2 Standard Version - SV (Standard Version) total raw score.MMSE-2 Standard Version - SV Total Raw Score
MMS2-What is 100 Take Away 7C151010MMS2-What is 100 Take Away 7Mini-Mental State Examination 2 Standard Version - What is 100 take away 7 [93]?MMSE-2 Standard Version - What is 100 Take Away 7
MMS2-What Is the BuildingC151005MMS2-What Is the BuildingMini-Mental State Examination 2 Standard Version - Where are we now? What is the building (name or type)?MMSE-2 Standard Version - What Is the Building
MMS2-What Is the City/TownC151004MMS2-What Is the City/TownMini-Mental State Examination 2 Standard Version - Where are we now? What is the city/town (or part of city/neighborhood)?MMSE-2 Standard Version - What Is the City/Town
MMS2-What Is the CountyC151003MMS2-What Is the CountyMini-Mental State Examination 2 Standard Version - Where are we now? What is the county (or city/town)?MMSE-2 Standard Version - What Is the County
MMS2-What Is the DateC151001MMS2-What Is the DateMini-Mental State Examination 2 Standard Version - What is the date?MMSE-2 Standard Version - What Is the Date
MMS2-What Is the Day of WeekC151000MMS2-What Is the Day of WeekMini-Mental State Examination 2 Standard Version - What is the day of the week?MMSE-2 Standard Version - What Is the Day of Week
MMS2-What Is the FloorC151006MMS2-What Is the FloorMini-Mental State Examination 2 Standard Version - Where are we now? What is the floor of the building (room number or address)?MMSE-2 Standard Version - What Is the Floor
MMS2-What Is the Month of YearC150999MMS2-What Is the Month of YearMini-Mental State Examination 2 Standard Version - What is the month of the year?MMSE-2 Standard Version - What Is the Month of Year
MMS2-What Is the SeasonC150998MMS2-What Is the SeasonMini-Mental State Examination 2 Standard Version - What is the season?MMSE-2 Standard Version - What Is the Season
MMS2-What Is the StateC151002MMS2-What Is the StateMini-Mental State Examination 2 Standard Version - Where are we now? What is the state (or province)?MMSE-2 Standard Version - What Is the State
MMS2-What Is the YearC150997MMS2-What Is the YearMini-Mental State Examination 2 Standard Version - What is the year?MMSE-2 Standard Version - What Is the Year
MMS2-Write a SentenceC151022MMS2-Write a SentenceMini-Mental State Examination 2 Standard Version - Please write a sentence.MMSE-2 Standard Version - Write a Sentence
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CL.C100142.MMS1TCMini-Mental State Examination Functional Test Test Code
(MMS1TC)
text
Extensible: No
C100142Mini-Mental State Examination Functional Test Test CodeMini-Mental State Examination test code.CDISC Functional Test MMSE Test Code Terminology
MMS101AC100543MMS1-What Is the YearMini-Mental State Examination - What is the year?MMSE - What Is the Year
MMS101BC100544MMS1-What Is the SeasonMini-Mental State Examination - What is the season?MMSE - What Is the Season
MMS101CC100547MMS1-What Is the Month of YearMini-Mental State Examination - What is the month of the year?MMSE - What Is the Month of Year
MMS101DC100546MMS1-What Is the Day of WeekMini-Mental State Examination - What is the day of the week?MMSE - What Is the Day of Week
MMS101EC100545MMS1-What Is the DateMini-Mental State Examination - What is the date?MMSE - What Is the Date
MMS102AC100549MMS1-What Is the StateMini-Mental State Examination - Where are we now? What is the state (province)?MMSE - What Is the State
MMS102BC100550MMS1-What Is the CountyMini-Mental State Examination - Where are we now? What is the county (or city/town)?MMSE - What Is the County
MMS102CC100551MMS1-What Is the City/TownMini-Mental State Examination - Where are we now? What is the city/town (or part of city/neighborhood)?MMSE - What Is the City or Town
MMS102DC100552MMS1-What Is the BuildingMini-Mental State Examination - Where are we now? What is the building (name or type)?MMSE - What Is the Building
MMS102EC100553MMS1-What Is the FloorMini-Mental State Examination - Where are we now? What is the floor of the building (room number or address)?MMSE - What Is the Floor
MMS103AC100555MMS1-Repeat Word 1Mini-Mental State Examination - Now repeat those words back to me: Word 1.MMSE - Repeat Word 1
MMS103BC100556MMS1-Repeat Word 2Mini-Mental State Examination - Now repeat those words back to me: Word 2.MMSE - Repeat Word 2
MMS103CC100557MMS1-Repeat Word 3Mini-Mental State Examination - Now repeat those words back to me: Word 3.MMSE - Repeat Word 3
MMS104C100570MMS1-Attention and Calculation SubtotalMini-Mental State Examination - Attention and calculation subtotal.MMSE - Attention and Calculation Subtotal
MMS104AAC100559MMS1-What is 100 Take Away 7Mini-Mental State Examination - What is 100 take away 7 [93]?MMSE - What is 100 Take Away 7
MMS104ABC100560MMS1-Keep Subtracting 7 Step 2Mini-Mental State Examination - Keep going [86].MMSE - Keep Subtracting 7 Step 2
MMS104ACC100561MMS1-Keep Subtracting 7 Step 3Mini-Mental State Examination - Keep going [79].MMSE - Keep Subtracting 7 Step 3
MMS104ADC100562MMS1-Keep Subtracting 7 Step 4Mini-Mental State Examination - Keep going [72].MMSE - Keep Subtracting 7 Step 4
MMS104AEC100563MMS1-Keep Subtracting 7 Step 5Mini-Mental State Examination - Keep going [65].MMSE - Keep Subtracting 7 Step 5
MMS104BAC100565MMS1-Spell Backward Letter 1Mini-Mental State Examination - Spell backward, letter 1.MMSE - Spell Backward Letter 1
MMS104BBC100566MMS1-Spell Backward Letter 2Mini-Mental State Examination - Spell backward, letter 2.MMSE - Spell Backward Letter 2
MMS104BCC100567MMS1-Spell Backward Letter 3Mini-Mental State Examination - Spell backward, letter 3.MMSE - Spell Backward Letter 3
MMS104BDC100568MMS1-Spell Backward Letter 4Mini-Mental State Examination - Spell backward, letter 4.MMSE - Spell Backward Letter 4
MMS104BEC100569MMS1-Spell Backward Letter 5Mini-Mental State Examination - Spell backward, letter 5.MMSE - Spell Backward Letter 5
MMS105AC100572MMS1-Recall Word 1Mini-Mental State Examination - What were those three words I asked you to remember: Word 1?MMSE - Recall Word 1
MMS105BC100573MMS1-Recall Word 2Mini-Mental State Examination - What were those three words I asked you to remember: Word 2?MMSE - Recall Word 2
MMS105CC100574MMS1-Recall Word 3Mini-Mental State Examination - What were those three words I asked you to remember: Word 3?MMSE - Recall Word 3
MMS106AC100576MMS1-Naming Object 1Mini-Mental State Examination - What is this: Object 1?MMSE - Naming Object 1
MMS106BC100577MMS1-Naming Object 2Mini-Mental State Examination - What is this: Object 2?MMSE - Naming Object 2
MMS107C100578MMS1-Repeat What I SayMini-Mental State Examination - Now I am going to ask you to repeat what I say. Ready? "No ifs, ands, or buts." Now you say that.MMSE - Repeat What I Say
MMS108AC100580MMS1-Take in Right HandMini-Mental State Examination - Listen carefully because I am going to ask you to do something. Take this paper in your right hand.MMSE - Take in Right Hand
MMS108BC100581MMS1-Fold in HalfMini-Mental State Examination - Fold it in half.MMSE - Fold in Half
MMS108CC100582MMS1-Put on Floor (or Table)Mini-Mental State Examination - And put it on the floor (or table).MMSE - Put on Floor or Table
MMS109C100583MMS1-Read This and Do What It SaysMini-Mental State Examination - Please read this and do what it says.MMSE - Read This and Do What It Says
MMS110C100584MMS1-Write a SentenceMini-Mental State Examination - Please write a sentence.MMSE - Write a Sentence
MMS111C100585MMS1-Copy This DesignMini-Mental State Examination - Please copy this design.MMSE - Copy This Design
MMS112C100586MMS1-Total ScoreMini-Mental State Examination - Total score.MMSE - Total Score
MMS113C136234MMS1-Level of ConsciousnessMini-Mental State Examination - Assessment of level of consciousness.MMSE - Level of Consciousness
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CL.C100141.MMS1TNMini-Mental State Examination Functional Test Test Name
(MMS1TN)
text
Extensible: No
C100141Mini-Mental State Examination Functional Test Test NameMini-Mental State Examination test name.CDISC Functional Test MMSE Test Name Terminology
MMS1-Attention and Calculation SubtotalC100570MMS1-Attention and Calculation SubtotalMini-Mental State Examination - Attention and calculation subtotal.MMSE - Attention and Calculation Subtotal
MMS1-Copy This DesignC100585MMS1-Copy This DesignMini-Mental State Examination - Please copy this design.MMSE - Copy This Design
MMS1-Fold in HalfC100581MMS1-Fold in HalfMini-Mental State Examination - Fold it in half.MMSE - Fold in Half
MMS1-Keep Subtracting 7 Step 2C100560MMS1-Keep Subtracting 7 Step 2Mini-Mental State Examination - Keep going [86].MMSE - Keep Subtracting 7 Step 2
MMS1-Keep Subtracting 7 Step 3C100561MMS1-Keep Subtracting 7 Step 3Mini-Mental State Examination - Keep going [79].MMSE - Keep Subtracting 7 Step 3
MMS1-Keep Subtracting 7 Step 4C100562MMS1-Keep Subtracting 7 Step 4Mini-Mental State Examination - Keep going [72].MMSE - Keep Subtracting 7 Step 4
MMS1-Keep Subtracting 7 Step 5C100563MMS1-Keep Subtracting 7 Step 5Mini-Mental State Examination - Keep going [65].MMSE - Keep Subtracting 7 Step 5
MMS1-Level of ConsciousnessC136234MMS1-Level of ConsciousnessMini-Mental State Examination - Assessment of level of consciousness.MMSE - Level of Consciousness
MMS1-Naming Object 1C100576MMS1-Naming Object 1Mini-Mental State Examination - What is this: Object 1?MMSE - Naming Object 1
MMS1-Naming Object 2C100577MMS1-Naming Object 2Mini-Mental State Examination - What is this: Object 2?MMSE - Naming Object 2
MMS1-Put on Floor (or Table)C100582MMS1-Put on Floor (or Table)Mini-Mental State Examination - And put it on the floor (or table).MMSE - Put on Floor or Table
MMS1-Read This and Do What It SaysC100583MMS1-Read This and Do What It SaysMini-Mental State Examination - Please read this and do what it says.MMSE - Read This and Do What It Says
MMS1-Recall Word 1C100572MMS1-Recall Word 1Mini-Mental State Examination - What were those three words I asked you to remember: Word 1?MMSE - Recall Word 1
MMS1-Recall Word 2C100573MMS1-Recall Word 2Mini-Mental State Examination - What were those three words I asked you to remember: Word 2?MMSE - Recall Word 2
MMS1-Recall Word 3C100574MMS1-Recall Word 3Mini-Mental State Examination - What were those three words I asked you to remember: Word 3?MMSE - Recall Word 3
MMS1-Repeat What I SayC100578MMS1-Repeat What I SayMini-Mental State Examination - Now I am going to ask you to repeat what I say. Ready? "No ifs, ands, or buts." Now you say that.MMSE - Repeat What I Say
MMS1-Repeat Word 1C100555MMS1-Repeat Word 1Mini-Mental State Examination - Now repeat those words back to me: Word 1.MMSE - Repeat Word 1
MMS1-Repeat Word 2C100556MMS1-Repeat Word 2Mini-Mental State Examination - Now repeat those words back to me: Word 2.MMSE - Repeat Word 2
MMS1-Repeat Word 3C100557MMS1-Repeat Word 3Mini-Mental State Examination - Now repeat those words back to me: Word 3.MMSE - Repeat Word 3
MMS1-Spell Backward Letter 1C100565MMS1-Spell Backward Letter 1Mini-Mental State Examination - Spell backward, letter 1.MMSE - Spell Backward Letter 1
MMS1-Spell Backward Letter 2C100566MMS1-Spell Backward Letter 2Mini-Mental State Examination - Spell backward, letter 2.MMSE - Spell Backward Letter 2
MMS1-Spell Backward Letter 3C100567MMS1-Spell Backward Letter 3Mini-Mental State Examination - Spell backward, letter 3.MMSE - Spell Backward Letter 3
MMS1-Spell Backward Letter 4C100568MMS1-Spell Backward Letter 4Mini-Mental State Examination - Spell backward, letter 4.MMSE - Spell Backward Letter 4
MMS1-Spell Backward Letter 5C100569MMS1-Spell Backward Letter 5Mini-Mental State Examination - Spell backward, letter 5.MMSE - Spell Backward Letter 5
MMS1-Take in Right HandC100580MMS1-Take in Right HandMini-Mental State Examination - Listen carefully because I am going to ask you to do something. Take this paper in your right hand.MMSE - Take in Right Hand
MMS1-Total ScoreC100586MMS1-Total ScoreMini-Mental State Examination - Total score.MMSE - Total Score
MMS1-What is 100 Take Away 7C100559MMS1-What is 100 Take Away 7Mini-Mental State Examination - What is 100 take away 7 [93]?MMSE - What is 100 Take Away 7
MMS1-What Is the BuildingC100552MMS1-What Is the BuildingMini-Mental State Examination - Where are we now? What is the building (name or type)?MMSE - What Is the Building
MMS1-What Is the City/TownC100551MMS1-What Is the City/TownMini-Mental State Examination - Where are we now? What is the city/town (or part of city/neighborhood)?MMSE - What Is the City or Town
MMS1-What Is the CountyC100550MMS1-What Is the CountyMini-Mental State Examination - Where are we now? What is the county (or city/town)?MMSE - What Is the County
MMS1-What Is the DateC100545MMS1-What Is the DateMini-Mental State Examination - What is the date?MMSE - What Is the Date
MMS1-What Is the Day of WeekC100546MMS1-What Is the Day of WeekMini-Mental State Examination - What is the day of the week?MMSE - What Is the Day of Week
MMS1-What Is the FloorC100553MMS1-What Is the FloorMini-Mental State Examination - Where are we now? What is the floor of the building (room number or address)?MMSE - What Is the Floor
MMS1-What Is the Month of YearC100547MMS1-What Is the Month of YearMini-Mental State Examination - What is the month of the year?MMSE - What Is the Month of Year
MMS1-What Is the SeasonC100544MMS1-What Is the SeasonMini-Mental State Examination - What is the season?MMSE - What Is the Season
MMS1-What Is the StateC100549MMS1-What Is the StateMini-Mental State Examination - Where are we now? What is the state (province)?MMSE - What Is the State
MMS1-What Is the YearC100543MMS1-What Is the YearMini-Mental State Examination - What is the year?MMSE - What Is the Year
MMS1-Write a SentenceC100584MMS1-Write a SentenceMini-Mental State Examination - Please write a sentence.MMSE - Write a Sentence
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CL.C120991.MELD01TCModel for End Stage Liver Disease Clinical Classification Test Code
(MELD01TC)
text
Extensible: No
C120991Model for End Stage Liver Disease Clinical Classification Test CodeModel for End Stage Liver Disease test code.CDISC Clinical Classification MELD Test Code Terminology
MELD0101C121076MELD01-ScoreModel for End Stage Liver Disease - MELD score.MELD - Score
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CL.C120990.MELD01TNModel for End Stage Liver Disease Clinical Classification Test Name
(MELD01TN)
text
Extensible: No
C120990Model for End Stage Liver Disease Clinical Classification Test NameModel for End Stage Liver Disease test name.CDISC Clinical Classification MELD Test Name Terminology
MELD01-ScoreC121076MELD01-ScoreModel for End Stage Liver Disease - MELD score.MELD - Score
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CL.C113858.MFIS01TCModified Fatigue Impact Scale Questionnaire Test Code
(MFIS01TC)
text
Extensible: No
C113858Modified Fatigue Impact Scale Questionnaire Test CodeModified Fatigue Impact Scale test code.CDISC Questionnaire Modified Fatigue Impact Scale Test Code Terminology
MFIS0101C113967MFIS01-I Have Been Less AlertModified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been less alert.MFIS - Have Been Less Alert
MFIS0102C113968MFIS01-Have Difficulty Paying AttentionModified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had difficulty paying attention for long periods of time.MFIS - Have Difficulty Paying Attention for Long Time
MFIS0103C113969MFIS01-Have Been Unable to Think ClearlyModified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been unable to think clearly.MFIS - Unable to Think Clearly
MFIS0104C113970MFIS01-Been Clumsy and UncoordinatedModified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been clumsy and uncoordinated.MFIS - Have Been Clumsy and Uncoordinated
MFIS0105C113971MFIS01-I Have Been ForgetfulModified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been forgetful.MFIS - Have Been Forgetful
MFIS0106C113972MFIS01-Pace Myself in Physical ActivityModified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had to pace myself in my physical activities.MFIS - Pace Myself in Physical Activities
MFIS0107C113973MFIS01-Less Motivated, Physical EffortModified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been less motivated to do anything that requires physical effort.MFIS - Less Motivated to Do Anything That Requires Physical Effort
MFIS0108C113974MFIS01-Less Motivated, Social ActivityModified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been less motivated to participate in social activities.MFIS - Less Motivated to Participate in Social Activities
MFIS0109C113975MFIS01-Limited in Ability Away From HomeModified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been limited in my ability to do things away from home.MFIS - Limited in My Abilities to Do Things Away From Home
MFIS0110C113976MFIS01-Trouble Maintain Physical EffortModified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had trouble maintaining physical effort for long periods.MFIS - Have Trouble Maintain Physical Effort
MFIS0111C113977MFIS01-Have Difficulty Making DecisionsModified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had difficulty making decisions.MFIS - Have Difficulty Making Decisions
MFIS0112C113978MFIS01-Less Motivated, ThinkingModified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been less motivated to do anything that requires thinking.MFIS - Less Motivated to Do Anything That Requires Thinking
MFIS0113C113979MFIS01-My Muscles Have Felt WeakModified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks my muscles have felt weak.MFIS - Muscles Have Felt Weak
MFIS0114C113980MFIS01-Been Physically UncomfortableModified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been physically uncomfortable.MFIS - Been Physically Uncomfortable
MFIS0115C113981MFIS01-Trouble Finishing Thinking TasksModified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had trouble finishing tasks that require thinking.MFIS - Have Trouble Finishing Tasks That Require Thinking
MFIS0116C113982MFIS01-Difficulty Organizing My ThoughtsModified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had difficulty organizing my thoughts when doing things at home or at work.MFIS - Difficulty Organizing My Thoughts
MFIS0117C113983MFIS01-Less Able Complete Physical TasksModified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been less able to complete tasks that require physical effort.MFIS - Less Able to Complete Tasks That Require Physical Effort
MFIS0118C113984MFIS01-My Thinking Has Been Slowed DownModified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks my thinking has been slowed down.MFIS - My Thinking Has Been Slowed Down
MFIS0119C113985MFIS01-I Have Had Trouble ConcentratingModified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had trouble concentrating.MFIS - Have Trouble Concentrating
MFIS0120C113986MFIS01-Have Limited My Physical ActivityModified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have limited my physical activities.MFIS - Have Limited My Physical Activities
MFIS0121C113987MFIS01-Need to Rest More Often or LongerModified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have needed to rest more often or for longer periods.MFIS - Need to Rest More Often or Longer
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CL.C113857.MFIS01TNModified Fatigue Impact Scale Questionnaire Test Name
(MFIS01TN)
text
Extensible: No
C113857Modified Fatigue Impact Scale Questionnaire Test NameModified Fatigue Impact Scale test name.CDISC Questionnaire Modified Fatigue Impact Scale Test Name Terminology
MFIS01-Been Clumsy and UncoordinatedC113970MFIS01-Been Clumsy and UncoordinatedModified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been clumsy and uncoordinated.MFIS - Have Been Clumsy and Uncoordinated
MFIS01-Been Physically UncomfortableC113980MFIS01-Been Physically UncomfortableModified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been physically uncomfortable.MFIS - Been Physically Uncomfortable
MFIS01-Difficulty Organizing My ThoughtsC113982MFIS01-Difficulty Organizing My ThoughtsModified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had difficulty organizing my thoughts when doing things at home or at work.MFIS - Difficulty Organizing My Thoughts
MFIS01-Have Been Unable to Think ClearlyC113969MFIS01-Have Been Unable to Think ClearlyModified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been unable to think clearly.MFIS - Unable to Think Clearly
MFIS01-Have Difficulty Making DecisionsC113977MFIS01-Have Difficulty Making DecisionsModified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had difficulty making decisions.MFIS - Have Difficulty Making Decisions
MFIS01-Have Difficulty Paying AttentionC113968MFIS01-Have Difficulty Paying AttentionModified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had difficulty paying attention for long periods of time.MFIS - Have Difficulty Paying Attention for Long Time
MFIS01-Have Limited My Physical ActivityC113986MFIS01-Have Limited My Physical ActivityModified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have limited my physical activities.MFIS - Have Limited My Physical Activities
MFIS01-I Have Been ForgetfulC113971MFIS01-I Have Been ForgetfulModified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been forgetful.MFIS - Have Been Forgetful
MFIS01-I Have Been Less AlertC113967MFIS01-I Have Been Less AlertModified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been less alert.MFIS - Have Been Less Alert
MFIS01-I Have Had Trouble ConcentratingC113985MFIS01-I Have Had Trouble ConcentratingModified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had trouble concentrating.MFIS - Have Trouble Concentrating
MFIS01-Less Able Complete Physical TasksC113983MFIS01-Less Able Complete Physical TasksModified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been less able to complete tasks that require physical effort.MFIS - Less Able to Complete Tasks That Require Physical Effort
MFIS01-Less Motivated, Physical EffortC113973MFIS01-Less Motivated, Physical EffortModified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been less motivated to do anything that requires physical effort.MFIS - Less Motivated to Do Anything That Requires Physical Effort
MFIS01-Less Motivated, Social ActivityC113974MFIS01-Less Motivated, Social ActivityModified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been less motivated to participate in social activities.MFIS - Less Motivated to Participate in Social Activities
MFIS01-Less Motivated, ThinkingC113978MFIS01-Less Motivated, ThinkingModified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been less motivated to do anything that requires thinking.MFIS - Less Motivated to Do Anything That Requires Thinking
MFIS01-Limited in Ability Away From HomeC113975MFIS01-Limited in Ability Away From HomeModified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been limited in my ability to do things away from home.MFIS - Limited in My Abilities to Do Things Away From Home
MFIS01-My Muscles Have Felt WeakC113979MFIS01-My Muscles Have Felt WeakModified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks my muscles have felt weak.MFIS - Muscles Have Felt Weak
MFIS01-My Thinking Has Been Slowed DownC113984MFIS01-My Thinking Has Been Slowed DownModified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks my thinking has been slowed down.MFIS - My Thinking Has Been Slowed Down
MFIS01-Need to Rest More Often or LongerC113987MFIS01-Need to Rest More Often or LongerModified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have needed to rest more often or for longer periods.MFIS - Need to Rest More Often or Longer
MFIS01-Pace Myself in Physical ActivityC113972MFIS01-Pace Myself in Physical ActivityModified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had to pace myself in my physical activities.MFIS - Pace Myself in Physical Activities
MFIS01-Trouble Finishing Thinking TasksC113981MFIS01-Trouble Finishing Thinking TasksModified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had trouble finishing tasks that require thinking.MFIS - Have Trouble Finishing Tasks That Require Thinking
MFIS01-Trouble Maintain Physical EffortC113976MFIS01-Trouble Maintain Physical EffortModified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had trouble maintaining physical effort for long periods.MFIS - Have Trouble Maintain Physical Effort
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CL.C112445.MHIS01TCModified Hachinski Ischemic Scale-NACC Version Questionnaire Test Code
(MHIS01TC)
text
Extensible: No
C112445Modified Hachinski Ischemic Scale-NACC Version Questionnaire Test CodeModified Hachinski Ischemic Scale-NACC Version test code.CDISC Questionnaire MHIS-NACC Test Code Terminology
MHIS0101C112618MHIS01-Abrupt OnsetModified Hachinski Ischemic Scale-NACC Version - Abrupt onset (re: cognitive status).MHIS-NACC - Abrupt Onset
MHIS0102C112619MHIS01-Stepwise DeteriorationModified Hachinski Ischemic Scale-NACC Version - Stepwise deterioration (re: cognitive status).MHIS-NACC - Stepwise Deterioration
MHIS0103C112813MHIS01- Somatic ComplaintsModified Hachinski Ischemic Scale-NACC Version - Somatic complaints.MHIS-NACC - Somatic Complaints
MHIS0104C112620MHIS01-Emotional IncontinenceModified Hachinski Ischemic Scale-NACC Version - Emotional incontinence.MHIS-NACC - Emotional Incontinence
MHIS0105C112621MHIS01-History or Presence HypertensionModified Hachinski Ischemic Scale-NACC Version - History or presence of hypertension.MHIS-NACC - History or Presence of Hypertension
MHIS0106C112622MHIS01-History of StrokeModified Hachinski Ischemic Scale-NACC Version - History of stroke.MHIS-NACC - History of Stroke
MHIS0107C112623MHIS01-Focal Neurological SymptomsModified Hachinski Ischemic Scale-NACC Version - Focal neurological symptoms.MHIS-NACC - Focal Neurological Symptoms
MHIS0108C112624MHIS01-Focal Neurological SignsModified Hachinski Ischemic Scale-NACC Version - Focal neurological signs.MHIS-NACC - Focal Neurological Signs
MHIS0109C112625MHIS01-Total ScoreModified Hachinski Ischemic Scale-NACC Version - Sum all circled answers for a total score.MHIS-NACC - Total Score
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CL.C112444.MHIS01TNModified Hachinski Ischemic Scale-NACC Version Questionnaire Test Name
(MHIS01TN)
text
Extensible: No
C112444Modified Hachinski Ischemic Scale-NACC Version Questionnaire Test NameModified Hachinski Ischemic Scale-NACC Version test name.CDISC Questionnaire MHIS-NACC Test Name Terminology
MHIS01- Somatic ComplaintsC112813MHIS01- Somatic ComplaintsModified Hachinski Ischemic Scale-NACC Version - Somatic complaints.MHIS-NACC - Somatic Complaints
MHIS01-Abrupt OnsetC112618MHIS01-Abrupt OnsetModified Hachinski Ischemic Scale-NACC Version - Abrupt onset (re: cognitive status).MHIS-NACC - Abrupt Onset
MHIS01-Emotional IncontinenceC112620MHIS01-Emotional IncontinenceModified Hachinski Ischemic Scale-NACC Version - Emotional incontinence.MHIS-NACC - Emotional Incontinence
MHIS01-Focal Neurological SignsC112624MHIS01-Focal Neurological SignsModified Hachinski Ischemic Scale-NACC Version - Focal neurological signs.MHIS-NACC - Focal Neurological Signs
MHIS01-Focal Neurological SymptomsC112623MHIS01-Focal Neurological SymptomsModified Hachinski Ischemic Scale-NACC Version - Focal neurological symptoms.MHIS-NACC - Focal Neurological Symptoms
MHIS01-History of StrokeC112622MHIS01-History of StrokeModified Hachinski Ischemic Scale-NACC Version - History of stroke.MHIS-NACC - History of Stroke
MHIS01-History or Presence HypertensionC112621MHIS01-History or Presence HypertensionModified Hachinski Ischemic Scale-NACC Version - History or presence of hypertension.MHIS-NACC - History or Presence of Hypertension
MHIS01-Stepwise DeteriorationC112619MHIS01-Stepwise DeteriorationModified Hachinski Ischemic Scale-NACC Version - Stepwise deterioration (re: cognitive status).MHIS-NACC - Stepwise Deterioration
MHIS01-Total ScoreC112625MHIS01-Total ScoreModified Hachinski Ischemic Scale-NACC Version - Sum all circled answers for a total score.MHIS-NACC - Total Score
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CL.C106669.MMRC01TCModified Medical Research Council Dyspnea Scale Questionnaire Test Code
(MMRC01TC)
text
Extensible: No
C106669Modified Medical Research Council Dyspnea Scale Questionnaire Test CodeModified Medical Research Council Dyspnea Scale test code.CDISC Questionnaire MMRC Test Code Terminology
MMRC0101C106852MMRC01-Description of BreathlessnessModified Medical Research Council Dyspnea Scale - Description of breathlessness.MMRC - Description of Level of Breathlessness
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CL.C106668.MMRC01TNModified Medical Research Council Dyspnea Scale Questionnaire Test Name
(MMRC01TN)
text
Extensible: No
C106668Modified Medical Research Council Dyspnea Scale Questionnaire Test NameModified Medical Research Council Dyspnea Scale test name.CDISC Questionnaire MMRC Test Name Terminology
MMRC01-Description of BreathlessnessC106852MMRC01-Description of BreathlessnessModified Medical Research Council Dyspnea Scale - Description of breathlessness.MMRC - Description of Level of Breathlessness
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CL.C111348.MRS01TCModified Rankin Scale Questionnaire Test Code
(MRS01TC)
text
Extensible: No
C111348Modified Rankin Scale Questionnaire Test CodeModified Rankin Scale test code.CDISC Questionnaire MRS Test Code Terminology
MRS0101C111520MRS01-Modified Rankin Scale ScoreModified Rankin Scale - Modified Rankin Scale Score.MRS - Modified Rankin Scale Score
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CL.C111347.MRS01TNModified Rankin Scale Questionnaire Test Name
(MRS01TN)
text
Extensible: No
C111347Modified Rankin Scale Questionnaire Test NameModified Rankin Scale test name.CDISC Questionnaire MRS Test Name Terminology
MRS01-Modified Rankin Scale ScoreC111520MRS01-Modified Rankin Scale ScoreModified Rankin Scale - Modified Rankin Scale Score.MRS - Modified Rankin Scale Score
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CL.C100140.UPD2TCMovement Disorder Society Unified Parkinson's Disease Rating Scale Questionnaire Test Code
(UPD2TC)
text
Extensible: No
C100140Movement Disorder Society Unified Parkinson's Disease Rating Scale Questionnaire Test CodeThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale test code.CDISC Questionnaire MDS-UPDRS Test Code Terminology
UPD2101C100473UPD2-Cognitive ImpairmentThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week have you had problems remembering things, following conversations, paying attention, thinking clearly, or finding your way around the house or in town?MDS-UPDRS - Cognitive Impairment
UPD2102C100474UPD2-Hallucinations and PsychosisThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week have you seen, heard, smelled or felt things that were not really there?MDS-UPDRS - Hallucinations and Psychosis
UPD2103C100475UPD2-Depressed MoodThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week have you felt low, sad, hopeless or unable to enjoy things? If yes, was this feeling for longer than one day at a time? Did it make it difficult for you carry out your usual activities or to be with people?MDS-UPDRS - Depressed Mood
UPD2104C100476UPD2-Anxious MoodThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week have you felt nervous, worried or tense? If yes, was this feeling for longer than one day at a time? Did it make it difficult for you to follow your usual activities or to be with other people?MDS-UPDRS - Anxious Mood
UPD2105C100477UPD2-ApathyThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you felt indifferent to doing activities or being with people?MDS-UPDRS - Apathy
UPD2106C100478UPD2-Ftrs Dopa Dysregulation SyndThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you had unusually strong urges that are hard to control? Do you feel driven to do or think about something and find it hard to stop?MDS-UPDRS - Features of Dopamine Dysregulation Syndrome
UPD2107C100479UPD2-Sleep ProblemsThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you had trouble going to sleep at night or staying asleep through the night?MDS-UPDRS - Sleep Problems
UPD2108C100480UPD2-Daytime SleepinessThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you had trouble staying awake during the daytime?MDS-UPDRS - Daytime Sleepiness
UPD2109C100481UPD2-Pain and other SensationsThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you had uncomfortable feelings in your body like pain, aches tingling or cramps?MDS-UPDRS - Pain and Other Sensations
UPD2110C100482UPD2-Urinary ProblemsThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you had trouble with urine control?MDS-UPDRS - Urinary Problems
UPD2111C100483UPD2-Constipation ProblemsThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week have you had constipation troubles that cause you difficulty moving your bowels?MDS-UPDRS - Constipation Problems
UPD2112C100484UPD2-Lightheadedness on StandingThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you felt faint, dizzy or foggy when you stand up after sitting or lying down?MDS-UPDRS - Lightheadedness on Standing
UPD2113C100485UPD2-FatigueThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually felt fatigued?MDS-UPDRS - Fatigue
UPD2201C100486UPD2-SpeechThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you had problems with your speech?MDS-UPDRS - Speech
UPD2202C100487UPD2-Saliva and DroolingThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had too much saliva during when you are awake or when you sleep?MDS-UPDRS - Saliva and Drooling
UPD2203C100488UPD2-Chewing and SwallowingThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had problems swallowing pills or eating meals?MDS-UPDRS - Chewing and Swallowing
UPD2204C100489UPD2-Eating TasksThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had troubles handling your food and using eating utensils?MDS-UPDRS - Eating Tasks
UPD2205C100490UPD2-DressingThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had problems dressing?MDS-UPDRS - Dressing
UPD2206C100491UPD2-HygieneThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually been slow or do you need help with washing, bathing, shaving, brushing teeth, combing your hair or with other personal hygiene?MDS-UPDRS - Hygiene
UPD2207C100492UPD2-HandwritingThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have people usually had trouble reading your handwriting?MDS-UPDRS - Handwriting
UPD2208C100493UPD2-Doing Hobbies/Other ActivitiesThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had trouble doing your hobbies or other things that you like to do?MDS-UPDRS - Doing Hobbies and Other Activities
UPD2209C100494UPD2-Turning in BedThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, do you usually have trouble turning over in bed?MDS-UPDRS - Turning in Bed
UPD2210C100495UPD2-TremorThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had shaking or tremor?MDS-UPDRS - Tremor
UPD2211C101018UPD2-Get Out of Bed/Car/Deep ChairThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had trouble getting out of bed, a car seat, or a deep chair?MDS-UPDRS - Get Out of Bed, Car, or Deep Chair
UPD2212C100496UPD2-Walking and BalanceThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had problems with balance and walking?MDS-UPDRS - Walking and Balance
UPD2213C100497UPD2-FreezingThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, on your usual day when walking, do you suddenly stop or freeze as if your feet are stuck to the floor?MDS-UPDRS - Freezing
UPD2301C100502UPD2-Speech ProblemsThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Speech Problems.MDS-UPDRS - Speech Problems
UPD2302C100503UPD2-Facial ExpressionThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Facial Expression.MDS-UPDRS - Facial Expression
UPD2303AC100504UPD2-Rigidity NeckThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rigidity Neck.MDS-UPDRS - Rigidity Neck
UPD2303BC100505UPD2-Rigidity RT Upper ExtremityThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rigidity Right Upper Extremity.MDS-UPDRS - Rigidity Right Upper Extremity
UPD2303CC100506UPD2-Rigidity Left Upper ExtremityThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rigidity Left Upper Extremity.MDS-UPDRS - Rigidity Left Upper Extremity
UPD2303DC100507UPD2-Rigidity RT Lower ExtremityThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rigidity Right Lower Extremity.MDS-UPDRS - Rigidity Right Lower Extremity
UPD2303EC100508UPD2-Rigidity Left Lower ExtremityThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rigidity Left Lower Extremity.MDS-UPDRS - Rigidity Left Lower Extremity
UPD2304AC100509UPD2-Right Finger TappingThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Right Finger Tapping.MDS-UPDRS - Right Finger Tapping
UPD2304BC100510UPD2-Left Finger TappingThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Left Finger Tapping.MDS-UPDRS - Left Finger Tapping
UPD2305AC100511UPD2-Right Hand MovementsThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Right Hand Movements.MDS-UPDRS - Right Hand Movements
UPD2305BC100512UPD2-Left Hand MovementsThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Left Hand Movements.MDS-UPDRS - Left Hand Movements
UPD2306AC100513UPD2-Pron/Sup Movement of RT HandThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Pronation-Supination Movements of Right Hand.MDS-UPDRS - Pronanation-Supination Movement of Right Hand
UPD2306BC100514UPD2-Pron/Sup Movement of Left HandThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Pronation-Supination Movements of Left Hand.MDS-UPDRS - Pronanation-Supination Movement of Left Hand
UPD2307AC100515UPD2-Right Toe TappingThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Right Toe Tapping.MDS-UPDRS - Right Toe Tapping
UPD2307BC100516UPD2-Left Toe TappingThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Left Toe Tapping.MDS-UPDRS - Left Toe Tapping
UPD2308AC100517UPD2-Right Leg AgilityThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Right Leg Agility.MDS-UPDRS - Right Leg Agility
UPD2308BC100518UPD2-Left Leg AgilityThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Left Leg Agility.MDS-UPDRS - Left Leg Agility
UPD2309C100519UPD2-Arising from ChairThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Arising from Chair.MDS-UPDRS - Arising from Chair
UPD2310C100520UPD2-GaitThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Gait.MDS-UPDRS - Gait
UPD2311C100521UPD2-Freezing of GaitThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Freezing of Gait.MDS-UPDRS - Freezing of Gait
UPD2312C100522UPD2-Postural StabilityThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Postural Stability.MDS-UPDRS - Postural Stability
UPD2313C100523UPD2-PostureThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Posture.MDS-UPDRS - Posture
UPD2314C100524UPD2-Body BradykinesiaThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Global Spontaneity of Movement (Body Bradykinesia).MDS-UPDRS - Body Bradykinesia
UPD2315AC100525UPD2-Postural Tremor of Right HandThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Postural Tremor of the Right Hand.MDS-UPDRS - Postural Tremor of Right Hand
UPD2315BC113882UPD2-Postural Tremor of Left HandThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Postural Tremor of the Left Hand.MDS-UPDRS - Postural Tremor of Left Hand
UPD2316AC113883UPD2-Kinetic Tremor of Right HandThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Kinetic Tremor of the Right Hand.MDS-UPDRS - Kinetic Tremor of Right Hand
UPD2316BC100526UPD2-Kinetic Tremor of Left HandThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Kinetic Tremor of the Left Hand.MDS-UPDRS - Kinetic Tremor of Left Hand
UPD2317AC100527UPD2-Rest Tremor Amplitude RUEThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rest Tremor Amplitude Right Upper Extremity.MDS-UPDRS - Rest Tremor Amplitude Right Upper Extremity
UPD2317BC100528UPD2-Rest Tremor Amplitude LUEThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rest Tremor Amplitude Left Upper Extremity.MDS-UPDRS - Rest Tremor Amplitude Left Upper Extremity
UPD2317CC100529UPD2-Rest Tremor Amplitude RLEThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rest Tremor Amplitude Right Lower Extremity.MDS-UPDRS - Rest Tremor Amplitude Right Lower Extremity
UPD2317DC100530UPD2-Rest Tremor Amplitude LLEThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rest Tremor Amplitude Left Lower Extremity.MDS-UPDRS - Rest Tremor Amplitude Left Lower Extremity
UPD2317EC100531UPD2-Rest Tremor Amplitude Lip/JawThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rest Tremor Amplitude Lip/Jaw.MDS-UPDRS - Rest Tremor Amplitude Lip or Jaw
UPD2318C100532UPD2-Consistency of Rest TremorThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Consistency of Rest Tremor.MDS-UPDRS - Consistency of Rest Tremor
UPD23AC100498UPD2-Medication for PDThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Is the patient on medication for treating the symptoms of Parkinson's Disease?MDS-UPDRS - Medication for Parkinson's Disease
UPD23BC100499UPD2-Clinical State on MedsThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - If the patient is receiving medication for treating the symptoms of Parkinson's Disease, mark the patient's clinical state.MDS-UPDRS - Clinical State on Medication
UPD23CC100500UPD2-Taking LevodopaThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Is the patient on Levodopa?MDS-UPDRS - Taking Levodopa
UPD23C1C100501UPD2-Minutes Since Levodopa DoseThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Minutes since last Levodopa dose.MDS-UPDRS - Minutes Since Levodopa Dose
UPD2401C100536UPD2-Time Spent with DyskinesiasThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Time Spent with Dyskinesias.MDS-UPDRS - Time Spent with Dyskinesias
UPD2402C100537UPD2-Functional Impact DyskinesiasThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Functional Impact of Dyskinesias.MDS-UPDRS - Functional Impact of Dyskinesias
UPD2403C100538UPD2-Time Spent in the Off StateThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Time Spent in the Off State.MDS-UPDRS - Time Spent in the Off State
UPD2404C100539UPD2-Functional Impact FluctuationsThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Functional Impact of Fluctuations.MDS-UPDRS - Functional Impact of Fluctuations
UPD2405C100540UPD2-Complexity Motor FluctuationsThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Complexity of Motor Fluctuations.MDS-UPDRS - Complexity of Motor Fluctuations
UPD2406C100541UPD2-Painful Off-state DystoniaThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Painful Off-state Dystonia.MDS-UPDRS - Painful Off-state Dystonia
UPD2DAC100533UPD2-Dyskinesias During ExamThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Were dyskinesias (chorea or dystonia) present during examination?MDS-UPDRS - Dyskinesias During Exam
UPD2DBC100534UPD2-Movements Interfere RatingsThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - If yes, did these movements interfere with your ratings?MDS-UPDRS - Movements Interfere with Ratings
UPD2HYC100535UPD2-Hoehn and Yahr StageThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Hoehn and Yahr Stage.MDS-UPDRS - Hoehn and Yahr Stage
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CL.C100139.UPD2TNMovement Disorder Society Unified Parkinson's Disease Rating Scale Questionnaire Test Name
(UPD2TN)
text
Extensible: No
C100139Movement Disorder Society Unified Parkinson's Disease Rating Scale Questionnaire Test NameThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale test name.CDISC Questionnaire MDS-UPDRS Test Name Terminology
UPD2-Anxious MoodC100476UPD2-Anxious MoodThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week have you felt nervous, worried or tense? If yes, was this feeling for longer than one day at a time? Did it make it difficult for you to follow your usual activities or to be with other people?MDS-UPDRS - Anxious Mood
UPD2-ApathyC100477UPD2-ApathyThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you felt indifferent to doing activities or being with people?MDS-UPDRS - Apathy
UPD2-Arising from ChairC100519UPD2-Arising from ChairThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Arising from Chair.MDS-UPDRS - Arising from Chair
UPD2-Body BradykinesiaC100524UPD2-Body BradykinesiaThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Global Spontaneity of Movement (Body Bradykinesia).MDS-UPDRS - Body Bradykinesia
UPD2-Chewing and SwallowingC100488UPD2-Chewing and SwallowingThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had problems swallowing pills or eating meals?MDS-UPDRS - Chewing and Swallowing
UPD2-Clinical State on MedsC100499UPD2-Clinical State on MedsThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - If the patient is receiving medication for treating the symptoms of Parkinson's Disease, mark the patient's clinical state.MDS-UPDRS - Clinical State on Medication
UPD2-Cognitive ImpairmentC100473UPD2-Cognitive ImpairmentThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week have you had problems remembering things, following conversations, paying attention, thinking clearly, or finding your way around the house or in town?MDS-UPDRS - Cognitive Impairment
UPD2-Complexity Motor FluctuationsC100540UPD2-Complexity Motor FluctuationsThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Complexity of Motor Fluctuations.MDS-UPDRS - Complexity of Motor Fluctuations
UPD2-Consistency of Rest TremorC100532UPD2-Consistency of Rest TremorThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Consistency of Rest Tremor.MDS-UPDRS - Consistency of Rest Tremor
UPD2-Constipation ProblemsC100483UPD2-Constipation ProblemsThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week have you had constipation troubles that cause you difficulty moving your bowels?MDS-UPDRS - Constipation Problems
UPD2-Daytime SleepinessC100480UPD2-Daytime SleepinessThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you had trouble staying awake during the daytime?MDS-UPDRS - Daytime Sleepiness
UPD2-Depressed MoodC100475UPD2-Depressed MoodThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week have you felt low, sad, hopeless or unable to enjoy things? If yes, was this feeling for longer than one day at a time? Did it make it difficult for you carry out your usual activities or to be with people?MDS-UPDRS - Depressed Mood
UPD2-Doing Hobbies/Other ActivitiesC100493UPD2-Doing Hobbies/Other ActivitiesThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had trouble doing your hobbies or other things that you like to do?MDS-UPDRS - Doing Hobbies and Other Activities
UPD2-DressingC100490UPD2-DressingThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had problems dressing?MDS-UPDRS - Dressing
UPD2-Dyskinesias During ExamC100533UPD2-Dyskinesias During ExamThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Were dyskinesias (chorea or dystonia) present during examination?MDS-UPDRS - Dyskinesias During Exam
UPD2-Eating TasksC100489UPD2-Eating TasksThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had troubles handling your food and using eating utensils?MDS-UPDRS - Eating Tasks
UPD2-Facial ExpressionC100503UPD2-Facial ExpressionThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Facial Expression.MDS-UPDRS - Facial Expression
UPD2-FatigueC100485UPD2-FatigueThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually felt fatigued?MDS-UPDRS - Fatigue
UPD2-Freezing of GaitC100521UPD2-Freezing of GaitThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Freezing of Gait.MDS-UPDRS - Freezing of Gait
UPD2-FreezingC100497UPD2-FreezingThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, on your usual day when walking, do you suddenly stop or freeze as if your feet are stuck to the floor?MDS-UPDRS - Freezing
UPD2-Ftrs Dopa Dysregulation SyndC100478UPD2-Ftrs Dopa Dysregulation SyndThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you had unusually strong urges that are hard to control? Do you feel driven to do or think about something and find it hard to stop?MDS-UPDRS - Features of Dopamine Dysregulation Syndrome
UPD2-Functional Impact DyskinesiasC100537UPD2-Functional Impact DyskinesiasThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Functional Impact of Dyskinesias.MDS-UPDRS - Functional Impact of Dyskinesias
UPD2-Functional Impact FluctuationsC100539UPD2-Functional Impact FluctuationsThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Functional Impact of Fluctuations.MDS-UPDRS - Functional Impact of Fluctuations
UPD2-GaitC100520UPD2-GaitThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Gait.MDS-UPDRS - Gait
UPD2-Get Out of Bed/Car/Deep ChairC101018UPD2-Get Out of Bed/Car/Deep ChairThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had trouble getting out of bed, a car seat, or a deep chair?MDS-UPDRS - Get Out of Bed, Car, or Deep Chair
UPD2-Hallucinations and PsychosisC100474UPD2-Hallucinations and PsychosisThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week have you seen, heard, smelled or felt things that were not really there?MDS-UPDRS - Hallucinations and Psychosis
UPD2-HandwritingC100492UPD2-HandwritingThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have people usually had trouble reading your handwriting?MDS-UPDRS - Handwriting
UPD2-Hoehn and Yahr StageC100535UPD2-Hoehn and Yahr StageThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Hoehn and Yahr Stage.MDS-UPDRS - Hoehn and Yahr Stage
UPD2-HygieneC100491UPD2-HygieneThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually been slow or do you need help with washing, bathing, shaving, brushing teeth, combing your hair or with other personal hygiene?MDS-UPDRS - Hygiene
UPD2-Kinetic Tremor of Left HandC100526UPD2-Kinetic Tremor of Left HandThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Kinetic Tremor of the Left Hand.MDS-UPDRS - Kinetic Tremor of Left Hand
UPD2-Kinetic Tremor of Right HandC113883UPD2-Kinetic Tremor of Right HandThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Kinetic Tremor of the Right Hand.MDS-UPDRS - Kinetic Tremor of Right Hand
UPD2-Left Finger TappingC100510UPD2-Left Finger TappingThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Left Finger Tapping.MDS-UPDRS - Left Finger Tapping
UPD2-Left Hand MovementsC100512UPD2-Left Hand MovementsThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Left Hand Movements.MDS-UPDRS - Left Hand Movements
UPD2-Left Leg AgilityC100518UPD2-Left Leg AgilityThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Left Leg Agility.MDS-UPDRS - Left Leg Agility
UPD2-Left Toe TappingC100516UPD2-Left Toe TappingThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Left Toe Tapping.MDS-UPDRS - Left Toe Tapping
UPD2-Lightheadedness on StandingC100484UPD2-Lightheadedness on StandingThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you felt faint, dizzy or foggy when you stand up after sitting or lying down?MDS-UPDRS - Lightheadedness on Standing
UPD2-Medication for PDC100498UPD2-Medication for PDThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Is the patient on medication for treating the symptoms of Parkinson's Disease?MDS-UPDRS - Medication for Parkinson's Disease
UPD2-Minutes Since Levodopa DoseC100501UPD2-Minutes Since Levodopa DoseThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Minutes since last Levodopa dose.MDS-UPDRS - Minutes Since Levodopa Dose
UPD2-Movements Interfere RatingsC100534UPD2-Movements Interfere RatingsThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - If yes, did these movements interfere with your ratings?MDS-UPDRS - Movements Interfere with Ratings
UPD2-Pain and other SensationsC100481UPD2-Pain and other SensationsThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you had uncomfortable feelings in your body like pain, aches tingling or cramps?MDS-UPDRS - Pain and Other Sensations
UPD2-Painful Off-state DystoniaC100541UPD2-Painful Off-state DystoniaThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Painful Off-state Dystonia.MDS-UPDRS - Painful Off-state Dystonia
UPD2-Postural StabilityC100522UPD2-Postural StabilityThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Postural Stability.MDS-UPDRS - Postural Stability
UPD2-Postural Tremor of Left HandC113882UPD2-Postural Tremor of Left HandThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Postural Tremor of the Left Hand.MDS-UPDRS - Postural Tremor of Left Hand
UPD2-Postural Tremor of Right HandC100525UPD2-Postural Tremor of Right HandThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Postural Tremor of the Right Hand.MDS-UPDRS - Postural Tremor of Right Hand
UPD2-PostureC100523UPD2-PostureThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Posture.MDS-UPDRS - Posture
UPD2-Pron/Sup Movement of Left HandC100514UPD2-Pron/Sup Movement of Left HandThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Pronation-Supination Movements of Left Hand.MDS-UPDRS - Pronanation-Supination Movement of Left Hand
UPD2-Pron/Sup Movement of RT HandC100513UPD2-Pron/Sup Movement of RT HandThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Pronation-Supination Movements of Right Hand.MDS-UPDRS - Pronanation-Supination Movement of Right Hand
UPD2-Rest Tremor Amplitude Lip/JawC100531UPD2-Rest Tremor Amplitude Lip/JawThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rest Tremor Amplitude Lip/Jaw.MDS-UPDRS - Rest Tremor Amplitude Lip or Jaw
UPD2-Rest Tremor Amplitude LLEC100530UPD2-Rest Tremor Amplitude LLEThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rest Tremor Amplitude Left Lower Extremity.MDS-UPDRS - Rest Tremor Amplitude Left Lower Extremity
UPD2-Rest Tremor Amplitude LUEC100528UPD2-Rest Tremor Amplitude LUEThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rest Tremor Amplitude Left Upper Extremity.MDS-UPDRS - Rest Tremor Amplitude Left Upper Extremity
UPD2-Rest Tremor Amplitude RLEC100529UPD2-Rest Tremor Amplitude RLEThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rest Tremor Amplitude Right Lower Extremity.MDS-UPDRS - Rest Tremor Amplitude Right Lower Extremity
UPD2-Rest Tremor Amplitude RUEC100527UPD2-Rest Tremor Amplitude RUEThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rest Tremor Amplitude Right Upper Extremity.MDS-UPDRS - Rest Tremor Amplitude Right Upper Extremity
UPD2-Right Finger TappingC100509UPD2-Right Finger TappingThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Right Finger Tapping.MDS-UPDRS - Right Finger Tapping
UPD2-Right Hand MovementsC100511UPD2-Right Hand MovementsThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Right Hand Movements.MDS-UPDRS - Right Hand Movements
UPD2-Right Leg AgilityC100517UPD2-Right Leg AgilityThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Right Leg Agility.MDS-UPDRS - Right Leg Agility
UPD2-Right Toe TappingC100515UPD2-Right Toe TappingThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Right Toe Tapping.MDS-UPDRS - Right Toe Tapping
UPD2-Rigidity Left Lower ExtremityC100508UPD2-Rigidity Left Lower ExtremityThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rigidity Left Lower Extremity.MDS-UPDRS - Rigidity Left Lower Extremity
UPD2-Rigidity Left Upper ExtremityC100506UPD2-Rigidity Left Upper ExtremityThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rigidity Left Upper Extremity.MDS-UPDRS - Rigidity Left Upper Extremity
UPD2-Rigidity NeckC100504UPD2-Rigidity NeckThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rigidity Neck.MDS-UPDRS - Rigidity Neck
UPD2-Rigidity RT Lower ExtremityC100507UPD2-Rigidity RT Lower ExtremityThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rigidity Right Lower Extremity.MDS-UPDRS - Rigidity Right Lower Extremity
UPD2-Rigidity RT Upper ExtremityC100505UPD2-Rigidity RT Upper ExtremityThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rigidity Right Upper Extremity.MDS-UPDRS - Rigidity Right Upper Extremity
UPD2-Saliva and DroolingC100487UPD2-Saliva and DroolingThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had too much saliva during when you are awake or when you sleep?MDS-UPDRS - Saliva and Drooling
UPD2-Sleep ProblemsC100479UPD2-Sleep ProblemsThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you had trouble going to sleep at night or staying asleep through the night?MDS-UPDRS - Sleep Problems
UPD2-Speech ProblemsC100502UPD2-Speech ProblemsThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Speech Problems.MDS-UPDRS - Speech Problems
UPD2-SpeechC100486UPD2-SpeechThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you had problems with your speech?MDS-UPDRS - Speech
UPD2-Taking LevodopaC100500UPD2-Taking LevodopaThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Is the patient on Levodopa?MDS-UPDRS - Taking Levodopa
UPD2-Time Spent in the Off StateC100538UPD2-Time Spent in the Off StateThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Time Spent in the Off State.MDS-UPDRS - Time Spent in the Off State
UPD2-Time Spent with DyskinesiasC100536UPD2-Time Spent with DyskinesiasThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Time Spent with Dyskinesias.MDS-UPDRS - Time Spent with Dyskinesias
UPD2-TremorC100495UPD2-TremorThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had shaking or tremor?MDS-UPDRS - Tremor
UPD2-Turning in BedC100494UPD2-Turning in BedThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, do you usually have trouble turning over in bed?MDS-UPDRS - Turning in Bed
UPD2-Urinary ProblemsC100482UPD2-Urinary ProblemsThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you had trouble with urine control?MDS-UPDRS - Urinary Problems
UPD2-Walking and BalanceC100496UPD2-Walking and BalanceThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had problems with balance and walking?MDS-UPDRS - Walking and Balance
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CL.C113860.MSQL1TCMultiple Sclerosis Quality of Life-54 Instrument Questionnaire Test Code
(MSQL1TC)
text
Extensible: No
C113860Multiple Sclerosis Quality of Life-54 Instrument Questionnaire Test CodeMultiple Sclerosis Quality of Life-54 Instrument test code.CDISC Questionnaire Multiple Sclerosis Quality of Life-54 Instrument Test Code Terminology
MSQL101C113988MSQL1-Would You Say Your Health IsMultiple Sclerosis Quality of Life-54 Instrument - In general, would you say your health is:MSQOL-54 - Would You Say Your Health Is
MSQL102C113989MSQL1-Health Now Compared to 1 Year AgoMultiple Sclerosis Quality of Life-54 Instrument - Compared to one year ago, how would you rate your health in general now?MSQOL-54 - Health Now Compared to One Year Ago
MSQL103C113990MSQL1-Health Limit Vigorous ActivitiesMultiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Vigorous activities, such as running, lifting heavy objects, participating in strenuous sports.MSQOL-54 - Health Limit Vigorous Activities
MSQL104C113991MSQL1-Health Limit Moderate ActivitiesMultiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf.MSQOL-54 - Health Limit Moderate Activities
MSQL105C113992MSQL1-Health Limit Carrying GroceriesMultiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Lifting or carrying groceries.MSQOL-54 - Health Limit Lifting or Carrying Groceries
MSQL106C113993MSQL1-Health Limit Climb Several FlightsMultiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Climbing several flights of stairs.MSQOL-54 - Health Limit Climbing Several Stairs
MSQL107C113994MSQL1-Health Limit Climb One FlightMultiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Climbing one flight of stairs.MSQOL-54 - Health Limit Climbing One Stair
MSQL108C113995MSQL1-Health Limit Bending or KneelingMultiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Bending, kneeling, or stooping.MSQOL-54 - Health Limit Bending, Kneeling or Stooping
MSQL109C113996MSQL1-Health Limit Walk More Than MileMultiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Walking more than a mile.MSQOL-54 - Health Limit Walking More than A Mile
MSQL110C113997MSQL1-Health Limit Walk Several BlocksMultiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Walking several blocks.MSQOL-54 - Health Limit Walking Several Blocks
MSQL111C113998MSQL1-Health Limit Walk One BlockMultiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Walking one block.MSQOL-54 - Health Limit Walking One Block
MSQL112C113999MSQL1-Health Limit Bathing/Dressing SelfMultiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Bathing and dressing yourself.MSQOL-54 - Health Limit Bathing and Dressing Yourself
MSQL113C114000MSQL1-Phys Health: Cut Work TimeMultiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Cut down on the amount of time you could spend on work or other activities.MSQOL-54 - Physical Health Cut Down Time on Work
MSQL114C114001MSQL1-Phys Health: Accomplish LessMultiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Accomplished less than you would like.MSQOL-54 - Physical Health Accomplish Less
MSQL115C114002MSQL1-Phys Health: Limit Kind of WorkMultiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Were limited in the kind of work or other activities.MSQOL-54 - Physical Health Limited in the Kind of Work
MSQL116C114003MSQL1-Phys Health: Difficulty PerformingMultiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Had difficulty performing the work or other activities.MSQOL-54 - Physical Health Difficulty Perform Work
MSQL117C114004MSQL1-Emotional Problem: Cut Work TimeMultiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems: Cut down on the amount of time you could spend on work or other activities.MSQOL-54 - Emotional Problem Cut Down Time on Work
MSQL118C114005MSQL1-Emotional Problem: Accomplish LessMultiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems: Accomplished less than you would like.MSQOL-54 - Emotional Problem Accomplish Less
MSQL119C114006MSQL1-Emotional Problem: Less CarefulMultiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems: Didn't do work or other activities as carefully as usual.MSQOL-54 - Emotional Problem Did Not Do Work Carefully
MSQL120C114007MSQL1-Extent Interfered Social ActivityMultiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, to what extent has your physical health or emotional problems interfered with your normal social activities with family, friends, neighbors, or groups?MSQOL-54 - Extend Physical Health or Emotional Problem Interfere With Social Activities
MSQL121C114008MSQL1-How Much Bodily Pain Have You HadMultiple Sclerosis Quality of Life-54 Instrument - How much bodily pain have you had during the past 4 weeks?MSQOL-54 - Bodily Pain
MSQL122C114009MSQL1-Did Pain Interfere With Your WorkMultiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, how much did pain interfere with your normal work?MSQOL-54 - Pain Interfere With Normal Work
MSQL123C114010MSQL1-Did You Feel Full of PepMultiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you feel full of pep?MSQOL-54 - Feel Full of Pep
MSQL124C114011MSQL1-Have Been a Very Nervous PersonMultiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you been a very nervous person?MSQOL-54 - Been a Nervous Person
MSQL125C114012MSQL1-Have Felt So Down in the DumpsMultiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you felt so down in the dumps that nothing could cheer you up?MSQOL-54 - Felt So Down Nothing Could Cheer You Up
MSQL126C114013MSQL1-Have You Felt Calm and PeacefulMultiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you felt calm and peaceful?MSQOL-54 - Felt Calm and Peaceful
MSQL127C114014MSQL1-Did You Have a Lot of EnergyMultiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you have a lot of energy?MSQOL-54 - Have a Lot of Energy
MSQL128C114015MSQL1-Have Felt Downhearted and BlueMultiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you felt downhearted and blue?MSQOL-54 - Felt Downhearted and Blue
MSQL129C114016MSQL1-Did You Feel Worn OutMultiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you feel worn out?MSQOL-54 - Feel Worn Out
MSQL130C114017MSQL1-Have You Been a Happy PersonMultiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you been a happy person?MSQOL-54 - Been a Happy Person
MSQL131C114018MSQL1-Did You Feel TiredMultiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you feel tired?MSQOL-54 - Feel Tired
MSQL132C114019MSQL1-Did You Feel Rested on WakingMultiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you feel rested on waking in the morning?MSQOL-54 - Feel Rested Waking in the Morning
MSQL133C114020MSQL1-Amt Time Interfere Social ActivityMultiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities?MSQOL-54 - Time Physical Health or Emotional Problem Interfere With Social Activities
MSQL134C114021MSQL1-Get Sick Easier Than Other PeopleMultiple Sclerosis Quality of Life-54 Instrument - How TRUE or FALSE is each of the following statements for you: I seem to get sick a little easier than other people.MSQOL-54 - Get Sick Easier Than Other
MSQL135C114022MSQL1-I Am as Healthy as Anybody I KnowMultiple Sclerosis Quality of Life-54 Instrument - How TRUE or FALSE is each of the following statements for you: I am as healthy as anybody I know.MSQOL-54 - As Healthy as Anybody
MSQL136C114023MSQL1-I Expect My Health to Get WorseMultiple Sclerosis Quality of Life-54 Instrument - How TRUE or FALSE is each of the following statements for you: I expect my health to get worse.MSQOL-54 - Expect Health to Get Worse
MSQL137C114024MSQL1-My Health Is ExcellentMultiple Sclerosis Quality of Life-54 Instrument - How TRUE or FALSE is each of the following statements for you: My health is excellent.MSQOL-54 - Health is Excellent
MSQL138C114025MSQL1-Discouraged by Health ProblemsMultiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Were you discouraged by your health problems?MSQOL-54 - Discouraged by Health Problem
MSQL139C114026MSQL1-Were Frustrated About Your HealthMultiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Were you frustrated about your health?MSQOL-54 - Frustrated With Health
MSQL140C114027MSQL1-Was Health a Worry in Your LifeMultiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Was your health a worry in your life?MSQOL-54 - Health a Worry in Life
MSQL141C114028MSQL1-Weighed Down by Health ProblemsMultiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you feel weighed down by your health problems?MSQOL-54 - Feel Weighed Down by Health Problem
MSQL142C114029MSQL1-Difficulty Concentrating/ThinkingMultiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you had difficulty concentrating and thinking?MSQOL-54 - Difficulty Concentrating and Thinking
MSQL143C114030MSQL1-Trouble Keep Attention for LongMultiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you have trouble keeping your attention on an activity for long?MSQOL-54 - Trouble Keep Attention for Long
MSQL144C114031MSQL1-Have Had Trouble With Your MemoryMultiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you had trouble with your memory?MSQOL-54 - Trouble With Memory
MSQL145C114032MSQL1-Others Notice Your Memory TroubleMultiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have others, such as family members or friends, noticed that you have trouble with your memory or problems with your concentration?MSQOL-54 - Others Notice Your Problems With Memory or Concentration
MSQL146C114033MSQL1-Lack of Sexual InterestMultiple Sclerosis Quality of Life-54 Instrument - How much of a problem was each of the following for you during the past 4 weeks: Lack of sexual interest.MSQOL-54 - Lack of Sexual Interest
MSQL147MC114034MSQL1-Difficult Getting/Keeping ErectionMultiple Sclerosis Quality of Life-54 Instrument - How much of a problem was each of the following for you during the past 4 weeks: Difficulty getting or keeping an erection.MSQOL-54 - Difficulty Keeping an Erection
MSQL147WC114035MSQL1-Inadequate LubricationMultiple Sclerosis Quality of Life-54 Instrument - How much of a problem was each of the following for you during the past 4 weeks: Inadequate lubrication.MSQOL-54 - Inadequate Lubrication
MSQL148C114036MSQL1-Difficulty Having OrgasmMultiple Sclerosis Quality of Life-54 Instrument - How much of a problem was each of the following for you during the past 4 weeks: Difficulty having orgasm.MSQOL-54 - Difficulty Having Orgasm
MSQL149C114037MSQL1-Ability to Satisfy Sexual PartnerMultiple Sclerosis Quality of Life-54 Instrument - How much of a problem was each of the following for you during the past 4 weeks: Ability to satisfy sexual partner.MSQOL-54 - Ability to Satisfy Sexual Partner
MSQL150C114038MSQL1-Satisfied With Sexual FunctionMultiple Sclerosis Quality of Life-54 Instrument - Overall, how satisfied were you with your sexual function during the past 4 weeks?MSQOL-54 - Satisfied With Sexual Function
MSQL151C114039MSQL1-Bowel/Bladder Interfered ActivityMultiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, to what extent have problems with your bowel or bladder function interfered with your normal social activities with family, friends, neighbors, or groups?MSQOL-54 - Bowel or Bladder Function Interfere With Social Activities
MSQL152C114040MSQL1-Pain Interfere Enjoyment of LifeMultiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, how much did pain interfere with your enjoyment of life?MSQOL-54 - Pain Interfere Enjoyment of Life
MSQL153C114041MSQL1-Rate Your Own Quality-of-LifeMultiple Sclerosis Quality of Life-54 Instrument - Overall, how would you rate your own quality-of-life?MSQOL-54 - Rate Your Own Quality of Life
MSQL154C114042MSQL1-Describe How Feel About Your LifeMultiple Sclerosis Quality of Life-54 Instrument - Which best describes how you feel about your life as a whole?MSQOL-54 - Describe How You Feel About Your Life
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CL.C113859.MSQL1TNMultiple Sclerosis Quality of Life-54 Instrument Questionnaire Test Name
(MSQL1TN)
text
Extensible: No
C113859Multiple Sclerosis Quality of Life-54 Instrument Questionnaire Test NameMultiple Sclerosis Quality of Life-54 Instrument test name.CDISC Questionnaire Multiple Sclerosis Quality of Life-54 Instrument Test Name Terminology
MSQL1-Ability to Satisfy Sexual PartnerC114037MSQL1-Ability to Satisfy Sexual PartnerMultiple Sclerosis Quality of Life-54 Instrument - How much of a problem was each of the following for you during the past 4 weeks: Ability to satisfy sexual partner.MSQOL-54 - Ability to Satisfy Sexual Partner
MSQL1-Amt Time Interfere Social ActivityC114020MSQL1-Amt Time Interfere Social ActivityMultiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities?MSQOL-54 - Time Physical Health or Emotional Problem Interfere With Social Activities
MSQL1-Bowel/Bladder Interfered ActivityC114039MSQL1-Bowel/Bladder Interfered ActivityMultiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, to what extent have problems with your bowel or bladder function interfered with your normal social activities with family, friends, neighbors, or groups?MSQOL-54 - Bowel or Bladder Function Interfere With Social Activities
MSQL1-Describe How Feel About Your LifeC114042MSQL1-Describe How Feel About Your LifeMultiple Sclerosis Quality of Life-54 Instrument - Which best describes how you feel about your life as a whole?MSQOL-54 - Describe How You Feel About Your Life
MSQL1-Did Pain Interfere With Your WorkC114009MSQL1-Did Pain Interfere With Your WorkMultiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, how much did pain interfere with your normal work?MSQOL-54 - Pain Interfere With Normal Work
MSQL1-Did You Feel Full of PepC114010MSQL1-Did You Feel Full of PepMultiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you feel full of pep?MSQOL-54 - Feel Full of Pep
MSQL1-Did You Feel Rested on WakingC114019MSQL1-Did You Feel Rested on WakingMultiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you feel rested on waking in the morning?MSQOL-54 - Feel Rested Waking in the Morning
MSQL1-Did You Feel TiredC114018MSQL1-Did You Feel TiredMultiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you feel tired?MSQOL-54 - Feel Tired
MSQL1-Did You Feel Worn OutC114016MSQL1-Did You Feel Worn OutMultiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you feel worn out?MSQOL-54 - Feel Worn Out
MSQL1-Did You Have a Lot of EnergyC114014MSQL1-Did You Have a Lot of EnergyMultiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you have a lot of energy?MSQOL-54 - Have a Lot of Energy
MSQL1-Difficult Getting/Keeping ErectionC114034MSQL1-Difficult Getting/Keeping ErectionMultiple Sclerosis Quality of Life-54 Instrument - How much of a problem was each of the following for you during the past 4 weeks: Difficulty getting or keeping an erection.MSQOL-54 - Difficulty Keeping an Erection
MSQL1-Difficulty Concentrating/ThinkingC114029MSQL1-Difficulty Concentrating/ThinkingMultiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you had difficulty concentrating and thinking?MSQOL-54 - Difficulty Concentrating and Thinking
MSQL1-Difficulty Having OrgasmC114036MSQL1-Difficulty Having OrgasmMultiple Sclerosis Quality of Life-54 Instrument - How much of a problem was each of the following for you during the past 4 weeks: Difficulty having orgasm.MSQOL-54 - Difficulty Having Orgasm
MSQL1-Discouraged by Health ProblemsC114025MSQL1-Discouraged by Health ProblemsMultiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Were you discouraged by your health problems?MSQOL-54 - Discouraged by Health Problem
MSQL1-Emotional Problem: Accomplish LessC114005MSQL1-Emotional Problem: Accomplish LessMultiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems: Accomplished less than you would like.MSQOL-54 - Emotional Problem Accomplish Less
MSQL1-Emotional Problem: Cut Work TimeC114004MSQL1-Emotional Problem: Cut Work TimeMultiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems: Cut down on the amount of time you could spend on work or other activities.MSQOL-54 - Emotional Problem Cut Down Time on Work
MSQL1-Emotional Problem: Less CarefulC114006MSQL1-Emotional Problem: Less CarefulMultiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems: Didn't do work or other activities as carefully as usual.MSQOL-54 - Emotional Problem Did Not Do Work Carefully
MSQL1-Extent Interfered Social ActivityC114007MSQL1-Extent Interfered Social ActivityMultiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, to what extent has your physical health or emotional problems interfered with your normal social activities with family, friends, neighbors, or groups?MSQOL-54 - Extend Physical Health or Emotional Problem Interfere With Social Activities
MSQL1-Get Sick Easier Than Other PeopleC114021MSQL1-Get Sick Easier Than Other PeopleMultiple Sclerosis Quality of Life-54 Instrument - How TRUE or FALSE is each of the following statements for you: I seem to get sick a little easier than other people.MSQOL-54 - Get Sick Easier Than Other
MSQL1-Have Been a Very Nervous PersonC114011MSQL1-Have Been a Very Nervous PersonMultiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you been a very nervous person?MSQOL-54 - Been a Nervous Person
MSQL1-Have Felt Downhearted and BlueC114015MSQL1-Have Felt Downhearted and BlueMultiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you felt downhearted and blue?MSQOL-54 - Felt Downhearted and Blue
MSQL1-Have Felt So Down in the DumpsC114012MSQL1-Have Felt So Down in the DumpsMultiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you felt so down in the dumps that nothing could cheer you up?MSQOL-54 - Felt So Down Nothing Could Cheer You Up
MSQL1-Have Had Trouble With Your MemoryC114031MSQL1-Have Had Trouble With Your MemoryMultiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you had trouble with your memory?MSQOL-54 - Trouble With Memory
MSQL1-Have You Been a Happy PersonC114017MSQL1-Have You Been a Happy PersonMultiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you been a happy person?MSQOL-54 - Been a Happy Person
MSQL1-Have You Felt Calm and PeacefulC114013MSQL1-Have You Felt Calm and PeacefulMultiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you felt calm and peaceful?MSQOL-54 - Felt Calm and Peaceful
MSQL1-Health Limit Bathing/Dressing SelfC113999MSQL1-Health Limit Bathing/Dressing SelfMultiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Bathing and dressing yourself.MSQOL-54 - Health Limit Bathing and Dressing Yourself
MSQL1-Health Limit Bending or KneelingC113995MSQL1-Health Limit Bending or KneelingMultiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Bending, kneeling, or stooping.MSQOL-54 - Health Limit Bending, Kneeling or Stooping
MSQL1-Health Limit Carrying GroceriesC113992MSQL1-Health Limit Carrying GroceriesMultiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Lifting or carrying groceries.MSQOL-54 - Health Limit Lifting or Carrying Groceries
MSQL1-Health Limit Climb One FlightC113994MSQL1-Health Limit Climb One FlightMultiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Climbing one flight of stairs.MSQOL-54 - Health Limit Climbing One Stair
MSQL1-Health Limit Climb Several FlightsC113993MSQL1-Health Limit Climb Several FlightsMultiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Climbing several flights of stairs.MSQOL-54 - Health Limit Climbing Several Stairs
MSQL1-Health Limit Moderate ActivitiesC113991MSQL1-Health Limit Moderate ActivitiesMultiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf.MSQOL-54 - Health Limit Moderate Activities
MSQL1-Health Limit Vigorous ActivitiesC113990MSQL1-Health Limit Vigorous ActivitiesMultiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Vigorous activities, such as running, lifting heavy objects, participating in strenuous sports.MSQOL-54 - Health Limit Vigorous Activities
MSQL1-Health Limit Walk More Than MileC113996MSQL1-Health Limit Walk More Than MileMultiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Walking more than a mile.MSQOL-54 - Health Limit Walking More than A Mile
MSQL1-Health Limit Walk One BlockC113998MSQL1-Health Limit Walk One BlockMultiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Walking one block.MSQOL-54 - Health Limit Walking One Block
MSQL1-Health Limit Walk Several BlocksC113997MSQL1-Health Limit Walk Several BlocksMultiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Walking several blocks.MSQOL-54 - Health Limit Walking Several Blocks
MSQL1-Health Now Compared to 1 Year AgoC113989MSQL1-Health Now Compared to 1 Year AgoMultiple Sclerosis Quality of Life-54 Instrument - Compared to one year ago, how would you rate your health in general now?MSQOL-54 - Health Now Compared to One Year Ago
MSQL1-How Much Bodily Pain Have You HadC114008MSQL1-How Much Bodily Pain Have You HadMultiple Sclerosis Quality of Life-54 Instrument - How much bodily pain have you had during the past 4 weeks?MSQOL-54 - Bodily Pain
MSQL1-I Am as Healthy as Anybody I KnowC114022MSQL1-I Am as Healthy as Anybody I KnowMultiple Sclerosis Quality of Life-54 Instrument - How TRUE or FALSE is each of the following statements for you: I am as healthy as anybody I know.MSQOL-54 - As Healthy as Anybody
MSQL1-I Expect My Health to Get WorseC114023MSQL1-I Expect My Health to Get WorseMultiple Sclerosis Quality of Life-54 Instrument - How TRUE or FALSE is each of the following statements for you: I expect my health to get worse.MSQOL-54 - Expect Health to Get Worse
MSQL1-Inadequate LubricationC114035MSQL1-Inadequate LubricationMultiple Sclerosis Quality of Life-54 Instrument - How much of a problem was each of the following for you during the past 4 weeks: Inadequate lubrication.MSQOL-54 - Inadequate Lubrication
MSQL1-Lack of Sexual InterestC114033MSQL1-Lack of Sexual InterestMultiple Sclerosis Quality of Life-54 Instrument - How much of a problem was each of the following for you during the past 4 weeks: Lack of sexual interest.MSQOL-54 - Lack of Sexual Interest
MSQL1-My Health Is ExcellentC114024MSQL1-My Health Is ExcellentMultiple Sclerosis Quality of Life-54 Instrument - How TRUE or FALSE is each of the following statements for you: My health is excellent.MSQOL-54 - Health is Excellent
MSQL1-Others Notice Your Memory TroubleC114032MSQL1-Others Notice Your Memory TroubleMultiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have others, such as family members or friends, noticed that you have trouble with your memory or problems with your concentration?MSQOL-54 - Others Notice Your Problems With Memory or Concentration
MSQL1-Pain Interfere Enjoyment of LifeC114040MSQL1-Pain Interfere Enjoyment of LifeMultiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, how much did pain interfere with your enjoyment of life?MSQOL-54 - Pain Interfere Enjoyment of Life
MSQL1-Phys Health: Accomplish LessC114001MSQL1-Phys Health: Accomplish LessMultiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Accomplished less than you would like.MSQOL-54 - Physical Health Accomplish Less
MSQL1-Phys Health: Cut Work TimeC114000MSQL1-Phys Health: Cut Work TimeMultiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Cut down on the amount of time you could spend on work or other activities.MSQOL-54 - Physical Health Cut Down Time on Work
MSQL1-Phys Health: Difficulty PerformingC114003MSQL1-Phys Health: Difficulty PerformingMultiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Had difficulty performing the work or other activities.MSQOL-54 - Physical Health Difficulty Perform Work
MSQL1-Phys Health: Limit Kind of WorkC114002MSQL1-Phys Health: Limit Kind of WorkMultiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Were limited in the kind of work or other activities.MSQOL-54 - Physical Health Limited in the Kind of Work
MSQL1-Rate Your Own Quality-of-LifeC114041MSQL1-Rate Your Own Quality-of-LifeMultiple Sclerosis Quality of Life-54 Instrument - Overall, how would you rate your own quality-of-life?MSQOL-54 - Rate Your Own Quality of Life
MSQL1-Satisfied With Sexual FunctionC114038MSQL1-Satisfied With Sexual FunctionMultiple Sclerosis Quality of Life-54 Instrument - Overall, how satisfied were you with your sexual function during the past 4 weeks?MSQOL-54 - Satisfied With Sexual Function
MSQL1-Trouble Keep Attention for LongC114030MSQL1-Trouble Keep Attention for LongMultiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you have trouble keeping your attention on an activity for long?MSQOL-54 - Trouble Keep Attention for Long
MSQL1-Was Health a Worry in Your LifeC114027MSQL1-Was Health a Worry in Your LifeMultiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Was your health a worry in your life?MSQOL-54 - Health a Worry in Life
MSQL1-Weighed Down by Health ProblemsC114028MSQL1-Weighed Down by Health ProblemsMultiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you feel weighed down by your health problems?MSQOL-54 - Feel Weighed Down by Health Problem
MSQL1-Were Frustrated About Your HealthC114026MSQL1-Were Frustrated About Your HealthMultiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Were you frustrated about your health?MSQOL-54 - Frustrated With Health
MSQL1-Would You Say Your Health IsC113988MSQL1-Would You Say Your Health IsMultiple Sclerosis Quality of Life-54 Instrument - In general, would you say your health is:MSQOL-54 - Would You Say Your Health Is
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CL.C129092.FAC028TCNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 Questionnaire Test Code
(FAC028TC)
text
Extensible: No
C129092National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 Questionnaire Test CodeNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 test code.CDISC Questionnaire NCCN-FACT FBLSI-18 Version 2 Test Code Terminology
FAC02801C129170FAC028-I Have PainNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I have pain.NCCN-FACT FBLSI-18 Version 2 - I Have Pain
FAC02802C129171FAC028-I Am Losing WeightNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I am losing weight.NCCN-FACT FBLSI-18 Version 2 - I Am Losing Weight
FAC02803C129172FAC028-Have Trouble Controlling My UrineNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I have trouble controlling my urine.NCCN-FACT FBLSI-18 Version 2 - Have Trouble Controlling My Urine
FAC02804C129173FAC028-I Feel Weak All OverNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I feel weak all over.NCCN-FACT FBLSI-18 Version 2 - I Feel Weak All Over
FAC02805C129174FAC028-I Feel Light-headedNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I feel light-headed (dizzy).NCCN-FACT FBLSI-18 Version 2 - I Feel Light-headed
FAC02806C129175FAC028-Trouble Meeting Needs of FamilyNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - Because of my physical condition, I have trouble meeting the needs of my family.NCCN-FACT FBLSI-18 Version 2 - Trouble Meeting Needs of Family
FAC02807C129176FAC028-I Have a Good AppetiteNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I have a good appetite.NCCN-FACT FBLSI-18 Version 2 - I Have a Good Appetite
FAC02808C129177FAC028-Able to Have/Maintain ErectionNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - (For men only) I am able to have and maintain an erection.NCCN-FACT FBLSI-18 Version 2 - Able to Have, Maintain Erection
FAC02809C129178FAC028-I Am Sleeping WellNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I am sleeping well.NCCN-FACT FBLSI-18 Version 2 - I Am Sleeping Well
FAC02810C129179FAC028-Worry My Condition Will Get WorseNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I worry that my condition will get worse.NCCN-FACT FBLSI-18 Version 2 - Worry My Condition Will Get Worse
FAC02811C129180FAC028-I Feel SadNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I feel sad.NCCN-FACT FBLSI-18 Version 2 - I Feel Sad
FAC02812C129181FAC028-I Have NauseaNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I have nausea.NCCN-FACT FBLSI-18 Version 2 - I Have Nausea
FAC02813C129182FAC028-I Have a Lack of EnergyNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I have a lack of energy.NCCN-FACT FBLSI-18 Version 2 - I Have a Lack of Energy
FAC02814C129183FAC028-I Feel IllNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I feel ill.NCCN-FACT FBLSI-18 Version 2 - I Feel Ill
FAC02815C129184FAC028-I Have Control of My BowelsNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I have control of my bowels.NCCN-FACT FBLSI-18 Version 2 - I Have Control of My Bowels
FAC02816C129185FAC028-Bothered by Treatment Side EffectNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I am bothered by side effects of treatment.NCCN-FACT FBLSI-18 Version 2 - Bothered by Treatment Side Effect
FAC02817C129186FAC028-I Am Able to Enjoy LifeNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I am able to enjoy life.NCCN-FACT FBLSI-18 Version 2 - I Am Able to Enjoy Life
FAC02818C129187FAC028-Content With Quality of My LifeNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I am content with the quality of my life right now.NCCN-FACT FBLSI-18 Version 2 - Content With Quality of My Life
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CL.C129091.FAC028TNNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 Questionnaire Test Name
(FAC028TN)
text
Extensible: No
C129091National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 Questionnaire Test NameNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 test name.CDISC Questionnaire NCCN-FACT FBLSI-18 Version 2 Test Name Terminology
FAC028-Able to Have/Maintain ErectionC129177FAC028-Able to Have/Maintain ErectionNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - (For men only) I am able to have and maintain an erection.NCCN-FACT FBLSI-18 Version 2 - Able to Have, Maintain Erection
FAC028-Bothered by Treatment Side EffectC129185FAC028-Bothered by Treatment Side EffectNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I am bothered by side effects of treatment.NCCN-FACT FBLSI-18 Version 2 - Bothered by Treatment Side Effect
FAC028-Content With Quality of My LifeC129187FAC028-Content With Quality of My LifeNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I am content with the quality of my life right now.NCCN-FACT FBLSI-18 Version 2 - Content With Quality of My Life
FAC028-Have Trouble Controlling My UrineC129172FAC028-Have Trouble Controlling My UrineNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I have trouble controlling my urine.NCCN-FACT FBLSI-18 Version 2 - Have Trouble Controlling My Urine
FAC028-I Am Able to Enjoy LifeC129186FAC028-I Am Able to Enjoy LifeNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I am able to enjoy life.NCCN-FACT FBLSI-18 Version 2 - I Am Able to Enjoy Life
FAC028-I Am Losing WeightC129171FAC028-I Am Losing WeightNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I am losing weight.NCCN-FACT FBLSI-18 Version 2 - I Am Losing Weight
FAC028-I Am Sleeping WellC129178FAC028-I Am Sleeping WellNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I am sleeping well.NCCN-FACT FBLSI-18 Version 2 - I Am Sleeping Well
FAC028-I Feel IllC129183FAC028-I Feel IllNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I feel ill.NCCN-FACT FBLSI-18 Version 2 - I Feel Ill
FAC028-I Feel Light-headedC129174FAC028-I Feel Light-headedNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I feel light-headed (dizzy).NCCN-FACT FBLSI-18 Version 2 - I Feel Light-headed
FAC028-I Feel SadC129180FAC028-I Feel SadNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I feel sad.NCCN-FACT FBLSI-18 Version 2 - I Feel Sad
FAC028-I Feel Weak All OverC129173FAC028-I Feel Weak All OverNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I feel weak all over.NCCN-FACT FBLSI-18 Version 2 - I Feel Weak All Over
FAC028-I Have a Good AppetiteC129176FAC028-I Have a Good AppetiteNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I have a good appetite.NCCN-FACT FBLSI-18 Version 2 - I Have a Good Appetite
FAC028-I Have a Lack of EnergyC129182FAC028-I Have a Lack of EnergyNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I have a lack of energy.NCCN-FACT FBLSI-18 Version 2 - I Have a Lack of Energy
FAC028-I Have Control of My BowelsC129184FAC028-I Have Control of My BowelsNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I have control of my bowels.NCCN-FACT FBLSI-18 Version 2 - I Have Control of My Bowels
FAC028-I Have NauseaC129181FAC028-I Have NauseaNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I have nausea.NCCN-FACT FBLSI-18 Version 2 - I Have Nausea
FAC028-I Have PainC129170FAC028-I Have PainNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I have pain.NCCN-FACT FBLSI-18 Version 2 - I Have Pain
FAC028-Trouble Meeting Needs of FamilyC129175FAC028-Trouble Meeting Needs of FamilyNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - Because of my physical condition, I have trouble meeting the needs of my family.NCCN-FACT FBLSI-18 Version 2 - Trouble Meeting Needs of Family
FAC028-Worry My Condition Will Get WorseC129179FAC028-Worry My Condition Will Get WorseNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Bladder Symptom Index-18 Version 2 - I worry that my condition will get worse.NCCN-FACT FBLSI-18 Version 2 - Worry My Condition Will Get Worse
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CL.C150786.FAC030TCNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 Questionnaire Test Code
(FAC030TC)
text
Extensible: No
C150786National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 Questionnaire Test CodeNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 test code.CDISC Questionnaire NCCN-FACT FBRSI-24 Version 2 Test Code Terminology
FAC03001C151280FAC030-I Get HeadachesNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I get headaches.NCCN-FACT FBRSI-24 Version 2 - I Get Headaches
FAC03002C151281FAC030-I Have Trouble With CoordinationNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I have trouble with coordination.NCCN-FACT FBRSI-24 Version 2 - I Have Trouble With Coordination
FAC03003C151282FAC030-I Have Had SeizuresNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I have had seizures (convulsions).NCCN-FACT FBRSI-24 Version 2 - I Have Had Seizures
FAC03004C151283FAC030-I Need Help in Caring for MyselfNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I need help in caring for myself (bathing, dressing, eating, etc.).NCCN-FACT FBRSI-24 Version 2 - I Need Help in Caring for Myself
FAC03005C151284FAC030-Have Weakness in My Arms or LegsNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I have weakness in my arms or legs.NCCN-FACT FBRSI-24 Version 2 - Have Weakness in My Arms or Legs
FAC03006C151285FAC030-I Am Losing WeightNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I am losing weight.NCCN-FACT FBRSI-24 Version 2 - I Am Losing Weight
FAC03007C151286FAC030-Trouble Meeting Needs of FamilyNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - Because of my physical condition, I have trouble meeting the needs of my family.NCCN-FACT FBRSI-24 Version 2 - Trouble Meeting Needs of Family
FAC03008C151287FAC030-Difficulty Expressing My ThoughtsNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I have difficulty expressing my thoughts.NCCN-FACT FBRSI-24 Version 2 - Difficulty Expressing My Thoughts
FAC03009C151288FAC030-I Am Sleeping WellNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I am sleeping well.NCCN-FACT FBRSI-24 Version 2 - I Am Sleeping Well
FAC03010C151289FAC030-I Am Able to ConcentrateNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I am able to concentrate.NCCN-FACT FBRSI-24 Version 2 - I Am Able to Concentrate
FAC03011C151290FAC030-I Can Remember New ThingsNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I can remember new things.NCCN-FACT FBRSI-24 Version 2 - I Can Remember New Things
FAC03012C151291FAC030-Able to Find the Right WordsNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I am able to find the right word(s) to say what I mean.NCCN-FACT FBRSI-24 Version 2 - Able to Find the Right Words
FAC03013C151292FAC030-Bothered by Change in PersonalityNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I am bothered by the change in my personality.NCCN-FACT FBRSI-24 Version 2 - Bothered by Change in Personality
FAC03014C151293FAC030-Worry My Condition Will Get WorseNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I worry that my condition will get worse.NCCN-FACT FBRSI-24 Version 2 - Worry My Condition Will Get Worse
FAC03015C151294FAC030-I Am Afraid of Having a SeizureNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I am afraid of having a seizure (convulsion).NCCN-FACT FBRSI-24 Version 2 - I Am Afraid of Having a Seizure
FAC03016C151295FAC030-Frustrated I Cannot Do ThingsNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I get frustrated that I cannot do things I used to.NCCN-FACT FBRSI-24 Version 2 - Frustrated I Cannot Do Things
FAC03017C151296FAC030-Losing Hope Against IllnessNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I am losing hope in the fight against my illness.NCCN-FACT FBRSI-24 Version 2 - Losing Hope Against Illness
FAC03018C151297FAC030-I Have a Lack of EnergyNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I have a lack of energy.NCCN-FACT FBRSI-24 Version 2 - I Have a Lack of Energy
FAC03019C151298FAC030-I Have NauseaNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I have nausea.NCCN-FACT FBRSI-24 Version 2 - I Have Nausea
FAC03020C151299FAC030-Bothered by Treatment Side EffectNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I am bothered by side effects of treatment.NCCN-FACT FBRSI-24 Version 2 - Bothered by Treatment Side Effect
FAC03021C151300FAC030-I Feel FatiguedNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I feel fatigued.NCCN-FACT FBRSI-24 Version 2 - I Feel Fatigued
FAC03022C151301FAC030-I Have a Good AppetiteNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I have a good appetite.NCCN-FACT FBRSI-24 Version 2 - I Have a Good Appetite
FAC03023C151302FAC030-I Am Able to Enjoy LifeNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I am able to enjoy life.NCCN-FACT FBRSI-24 Version 2 - I Am Able to Enjoy Life
FAC03024C151303FAC030-Content With Quality of My LifeNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I am content with the quality of my life right now.NCCN-FACT FBRSI-24 Version 2 - Content With Quality of My Life
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CL.C150785.FAC030TNNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 Questionnaire Test Name
(FAC030TN)
text
Extensible: No
C150785National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 Questionnaire Test NameNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 test name.CDISC Questionnaire NCCN-FACT FBRSI-24 Version 2 Test Name Terminology
FAC030-Able to Find the Right WordsC151291FAC030-Able to Find the Right WordsNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I am able to find the right word(s) to say what I mean.NCCN-FACT FBRSI-24 Version 2 - Able to Find the Right Words
FAC030-Bothered by Change in PersonalityC151292FAC030-Bothered by Change in PersonalityNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I am bothered by the change in my personality.NCCN-FACT FBRSI-24 Version 2 - Bothered by Change in Personality
FAC030-Bothered by Treatment Side EffectC151299FAC030-Bothered by Treatment Side EffectNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I am bothered by side effects of treatment.NCCN-FACT FBRSI-24 Version 2 - Bothered by Treatment Side Effect
FAC030-Content With Quality of My LifeC151303FAC030-Content With Quality of My LifeNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I am content with the quality of my life right now.NCCN-FACT FBRSI-24 Version 2 - Content With Quality of My Life
FAC030-Difficulty Expressing My ThoughtsC151287FAC030-Difficulty Expressing My ThoughtsNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I have difficulty expressing my thoughts.NCCN-FACT FBRSI-24 Version 2 - Difficulty Expressing My Thoughts
FAC030-Frustrated I Cannot Do ThingsC151295FAC030-Frustrated I Cannot Do ThingsNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I get frustrated that I cannot do things I used to.NCCN-FACT FBRSI-24 Version 2 - Frustrated I Cannot Do Things
FAC030-Have Weakness in My Arms or LegsC151284FAC030-Have Weakness in My Arms or LegsNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I have weakness in my arms or legs.NCCN-FACT FBRSI-24 Version 2 - Have Weakness in My Arms or Legs
FAC030-I Am Able to ConcentrateC151289FAC030-I Am Able to ConcentrateNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I am able to concentrate.NCCN-FACT FBRSI-24 Version 2 - I Am Able to Concentrate
FAC030-I Am Able to Enjoy LifeC151302FAC030-I Am Able to Enjoy LifeNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I am able to enjoy life.NCCN-FACT FBRSI-24 Version 2 - I Am Able to Enjoy Life
FAC030-I Am Afraid of Having a SeizureC151294FAC030-I Am Afraid of Having a SeizureNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I am afraid of having a seizure (convulsion).NCCN-FACT FBRSI-24 Version 2 - I Am Afraid of Having a Seizure
FAC030-I Am Losing WeightC151285FAC030-I Am Losing WeightNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I am losing weight.NCCN-FACT FBRSI-24 Version 2 - I Am Losing Weight
FAC030-I Am Sleeping WellC151288FAC030-I Am Sleeping WellNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I am sleeping well.NCCN-FACT FBRSI-24 Version 2 - I Am Sleeping Well
FAC030-I Can Remember New ThingsC151290FAC030-I Can Remember New ThingsNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I can remember new things.NCCN-FACT FBRSI-24 Version 2 - I Can Remember New Things
FAC030-I Feel FatiguedC151300FAC030-I Feel FatiguedNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I feel fatigued.NCCN-FACT FBRSI-24 Version 2 - I Feel Fatigued
FAC030-I Get HeadachesC151280FAC030-I Get HeadachesNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I get headaches.NCCN-FACT FBRSI-24 Version 2 - I Get Headaches
FAC030-I Have a Good AppetiteC151301FAC030-I Have a Good AppetiteNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I have a good appetite.NCCN-FACT FBRSI-24 Version 2 - I Have a Good Appetite
FAC030-I Have a Lack of EnergyC151297FAC030-I Have a Lack of EnergyNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I have a lack of energy.NCCN-FACT FBRSI-24 Version 2 - I Have a Lack of Energy
FAC030-I Have Had SeizuresC151282FAC030-I Have Had SeizuresNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I have had seizures (convulsions).NCCN-FACT FBRSI-24 Version 2 - I Have Had Seizures
FAC030-I Have NauseaC151298FAC030-I Have NauseaNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I have nausea.NCCN-FACT FBRSI-24 Version 2 - I Have Nausea
FAC030-I Have Trouble With CoordinationC151281FAC030-I Have Trouble With CoordinationNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I have trouble with coordination.NCCN-FACT FBRSI-24 Version 2 - I Have Trouble With Coordination
FAC030-I Need Help in Caring for MyselfC151283FAC030-I Need Help in Caring for MyselfNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I need help in caring for myself (bathing, dressing, eating, etc.).NCCN-FACT FBRSI-24 Version 2 - I Need Help in Caring for Myself
FAC030-Losing Hope Against IllnessC151296FAC030-Losing Hope Against IllnessNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I am losing hope in the fight against my illness.NCCN-FACT FBRSI-24 Version 2 - Losing Hope Against Illness
FAC030-Trouble Meeting Needs of FamilyC151286FAC030-Trouble Meeting Needs of FamilyNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - Because of my physical condition, I have trouble meeting the needs of my family.NCCN-FACT FBRSI-24 Version 2 - Trouble Meeting Needs of Family
FAC030-Worry My Condition Will Get WorseC151293FAC030-Worry My Condition Will Get WorseNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Brain Symptom Index-24 Version 2 - I worry that my condition will get worse.NCCN-FACT FBRSI-24 Version 2 - Worry My Condition Will Get Worse
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CL.C150788.FAC036TCNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 Questionnaire Test Code
(FAC036TC)
text
Extensible: No
C150788National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 Questionnaire Test CodeNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 test code.CDISC Questionnaire NCCN-FACT FHNSI-22 Version 2 Test Code Terminology
FAC03601C151304FAC036-I Have PainNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I have pain.NCCN-FACT FHNSI-22 Version 2 - I Have Pain
FAC03602C151305FAC036-I Am Losing WeightNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I am losing weight.NCCN-FACT FHNSI-22 Version 2 - I Am Losing Weight
FAC03603C151306FAC036-I Have Trouble BreathingNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I have trouble breathing.NCCN-FACT FHNSI-22 Version 2 - I Have Trouble Breathing
FAC03604C151307FAC036-I Feel IllNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I feel ill.NCCN-FACT FHNSI-22 Version 2 - I Feel Ill
FAC03605C151308FAC036-Pain in My Mouth, Throat or NeckNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I have pain in my mouth, throat or neck.NCCN-FACT FHNSI-22 Version 2 - Pain in My Mouth, Throat or Neck
FAC03606C151309FAC036-Trouble Meeting Needs of FamilyNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - Because of my physical condition, I have trouble meeting the needs of my family.NCCN-FACT FHNSI-22 Version 2 - Trouble Meeting Needs of Family
FAC03607C151310FAC036-Can Swallow Naturally and EasilyNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I can swallow naturally and easily.NCCN-FACT FHNSI-22 Version 2 - Can Swallow Naturally and Easily
FAC03608C151311FAC036-Able to Eat the Foods That I LikeNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I am able to eat the foods that I like.NCCN-FACT FHNSI-22 Version 2 - Able to Eat the Foods That I Like
FAC03609C151312FAC036-Able to Communicate With OthersNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I am able to communicate with others.NCCN-FACT FHNSI-22 Version 2 - Able to Communicate With Others
FAC03610C151313FAC036-I Can Eat Solid FoodsNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I can eat solid foods.NCCN-FACT FHNSI-22 Version 2 - I Can Eat Solid Foods
FAC03611C151314FAC036-I Am Sleeping WellNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I am sleeping well.NCCN-FACT FHNSI-22 Version 2 - I Am Sleeping Well
FAC03612C151315FAC036-Worry My Condition Will Get WorseNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I worry that my condition will get worse.NCCN-FACT FHNSI-22 Version 2 - Worry My Condition Will Get Worse
FAC03613C151316FAC036-I Have a Lack of EnergyNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I have a lack of energy.NCCN-FACT FHNSI-22 Version 2 - I Have a Lack of Energy
FAC03614C151317FAC036-I Have NauseaNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I have nausea.NCCN-FACT FHNSI-22 Version 2 - I Have Nausea
FAC03615C151318FAC036-Had Change in the Way Food TastesNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I have had a change in the way food tastes.NCCN-FACT FHNSI-22 Version 2 - Had Change in the Way Food Tastes
FAC03616C151319FAC036-I Have Mouth SoresNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I have mouth sores.NCCN-FACT FHNSI-22 Version 2 - I Have Mouth Sores
FAC03617C151320FAC036-I Am Bothered by Hair LossNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I am bothered by hair loss.NCCN-FACT FHNSI-22 Version 2 - I Am Bothered by Hair Loss
FAC03618C151321FAC036-Bothered by Treatment Side EffectNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I am bothered by side effects of treatment.NCCN-FACT FHNSI-22 Version 2 - Bothered by Treatment Side Effect
FAC03619C151322FAC036-I Have a Good AppetiteNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I have a good appetite.NCCN-FACT FHNSI-22 Version 2 - I Have a Good Appetite
FAC03620C151323FAC036-I Am Able to WorkNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I am able to work (include work at home).NCCN-FACT FHNSI-22 Version 2 - I Am Able to Work
FAC03621C151324FAC036-I Am Able to Enjoy LifeNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I am able to enjoy life.NCCN-FACT FHNSI-22 Version 2 - I Am Able to Enjoy Life
FAC03622C151325FAC036-Content With Quality of My LifeNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I am content with the quality of my life right now.NCCN-FACT FHNSI-22 Version 2 - Content With Quality of My Life
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CL.C150787.FAC036TNNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 Questionnaire Test Name
(FAC036TN)
text
Extensible: No
C150787National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 Questionnaire Test NameNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 test name.CDISC Questionnaire NCCN-FACT FHNSI-22 Version 2 Test Name Terminology
FAC036-Able to Communicate With OthersC151312FAC036-Able to Communicate With OthersNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I am able to communicate with others.NCCN-FACT FHNSI-22 Version 2 - Able to Communicate With Others
FAC036-Able to Eat the Foods That I LikeC151311FAC036-Able to Eat the Foods That I LikeNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I am able to eat the foods that I like.NCCN-FACT FHNSI-22 Version 2 - Able to Eat the Foods That I Like
FAC036-Bothered by Treatment Side EffectC151321FAC036-Bothered by Treatment Side EffectNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I am bothered by side effects of treatment.NCCN-FACT FHNSI-22 Version 2 - Bothered by Treatment Side Effect
FAC036-Can Swallow Naturally and EasilyC151310FAC036-Can Swallow Naturally and EasilyNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I can swallow naturally and easily.NCCN-FACT FHNSI-22 Version 2 - Can Swallow Naturally and Easily
FAC036-Content With Quality of My LifeC151325FAC036-Content With Quality of My LifeNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I am content with the quality of my life right now.NCCN-FACT FHNSI-22 Version 2 - Content With Quality of My Life
FAC036-Had Change in the Way Food TastesC151318FAC036-Had Change in the Way Food TastesNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I have had a change in the way food tastes.NCCN-FACT FHNSI-22 Version 2 - Had Change in the Way Food Tastes
FAC036-I Am Able to Enjoy LifeC151324FAC036-I Am Able to Enjoy LifeNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I am able to enjoy life.NCCN-FACT FHNSI-22 Version 2 - I Am Able to Enjoy Life
FAC036-I Am Able to WorkC151323FAC036-I Am Able to WorkNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I am able to work (include work at home).NCCN-FACT FHNSI-22 Version 2 - I Am Able to Work
FAC036-I Am Bothered by Hair LossC151320FAC036-I Am Bothered by Hair LossNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I am bothered by hair loss.NCCN-FACT FHNSI-22 Version 2 - I Am Bothered by Hair Loss
FAC036-I Am Losing WeightC151305FAC036-I Am Losing WeightNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I am losing weight.NCCN-FACT FHNSI-22 Version 2 - I Am Losing Weight
FAC036-I Am Sleeping WellC151314FAC036-I Am Sleeping WellNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I am sleeping well.NCCN-FACT FHNSI-22 Version 2 - I Am Sleeping Well
FAC036-I Can Eat Solid FoodsC151313FAC036-I Can Eat Solid FoodsNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I can eat solid foods.NCCN-FACT FHNSI-22 Version 2 - I Can Eat Solid Foods
FAC036-I Feel IllC151307FAC036-I Feel IllNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I feel ill.NCCN-FACT FHNSI-22 Version 2 - I Feel Ill
FAC036-I Have a Good AppetiteC151322FAC036-I Have a Good AppetiteNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I have a good appetite.NCCN-FACT FHNSI-22 Version 2 - I Have a Good Appetite
FAC036-I Have a Lack of EnergyC151316FAC036-I Have a Lack of EnergyNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I have a lack of energy.NCCN-FACT FHNSI-22 Version 2 - I Have a Lack of Energy
FAC036-I Have Mouth SoresC151319FAC036-I Have Mouth SoresNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I have mouth sores.NCCN-FACT FHNSI-22 Version 2 - I Have Mouth Sores
FAC036-I Have NauseaC151317FAC036-I Have NauseaNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I have nausea.NCCN-FACT FHNSI-22 Version 2 - I Have Nausea
FAC036-I Have PainC151304FAC036-I Have PainNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I have pain.NCCN-FACT FHNSI-22 Version 2 - I Have Pain
FAC036-I Have Trouble BreathingC151306FAC036-I Have Trouble BreathingNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I have trouble breathing.NCCN-FACT FHNSI-22 Version 2 - I Have Trouble Breathing
FAC036-Pain in My Mouth, Throat or NeckC151308FAC036-Pain in My Mouth, Throat or NeckNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I have pain in my mouth, throat or neck.NCCN-FACT FHNSI-22 Version 2 - Pain in My Mouth, Throat or Neck
FAC036-Trouble Meeting Needs of FamilyC151309FAC036-Trouble Meeting Needs of FamilyNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - Because of my physical condition, I have trouble meeting the needs of my family.NCCN-FACT FHNSI-22 Version 2 - Trouble Meeting Needs of Family
FAC036-Worry My Condition Will Get WorseC151315FAC036-Worry My Condition Will Get WorseNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Head & Neck Symptom Index-22 Version 2 - I worry that my condition will get worse.NCCN-FACT FHNSI-22 Version 2 - Worry My Condition Will Get Worse
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CL.C129090.FAC042TCNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 Questionnaire Test Code
(FAC042TC)
text
Extensible: No
C129090National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 Questionnaire Test CodeNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 test code.CDISC Questionnaire NCCN-FACT FKSI-19 Version 2 Test Code Terminology
FAC04201C129151FAC042-I Have a Lack of EnergyNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I have a lack of energy.NCCN-FACT FKSI-19 Version 2 - I Have a Lack of Energy
FAC04202C129152FAC042-I Have PainNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I have pain.NCCN-FACT FKSI-19 Version 2 - I Have Pain
FAC04203C129153FAC042-I Am Losing WeightNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I am losing weight.NCCN-FACT FKSI-19 Version 2 - I Am Losing Weight
FAC04204C129154FAC042-I Feel FatiguedNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I feel fatigued.NCCN-FACT FKSI-19 Version 2 - I Feel Fatigued
FAC04205C129155FAC042-I Have Been Short of BreathNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I have been short of breath.NCCN-FACT FKSI-19 Version 2 - I Have Been Short of Breath
FAC04206C129156FAC042-I Am Bothered by FeversNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I am bothered by fevers (episodes of high body temperature).NCCN-FACT FKSI-19 Version 2 - I Am Bothered by Fevers
FAC04207C129157FAC042-I Have Bone PainNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I have bone pain.NCCN-FACT FKSI-19 Version 2 - I Have Bone Pain
FAC04208C129158FAC042-I Have Been CoughingNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I have been coughing.NCCN-FACT FKSI-19 Version 2 - I Have Been Coughing
FAC04209C129159FAC042-I Feel Weak All OverNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I feel weak all over.NCCN-FACT FKSI-19 Version 2 - I Feel Weak All Over
FAC04210C129160FAC042-I Have Had Blood in My UrineNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I have had blood in my urine.NCCN-FACT FKSI-19 Version 2 - I Have Had Blood in My Urine
FAC04211C129161FAC042-I Have a Good AppetiteNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I have a good appetite.NCCN-FACT FKSI-19 Version 2 - I Have a Good Appetite
FAC04212C129162FAC042-I Am Sleeping WellNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I am sleeping well.NCCN-FACT FKSI-19 Version 2 - I Am Sleeping Well
FAC04213C129163FAC042-Worry My Condition Will Get WorseNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I worry that my condition will get worse.NCCN-FACT FKSI-19 Version 2 - Worry My Condition Will Get Worse
FAC04214C129164FAC042-I Have NauseaNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I have nausea.NCCN-FACT FKSI-19 Version 2 - I Have Nausea
FAC04215C129165FAC042-I Have DiarrheaNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I have diarrhea (diarrhoea).NCCN-FACT FKSI-19 Version 2 - I Have Diarrhea
FAC04216C129166FAC042-Bothered by Treatment Side EffectNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I am bothered by side effects of treatment.NCCN-FACT FKSI-19 Version 2 - Bothered by Treatment Side Effect
FAC04217C129167FAC042-I Am Able to WorkNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I am able to work (include work at home).NCCN-FACT FKSI-19 Version 2 - I Am Able to Work
FAC04218C129168FAC042-I Am Able to Enjoy LifeNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I am able to enjoy life.NCCN-FACT FKSI-19 Version 2 - I Am Able to Enjoy Life
FAC04219C129169FAC042-Content With Quality of My LifeNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I am content with the quality of my life right now.NCCN-FACT FKSI-19 Version 2 - Content With Quality of My Life
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CL.C129089.FAC042TNNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 Questionnaire Test Name
(FAC042TN)
text
Extensible: No
C129089National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 Questionnaire Test NameNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 test name.CDISC Questionnaire NCCN-FACT FKSI-19 Version 2 Test Name Terminology
FAC042-Bothered by Treatment Side EffectC129166FAC042-Bothered by Treatment Side EffectNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I am bothered by side effects of treatment.NCCN-FACT FKSI-19 Version 2 - Bothered by Treatment Side Effect
FAC042-Content With Quality of My LifeC129169FAC042-Content With Quality of My LifeNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I am content with the quality of my life right now.NCCN-FACT FKSI-19 Version 2 - Content With Quality of My Life
FAC042-I Am Able to Enjoy LifeC129168FAC042-I Am Able to Enjoy LifeNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I am able to enjoy life.NCCN-FACT FKSI-19 Version 2 - I Am Able to Enjoy Life
FAC042-I Am Able to WorkC129167FAC042-I Am Able to WorkNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I am able to work (include work at home).NCCN-FACT FKSI-19 Version 2 - I Am Able to Work
FAC042-I Am Bothered by FeversC129156FAC042-I Am Bothered by FeversNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I am bothered by fevers (episodes of high body temperature).NCCN-FACT FKSI-19 Version 2 - I Am Bothered by Fevers
FAC042-I Am Losing WeightC129153FAC042-I Am Losing WeightNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I am losing weight.NCCN-FACT FKSI-19 Version 2 - I Am Losing Weight
FAC042-I Am Sleeping WellC129162FAC042-I Am Sleeping WellNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I am sleeping well.NCCN-FACT FKSI-19 Version 2 - I Am Sleeping Well
FAC042-I Feel FatiguedC129154FAC042-I Feel FatiguedNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I feel fatigued.NCCN-FACT FKSI-19 Version 2 - I Feel Fatigued
FAC042-I Feel Weak All OverC129159FAC042-I Feel Weak All OverNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I feel weak all over.NCCN-FACT FKSI-19 Version 2 - I Feel Weak All Over
FAC042-I Have a Good AppetiteC129161FAC042-I Have a Good AppetiteNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I have a good appetite.NCCN-FACT FKSI-19 Version 2 - I Have a Good Appetite
FAC042-I Have a Lack of EnergyC129151FAC042-I Have a Lack of EnergyNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I have a lack of energy.NCCN-FACT FKSI-19 Version 2 - I Have a Lack of Energy
FAC042-I Have Been CoughingC129158FAC042-I Have Been CoughingNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I have been coughing.NCCN-FACT FKSI-19 Version 2 - I Have Been Coughing
FAC042-I Have Been Short of BreathC129155FAC042-I Have Been Short of BreathNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I have been short of breath.NCCN-FACT FKSI-19 Version 2 - I Have Been Short of Breath
FAC042-I Have Bone PainC129157FAC042-I Have Bone PainNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I have bone pain.NCCN-FACT FKSI-19 Version 2 - I Have Bone Pain
FAC042-I Have DiarrheaC129165FAC042-I Have DiarrheaNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I have diarrhea (diarrhoea).NCCN-FACT FKSI-19 Version 2 - I Have Diarrhea
FAC042-I Have Had Blood in My UrineC129160FAC042-I Have Had Blood in My UrineNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I have had blood in my urine.NCCN-FACT FKSI-19 Version 2 - I Have Had Blood in My Urine
FAC042-I Have NauseaC129164FAC042-I Have NauseaNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I have nausea.NCCN-FACT FKSI-19 Version 2 - I Have Nausea
FAC042-I Have PainC129152FAC042-I Have PainNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I have pain.NCCN-FACT FKSI-19 Version 2 - I Have Pain
FAC042-Worry My Condition Will Get WorseC129163FAC042-Worry My Condition Will Get WorseNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index-19 Version 2 - I worry that my condition will get worse.NCCN-FACT FKSI-19 Version 2 - Worry My Condition Will Get Worse
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CL.C129098.FAC050TCNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 Questionnaire Test Code
(FAC050TC)
text
Extensible: No
C129098National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 Questionnaire Test CodeNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 test code.CDISC Questionnaire NCCN-FACT FOSI-18 Version 2 Test Code Terminology
FAC05001C129233FAC050-I Have a Lack of EnergyNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I have a lack of energy.NCCN-FACT FOSI-18 Version 2 - I Have a Lack of Energy
FAC05002C129234FAC050-I Have PainNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I have pain.NCCN-FACT FOSI-18 Version 2 - I Have Pain
FAC05003C129235FAC050-I Feel IllNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I feel ill.NCCN-FACT FOSI-18 Version 2 - I Feel Ill
FAC05004C129236FAC050-I Have Cramps in My Stomach AreaNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I have cramps in my stomach area.NCCN-FACT FOSI-18 Version 2 - I Have Cramps in My Stomach Area
FAC05005C129237FAC050-I Feel FatiguedNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I feel fatigued.NCCN-FACT FOSI-18 Version 2 - I Feel Fatigued
FAC05006C129238FAC050-I Am Bothered by ConstipationNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I am bothered by constipation.NCCN-FACT FOSI-18 Version 2 - I Am Bothered by Constipation
FAC05007C129239FAC050-I Have Swelling in Stomach AreaNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I have swelling in my stomach area.NCCN-FACT FOSI-18 Version 2 - I Have Swelling in Stomach Area
FAC05008C129240FAC050-I Have Control of My BowelsNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I have control of my bowels.NCCN-FACT FOSI-18 Version 2 - I Have Control of My Bowels
FAC05009C129241FAC050-I Am Sleeping WellNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I am sleeping well.NCCN-FACT FOSI-18 Version 2 - I Am Sleeping Well
FAC05010C129242FAC050-Worry My Condition Will Get WorseNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I worry that my condition will get worse.NCCN-FACT FOSI-18 Version 2 - Worry My Condition Will Get Worse
FAC05011C129243FAC050-I Have NauseaNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I have nausea.NCCN-FACT FOSI-18 Version 2 - I Have Nausea
FAC05012C129244FAC050-I Am Bothered by Hair LossNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I am bothered by hair loss.NCCN-FACT FOSI-18 Version 2 - I Am Bothered by Hair Loss
FAC05013C129245FAC050-Bothered by Treatment Side EffectNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I am bothered by side effects of treatment.NCCN-FACT FOSI-18 Version 2 - Bothered by Treatment Side Effect
FAC05014C129246FAC050-I Have Been VomitingNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I have been vomiting.NCCN-FACT FOSI-18 Version 2 - I Have Been Vomiting
FAC05015C129247FAC050-I Am Bothered by Skin ProblemsNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I am bothered by skin problems.NCCN-FACT FOSI-18 Version 2 - I Am Bothered by Skin Problems
FAC05016C129248FAC050-I Am Able to Get Around by MyselfNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I am able to get around by myself.NCCN-FACT FOSI-18 Version 2 - I Am Able to Get Around by Myself
FAC05017C129249FAC050-I Am Able to Enjoy LifeNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I am able to enjoy life.NCCN-FACT FOSI-18 Version 2 - I Am Able to Enjoy Life
FAC05018C129250FAC050-Content With Quality of My LifeNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I am content with the quality of my life right now.NCCN-FACT FOSI-18 Version 2 - Content With Quality of My Life
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CL.C129097.FAC050TNNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 Questionnaire Test Name
(FAC050TN)
text
Extensible: No
C129097National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 Questionnaire Test NameNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 test name.CDISC Questionnaire NCCN-FACT FOSI-18 Version 2 Test Name Terminology
FAC050-Bothered by Treatment Side EffectC129245FAC050-Bothered by Treatment Side EffectNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I am bothered by side effects of treatment.NCCN-FACT FOSI-18 Version 2 - Bothered by Treatment Side Effect
FAC050-Content With Quality of My LifeC129250FAC050-Content With Quality of My LifeNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I am content with the quality of my life right now.NCCN-FACT FOSI-18 Version 2 - Content With Quality of My Life
FAC050-I Am Able to Enjoy LifeC129249FAC050-I Am Able to Enjoy LifeNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I am able to enjoy life.NCCN-FACT FOSI-18 Version 2 - I Am Able to Enjoy Life
FAC050-I Am Able to Get Around by MyselfC129248FAC050-I Am Able to Get Around by MyselfNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I am able to get around by myself.NCCN-FACT FOSI-18 Version 2 - I Am Able to Get Around by Myself
FAC050-I Am Bothered by ConstipationC129238FAC050-I Am Bothered by ConstipationNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I am bothered by constipation.NCCN-FACT FOSI-18 Version 2 - I Am Bothered by Constipation
FAC050-I Am Bothered by Hair LossC129244FAC050-I Am Bothered by Hair LossNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I am bothered by hair loss.NCCN-FACT FOSI-18 Version 2 - I Am Bothered by Hair Loss
FAC050-I Am Bothered by Skin ProblemsC129247FAC050-I Am Bothered by Skin ProblemsNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I am bothered by skin problems.NCCN-FACT FOSI-18 Version 2 - I Am Bothered by Skin Problems
FAC050-I Am Sleeping WellC129241FAC050-I Am Sleeping WellNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I am sleeping well.NCCN-FACT FOSI-18 Version 2 - I Am Sleeping Well
FAC050-I Feel FatiguedC129237FAC050-I Feel FatiguedNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I feel fatigued.NCCN-FACT FOSI-18 Version 2 - I Feel Fatigued
FAC050-I Feel IllC129235FAC050-I Feel IllNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I feel ill.NCCN-FACT FOSI-18 Version 2 - I Feel Ill
FAC050-I Have a Lack of EnergyC129233FAC050-I Have a Lack of EnergyNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I have a lack of energy.NCCN-FACT FOSI-18 Version 2 - I Have a Lack of Energy
FAC050-I Have Been VomitingC129246FAC050-I Have Been VomitingNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I have been vomiting.NCCN-FACT FOSI-18 Version 2 - I Have Been Vomiting
FAC050-I Have Control of My BowelsC129240FAC050-I Have Control of My BowelsNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I have control of my bowels.NCCN-FACT FOSI-18 Version 2 - I Have Control of My Bowels
FAC050-I Have Cramps in My Stomach AreaC129236FAC050-I Have Cramps in My Stomach AreaNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I have cramps in my stomach area.NCCN-FACT FOSI-18 Version 2 - I Have Cramps in My Stomach Area
FAC050-I Have NauseaC129243FAC050-I Have NauseaNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I have nausea.NCCN-FACT FOSI-18 Version 2 - I Have Nausea
FAC050-I Have PainC129234FAC050-I Have PainNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I have pain.NCCN-FACT FOSI-18 Version 2 - I Have Pain
FAC050-I Have Swelling in Stomach AreaC129239FAC050-I Have Swelling in Stomach AreaNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I have swelling in my stomach area.NCCN-FACT FOSI-18 Version 2 - I Have Swelling in Stomach Area
FAC050-Worry My Condition Will Get WorseC129242FAC050-Worry My Condition Will Get WorseNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Ovarian Symptom Index-18 Version 2 - I worry that my condition will get worse.NCCN-FACT FOSI-18 Version 2 - Worry My Condition Will Get Worse
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CL.C171355.NEWS1TCNational Early Warning Score 2 Clinical Classification Test Code
(NEWS1TC)
text
Extensible: No
C171355National Early Warning Score 2 Clinical Classification Test CodeNational Early Warning Score 2 test code.CDISC Clinical Classification NEWS2 Test Code Terminology
NEWS101C171358NEWS1-RespirationsNational Early Warning Score 2 - Respirations.NEWS2 - Respirations
NEWS102C171359NEWS1-Oxygen Saturation SpO2 Scale 1National Early Warning Score 2 - SpO2 Scale 1 oxygen saturation.NEWS2 - Oxygen Saturation SpO2 Scale 1
NEWS103C171360NEWS1-Oxygen Saturation SpO2 Scale 2National Early Warning Score 2 - SpO2 Scale 2 oxygen saturation.NEWS2 - Oxygen Saturation SpO2 Scale 2
NEWS104C171361NEWS1-Air or OxygenNational Early Warning Score 2 - Air or oxygen?NEWS2 - Air or Oxygen
NEWS104AC171362NEWS1-Air or Oxygen: DeviceNational Early Warning Score 2 - Air or oxygen: Device.NEWS2 - Air or Oxygen: Device
NEWS105C171363NEWS1-Systolic Blood PressureNational Early Warning Score 2 - Blood pressure. Score uses systolic BP only.NEWS2 - Systolic Blood Pressure
NEWS106C171364NEWS1-PulseNational Early Warning Score 2 - Pulse.NEWS2 - Pulse
NEWS107C171365NEWS1-ConsciousnessNational Early Warning Score 2 - Consciousness.NEWS2 - Consciousness
NEWS108C171366NEWS1-TemperatureNational Early Warning Score 2 - Temperature.NEWS2 - Temperature
NEWS109C171367NEWS1-NEWS TotalNational Early Warning Score 2 - NEWS total.NEWS2 - NEWS Total
NEWS110C171368NEWS1-Monitoring FrequencyNational Early Warning Score 2 - Monitoring frequency.NEWS2 - Monitoring Frequency
NEWS111C171369NEWS1-Escalation of CareNational Early Warning Score 2 - Escalation of care.NEWS2 - Escalation of Care
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CL.C171354.NEWS1TNNational Early Warning Score 2 Clinical Classification Test Name
(NEWS1TN)
text
Extensible: No
C171354National Early Warning Score 2 Clinical Classification Test NameNational Early Warning Score 2 test name.CDISC Clinical Classification NEWS2 Test Name Terminology
NEWS1-Air or OxygenC171361NEWS1-Air or OxygenNational Early Warning Score 2 - Air or oxygen?NEWS2 - Air or Oxygen
NEWS1-Air or Oxygen: DeviceC171362NEWS1-Air or Oxygen: DeviceNational Early Warning Score 2 - Air or oxygen: Device.NEWS2 - Air or Oxygen: Device
NEWS1-ConsciousnessC171365NEWS1-ConsciousnessNational Early Warning Score 2 - Consciousness.NEWS2 - Consciousness
NEWS1-Escalation of CareC171369NEWS1-Escalation of CareNational Early Warning Score 2 - Escalation of care.NEWS2 - Escalation of Care
NEWS1-Monitoring FrequencyC171368NEWS1-Monitoring FrequencyNational Early Warning Score 2 - Monitoring frequency.NEWS2 - Monitoring Frequency
NEWS1-NEWS TotalC171367NEWS1-NEWS TotalNational Early Warning Score 2 - NEWS total.NEWS2 - NEWS Total
NEWS1-Oxygen Saturation SpO2 Scale 1C171359NEWS1-Oxygen Saturation SpO2 Scale 1National Early Warning Score 2 - SpO2 Scale 1 oxygen saturation.NEWS2 - Oxygen Saturation SpO2 Scale 1
NEWS1-Oxygen Saturation SpO2 Scale 2C171360NEWS1-Oxygen Saturation SpO2 Scale 2National Early Warning Score 2 - SpO2 Scale 2 oxygen saturation.NEWS2 - Oxygen Saturation SpO2 Scale 2
NEWS1-PulseC171364NEWS1-PulseNational Early Warning Score 2 - Pulse.NEWS2 - Pulse
NEWS1-RespirationsC171358NEWS1-RespirationsNational Early Warning Score 2 - Respirations.NEWS2 - Respirations
NEWS1-Systolic Blood PressureC171363NEWS1-Systolic Blood PressureNational Early Warning Score 2 - Blood pressure. Score uses systolic BP only.NEWS2 - Systolic Blood Pressure
NEWS1-TemperatureC171366NEWS1-TemperatureNational Early Warning Score 2 - Temperature.NEWS2 - Temperature
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CL.C112453.VFQ1TCNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format Questionnaire Test Code
(VFQ1TC)
text
Extensible: No
C112453National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format Questionnaire Test CodeNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format test code.CDISC Questionnaire VFQ25-Interviewer Administered Format Test Code Terminology
VFQ101C112729VFQ1-Your Overall Health IsNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - General Health and Vision: In general, would you say your overall health is:VFQ25-Interviewer Administered Format - Overall Health
VFQ102C112730VFQ1-Eyesight Using Both Eyes IsNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - General Health and Vision: At the present time, would you say your eyesight using both eyes (with glasses or contact lenses, if you wear them) is excellent, good, fair, poor, or very poor or are you completely blind?VFQ25-Interviewer Administered Format - Eyesight Using Both Eyes
VFQ103C112731VFQ1-How Often You Worry About EyesightNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - General Health and Vision: How much of the time do you worry about your eyesight?VFQ25-Interviewer Administered Format - Time Spent Worry About Eyesight
VFQ104C112732VFQ1-How Much Pain in and Around EyesNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - General Health and Vision: How much pain or discomfort have you had in and around your eyes (for example, burning, itching, or aching)? Would you say it is:VFQ25-Interviewer Administered Format - Pain or Discomfort You Had in and Around Eyes
VFQ105C112733VFQ1-Difficulty Reading NewspapersNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: How much difficulty do you have reading ordinary print in newspapers? Would you say you have:VFQ25-Interviewer Administered Format - Difficulty Reading Ordinary Print in Newspapers
VFQ106C112734VFQ1-Difficulty Doing Work/HobbiesNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: How much difficulty do you have doing work or hobbies that require you to see well up close, such as cooking, sewing, fixing things around the house, or using hand tools? Would you say:VFQ25-Interviewer Administered Format - Difficulty Doing Work or Hobbies
VFQ107C112735VFQ1-Difficulty Finding on Crowded ShelfNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have finding something on a crowded shelf?VFQ25-Interviewer Administered Format - Difficulty Finding Something On a Shelf
VFQ108C112736VFQ1-Difficulty Reading Street SignsNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: How much difficulty do you have reading street signs or the names of stores?VFQ25-Interviewer Administered Format - Difficulty Reading Street Signs
VFQ109C112737VFQ1-Difficulty Going Down Step at NightNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have going down steps, stairs, or curbs in dim light or at night?VFQ25-Interviewer Administered Format - Difficulty Going Down Steps at Night
VFQ110C112738VFQ1-Difficulty Noticing Objects to SideNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have noticing objects off to the side while you are walking along?VFQ25-Interviewer Administered Format - Difficulty Noticing Objects Off to the Side While Walking
VFQ111C112739VFQ1-Difficulty Seeing How People ReactNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have seeing how people react to things you say?VFQ25-Interviewer Administered Format - Difficulty Seeing How People React
VFQ112C112740VFQ1-Difficulty Picking Out Own ClothesNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have picking out and matching your own clothes?VFQ25-Interviewer Administered Format - Difficulty Picking Out and Matching Own Clothes
VFQ113C112741VFQ1-Difficulty Visiting With PeopleNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have visiting with people in their homes, at parties, or in restaurants?VFQ25-Interviewer Administered Format - Difficulty Visiting People
VFQ114C112742VFQ1-Difficulty Going Out to See MoviesNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have going out to see movies, plays, or sports events?VFQ25-Interviewer Administered Format - Difficulty Going Out to See Movies
VFQ115C112743VFQ1-Are You Currently DrivingNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Are you currently driving, at least once in a while?VFQ25-Interviewer Administered Format - Are You Currently Driving
VFQ115AC112744VFQ1-Never Driven or Given Up DrivingNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: If no, Have you never driven a car or have you given up driving?VFQ25-Interviewer Administered Format - Never Driven or Given Up Driving
VFQ115BC112745VFQ1-Main Reason You Gave Up DrivingNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: If gave up driving: Was that mainly because of your eyesight, mainly for some other reason, or because of both your eyesight and other reasons?VFQ25-Interviewer Administered Format - Main Reason You Gave Up Driving
VFQ115CC112746VFQ1-Difficulty Driving During DaytimeNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: If currently driving: How much difficulty do you have driving during the daytime in familiar places? Would you say you have:VFQ25-Interviewer Administered Format - Difficulty Driving During Daytime
VFQ116C112747VFQ1-Difficulty Driving at NightNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: How much difficulty do you have driving at night? Would you say you have:VFQ25-Interviewer Administered Format - Difficulty Driving at Night
VFQ116AC112748VFQ1-Driving in Difficult ConditionsNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: How much difficulty do you have driving in difficult conditions, such as in bad weather, during rush hour, on the freeway, or in city traffic? Would you say you have:VFQ25-Interviewer Administered Format - Driving in Difficult Condition
VFQ117C112749VFQ1-Accomplish Less Than You Would LikeNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: Do you accomplish less than you would like because of your vision?VFQ25-Interviewer Administered Format - Accomplish Less Because of Vision
VFQ118C112750VFQ1-Limited in How Long You Can WorkNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: Are you limited in how long you can work or do other activities because of your vision?VFQ25-Interviewer Administered Format - Limited in How Long You Can Work Because of Vision
VFQ119C112751VFQ1-Eye Pain Keep From Doing What LikeNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: How much does pain or discomfort in or around your eyes, for example, burning, itching, or aching, keep you from doing what you'd like to be doing? Would you say:VFQ25-Interviewer Administered Format - Pain in Eyes Keep You From Doing What You Like
VFQ120C112752VFQ1-I Stay Home Most of the TimeNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: I stay home most of the time because of my eyesight.VFQ25-Interviewer Administered Format - Stay Home Because of Eyesight
VFQ121C112753VFQ1-I Feel Frustrated a Lot of the TimeNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: I feel frustrated a lot of the time because of my eyesight.VFQ25-Interviewer Administered Format - Feel Frustrated Because of Eyesight
VFQ122C112754VFQ1-Much Less Control Over What I DoNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: I have much less control over what I do, because of my eyesight.VFQ25-Interviewer Administered Format - Have Less Control Because of Eyesight
VFQ123C112755VFQ1-Rely Too Much on What Others TellNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: Because of my eyesight, I have to rely too much on what other people tell me.VFQ25-Interviewer Administered Format - Have to Rely On Other People Because of Eyesight
VFQ124C112756VFQ1-I Need a Lot of Help From OthersNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: I need a lot of help from others because of my eyesight.VFQ25-Interviewer Administered Format - Need Help From Others Because of Eyesight
VFQ125C112757VFQ1-Worry I'll Do Embarrassing ThingsNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: I worry about doing things that will embarrass myself or others, because of my eyesight.VFQ25-Interviewer Administered Format - Worry About Embarrass Myself or Others Because of Eyesight
VFQ1A01C112758VFQ1-Rate Your Overall HealthNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - General Health: How would you rate your overall health, on a scale where zero is as bad as death and 10 is best possible health?VFQ25-Interviewer Administered Format - Rate Your Overall Health
VFQ1A02C112759VFQ1-Rate Your Eyesight NowNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - General Vision: How would you rate your eyesight now (with glasses or contact lens on, if you wear them), on a scale of from 0 to 10, where zero means the worst possible eyesight, as bad or worse than being blind, and 10 means the best possible eyesight?VFQ25-Interviewer Administered Format - Rate Your Eyesight Now
VFQ1A03C112760VFQ1-Difficulty Reading Small PrintNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Near Vision: Wearing glasses, how much difficulty do you have reading the small print in a telephone book, on a medicine bottle, or on legal forms? Would you say:VFQ25-Interviewer Administered Format - Difficulty Reading Small Print
VFQ1A04C112761VFQ1-Difficulty Figure Out Bill AccuracyNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Near Vision: Because of your eyesight, how much difficulty do you have figuring out whether bills you receive are accurate?VFQ25-Interviewer Administered Format - Difficulty Figure Out Bill Accuracy
VFQ1A05C112762VFQ1-Difficulty Shaving or Styling HairNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Near Vision: Because of your eyesight, how much difficulty do you have doing things like shaving, styling your hair, or putting on makeup?VFQ25-Interviewer Administered Format - Difficulty Shaving or Styling Hair or Putting On Makeup
VFQ1A06C112763VFQ1-Difficulty Recognizing PeopleNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Distance Vision: Because of your eyesight, how much difficulty do you have recognizing people you know from across a room?VFQ25-Interviewer Administered Format - Difficulty Recognizing People You Know
VFQ1A07C112764VFQ1-Difficulty Taking Part in SportsNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Distance Vision: Because of your eyesight, how much difficulty do you have taking part in active sports or other outdoor activities that you enjoy (like golf, bowling, jogging, or walking)?VFQ25-Interviewer Administered Format - Difficulty Taking Part in Sports or Outdoor Activities
VFQ1A08C112765VFQ1-Difficulty Seeing Programs on TVNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Distance Vision: Because of your eyesight, how much difficulty do you have seeing and enjoying programs on TV?VFQ25-Interviewer Administered Format - Difficulty Seeing and Enjoying Programs on TV
VFQ1A09C112766VFQ1-Difficulty Entertaining FriendsNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Social Function: Because of your eyesight, how much difficulty do you have entertaining friends and family in your home?VFQ25-Interviewer Administered Format - Difficulty Entertaining Friends and Family in Home
VFQ1A11AC112767VFQ1-Do You Have More Help From OthersNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Role Limitations: Do you have more help from others because of your vision?VFQ25-Interviewer Administered Format - Do You Have More Help From Others
VFQ1A11BC112768VFQ1-Limited in Kinds of Things Can DoNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Role Limitations: Are you limited in the kinds of things you can do because of your vision?VFQ25-Interviewer Administered Format - Limited in Kinds of Things Can Do
VFQ1A12C112769VFQ1-Often Irritable Because EyesightNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Well-Being/Distress: I am often irritable because of my eyesight.VFQ25-Interviewer Administered Format - Often Irritable Because of Eyesight
VFQ1A13C112770VFQ1-I Don't Go Out of My Home AloneNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Dependency: I don't go out of my home alone, because of my eyesight.VFQ25-Interviewer Administered Format - Don't Go Out of Home Alone Because of Eyesight
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CL.C112452.VFQ1TNNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format Questionnaire Test Name
(VFQ1TN)
text
Extensible: No
C112452National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format Questionnaire Test NameNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format test name.CDISC Questionnaire VFQ25-Interviewer Administered Format Test Name Terminology
VFQ1-Accomplish Less Than You Would LikeC112749VFQ1-Accomplish Less Than You Would LikeNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: Do you accomplish less than you would like because of your vision?VFQ25-Interviewer Administered Format - Accomplish Less Because of Vision
VFQ1-Are You Currently DrivingC112743VFQ1-Are You Currently DrivingNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Are you currently driving, at least once in a while?VFQ25-Interviewer Administered Format - Are You Currently Driving
VFQ1-Difficulty Doing Work/HobbiesC112734VFQ1-Difficulty Doing Work/HobbiesNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: How much difficulty do you have doing work or hobbies that require you to see well up close, such as cooking, sewing, fixing things around the house, or using hand tools? Would you say:VFQ25-Interviewer Administered Format - Difficulty Doing Work or Hobbies
VFQ1-Difficulty Driving at NightC112747VFQ1-Difficulty Driving at NightNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: How much difficulty do you have driving at night? Would you say you have:VFQ25-Interviewer Administered Format - Difficulty Driving at Night
VFQ1-Difficulty Driving During DaytimeC112746VFQ1-Difficulty Driving During DaytimeNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: If currently driving: How much difficulty do you have driving during the daytime in familiar places? Would you say you have:VFQ25-Interviewer Administered Format - Difficulty Driving During Daytime
VFQ1-Difficulty Entertaining FriendsC112766VFQ1-Difficulty Entertaining FriendsNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Social Function: Because of your eyesight, how much difficulty do you have entertaining friends and family in your home?VFQ25-Interviewer Administered Format - Difficulty Entertaining Friends and Family in Home
VFQ1-Difficulty Figure Out Bill AccuracyC112761VFQ1-Difficulty Figure Out Bill AccuracyNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Near Vision: Because of your eyesight, how much difficulty do you have figuring out whether bills you receive are accurate?VFQ25-Interviewer Administered Format - Difficulty Figure Out Bill Accuracy
VFQ1-Difficulty Finding on Crowded ShelfC112735VFQ1-Difficulty Finding on Crowded ShelfNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have finding something on a crowded shelf?VFQ25-Interviewer Administered Format - Difficulty Finding Something On a Shelf
VFQ1-Difficulty Going Down Step at NightC112737VFQ1-Difficulty Going Down Step at NightNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have going down steps, stairs, or curbs in dim light or at night?VFQ25-Interviewer Administered Format - Difficulty Going Down Steps at Night
VFQ1-Difficulty Going Out to See MoviesC112742VFQ1-Difficulty Going Out to See MoviesNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have going out to see movies, plays, or sports events?VFQ25-Interviewer Administered Format - Difficulty Going Out to See Movies
VFQ1-Difficulty Noticing Objects to SideC112738VFQ1-Difficulty Noticing Objects to SideNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have noticing objects off to the side while you are walking along?VFQ25-Interviewer Administered Format - Difficulty Noticing Objects Off to the Side While Walking
VFQ1-Difficulty Picking Out Own ClothesC112740VFQ1-Difficulty Picking Out Own ClothesNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have picking out and matching your own clothes?VFQ25-Interviewer Administered Format - Difficulty Picking Out and Matching Own Clothes
VFQ1-Difficulty Reading NewspapersC112733VFQ1-Difficulty Reading NewspapersNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: How much difficulty do you have reading ordinary print in newspapers? Would you say you have:VFQ25-Interviewer Administered Format - Difficulty Reading Ordinary Print in Newspapers
VFQ1-Difficulty Reading Small PrintC112760VFQ1-Difficulty Reading Small PrintNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Near Vision: Wearing glasses, how much difficulty do you have reading the small print in a telephone book, on a medicine bottle, or on legal forms? Would you say:VFQ25-Interviewer Administered Format - Difficulty Reading Small Print
VFQ1-Difficulty Reading Street SignsC112736VFQ1-Difficulty Reading Street SignsNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: How much difficulty do you have reading street signs or the names of stores?VFQ25-Interviewer Administered Format - Difficulty Reading Street Signs
VFQ1-Difficulty Recognizing PeopleC112763VFQ1-Difficulty Recognizing PeopleNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Distance Vision: Because of your eyesight, how much difficulty do you have recognizing people you know from across a room?VFQ25-Interviewer Administered Format - Difficulty Recognizing People You Know
VFQ1-Difficulty Seeing How People ReactC112739VFQ1-Difficulty Seeing How People ReactNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have seeing how people react to things you say?VFQ25-Interviewer Administered Format - Difficulty Seeing How People React
VFQ1-Difficulty Seeing Programs on TVC112765VFQ1-Difficulty Seeing Programs on TVNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Distance Vision: Because of your eyesight, how much difficulty do you have seeing and enjoying programs on TV?VFQ25-Interviewer Administered Format - Difficulty Seeing and Enjoying Programs on TV
VFQ1-Difficulty Shaving or Styling HairC112762VFQ1-Difficulty Shaving or Styling HairNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Near Vision: Because of your eyesight, how much difficulty do you have doing things like shaving, styling your hair, or putting on makeup?VFQ25-Interviewer Administered Format - Difficulty Shaving or Styling Hair or Putting On Makeup
VFQ1-Difficulty Taking Part in SportsC112764VFQ1-Difficulty Taking Part in SportsNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Distance Vision: Because of your eyesight, how much difficulty do you have taking part in active sports or other outdoor activities that you enjoy (like golf, bowling, jogging, or walking)?VFQ25-Interviewer Administered Format - Difficulty Taking Part in Sports or Outdoor Activities
VFQ1-Difficulty Visiting With PeopleC112741VFQ1-Difficulty Visiting With PeopleNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have visiting with people in their homes, at parties, or in restaurants?VFQ25-Interviewer Administered Format - Difficulty Visiting People
VFQ1-Do You Have More Help From OthersC112767VFQ1-Do You Have More Help From OthersNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Role Limitations: Do you have more help from others because of your vision?VFQ25-Interviewer Administered Format - Do You Have More Help From Others
VFQ1-Driving in Difficult ConditionsC112748VFQ1-Driving in Difficult ConditionsNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: How much difficulty do you have driving in difficult conditions, such as in bad weather, during rush hour, on the freeway, or in city traffic? Would you say you have:VFQ25-Interviewer Administered Format - Driving in Difficult Condition
VFQ1-Eye Pain Keep From Doing What LikeC112751VFQ1-Eye Pain Keep From Doing What LikeNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: How much does pain or discomfort in or around your eyes, for example, burning, itching, or aching, keep you from doing what you'd like to be doing? Would you say:VFQ25-Interviewer Administered Format - Pain in Eyes Keep You From Doing What You Like
VFQ1-Eyesight Using Both Eyes IsC112730VFQ1-Eyesight Using Both Eyes IsNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - General Health and Vision: At the present time, would you say your eyesight using both eyes (with glasses or contact lenses, if you wear them) is excellent, good, fair, poor, or very poor or are you completely blind?VFQ25-Interviewer Administered Format - Eyesight Using Both Eyes
VFQ1-How Much Pain in and Around EyesC112732VFQ1-How Much Pain in and Around EyesNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - General Health and Vision: How much pain or discomfort have you had in and around your eyes (for example, burning, itching, or aching)? Would you say it is:VFQ25-Interviewer Administered Format - Pain or Discomfort You Had in and Around Eyes
VFQ1-How Often You Worry About EyesightC112731VFQ1-How Often You Worry About EyesightNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - General Health and Vision: How much of the time do you worry about your eyesight?VFQ25-Interviewer Administered Format - Time Spent Worry About Eyesight
VFQ1-I Don't Go Out of My Home AloneC112770VFQ1-I Don't Go Out of My Home AloneNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Dependency: I don't go out of my home alone, because of my eyesight.VFQ25-Interviewer Administered Format - Don't Go Out of Home Alone Because of Eyesight
VFQ1-I Feel Frustrated a Lot of the TimeC112753VFQ1-I Feel Frustrated a Lot of the TimeNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: I feel frustrated a lot of the time because of my eyesight.VFQ25-Interviewer Administered Format - Feel Frustrated Because of Eyesight
VFQ1-I Need a Lot of Help From OthersC112756VFQ1-I Need a Lot of Help From OthersNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: I need a lot of help from others because of my eyesight.VFQ25-Interviewer Administered Format - Need Help From Others Because of Eyesight
VFQ1-I Stay Home Most of the TimeC112752VFQ1-I Stay Home Most of the TimeNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: I stay home most of the time because of my eyesight.VFQ25-Interviewer Administered Format - Stay Home Because of Eyesight
VFQ1-Limited in How Long You Can WorkC112750VFQ1-Limited in How Long You Can WorkNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: Are you limited in how long you can work or do other activities because of your vision?VFQ25-Interviewer Administered Format - Limited in How Long You Can Work Because of Vision
VFQ1-Limited in Kinds of Things Can DoC112768VFQ1-Limited in Kinds of Things Can DoNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Role Limitations: Are you limited in the kinds of things you can do because of your vision?VFQ25-Interviewer Administered Format - Limited in Kinds of Things Can Do
VFQ1-Main Reason You Gave Up DrivingC112745VFQ1-Main Reason You Gave Up DrivingNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: If gave up driving: Was that mainly because of your eyesight, mainly for some other reason, or because of both your eyesight and other reasons?VFQ25-Interviewer Administered Format - Main Reason You Gave Up Driving
VFQ1-Much Less Control Over What I DoC112754VFQ1-Much Less Control Over What I DoNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: I have much less control over what I do, because of my eyesight.VFQ25-Interviewer Administered Format - Have Less Control Because of Eyesight
VFQ1-Never Driven or Given Up DrivingC112744VFQ1-Never Driven or Given Up DrivingNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: If no, Have you never driven a car or have you given up driving?VFQ25-Interviewer Administered Format - Never Driven or Given Up Driving
VFQ1-Often Irritable Because EyesightC112769VFQ1-Often Irritable Because EyesightNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Well-Being/Distress: I am often irritable because of my eyesight.VFQ25-Interviewer Administered Format - Often Irritable Because of Eyesight
VFQ1-Rate Your Eyesight NowC112759VFQ1-Rate Your Eyesight NowNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - General Vision: How would you rate your eyesight now (with glasses or contact lens on, if you wear them), on a scale of from 0 to 10, where zero means the worst possible eyesight, as bad or worse than being blind, and 10 means the best possible eyesight?VFQ25-Interviewer Administered Format - Rate Your Eyesight Now
VFQ1-Rate Your Overall HealthC112758VFQ1-Rate Your Overall HealthNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - General Health: How would you rate your overall health, on a scale where zero is as bad as death and 10 is best possible health?VFQ25-Interviewer Administered Format - Rate Your Overall Health
VFQ1-Rely Too Much on What Others TellC112755VFQ1-Rely Too Much on What Others TellNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: Because of my eyesight, I have to rely too much on what other people tell me.VFQ25-Interviewer Administered Format - Have to Rely On Other People Because of Eyesight
VFQ1-Worry I'll Do Embarrassing ThingsC112757VFQ1-Worry I'll Do Embarrassing ThingsNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: I worry about doing things that will embarrass myself or others, because of my eyesight.VFQ25-Interviewer Administered Format - Worry About Embarrass Myself or Others Because of Eyesight
VFQ1-Your Overall Health IsC112729VFQ1-Your Overall Health IsNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - General Health and Vision: In general, would you say your overall health is:VFQ25-Interviewer Administered Format - Overall Health
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CL.C112455.VFQ2TCNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format Questionnaire Test Code
(VFQ2TC)
text
Extensible: No
C112455National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format Questionnaire Test CodeNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format test code.CDISC Questionnaire VFQ25-Self Administered Format Test Code Terminology
VFQ201C112771VFQ2-Your Overall Health IsNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - General Health and Vision: In general, would you say your overall health is:VFQ25-Self Administered Format - Overall Health
VFQ202C112772VFQ2-Eyesight Using Both Eyes IsNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - General Health and Vision: At the present time, would you say your eyesight using both eyes (with glasses or contact lenses, if you wear them) is excellent, good, fair, poor, or very poor or are you completely blind?VFQ25-Self Administered Format - Eyesight Using Both Eyes
VFQ203C112773VFQ2-How Often You Worry About EyesightNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - General Health and Vision: How much of the time do you worry about your eyesight?VFQ25-Self Administered Format - Time Spent Worry About Eyesight
VFQ204C112774VFQ2-How Much Pain in and Around EyesNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - General Health and Vision: How much pain or discomfort have you had in and around your eyes (for example, burning, itching, or aching)? Would you say it is:VFQ25-Self Administered Format - Pain or Discomfort You Had in and Around Eyes
VFQ205C112775VFQ2-Difficulty Reading NewspapersNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: How much difficulty do you have reading ordinary print in newspapers? Would you say you have:VFQ25-Self Administered Format - Difficulty Reading Ordinary Print in Newspapers
VFQ206C112776VFQ2-Difficulty Doing Work/HobbiesNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: How much difficulty do you have doing work or hobbies that require you to see well up close, such as cooking, sewing, fixing things around the house, or using hand tools? Would you say:VFQ25-Self Administered Format - Difficulty Doing Work or Hobbies
VFQ207C112777VFQ2-Difficulty Finding on Crowded ShelfNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have finding something on a crowded shelf?VFQ25-Self Administered Format - Difficulty Finding Something On a Shelf
VFQ208C112778VFQ2-Difficulty Reading Street SignsNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: How much difficulty do you have reading street signs or the names of stores?VFQ25-Self Administered Format - Difficulty Reading Street Signs
VFQ209C112779VFQ2-Difficulty Going Down Step at NightNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have going down steps, stairs, or curbs in dim light or at night?VFQ25-Self Administered Format - Difficulty Going Down Steps at Night
VFQ210C112780VFQ2-Difficulty Noticing Objects to SideNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have noticing objects off to the side while you are walking along?VFQ25-Self Administered Format - Difficulty Noticing Objects Off to the Side While Walking
VFQ211C112781VFQ2-Difficulty Seeing How People ReactNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have seeing how people react to things you say?VFQ25-Self Administered Format - Difficulty Seeing How People React
VFQ212C112782VFQ2-Difficulty Picking Out Own ClothesNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have picking out and matching your own clothes?VFQ25-Self Administered Format - Difficulty Picking Out and Matching Own Clothes
VFQ213C112783VFQ2-Difficulty Visiting With PeopleNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have visiting with people in their homes, at parties, or in restaurants?VFQ25-Self Administered Format - Difficulty Visiting People
VFQ214C112784VFQ2-Difficulty Going Out to See MoviesNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have going out to see movies, plays, or sports events?VFQ25-Self Administered Format - Difficulty Going Out to See Movies
VFQ215C112785VFQ2-Are You Currently DrivingNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Are you currently driving, at least once in a while?VFQ25-Self Administered Format - Are You Currently Driving
VFQ215AC112786VFQ2-Never Driven or Given Up DrivingNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: If no: Have you never driven a car or have you given up driving?VFQ25-Self Administered Format - Never Driven or Given Up Driving
VFQ215BC112787VFQ2-Main Reason You Gave Up DrivingNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: If you gave up driving: Was that mainly because of your eyesight, mainly for some other reason, or because of both your eyesight and other reasons?VFQ25-Self Administered Format - Main Reason You Gave Up Driving
VFQ215CC112788VFQ2-Difficulty Driving During DaytimeNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: If currently driving: How much difficulty do you have driving during the daytime in familiar places? Would you say you have:VFQ25-Self Administered Format - Difficulty Driving During Daytime
VFQ216C112789VFQ2-Difficulty Driving at NightNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: How much difficulty do you have driving at night? Would you say you have:VFQ25-Self Administered Format - Difficulty Driving at Night
VFQ216AC112790VFQ2-Driving in Difficult ConditionsNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: How much difficulty do you have driving in difficult conditions, such as in bad weather, during rush hour, on the freeway, or in city traffic? Would you say you have:VFQ25-Self Administered Format - Driving in Difficult Condition
VFQ217C112791VFQ2-Accomplish Less Than You Would LikeNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: Do you accomplish less than you would like because of your vision?VFQ25-Self Administered Format - Accomplish Less Because of Vision
VFQ218C112792VFQ2-Limited in How Long You Can WorkNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: Are you limited in how long you can work or do other activities because of your vision?VFQ25-Self Administered Format - Limited in How Long You Can Work Because of Vision
VFQ219C112793VFQ2-Eye Pain Keep From Doing What LikeNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: How much does pain or discomfort in or around your eyes, for example, burning, itching, or aching, keep you from doing what you'd like to be doing? Would you say:VFQ25-Self Administered Format - Pain in Eyes Keep You From Doing What You Like
VFQ220C112794VFQ2-I Stay Home Most of the TimeNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: I stay home most of the time because of my eyesight.VFQ25-Self Administered Format - Stay Home Because of Eyesight
VFQ221C112795VFQ2-I Feel Frustrated a Lot of the TimeNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: I feel frustrated a lot of the time because of my eyesight.VFQ25-Self Administered Format - Feel Frustrated Because of Eyesight
VFQ222C112796VFQ2-Much Less Control Over What I DoNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: I have much less control over what I do, because of my eyesight.VFQ25-Self Administered Format - Have Less Control Because of Eyesight
VFQ223C112797VFQ2-Rely Too Much on What Others TellNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: Because of my eyesight, I have to rely too much on what other people tell me.VFQ25-Self Administered Format - Have to Rely On Other People Because of Eyesight
VFQ224C112798VFQ2-I Need a Lot of Help From OthersNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: I need a lot of help from others because of my eyesight.VFQ25-Self Administered Format - Need Help From Others Because of Eyesight
VFQ225C112799VFQ2-Worry I'll Do Embarrassing ThingsNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: I worry about doing things that will embarrass myself or others, because of my eyesight.VFQ25-Self Administered Format - Worry About Embarrass Myself or Others Because of Eyesight
VFQ2A01C112800VFQ2-Rate Your Overall HealthNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - General Health: How would you rate your overall health, on a scale where zero is as bad as death and 10 is best possible health?VFQ25-Self Administered Format - Rate Your Overall Health
VFQ2A02C112801VFQ2-Rate Your Eyesight NowNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - General Vision: How would you rate your eyesight now (with glasses or contact lens on, if you wear them), on a scale of from 0 to 10, where zero means the worst possible eyesight, as bad or worse than being blind, and 10 means the best possible eyesight?VFQ25-Self Administered Format - Rate Your Eyesight Now
VFQ2A03C112802VFQ2-Difficulty Reading Small PrintNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Near Vision: Wearing glasses, how much difficulty do you have reading the small print in a telephone book, on a medicine bottle, or on legal forms? Would you say:VFQ25-Self Administered Format - Difficulty Reading Small Print
VFQ2A04C112803VFQ2-Difficulty Figure Out Bill AccuracyNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Near Vision: Because of your eyesight, how much difficulty do you have figuring out whether bills you receive are accurate?VFQ25-Self Administered Format - Difficulty Figure Out Bill Accuracy
VFQ2A05C112804VFQ2-Difficulty Shaving or Styling HairNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Near Vision: Because of your eyesight, how much difficulty do you have doing things like shaving, styling your hair, or putting on makeup?VFQ25-Self Administered Format - Difficulty Shaving or Styling Hair or Putting On Makeup
VFQ2A06C112805VFQ2-Difficulty Recognizing PeopleNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Distance Vision: Because of your eyesight, how much difficulty do you have recognizing people you know from across a room?VFQ25-Self Administered Format - Difficulty Recognizing People You Know
VFQ2A07C112806VFQ2-Difficulty Taking Part in SportsNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Distance Vision: Because of your eyesight, how much difficulty do you have taking part in active sports or other outdoor activities that you enjoy (like golf, bowling, jogging, or walking)?VFQ25-Self Administered Format - Difficulty Taking Part in Sports or Outdoor Activities
VFQ2A08C112807VFQ2-Difficulty Seeing Programs on TVNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Distance Vision: Because of your eyesight, how much difficulty do you have seeing and enjoying programs on TV?VFQ25-Self Administered Format - Difficulty Seeing and Enjoying Programs on TV
VFQ2A09C112808VFQ2-Difficulty Entertaining FriendsNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Social Function: Because of your eyesight, how much difficulty do you have entertaining friends and family in your home?VFQ25-Self Administered Format - Difficulty Entertaining Friends and Family in Home
VFQ2A11AC112809VFQ2-Do You Have More Help From OthersNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Role Limitations: Do you have more help from others because of your vision?VFQ25-Self Administered Format - Do You Have More Help From Others
VFQ2A11BC112810VFQ2-Limited in Kinds of Things Can DoNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Role Limitations: Are you limited in the kinds of things you can do because of your vision?VFQ25-Self Administered Format - Limited in Kinds of Things Can Do
VFQ2A12C112811VFQ2-Often Irritable Because EyesightNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Well-Being/Distress: I am often irritable because of my eyesight.VFQ25-Self Administered Format - Often Irritable Because of Eyesight
VFQ2A13C112812VFQ2-I Don't Go Out of My Home AloneNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Dependency: I don't go out of my home alone, because of my eyesight.VFQ25-Self Administered Format - Don't Go Out of Home Alone Because of Eyesight
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CL.C112454.VFQ2TNNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format Questionnaire Test Name
(VFQ2TN)
text
Extensible: No
C112454National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format Questionnaire Test NameNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format test name.CDISC Questionnaire VFQ25-Self Administered Format Test Name Terminology
VFQ2-Accomplish Less Than You Would LikeC112791VFQ2-Accomplish Less Than You Would LikeNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: Do you accomplish less than you would like because of your vision?VFQ25-Self Administered Format - Accomplish Less Because of Vision
VFQ2-Are You Currently DrivingC112785VFQ2-Are You Currently DrivingNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Are you currently driving, at least once in a while?VFQ25-Self Administered Format - Are You Currently Driving
VFQ2-Difficulty Doing Work/HobbiesC112776VFQ2-Difficulty Doing Work/HobbiesNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: How much difficulty do you have doing work or hobbies that require you to see well up close, such as cooking, sewing, fixing things around the house, or using hand tools? Would you say:VFQ25-Self Administered Format - Difficulty Doing Work or Hobbies
VFQ2-Difficulty Driving at NightC112789VFQ2-Difficulty Driving at NightNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: How much difficulty do you have driving at night? Would you say you have:VFQ25-Self Administered Format - Difficulty Driving at Night
VFQ2-Difficulty Driving During DaytimeC112788VFQ2-Difficulty Driving During DaytimeNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: If currently driving: How much difficulty do you have driving during the daytime in familiar places? Would you say you have:VFQ25-Self Administered Format - Difficulty Driving During Daytime
VFQ2-Difficulty Entertaining FriendsC112808VFQ2-Difficulty Entertaining FriendsNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Social Function: Because of your eyesight, how much difficulty do you have entertaining friends and family in your home?VFQ25-Self Administered Format - Difficulty Entertaining Friends and Family in Home
VFQ2-Difficulty Figure Out Bill AccuracyC112803VFQ2-Difficulty Figure Out Bill AccuracyNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Near Vision: Because of your eyesight, how much difficulty do you have figuring out whether bills you receive are accurate?VFQ25-Self Administered Format - Difficulty Figure Out Bill Accuracy
VFQ2-Difficulty Finding on Crowded ShelfC112777VFQ2-Difficulty Finding on Crowded ShelfNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have finding something on a crowded shelf?VFQ25-Self Administered Format - Difficulty Finding Something On a Shelf
VFQ2-Difficulty Going Down Step at NightC112779VFQ2-Difficulty Going Down Step at NightNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have going down steps, stairs, or curbs in dim light or at night?VFQ25-Self Administered Format - Difficulty Going Down Steps at Night
VFQ2-Difficulty Going Out to See MoviesC112784VFQ2-Difficulty Going Out to See MoviesNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have going out to see movies, plays, or sports events?VFQ25-Self Administered Format - Difficulty Going Out to See Movies
VFQ2-Difficulty Noticing Objects to SideC112780VFQ2-Difficulty Noticing Objects to SideNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have noticing objects off to the side while you are walking along?VFQ25-Self Administered Format - Difficulty Noticing Objects Off to the Side While Walking
VFQ2-Difficulty Picking Out Own ClothesC112782VFQ2-Difficulty Picking Out Own ClothesNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have picking out and matching your own clothes?VFQ25-Self Administered Format - Difficulty Picking Out and Matching Own Clothes
VFQ2-Difficulty Reading NewspapersC112775VFQ2-Difficulty Reading NewspapersNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: How much difficulty do you have reading ordinary print in newspapers? Would you say you have:VFQ25-Self Administered Format - Difficulty Reading Ordinary Print in Newspapers
VFQ2-Difficulty Reading Small PrintC112802VFQ2-Difficulty Reading Small PrintNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Near Vision: Wearing glasses, how much difficulty do you have reading the small print in a telephone book, on a medicine bottle, or on legal forms? Would you say:VFQ25-Self Administered Format - Difficulty Reading Small Print
VFQ2-Difficulty Reading Street SignsC112778VFQ2-Difficulty Reading Street SignsNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: How much difficulty do you have reading street signs or the names of stores?VFQ25-Self Administered Format - Difficulty Reading Street Signs
VFQ2-Difficulty Recognizing PeopleC112805VFQ2-Difficulty Recognizing PeopleNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Distance Vision: Because of your eyesight, how much difficulty do you have recognizing people you know from across a room?VFQ25-Self Administered Format - Difficulty Recognizing People You Know
VFQ2-Difficulty Seeing How People ReactC112781VFQ2-Difficulty Seeing How People ReactNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have seeing how people react to things you say?VFQ25-Self Administered Format - Difficulty Seeing How People React
VFQ2-Difficulty Seeing Programs on TVC112807VFQ2-Difficulty Seeing Programs on TVNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Distance Vision: Because of your eyesight, how much difficulty do you have seeing and enjoying programs on TV?VFQ25-Self Administered Format - Difficulty Seeing and Enjoying Programs on TV
VFQ2-Difficulty Shaving or Styling HairC112804VFQ2-Difficulty Shaving or Styling HairNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Near Vision: Because of your eyesight, how much difficulty do you have doing things like shaving, styling your hair, or putting on makeup?VFQ25-Self Administered Format - Difficulty Shaving or Styling Hair or Putting On Makeup
VFQ2-Difficulty Taking Part in SportsC112806VFQ2-Difficulty Taking Part in SportsNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Distance Vision: Because of your eyesight, how much difficulty do you have taking part in active sports or other outdoor activities that you enjoy (like golf, bowling, jogging, or walking)?VFQ25-Self Administered Format - Difficulty Taking Part in Sports or Outdoor Activities
VFQ2-Difficulty Visiting With PeopleC112783VFQ2-Difficulty Visiting With PeopleNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have visiting with people in their homes, at parties, or in restaurants?VFQ25-Self Administered Format - Difficulty Visiting People
VFQ2-Do You Have More Help From OthersC112809VFQ2-Do You Have More Help From OthersNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Role Limitations: Do you have more help from others because of your vision?VFQ25-Self Administered Format - Do You Have More Help From Others
VFQ2-Driving in Difficult ConditionsC112790VFQ2-Driving in Difficult ConditionsNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: How much difficulty do you have driving in difficult conditions, such as in bad weather, during rush hour, on the freeway, or in city traffic? Would you say you have:VFQ25-Self Administered Format - Driving in Difficult Condition
VFQ2-Eye Pain Keep From Doing What LikeC112793VFQ2-Eye Pain Keep From Doing What LikeNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: How much does pain or discomfort in or around your eyes, for example, burning, itching, or aching, keep you from doing what you'd like to be doing? Would you say:VFQ25-Self Administered Format - Pain in Eyes Keep You From Doing What You Like
VFQ2-Eyesight Using Both Eyes IsC112772VFQ2-Eyesight Using Both Eyes IsNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - General Health and Vision: At the present time, would you say your eyesight using both eyes (with glasses or contact lenses, if you wear them) is excellent, good, fair, poor, or very poor or are you completely blind?VFQ25-Self Administered Format - Eyesight Using Both Eyes
VFQ2-How Much Pain in and Around EyesC112774VFQ2-How Much Pain in and Around EyesNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - General Health and Vision: How much pain or discomfort have you had in and around your eyes (for example, burning, itching, or aching)? Would you say it is:VFQ25-Self Administered Format - Pain or Discomfort You Had in and Around Eyes
VFQ2-How Often You Worry About EyesightC112773VFQ2-How Often You Worry About EyesightNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - General Health and Vision: How much of the time do you worry about your eyesight?VFQ25-Self Administered Format - Time Spent Worry About Eyesight
VFQ2-I Don't Go Out of My Home AloneC112812VFQ2-I Don't Go Out of My Home AloneNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Dependency: I don't go out of my home alone, because of my eyesight.VFQ25-Self Administered Format - Don't Go Out of Home Alone Because of Eyesight
VFQ2-I Feel Frustrated a Lot of the TimeC112795VFQ2-I Feel Frustrated a Lot of the TimeNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: I feel frustrated a lot of the time because of my eyesight.VFQ25-Self Administered Format - Feel Frustrated Because of Eyesight
VFQ2-I Need a Lot of Help From OthersC112798VFQ2-I Need a Lot of Help From OthersNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: I need a lot of help from others because of my eyesight.VFQ25-Self Administered Format - Need Help From Others Because of Eyesight
VFQ2-I Stay Home Most of the TimeC112794VFQ2-I Stay Home Most of the TimeNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: I stay home most of the time because of my eyesight.VFQ25-Self Administered Format - Stay Home Because of Eyesight
VFQ2-Limited in How Long You Can WorkC112792VFQ2-Limited in How Long You Can WorkNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: Are you limited in how long you can work or do other activities because of your vision?VFQ25-Self Administered Format - Limited in How Long You Can Work Because of Vision
VFQ2-Limited in Kinds of Things Can DoC112810VFQ2-Limited in Kinds of Things Can DoNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Role Limitations: Are you limited in the kinds of things you can do because of your vision?VFQ25-Self Administered Format - Limited in Kinds of Things Can Do
VFQ2-Main Reason You Gave Up DrivingC112787VFQ2-Main Reason You Gave Up DrivingNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: If you gave up driving: Was that mainly because of your eyesight, mainly for some other reason, or because of both your eyesight and other reasons?VFQ25-Self Administered Format - Main Reason You Gave Up Driving
VFQ2-Much Less Control Over What I DoC112796VFQ2-Much Less Control Over What I DoNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: I have much less control over what I do, because of my eyesight.VFQ25-Self Administered Format - Have Less Control Because of Eyesight
VFQ2-Never Driven or Given Up DrivingC112786VFQ2-Never Driven or Given Up DrivingNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: If no: Have you never driven a car or have you given up driving?VFQ25-Self Administered Format - Never Driven or Given Up Driving
VFQ2-Often Irritable Because EyesightC112811VFQ2-Often Irritable Because EyesightNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Well-Being/Distress: I am often irritable because of my eyesight.VFQ25-Self Administered Format - Often Irritable Because of Eyesight
VFQ2-Rate Your Eyesight NowC112801VFQ2-Rate Your Eyesight NowNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - General Vision: How would you rate your eyesight now (with glasses or contact lens on, if you wear them), on a scale of from 0 to 10, where zero means the worst possible eyesight, as bad or worse than being blind, and 10 means the best possible eyesight?VFQ25-Self Administered Format - Rate Your Eyesight Now
VFQ2-Rate Your Overall HealthC112800VFQ2-Rate Your Overall HealthNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - General Health: How would you rate your overall health, on a scale where zero is as bad as death and 10 is best possible health?VFQ25-Self Administered Format - Rate Your Overall Health
VFQ2-Rely Too Much on What Others TellC112797VFQ2-Rely Too Much on What Others TellNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: Because of my eyesight, I have to rely too much on what other people tell me.VFQ25-Self Administered Format - Have to Rely On Other People Because of Eyesight
VFQ2-Worry I'll Do Embarrassing ThingsC112799VFQ2-Worry I'll Do Embarrassing ThingsNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: I worry about doing things that will embarrass myself or others, because of my eyesight.VFQ25-Self Administered Format - Worry About Embarrass Myself or Others Because of Eyesight
VFQ2-Your Overall Health IsC112771VFQ2-Your Overall Health IsNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - General Health and Vision: In general, would you say your overall health is:VFQ25-Self Administered Format - Overall Health
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CL.C120993.NSA01TCNegative Symptom Assessment-16 Clinical Classification Test Code
(NSA01TC)
text
Extensible: No
C120993Negative Symptom Assessment-16 Clinical Classification Test CodeNegative Symptom Assessment-16 test code.CDISC Clinical Classification NSA-16 Test Code Terminology
NSA0101C121077NSA01-Prolonged Time to RespondNegative Symptom Assessment-16 - Prolonged time to respond.NSA-16 - Prolonged Time to Respond
NSA0102C121078NSA01-Restricted Speech QuantityNegative Symptom Assessment-16 - Restricted speech quantity.NSA-16 - Restricted Speech Quantity
NSA0103C121079NSA01-Impoverished Speech ContentNegative Symptom Assessment-16 - Impoverished speech content.NSA-16 - Impoverished Speech Content
NSA0104C121080NSA01-Inarticulate SpeechNegative Symptom Assessment-16 - Inarticulate speech.NSA-16 - Inarticulate Speech
NSA0105C121081NSA01-Emotion: Reduced RangeNegative Symptom Assessment-16 - Emotion: Reduced range.NSA-16 - Emotion: Reduced Range
NSA0106C121082NSA01-Affect Reduce Modulation IntensityNegative Symptom Assessment-16 - Affect: Reduced modulation of intensity.NSA-16 - Affect: Reduce Modulation Intensity
NSA0107C121083NSA01-Affect: Reduced Display on DemandNegative Symptom Assessment-16 - Affect: Reduced display on demand.NSA-16 - Affect: Reduced Display on Demand
NSA0108C121084NSA01-Reduced Social DriveNegative Symptom Assessment-16 - Reduced social drive.NSA-16 - Reduced Social Drive
NSA0109C121085NSA01-Poor Rapport With InterviewerNegative Symptom Assessment-16 - Poor rapport with interviewer.NSA-16 - Poor Rapport With Interviewer
NSA0110C121086NSA01-Interest Emotional/Phys IntimacyNegative Symptom Assessment-16 - Interest in emotional and physical intimacy.NSA-16 - Interest in Emotional and Physical Intimacy
NSA0111C121087NSA01-Poor Grooming and HygieneNegative Symptom Assessment-16 - Poor grooming and hygiene.NSA-16 - Poor Grooming and Hygiene
NSA0112C121088NSA01-Reduced Sense of PurposeNegative Symptom Assessment-16 - Reduced sense of purpose.NSA-16 - Reduced Sense of Purpose
NSA0113C121089NSA01-Reduced InterestsNegative Symptom Assessment-16 - Reduced interests.NSA-16 - Reduced Interests
NSA0114C121090NSA01-Reduced Daily ActivityNegative Symptom Assessment-16 - Reduced daily activity.NSA-16 - Reduced Daily Activity
NSA0115C121091NSA01-Reduced Expressive GesturesNegative Symptom Assessment-16 - Reduced expressive gestures.NSA-16 - Reduced Expressive Gestures
NSA0116C121092NSA01-Slowed MovementsNegative Symptom Assessment-16 - Slowed movements.NSA-16 - Slowed Movements
NSA0117C121093NSA01-Global Negative Symptoms RatingNegative Symptom Assessment-16 - Global negative symptoms rating.NSA-16 - Global Negative Symptoms Rating
NSA0118C121094NSA01-Global Neg Symptom Rating-SeverityNegative Symptom Assessment-16 - Global negative symptoms rating - severity.NSA-16 - Global Negative Symptoms Rating-Severity
NSA0119C121095NSA01-Global Level of FunctioningNegative Symptom Assessment-16 - Global level of functioning.NSA-16 - Global Level of Functioning
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CL.C120992.NSA01TNNegative Symptom Assessment-16 Clinical Classification Test Name
(NSA01TN)
text
Extensible: No
C120992Negative Symptom Assessment-16 Clinical Classification Test NameNegative Symptom Assessment-16 test name.CDISC Clinical Classification NSA-16 Test Name Terminology
NSA01-Affect Reduce Modulation IntensityC121082NSA01-Affect Reduce Modulation IntensityNegative Symptom Assessment-16 - Affect: Reduced modulation of intensity.NSA-16 - Affect: Reduce Modulation Intensity
NSA01-Affect: Reduced Display on DemandC121083NSA01-Affect: Reduced Display on DemandNegative Symptom Assessment-16 - Affect: Reduced display on demand.NSA-16 - Affect: Reduced Display on Demand
NSA01-Emotion: Reduced RangeC121081NSA01-Emotion: Reduced RangeNegative Symptom Assessment-16 - Emotion: Reduced range.NSA-16 - Emotion: Reduced Range
NSA01-Global Level of FunctioningC121095NSA01-Global Level of FunctioningNegative Symptom Assessment-16 - Global level of functioning.NSA-16 - Global Level of Functioning
NSA01-Global Neg Symptom Rating-SeverityC121094NSA01-Global Neg Symptom Rating-SeverityNegative Symptom Assessment-16 - Global negative symptoms rating - severity.NSA-16 - Global Negative Symptoms Rating-Severity
NSA01-Global Negative Symptoms RatingC121093NSA01-Global Negative Symptoms RatingNegative Symptom Assessment-16 - Global negative symptoms rating.NSA-16 - Global Negative Symptoms Rating
NSA01-Impoverished Speech ContentC121079NSA01-Impoverished Speech ContentNegative Symptom Assessment-16 - Impoverished speech content.NSA-16 - Impoverished Speech Content
NSA01-Inarticulate SpeechC121080NSA01-Inarticulate SpeechNegative Symptom Assessment-16 - Inarticulate speech.NSA-16 - Inarticulate Speech
NSA01-Interest Emotional/Phys IntimacyC121086NSA01-Interest Emotional/Phys IntimacyNegative Symptom Assessment-16 - Interest in emotional and physical intimacy.NSA-16 - Interest in Emotional and Physical Intimacy
NSA01-Poor Grooming and HygieneC121087NSA01-Poor Grooming and HygieneNegative Symptom Assessment-16 - Poor grooming and hygiene.NSA-16 - Poor Grooming and Hygiene
NSA01-Poor Rapport With InterviewerC121085NSA01-Poor Rapport With InterviewerNegative Symptom Assessment-16 - Poor rapport with interviewer.NSA-16 - Poor Rapport With Interviewer
NSA01-Prolonged Time to RespondC121077NSA01-Prolonged Time to RespondNegative Symptom Assessment-16 - Prolonged time to respond.NSA-16 - Prolonged Time to Respond
NSA01-Reduced Daily ActivityC121090NSA01-Reduced Daily ActivityNegative Symptom Assessment-16 - Reduced daily activity.NSA-16 - Reduced Daily Activity
NSA01-Reduced Expressive GesturesC121091NSA01-Reduced Expressive GesturesNegative Symptom Assessment-16 - Reduced expressive gestures.NSA-16 - Reduced Expressive Gestures
NSA01-Reduced InterestsC121089NSA01-Reduced InterestsNegative Symptom Assessment-16 - Reduced interests.NSA-16 - Reduced Interests
NSA01-Reduced Sense of PurposeC121088NSA01-Reduced Sense of PurposeNegative Symptom Assessment-16 - Reduced sense of purpose.NSA-16 - Reduced Sense of Purpose
NSA01-Reduced Social DriveC121084NSA01-Reduced Social DriveNegative Symptom Assessment-16 - Reduced social drive.NSA-16 - Reduced Social Drive
NSA01-Restricted Speech QuantityC121078NSA01-Restricted Speech QuantityNegative Symptom Assessment-16 - Restricted speech quantity.NSA-16 - Restricted Speech Quantity
NSA01-Slowed MovementsC121092NSA01-Slowed MovementsNegative Symptom Assessment-16 - Slowed movements.NSA-16 - Slowed Movements
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CL.C103473.NPS01TCNeuropathic Pain Scale Questionnaire Test Code
(NPS01TC)
text
Extensible: No
C103473Neuropathic Pain Scale Questionnaire Test CodeNeuropathic Pain Scale test code.CDISC Questionnaire NPS Test Code Terminology
NPS0101C103638NPS01-Tell Us How Intense Your Pain IsNeuropathic Pain Scale - Please use the scale below to tell us how intense your pain is.NPS - Tell Us How Intense Your Pain Is
NPS0102C103639NPS01-Tell Us How Sharp Your Pain FeelsNeuropathic Pain Scale - Please use the scale below to tell us how sharp your pain feels. Words used to describe 'sharp' feelings include 'like a knife,' 'like a spike,' 'jabbing,' or 'like jolts.'NPS - Tell Us How Sharp Your Pain Feels
NPS0103C103640NPS01-Tell Us How Hot Your Pain FeelsNeuropathic Pain Scale - Please use the scale below to tell us how hot your pain feels. Words used to describe very hot pain include 'burning' and 'on fire.'NPS - Tell Us How Hot Your Pain Feels
NPS0104C103641NPS01-Tell Us How Dull Your Pain FeelsNeuropathic Pain Scale - Please use the scale below to tell us how dull your pain feels. Words used to describe very dull pain include 'like a dull toothache,' 'dull pain,' and 'like a bruise.'NPS - Tell Us How Dull Your Pain Feels
NPS0105C103642NPS01-Tell Us How Cold Your Pain FeelsNeuropathic Pain Scale - Please use the scale below to tell us how cold your pain feels. Words used to describe very cold pain included 'like ice' and 'freezing.'NPS - Tell Us How Cold Your Pain Feels
NPS0106C103643NPS01-Sensitiv Skin to Light Touch/ClothNeuropathic Pain Scale - Please use the scale below to tell us how sensitive your skin is to light touch or clothing. Words used to describe sensitive skin include 'like sunburned skin,' and 'raw skin.'NPS - Tell Us How Sensitive Your Skin is to Light Touch or Clothing
NPS0107C103644NPS01-Tell Us How Itchy Your Pain FeelsNeuropathic Pain Scale - Please use the scale below to tell us how itchy your pain feels. Words used to describe itchy pain include 'like poison oak' and 'like a mosquito bite.'NPS - Tell Us How Itchy Your Pain Feels
NPS0108C103645NPS01-Describe Time Quality Of Your PainNeuropathic Pain Scale - Which of the following best describes the time quality of your pain? Please check only one answer.NPS - Describe the Time Quality Of Your Pain
NPS0108AC103646NPS01-Describe the Background PainNeuropathic Pain Scale - I feel a background pain all of the time and occasional flare-ups (break-through pain) some of the time. Describe the background pain.NPS - Describe the Background Pain
NPS0108BC103647NPS01-Describe the Flare-up PainNeuropathic Pain Scale - I feel a background pain all of the time and occasional flare-ups (break-through pain) some of the time. Describe the flare-up (break-through) pain.NPS - Describe the Flare-up Pain
NPS0108CC103648NPS01-Describe Single Type Pain All TimeNeuropathic Pain Scale - I feel a single type of pain all the time. Describe this pain.NPS - Describe the Single Type of Pain All Time
NPS0108DC103649NPS01-Describe the Occasional PainNeuropathic Pain Scale - I fee a single type of pain only sometimes. Other times, I am pain free. Describe the occasional pain.NPS - Describe the Occasional Pain
NPS0109C103650NPS01-Tell How Unpleasant Your Pain FeelNeuropathic Pain Scale - Now that you have told us the different physical aspects of your pain, the different types of sensations, we want you to tell us overall how unpleasant your pain is to you. Words used to describe very unpleasant pain include 'miserable' and intolerable.' Remember, pain can have a low intensity, buy still feel extremely unpleasant, and some kinds of pain can have a high intensity but be very tolerable. With this scale, please tell us how unpleasant your pain feels.NPS - Tell Us Overall How Unpleasant Your Pain is to You
NPS0110AC103651NPS01-How Intense is Your Deep PainNeuropathic Pain Scale - Lastly, we want you to give us an estimate of the severity of your deep versus surface pain. We want your to rate each location of pain separately. We realize that it can be difficult to make these estimates, and most likely it will be a 'best guess,' but please give us your best estimate. How intense is your deep pain?NPS - How Intense is Your Deep Pain
NPS0110BC103652NPS01-How Intense is Your Surface PainNeuropathic Pain Scale - Lastly, we want you to give us an estimate of the severity of your deep versus surface pain. We want your to rate each location of pain separately. We realize that it can be difficult to make these estimates, and most likely it will be a 'best guess,' but please give us your best estimate. How intense is your surface pain?NPS - How Intense is Your Surface Pain
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CL.C103472.NPS01TNNeuropathic Pain Scale Questionnaire Test Name
(NPS01TN)
text
Extensible: No
C103472Neuropathic Pain Scale Questionnaire Test NameNeuropathic Pain Scale test name.CDISC Questionnaire NPS Test Name Terminology
NPS01-Describe Single Type Pain All TimeC103648NPS01-Describe Single Type Pain All TimeNeuropathic Pain Scale - I feel a single type of pain all the time. Describe this pain.NPS - Describe the Single Type of Pain All Time
NPS01-Describe the Background PainC103646NPS01-Describe the Background PainNeuropathic Pain Scale - I feel a background pain all of the time and occasional flare-ups (break-through pain) some of the time. Describe the background pain.NPS - Describe the Background Pain
NPS01-Describe the Flare-up PainC103647NPS01-Describe the Flare-up PainNeuropathic Pain Scale - I feel a background pain all of the time and occasional flare-ups (break-through pain) some of the time. Describe the flare-up (break-through) pain.NPS - Describe the Flare-up Pain
NPS01-Describe the Occasional PainC103649NPS01-Describe the Occasional PainNeuropathic Pain Scale - I fee a single type of pain only sometimes. Other times, I am pain free. Describe the occasional pain.NPS - Describe the Occasional Pain
NPS01-Describe Time Quality Of Your PainC103645NPS01-Describe Time Quality Of Your PainNeuropathic Pain Scale - Which of the following best describes the time quality of your pain? Please check only one answer.NPS - Describe the Time Quality Of Your Pain
NPS01-How Intense is Your Deep PainC103651NPS01-How Intense is Your Deep PainNeuropathic Pain Scale - Lastly, we want you to give us an estimate of the severity of your deep versus surface pain. We want your to rate each location of pain separately. We realize that it can be difficult to make these estimates, and most likely it will be a 'best guess,' but please give us your best estimate. How intense is your deep pain?NPS - How Intense is Your Deep Pain
NPS01-How Intense is Your Surface PainC103652NPS01-How Intense is Your Surface PainNeuropathic Pain Scale - Lastly, we want you to give us an estimate of the severity of your deep versus surface pain. We want your to rate each location of pain separately. We realize that it can be difficult to make these estimates, and most likely it will be a 'best guess,' but please give us your best estimate. How intense is your surface pain?NPS - How Intense is Your Surface Pain
NPS01-Sensitiv Skin to Light Touch/ClothC103643NPS01-Sensitiv Skin to Light Touch/ClothNeuropathic Pain Scale - Please use the scale below to tell us how sensitive your skin is to light touch or clothing. Words used to describe sensitive skin include 'like sunburned skin,' and 'raw skin.'NPS - Tell Us How Sensitive Your Skin is to Light Touch or Clothing
NPS01-Tell How Unpleasant Your Pain FeelC103650NPS01-Tell How Unpleasant Your Pain FeelNeuropathic Pain Scale - Now that you have told us the different physical aspects of your pain, the different types of sensations, we want you to tell us overall how unpleasant your pain is to you. Words used to describe very unpleasant pain include 'miserable' and intolerable.' Remember, pain can have a low intensity, buy still feel extremely unpleasant, and some kinds of pain can have a high intensity but be very tolerable. With this scale, please tell us how unpleasant your pain feels.NPS - Tell Us Overall How Unpleasant Your Pain is to You
NPS01-Tell Us How Cold Your Pain FeelsC103642NPS01-Tell Us How Cold Your Pain FeelsNeuropathic Pain Scale - Please use the scale below to tell us how cold your pain feels. Words used to describe very cold pain included 'like ice' and 'freezing.'NPS - Tell Us How Cold Your Pain Feels
NPS01-Tell Us How Dull Your Pain FeelsC103641NPS01-Tell Us How Dull Your Pain FeelsNeuropathic Pain Scale - Please use the scale below to tell us how dull your pain feels. Words used to describe very dull pain include 'like a dull toothache,' 'dull pain,' and 'like a bruise.'NPS - Tell Us How Dull Your Pain Feels
NPS01-Tell Us How Hot Your Pain FeelsC103640NPS01-Tell Us How Hot Your Pain FeelsNeuropathic Pain Scale - Please use the scale below to tell us how hot your pain feels. Words used to describe very hot pain include 'burning' and 'on fire.'NPS - Tell Us How Hot Your Pain Feels
NPS01-Tell Us How Intense Your Pain IsC103638NPS01-Tell Us How Intense Your Pain IsNeuropathic Pain Scale - Please use the scale below to tell us how intense your pain is.NPS - Tell Us How Intense Your Pain Is
NPS01-Tell Us How Itchy Your Pain FeelsC103644NPS01-Tell Us How Itchy Your Pain FeelsNeuropathic Pain Scale - Please use the scale below to tell us how itchy your pain feels. Words used to describe itchy pain include 'like poison oak' and 'like a mosquito bite.'NPS - Tell Us How Itchy Your Pain Feels
NPS01-Tell Us How Sharp Your Pain FeelsC103639NPS01-Tell Us How Sharp Your Pain FeelsNeuropathic Pain Scale - Please use the scale below to tell us how sharp your pain feels. Words used to describe 'sharp' feelings include 'like a knife,' 'like a spike,' 'jabbing,' or 'like jolts.'NPS - Tell Us How Sharp Your Pain Feels
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CL.C100144.NPI1TCNeuropsychiatric Inventory Questionnaire Test Code
(NPI1TC)
text
Extensible: No
C100144Neuropsychiatric Inventory Questionnaire Test CodeThe Neuropsychiatric Inventory test code.CDISC Questionnaire NPI Test Code Terminology
NPI1AC100622NPI1-Beliefs UntrueNeuropsychiatric Inventory - Does the patient have beliefs that you know are not true? (for example, insisting that people are trying to harm him/her or steal from him/her)? Has he/she said that family members are not who they say they are or that the house is not their home? I'm not asking about mere suspiciousness; I am interested if the patient is convinced that these things are happening to him/her.NPI - Have Beliefs That You Know are Not True
NPI1A01C100623NPI1-In DangerNeuropsychiatric Inventory - Does the patient believe that he/she is in danger - that others are planning to hurt him/her?NPI - He/She is in Danger
NPI1A02C100624NPI1-Others Are StealingNeuropsychiatric Inventory - Does the patient believe that others are stealing from him/her?NPI - Others are Stealing From Him/Her
NPI1A03C100625NPI1-Spouse Having AffairNeuropsychiatric Inventory - Does the patient believe that his/her spouse is having an affair?NPI - His/Her Spouse is Having an Affair
NPI1A04C100626NPI1-Unwelcome Guests in HouseNeuropsychiatric Inventory - Does the patient believe that unwelcome guests are living in his/her house?NPI - Unwelcome Guests are Living in His/Her House
NPI1A05C100627NPI1-People Not Who They ClaimNeuropsychiatric Inventory - Does the patient believe that his/her spouse or others are not who they claim to be?NPI - His/Her Spouse or Others Are Not Who They Claim To Be
NPI1A06C100628NPI1-House Not Their HomeNeuropsychiatric Inventory - Does the patient believe that his/her house is not his/her home?NPI - His/Her House Is Not His/Her Home
NPI1A07C100629NPI1-Family Plans to AbandonNeuropsychiatric Inventory - Does the patient believe that family members plan to abandon him/her?NPI - Family Members Plan to Abandon Him/Her
NPI1A08C100630NPI1-TV/Magazine Figures PresentNeuropsychiatric Inventory - Does the patient believe that television or magazine figures are actually present in the home? (Does he/she try to talk or interact with them?)NPI - Television or Magazine Figures Are Actually Present In the Home
NPI1A09C100631NPI1-Other Unusual BeliefsNeuropsychiatric Inventory - Does the patient believe any other unusual things that I haven't asked about?NPI - Any Other Unusual Things That I Haven't Asked About
NPI1A10C103602NPI1-Delusions FrequencyNeuropsychiatric Inventory - Frequency of the delusions.NPI - Delusions Frequency
NPI1A11C103603NPI1-Delusions SeverityNeuropsychiatric Inventory - Severity of the delusions.NPI - Delusions Severity
NPI1A12C103604NPI1-Delusions DistressNeuropsychiatric Inventory - How emotionally distressing do you find this behavior?NPI - Delusions Distress
NPI1AFSC112469NPI1-Delusions FxS ScoreNeuropsychiatric Inventory - Delusions: (frequency score x severity score).NPI - Delusions FxS Score
NPI1BC100632NPI1-False Visions or VoicesNeuropsychiatric Inventory - Does the patient have hallucinations such as seeing false visions or hearing false voices? Does he/she seem to see, hear or experience things that are not present? By this question we do not mean just mistaken beliefs such as stating that someone who has died is still alive; rather we are asking if the patient actually has abnormal experiences of sounds or visions.NPI - Hallucinations Such as Seeing False Visions or Hearing False Voices
NPI1B01C100633NPI1-Hearing VoicesNeuropsychiatric Inventory - Does the patient describe hearing voices or act as if he/she hears voices?NPI - Describe Hearing Voices or Act as if He/She Hears Voices
NPI1B02C100634NPI1-Talk to People Not ThereNeuropsychiatric Inventory - Does the patient talk to people who are not there?NPI - Talk to People Who Are Not There
NPI1B03C100635NPI1-See Things Not Seen by OthersNeuropsychiatric Inventory - Does the patient describe seeing things not seen by others or behave as if he/she is seeing things not seen by others (people, animals, lights, etc.)?NPI - Describe Seeing Things Not Seen by Others
NPI1B04C100636NPI1-Smell Odors Others Do Not SmellNeuropsychiatric Inventory - Does the patient report smelling odors not smelled by others?NPI - Report Smelling Odors Not Smelled by Others
NPI1B05C100637NPI1-Feel Things on SkinNeuropsychiatric Inventory - Does the patient describe feeling things on his/her skin or otherwise appear to be feeling things crawling or touching him/her?NPI - Describe Feeling Things on His/Her Skin
NPI1B06C100638NPI1-Taste without Known CauseNeuropsychiatric Inventory - Does the patient describe tastes that are without any known cause?NPI - Describe Tastes That Are Without Any Known Cause
NPI1B07C100639NPI1-Other Unusual Sensory ExperienceNeuropsychiatric Inventory - Does the patient describe any other unusual sensory experiences?NPI - Describe Any Other Unusual Sensory Experiences
NPI1B08C103605NPI1-Hallucinations FrequencyNeuropsychiatric Inventory - Frequency of the hallucinations.NPI - Hallucinations Frequency
NPI1B09C103606NPI1-Hallucinations SeverityNeuropsychiatric Inventory - Severity of the hallucinations.NPI - Hallucinations Severity
NPI1B10C103607NPI1-Hallucinations DistressNeuropsychiatric Inventory - How emotionally distressing do you find this behavior?NPI - Hallucinations Distress
NPI1BFSC112470NPI1-Hallucinations FxS ScoreNeuropsychiatric Inventory - Hallucinations: (frequency score x severity score).NPI - Hallucinations FxS Score
NPI1CC100640NPI1-Refuse to CooperateNeuropsychiatric Inventory - Does the patient have periods when he/she refuses to cooperate or won't let people help him/her? Is he/she hard to handle?NPI - Periods When He/She Refuses to Cooperate
NPI1C01C100641NPI1-Get Upset with CaregiverNeuropsychiatric Inventory - Does the patient get upset with those trying to care for him/her or resist activities such as bathing or changing clothes?NPI - Get Upset with Those Trying to Care for Him/Her
NPI1C02C100642NPI1-StubbornNeuropsychiatric Inventory - Is the patient stubborn, having to have things his/her way?NPI - Stubborn
NPI1C03C100643NPI1-UncooperativeNeuropsychiatric Inventory - Is the patient uncooperative, resistive to help from others?NPI - Uncooperative
NPI1C04C100644NPI1-Other Behaviors Hard to HandleNeuropsychiatric Inventory - Does the patient have any other behaviors that make him/her hard to handle?NPI - Any Other Behaviors That Make Him/Her Hard to Handle
NPI1C05C100645NPI1-Shout or Curse AngrilyNeuropsychiatric Inventory - Does the patient shout or curse angrily?NPI - Shout or Curse Angrily
NPI1C06C100646NPI1-Slam, Kick or Throw ThingsNeuropsychiatric Inventory - Does the patient slam doors, kick furniture, throw things?NPI - Slam doors, Kick Furniture, Throw Things
NPI1C07C100647NPI1-Hurt or Hit OthersNeuropsychiatric Inventory - Does the patient attempt to hurt or hit others?NPI - Attempt to Hurt or Hit Others
NPI1C08C100648NPI1-Other Aggressive BehaviorNeuropsychiatric Inventory - Does the patient have any other aggressive or agitated behaviors?NPI - Any Other Aggressive or Agitated Behaviors
NPI1C09C103608NPI1-Agitation/Aggression FrequencyNeuropsychiatric Inventory - Frequency of the agitation/aggression.NPI - Agitation/Aggression Frequency
NPI1C10C103609NPI1-Agitation/Aggression SeverityNeuropsychiatric Inventory - Severity of the agitation/aggression.NPI - Agitation/Aggression Severity
NPI1C11C103610NPI1-Agitation/Aggression DistressNeuropsychiatric Inventory - How emotionally distressing do you find this behavior?NPI - Agitation/Aggression Distress
NPI1CFSC112471NPI1-Agitation/Aggression FxS ScoreNeuropsychiatric Inventory - Agitation/Aggression: (frequency score x severity score).NPI - Agitation/Aggression FxS Score
NPI1DC100649NPI1-Sad or DepressedNeuropsychiatric Inventory - Does the patient seem sad or depressed? Does he/she say that he/she feels sad or depressed?NPI - Seem Sad or Depressed
NPI1D01C100650NPI1-Tearfulness or SobbingNeuropsychiatric Inventory - Does the patient have periods of tearfulness or sobbing that seem to indicate sadness?NPI - Periods of Tearfulness or Sobbing
NPI1D02C100651NPI1-Say or Act in Low SpiritsNeuropsychiatric Inventory - Does the patient say, or act as if he/she is sad or in low spirits?NPI - Say, or Act as if He/She is Sad or in Low Spirits
NPI1D03C100652NPI1-Feel Like a FailureNeuropsychiatric Inventory - Does the patient put him/herself down or say that he/she feels like a failure?NPI - Put Him/Herself Down or Say That He/She Feels Like a Failure
NPI1D04C100653NPI1-Bad PersonNeuropsychiatric Inventory - Does the patient say that he/she is a bad person or deserves to be punished?NPI - Say That He/She is a Bad Person
NPI1D05C100654NPI1-DiscouragedNeuropsychiatric Inventory - Does the patient seem very discouraged or say that he/she has no future?NPI - Seem Very Discouraged
NPI1D06C100655NPI1-Burden to FamilyNeuropsychiatric Inventory - Does the patient say he/she is a burden to the family or that the family would be better off without him/her?NPI - Say He/She is a Burden to the Family
NPI1D07C100656NPI1-Wish for DeathNeuropsychiatric Inventory - Does the patient express a wish for death or talk about killing himself/herself?NPI - Express a Wish for Death
NPI1D08C100657NPI1-Other Signs of DepressionNeuropsychiatric Inventory - Does the patient show any other signs of depression or sadness?NPI - Show Any Other Signs of Depression or Sadness
NPI1D09C103611NPI1-Depression/Dysphoria FrequencyNeuropsychiatric Inventory - Frequency of the depression/dysphoria.NPI - Depression/Dysphoria Frequency
NPI1D10C103612NPI1-Depression/Dysphoria SeverityNeuropsychiatric Inventory - Severity of the depression/dysphoria.NPI - Depression/Dysphoria Severity
NPI1D11C103613NPI1-Depression/Dysphoria DistressNeuropsychiatric Inventory - How emotionally distressing do you find this behavior?NPI - Depression/Dysphoria Distress
NPI1DFSC112472NPI1-Depression/Dysphoria FxS ScoreNeuropsychiatric Inventory - Depression/Dysphoria: (frequency score x severity score).NPI - Depression/Dysphoria FxS Score
NPI1DISTC112482NPI1-NPI Total Distress ScoreNeuropsychiatric Inventory - Sub-total of distress score.NPI - NPI Total Distress Score
NPI1EC100658NPI1-Nervous or WorriedNeuropsychiatric Inventory - Is the patient very nervous, worried, or frightened for no apparent reason? Does he/she seem very tense or fidgety? Is the patient afraid to be apart from you?NPI - Very Nervous, Worried, or Frightened for No Apparent Reason
NPI1E01C100659NPI1-Worried about Planned EventNeuropsychiatric Inventory - Does the patient say that he/she is worried about planned events?NPI - Say That He/She is Worried About Planned Events
NPI1E02C100660NPI1-Shaky or Unable to RelaxNeuropsychiatric Inventory - Does the patient have periods of feeling shaky, unable to relax, or feeling excessively tense?NPI - Periods of Feeling Shaky, Unable to Relax, or Feeling Excessively Tense
NPI1E03C100661NPI1-Short of Breath, Gasp, SighNeuropsychiatric Inventory - Does the patient have periods of (or complain of) shortness of breath, gasping, or sighing for no apparent reason other than nervousness?NPI - Periods of Shortness of Breath, Gasping, or Sighing for No Apparent Reason
NPI1E04C100662NPI1-Butterflies or Racing HeartNeuropsychiatric Inventory - Does the patient complain of butterflies in his/her stomach, or of racing or pounding of the heart in association with nervousness? (Symptoms not explained by ill health).NPI - Complain of Butterflies, Racing or Pounding Heart
NPI1E05C100663NPI1-Avoid Places or SituationsNeuropsychiatric Inventory - Does the patient avoid certain places or situations that make him/her more nervous such as riding in the car, meeting with friends, or being in crowds?NPI - Avoid Certain Places or Situations That Make Him/Her More Nervous
NPI1E06C100664NPI1-Nervous when SeparatedNeuropsychiatric Inventory - Does the patient become nervous and upset when separated from you (or his/her caregiver)? (Does he/she cling to you to keep from being separated?).NPI - Become Nervous and Upset When Separated From You
NPI1E07C100665NPI1-Other Signs of AnxietyNeuropsychiatric Inventory - Does the patient show any other signs of anxiety?NPI - Show Any Other Signs of Anxiety
NPI1E08C103614NPI1-Anxiety FrequencyNeuropsychiatric Inventory - Frequency of the anxiety.NPI - Anxiety Frequency
NPI1E09C103615NPI1-Anxiety SeverityNeuropsychiatric Inventory - Severity of the anxiety.NPI - Anxiety Severity
NPI1E10C103616NPI1-Anxiety DistressNeuropsychiatric Inventory - How emotionally distressing do you find this behavior?NPI - Anxiety Distress
NPI1EFSC112473NPI1-Anxiety FxS ScoreNeuropsychiatric Inventory - Anxiety: (frequency score x severity score).NPI - Anxiety FxS Score
NPI1FC100666NPI1-Too Cheerful or HappyNeuropsychiatric Inventory - Does the patient seem too cheerful or too happy for no reason? I don't mean the normal happiness that comes from seeing friends, receiving presents, or spending time with family members. I am asking if the patient has a persistent and abnormally good mood or finds humor where others do not.NPI - Seem Too Cheerful or Too Happy for No Reason
NPI1F01C100667NPI1-Feel Good or Too HappyNeuropsychiatric Inventory - Does the patient appear to feel good or to be too happy, different from his/her usual self?NPI - Appear to Feel Good or to Be Too Happy
NPI1F02C100668NPI1-Humor Others Do Not Find FunnyNeuropsychiatric Inventory - Does the patient find humor and laugh at things that others do not find funny?NPI - Fine Humor and Laugh at Things That Others Do Not Find Funny
NPI1F03C100669NPI1-Childish Sense of HumorNeuropsychiatric Inventory - Does the patient seem to have a childish sense of humor with a tendency to giggle or laugh inappropriately (such as when something unfortunate happens to others)?NPI - Seem to Have a Childish Sense of Humor
NPI1F04C100670NPI1-Jokes Others Do Not Find FunnyNeuropsychiatric Inventory - Does the patient tell jokes or make remarks that are not funny to others but seem funny to him/her?NPI - Tell Jokes or Make Remarks That are Not Funny to Others
NPI1F05C100671NPI1-Childish PranksNeuropsychiatric Inventory - Does he/she play childish pranks such as pinching or playing "keep away" for the fun of it?NPI - Play Childish Pranks
NPI1F06C100672NPI1-Talk BigNeuropsychiatric Inventory - Does the patient "talk big" or claim to have more abilities or wealth than is true?NPI - Talk Big or Claim to Have More Abilities or Wealth Than is True
NPI1F07C100673NPI1-Other Signs of Feeling Too HappyNeuropsychiatric Inventory - Does the patient show any other signs of feeling too good or being too happy?NPI - Show Any Other Signs of Feeling Too Good or Being Too Happy
NPI1F08C103617NPI1-Elation/Euphoria FrequencyNeuropsychiatric Inventory - Frequency of the elation/euphoria.NPI - Elation/Euphoria Frequency
NPI1F09C103618NPI1-Elation/Euphoria SeverityNeuropsychiatric Inventory - Severity of the elation/euphoria.NPI - Elation/Euphoria Severity
NPI1F10C103619NPI1-Elation/Euphoria DistressNeuropsychiatric Inventory - How emotionally distressing do you find this behavior?NPI - Elation/Euphoria Distress
NPI1FFSC112474NPI1-Elation/Euphoria FxS ScoreNeuropsychiatric Inventory - Elation/Euphoria: (frequency score x severity score).NPI - Elation/Euphoria FxS Score
NPI1GC100674NPI1-Lost Interest in WorldNeuropsychiatric Inventory - Has the patient lost interest in the world around him/her? Has he/she lost interest in doing things or does he/she lack motivation for starting new activities? Is he/she more difficult to engage in conversation or in doing chores? Is the patient apathetic or indifferent?NPI - Lost Interest in the World Around Him/Her
NPI1G01C100675NPI1-Less Spontaneous or ActiveNeuropsychiatric Inventory - Does the patient seem less spontaneous and less active than usual?NPI - Seem Less Spontaneous and Less Active Than Usual
NPI1G02C100676NPI1-Less Likely Initiate ConversationNeuropsychiatric Inventory - Is the patient less likely to initiate a conversation?NPI - Less Likely Initiate to Initiate a Conversation
NPI1G03C100677NPI1-Less AffectionateNeuropsychiatric Inventory - Is the patient less affectionate or lacking in emotions when compared to his/her usual self?NPI - Less Affectionate or Lacking in Emotions
NPI1G04C100678NPI1-Contribute Less to ChoresNeuropsychiatric Inventory - Does the patient contribute less to household chores?NPI - Contribute Less to Household Chores
NPI1G05C100679NPI1-Less Interest in ActivitiesNeuropsychiatric Inventory - Does the patient seem less interested in the activities and plans of others?NPI - Less Interested in the Activities and Plans of Others
NPI1G06C100680NPI1-Lost Interest in FriendsNeuropsychiatric Inventory - Has the patient lost interest in friends and family members?NPI - Lost Interest in Friends and Family Members
NPI1G07C100681NPI1-Less EnthusiasticNeuropsychiatric Inventory - Is the patient less enthusiastic about his/her usual interests?NPI - Less Enthusiastic About His/Her Usual Interests
NPI1G08C100682NPI1-Other Signs of Not CaringNeuropsychiatric Inventory - Does the patient show any other signs that he/she doesn't care about doing new things?NPI - Show Any Other Signs That He/She Doesn't Care About Doing New Things
NPI1G09C103620NPI1-Apathy/Indifference FrequencyNeuropsychiatric Inventory - Frequency of the apathy/indifference.NPI - Apathy/Indifference Frequency
NPI1G10C103621NPI1-Apathy/Indifference SeverityNeuropsychiatric Inventory - Severity of the apathy/indifference.NPI - Apathy/Indifference Severity
NPI1G11C103622NPI1-Apathy/Indifference DistressNeuropsychiatric Inventory - How emotionally distressing do you find this behavior?NPI - Apathy/Indifference Distress
NPI1GFSC112475NPI1-Apathy/Indifference FxS ScoreNeuropsychiatric Inventory - Apathy/Indifference: (frequency score x severity score).NPI - Apathy/Indifference FxS Score
NPI1HC100683NPI1-Act ImpulsivelyNeuropsychiatric Inventory - Does the patient seem to act impulsively without thinking? Does he/she do or say things that are not usually done or said in public? Does he/she do things that are embarrassing to you or others?NPI - Seem to Act Impulsively Without Thinking
NPI1H01C100684NPI1-Act Impulsively without CareNeuropsychiatric Inventory - Does the patient act impulsively without appearing to consider the consequences?NPI - Act Impulsively without Appearing to Consider the Consequences
NPI1H02C100685NPI1-Talk to StrangersNeuropsychiatric Inventory - Does the patient talk to total strangers as if he/she knew them?NPI - Talk to Total Strangers as if He/She Knew Them
NPI1H03C100686NPI1-Say Insensitive ThingsNeuropsychiatric Inventory - Does the patient say things to people that are insensitive or hurt their feelings?NPI - Say Things to People that are Insensitive
NPI1H04C100687NPI1-Make Crude RemarksNeuropsychiatric Inventory - Does the patient say crude things or make sexual remarks that he/she would not usually have said?NPI - Say Crude Things or Make Sexual Remarks
NPI1H05C100688NPI1-Talk Openly about Private MattersNeuropsychiatric Inventory - Does the patient talk openly about very personal or private matters not usually discussed in public?NPI - Talk Openly About Very Personal or Private Matters
NPI1H06C100689NPI1-Take Liberties or Touch OthersNeuropsychiatric Inventory - Does the patient take liberties or touch or hug others in a way that is out of character for him/her?NPI - Take Liberties or Touch or Hug Others
NPI1H07C100690NPI1-Other Signs of ImpulsesNeuropsychiatric Inventory - Does the patient show any other signs of loss of control of his/her impulses?NPI - Show Any Other Signs of Loss of Control of His/Her Impulses
NPI1H08C103623NPI1-Disinhibition FrequencyNeuropsychiatric Inventory - Frequency of the disinhibition.NPI - Disinhibition Frequency
NPI1H09C103624NPI1-Disinhibition SeverityNeuropsychiatric Inventory - Severity of the disinhibition.NPI - Disinhibition Severity
NPI1H10C103625NPI1-Disinhibition DistressNeuropsychiatric Inventory - How emotionally distressing do you find this behavior?NPI - Disinhibition Distress
NPI1HFSC112476NPI1-Disinhibition FxS ScoreNeuropsychiatric Inventory - Disinhibition: (frequency score x severity score).NPI - Disinhibition FxS Score
NPI1IC100691NPI1-Irritated and Easily DisturbedNeuropsychiatric Inventory - Does the patient get irritated and easily disturbed? Are his/her moods very changeable? Is he/she abnormally impatient? We do not mean frustration over memory loss or inability to perform usual tasks; we are interested to know if the patient has abnormal irritability, impatience, or rapid emotional changes different from his/her usual self.NPI - Get Irritated and Easily Disturbed
NPI1I01C100692NPI1-Bad TemperNeuropsychiatric Inventory - Does the patient have a bad temper, flying "off the handle" easily over little things?NPI - Bad Temper, Flying 'Off the Handle' Easily Over Little Things
NPI1I02C100693NPI1-Rapidly Change MoodsNeuropsychiatric Inventory - Does the patient rapidly change moods from one to another, being fine one minute and angry the next?NPI - Rapidly Change Moods From One to Another
NPI1I03C100694NPI1-Sudden AngerNeuropsychiatric Inventory - Does the patient have sudden flashes of anger?NPI - Sudden Flares of Anger
NPI1I04C100695NPI1-ImpatientNeuropsychiatric Inventory - Is the patient impatient, having trouble coping with delays or waiting for planned activities?NPI - Impatient, Having Trouble Coping with Delays
NPI1I05C100696NPI1-Cranky and IrritableNeuropsychiatric Inventory - Is the patient cranky and irritable?NPI - Cranky and Irritable
NPI1I06C100697NPI1-ArgumentativeNeuropsychiatric Inventory - Is the patient argumentative and difficult to get along with?NPI - Argumentative and Difficult to Get Along With
NPI1I07C100698NPI1-Other Signs of IrritabilityNeuropsychiatric Inventory - Does the patient show any other signs of irritability?NPI - Show Any Other Signs of Irritability
NPI1I08C103626NPI1-Irritability/Lability FrequencyNeuropsychiatric Inventory - Frequency of the irritability/lability.NPI - Irritability/Lability Frequency
NPI1I09C103627NPI1-Irritability/Lability SeverityNeuropsychiatric Inventory - Severity of the irritability/lability.NPI - Irritability/Lability Severity
NPI1I10C103628NPI1-Irritability/Lability DistressNeuropsychiatric Inventory - How emotionally distressing do you find this behavior?NPI - Irritability/Lability Distress
NPI1IFSC112477NPI1-Irritability/Lability FxS ScoreNeuropsychiatric Inventory - Irritability/Lability: (frequency score x severity score).NPI - Irritability/Lability FxS Score
NPI1JC100699NPI1-Do Things RepeatedlyNeuropsychiatric Inventory - Does the patient pace, do things over and over such as opening closets or drawers, or repeatedly pick at things or wind string or threads?NPI - Pace, Do Things Over and Over, Repeatedly Pick at Things
NPI1J01C100700NPI1-PaceNeuropsychiatric Inventory - Does the patient pace around the house without apparent purpose?NPI - Pace Around the House Without Apparent Purpose
NPI1J02C100701NPI1-Rummage Around and UnpackNeuropsychiatric Inventory - Does the patient rummage around opening and unpacking drawers or closets?NPI - Rummage Around Opening and Unpacking Drawers or Closets
NPI1J03C100702NPI1-Repeatedly Change ClothingNeuropsychiatric Inventory - Does the patient repeatedly put on and take off clothing?NPI - Repeatedly Put On and Take Off Clothing
NPI1J04C100703NPI1-Repetitive Activities or HabitsNeuropsychiatric Inventory - Does the patient have repetitive activities or "habits" that he/she performs over and over?NPI - Repetitive Activities or 'Habits'
NPI1J05C100704NPI1-Repetitive ActivitiesNeuropsychiatric Inventory - Does the patient engage in repetitive activities such as handling buttons, picking, wrapping string, etc.?NPI - Engage in Repetitive Activities
NPI1J06C100705NPI1-Fidget ExcessivelyNeuropsychiatric Inventory - Does the patient fidget excessively, seem unable to sit still, or bounce his/her feet or tap his/her fingers a lot?NPI - Fidget Excessively, Seem Unable to Sit Still
NPI1J07C100706NPI1-Other Repetitive ActivitiesNeuropsychiatric Inventory - Does the patient do any other activities over and over?NPI - Do Any Other Activities Over and Over
NPI1J08C103629NPI1-Aberrant Motor Behavior FrequencyNeuropsychiatric Inventory - Frequency of the aberrant motor behavior.NPI - Aberrant Motor Behavior Frequency
NPI1J09C103630NPI1-Aberrant Motor Behavior SeverityNeuropsychiatric Inventory - Severity of the aberrant motor behavior.NPI - Aberrant Motor Behavior Severity
NPI1J10C103631NPI1-Aberrant Motor Behavior DistressNeuropsychiatric Inventory - How emotionally distressing do you find this behavior?NPI - Aberrant Motor Behavior Distress
NPI1JFSC112478NPI1-Aberrant Motor Behavior FxS ScoreNeuropsychiatric Inventory - Aberrant Motor Behavior: (frequency score x severity score).NPI - Aberrant Motor Behavior FxS Score
NPI1KC100707NPI1-Difficulty SleepingNeuropsychiatric Inventory - Does the patient have difficulty sleeping (do not count as present if the patient simply gets up once or twice per night to go the bathroom and falls back asleep immediately)? Is he/she up at night? Does he/she wander at night, get dressed, or disturb your sleep?NPI - Difficulty Sleeping
NPI1K01C100708NPI1-Difficulty Falling AsleepNeuropsychiatric Inventory - Does the patient have difficulty falling asleep?NPI - Difficulty Falling Asleep
NPI1K02C100709NPI1-Get Up during NightNeuropsychiatric Inventory - Does the patient get up during the night (do not count if the patient gets up once or twice per night only to go to the bathroom and falls back asleep immediately)?NPI - Get Up During the Night
NPI1K03C100710NPI1-Wander or Pace at NightNeuropsychiatric Inventory - Does the patient wander, pace or get involved in inappropriate activities at night?NPI - Wander, Pace or Get Involved in Inappropriate Activities at Night
NPI1K04C100711NPI1-Awaken Caregiver during NightNeuropsychiatric Inventory - Does the patient awaken you during the night?NPI - Awaken You During the Night
NPI1K05C100712NPI1-Wake at Night and Think MorningNeuropsychiatric Inventory - Does the patient wake up at night, dress, and plan to go out thinking that it is morning and time to start the day?NPI - Wake Up at Night, Dress, and Plan to Go Out
NPI1K06C100713NPI1-Awaken Too Early in MorningNeuropsychiatric Inventory - Does the patient awaken too early in the morning (earlier than was his/her habit)?NPI - Awaken Too Early in Morning
NPI1K07C100714NPI1-Excessive Sleep during DayNeuropsychiatric Inventory - Does the patient sleep excessively during the day?NPI - Sleep Excessively During the Day
NPI1K08C100715NPI1-Other Nighttime BehaviorsNeuropsychiatric Inventory - Does the patient have any other nighttime behaviors that bother you that we haven't talked about?NPI - Any Other Nighttime Behaviors That Bother You
NPI1K09C103632NPI1-Sleep/Nighttime Behavior FrequencyNeuropsychiatric Inventory - Frequency of the nighttime behavior.NPI - Sleep and Nighttime Behavior Disorders Frequency
NPI1K10C103633NPI1-Sleep/Nighttime Behavior SeverityNeuropsychiatric Inventory - Severity of the nighttime behavior.NPI - Sleep and Nighttime Behavior Disorders Severity
NPI1K11C103634NPI1-Sleep/Nighttime Behavior DistressNeuropsychiatric Inventory - How emotionally distressing do you find this behavior?NPI - Sleep and Nighttime Behavior Disorders Distress
NPI1KFSC112479NPI1-Sleep/Night Behav Disord FxS ScoreNeuropsychiatric Inventory - Sleep and Nighttime Behavior Disorders: (frequency score x severity score).NPI - Sleep/Night Behavior Disorder FxS Score
NPI1LC100716NPI1-Change in Appetite or WeightNeuropsychiatric Inventory - Has he/she had any change in appetite, weight, or eating habits (count as NA if the patient is incapacitated and has to be fed)? Has there been any change in the type of food he/she prefers?NPI - Change in Appetite, Weight, or Eating Habits
NPI1L01C100717NPI1-Loss of AppetiteNeuropsychiatric Inventory - Has he/she had a loss of appetite?NPI - Loss of Appetite
NPI1L02C100718NPI1-Increase in AppetiteNeuropsychiatric Inventory - Has he/she had an increase in appetite?NPI - Increase in Appetite
NPI1L03C100719NPI1-Weight LossNeuropsychiatric Inventory - Has he/she had a loss of weight?NPI - Loss of Weight
NPI1L04C100720NPI1-Weight GainNeuropsychiatric Inventory - Has he/she gained weight?NPI - Gained Weight
NPI1L05C100721NPI1-Change in Eating BehaviorNeuropsychiatric Inventory - Has he/she had a change in eating behavior such as putting too much food in his/her mouth at once?NPI - Change in Eating Behavior
NPI1L06C100722NPI1-Change in Kind of FoodNeuropsychiatric Inventory - Has he/she had a change in the kind of food he/she likes such as eating too many sweets or other specific types of food?NPI - Change in Kind of Food He/She Likes
NPI1L07C100723NPI1-Develop Eating BehaviorsNeuropsychiatric Inventory - Has he/she developed eating behaviors such as eating exactly the same types of food each day or eating the food in exactly the same order?NPI - Developed Eating Behaviors Such as Eating Exactly the Same Types of Food
NPI1L08C100724NPI1-Other Changes in EatingNeuropsychiatric Inventory - Have there been any other changes in appetite or eating that I haven't asked about?NPI - Any Other Changes in Appetite or Eating
NPI1L09C103635NPI1-Appetite/Eating Disorder FrequencyNeuropsychiatric Inventory - Frequency of the changes in eating habits or appetite.NPI - Appetite and Eating Disorders Frequency
NPI1L10C103636NPI1-Appetite/Eating Disorder SeverityNeuropsychiatric Inventory - Severity of the changes in eating habits or appetite.NPI - Appetite and Eating Disorders Severity
NPI1L11C103637NPI1-Appetite/Eating Disorder DistressNeuropsychiatric Inventory - How emotionally distressing do you find this behavior?NPI - Appetite and Eating Disorders Distress
NPI1LFSC112480NPI1-Appetite/Eating Disorders FxS ScoreNeuropsychiatric Inventory - Appetite and Eating Disorders: (frequency score x severity score).NPI - Appetite/Eating Disorders FxS Score
NPI1TOTC112481NPI1-NPI Total ScoreNeuropsychiatric Inventory - Total of (Frequency Sub-total) x (Severity Sub-total).NPI - NPI Total Score
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CL.C100143.NPI1TNNeuropsychiatric Inventory Questionnaire Test Name
(NPI1TN)
text
Extensible: No
C100143Neuropsychiatric Inventory Questionnaire Test NameThe Neuropsychiatric Inventory test name.CDISC Questionnaire NPI Test Name Terminology
NPI1-Aberrant Motor Behavior DistressC103631NPI1-Aberrant Motor Behavior DistressNeuropsychiatric Inventory - How emotionally distressing do you find this behavior?NPI - Aberrant Motor Behavior Distress
NPI1-Aberrant Motor Behavior FrequencyC103629NPI1-Aberrant Motor Behavior FrequencyNeuropsychiatric Inventory - Frequency of the aberrant motor behavior.NPI - Aberrant Motor Behavior Frequency
NPI1-Aberrant Motor Behavior FxS ScoreC112478NPI1-Aberrant Motor Behavior FxS ScoreNeuropsychiatric Inventory - Aberrant Motor Behavior: (frequency score x severity score).NPI - Aberrant Motor Behavior FxS Score
NPI1-Aberrant Motor Behavior SeverityC103630NPI1-Aberrant Motor Behavior SeverityNeuropsychiatric Inventory - Severity of the aberrant motor behavior.NPI - Aberrant Motor Behavior Severity
NPI1-Act Impulsively without CareC100684NPI1-Act Impulsively without CareNeuropsychiatric Inventory - Does the patient act impulsively without appearing to consider the consequences?NPI - Act Impulsively without Appearing to Consider the Consequences
NPI1-Act ImpulsivelyC100683NPI1-Act ImpulsivelyNeuropsychiatric Inventory - Does the patient seem to act impulsively without thinking? Does he/she do or say things that are not usually done or said in public? Does he/she do things that are embarrassing to you or others?NPI - Seem to Act Impulsively Without Thinking
NPI1-Agitation/Aggression DistressC103610NPI1-Agitation/Aggression DistressNeuropsychiatric Inventory - How emotionally distressing do you find this behavior?NPI - Agitation/Aggression Distress
NPI1-Agitation/Aggression FrequencyC103608NPI1-Agitation/Aggression FrequencyNeuropsychiatric Inventory - Frequency of the agitation/aggression.NPI - Agitation/Aggression Frequency
NPI1-Agitation/Aggression FxS ScoreC112471NPI1-Agitation/Aggression FxS ScoreNeuropsychiatric Inventory - Agitation/Aggression: (frequency score x severity score).NPI - Agitation/Aggression FxS Score
NPI1-Agitation/Aggression SeverityC103609NPI1-Agitation/Aggression SeverityNeuropsychiatric Inventory - Severity of the agitation/aggression.NPI - Agitation/Aggression Severity
NPI1-Anxiety DistressC103616NPI1-Anxiety DistressNeuropsychiatric Inventory - How emotionally distressing do you find this behavior?NPI - Anxiety Distress
NPI1-Anxiety FrequencyC103614NPI1-Anxiety FrequencyNeuropsychiatric Inventory - Frequency of the anxiety.NPI - Anxiety Frequency
NPI1-Anxiety FxS ScoreC112473NPI1-Anxiety FxS ScoreNeuropsychiatric Inventory - Anxiety: (frequency score x severity score).NPI - Anxiety FxS Score
NPI1-Anxiety SeverityC103615NPI1-Anxiety SeverityNeuropsychiatric Inventory - Severity of the anxiety.NPI - Anxiety Severity
NPI1-Apathy/Indifference DistressC103622NPI1-Apathy/Indifference DistressNeuropsychiatric Inventory - How emotionally distressing do you find this behavior?NPI - Apathy/Indifference Distress
NPI1-Apathy/Indifference FrequencyC103620NPI1-Apathy/Indifference FrequencyNeuropsychiatric Inventory - Frequency of the apathy/indifference.NPI - Apathy/Indifference Frequency
NPI1-Apathy/Indifference FxS ScoreC112475NPI1-Apathy/Indifference FxS ScoreNeuropsychiatric Inventory - Apathy/Indifference: (frequency score x severity score).NPI - Apathy/Indifference FxS Score
NPI1-Apathy/Indifference SeverityC103621NPI1-Apathy/Indifference SeverityNeuropsychiatric Inventory - Severity of the apathy/indifference.NPI - Apathy/Indifference Severity
NPI1-Appetite/Eating Disorder DistressC103637NPI1-Appetite/Eating Disorder DistressNeuropsychiatric Inventory - How emotionally distressing do you find this behavior?NPI - Appetite and Eating Disorders Distress
NPI1-Appetite/Eating Disorder FrequencyC103635NPI1-Appetite/Eating Disorder FrequencyNeuropsychiatric Inventory - Frequency of the changes in eating habits or appetite.NPI - Appetite and Eating Disorders Frequency
NPI1-Appetite/Eating Disorder SeverityC103636NPI1-Appetite/Eating Disorder SeverityNeuropsychiatric Inventory - Severity of the changes in eating habits or appetite.NPI - Appetite and Eating Disorders Severity
NPI1-Appetite/Eating Disorders FxS ScoreC112480NPI1-Appetite/Eating Disorders FxS ScoreNeuropsychiatric Inventory - Appetite and Eating Disorders: (frequency score x severity score).NPI - Appetite/Eating Disorders FxS Score
NPI1-ArgumentativeC100697NPI1-ArgumentativeNeuropsychiatric Inventory - Is the patient argumentative and difficult to get along with?NPI - Argumentative and Difficult to Get Along With
NPI1-Avoid Places or SituationsC100663NPI1-Avoid Places or SituationsNeuropsychiatric Inventory - Does the patient avoid certain places or situations that make him/her more nervous such as riding in the car, meeting with friends, or being in crowds?NPI - Avoid Certain Places or Situations That Make Him/Her More Nervous
NPI1-Awaken Caregiver during NightC100711NPI1-Awaken Caregiver during NightNeuropsychiatric Inventory - Does the patient awaken you during the night?NPI - Awaken You During the Night
NPI1-Awaken Too Early in MorningC100713NPI1-Awaken Too Early in MorningNeuropsychiatric Inventory - Does the patient awaken too early in the morning (earlier than was his/her habit)?NPI - Awaken Too Early in Morning
NPI1-Bad PersonC100653NPI1-Bad PersonNeuropsychiatric Inventory - Does the patient say that he/she is a bad person or deserves to be punished?NPI - Say That He/She is a Bad Person
NPI1-Bad TemperC100692NPI1-Bad TemperNeuropsychiatric Inventory - Does the patient have a bad temper, flying "off the handle" easily over little things?NPI - Bad Temper, Flying 'Off the Handle' Easily Over Little Things
NPI1-Beliefs UntrueC100622NPI1-Beliefs UntrueNeuropsychiatric Inventory - Does the patient have beliefs that you know are not true? (for example, insisting that people are trying to harm him/her or steal from him/her)? Has he/she said that family members are not who they say they are or that the house is not their home? I'm not asking about mere suspiciousness; I am interested if the patient is convinced that these things are happening to him/her.NPI - Have Beliefs That You Know are Not True
NPI1-Burden to FamilyC100655NPI1-Burden to FamilyNeuropsychiatric Inventory - Does the patient say he/she is a burden to the family or that the family would be better off without him/her?NPI - Say He/She is a Burden to the Family
NPI1-Butterflies or Racing HeartC100662NPI1-Butterflies or Racing HeartNeuropsychiatric Inventory - Does the patient complain of butterflies in his/her stomach, or of racing or pounding of the heart in association with nervousness? (Symptoms not explained by ill health).NPI - Complain of Butterflies, Racing or Pounding Heart
NPI1-Change in Appetite or WeightC100716NPI1-Change in Appetite or WeightNeuropsychiatric Inventory - Has he/she had any change in appetite, weight, or eating habits (count as NA if the patient is incapacitated and has to be fed)? Has there been any change in the type of food he/she prefers?NPI - Change in Appetite, Weight, or Eating Habits
NPI1-Change in Eating BehaviorC100721NPI1-Change in Eating BehaviorNeuropsychiatric Inventory - Has he/she had a change in eating behavior such as putting too much food in his/her mouth at once?NPI - Change in Eating Behavior
NPI1-Change in Kind of FoodC100722NPI1-Change in Kind of FoodNeuropsychiatric Inventory - Has he/she had a change in the kind of food he/she likes such as eating too many sweets or other specific types of food?NPI - Change in Kind of Food He/She Likes
NPI1-Childish PranksC100671NPI1-Childish PranksNeuropsychiatric Inventory - Does he/she play childish pranks such as pinching or playing "keep away" for the fun of it?NPI - Play Childish Pranks
NPI1-Childish Sense of HumorC100669NPI1-Childish Sense of HumorNeuropsychiatric Inventory - Does the patient seem to have a childish sense of humor with a tendency to giggle or laugh inappropriately (such as when something unfortunate happens to others)?NPI - Seem to Have a Childish Sense of Humor
NPI1-Contribute Less to ChoresC100678NPI1-Contribute Less to ChoresNeuropsychiatric Inventory - Does the patient contribute less to household chores?NPI - Contribute Less to Household Chores
NPI1-Cranky and IrritableC100696NPI1-Cranky and IrritableNeuropsychiatric Inventory - Is the patient cranky and irritable?NPI - Cranky and Irritable
NPI1-Delusions DistressC103604NPI1-Delusions DistressNeuropsychiatric Inventory - How emotionally distressing do you find this behavior?NPI - Delusions Distress
NPI1-Delusions FrequencyC103602NPI1-Delusions FrequencyNeuropsychiatric Inventory - Frequency of the delusions.NPI - Delusions Frequency
NPI1-Delusions FxS ScoreC112469NPI1-Delusions FxS ScoreNeuropsychiatric Inventory - Delusions: (frequency score x severity score).NPI - Delusions FxS Score
NPI1-Delusions SeverityC103603NPI1-Delusions SeverityNeuropsychiatric Inventory - Severity of the delusions.NPI - Delusions Severity
NPI1-Depression/Dysphoria DistressC103613NPI1-Depression/Dysphoria DistressNeuropsychiatric Inventory - How emotionally distressing do you find this behavior?NPI - Depression/Dysphoria Distress
NPI1-Depression/Dysphoria FrequencyC103611NPI1-Depression/Dysphoria FrequencyNeuropsychiatric Inventory - Frequency of the depression/dysphoria.NPI - Depression/Dysphoria Frequency
NPI1-Depression/Dysphoria FxS ScoreC112472NPI1-Depression/Dysphoria FxS ScoreNeuropsychiatric Inventory - Depression/Dysphoria: (frequency score x severity score).NPI - Depression/Dysphoria FxS Score
NPI1-Depression/Dysphoria SeverityC103612NPI1-Depression/Dysphoria SeverityNeuropsychiatric Inventory - Severity of the depression/dysphoria.NPI - Depression/Dysphoria Severity
NPI1-Develop Eating BehaviorsC100723NPI1-Develop Eating BehaviorsNeuropsychiatric Inventory - Has he/she developed eating behaviors such as eating exactly the same types of food each day or eating the food in exactly the same order?NPI - Developed Eating Behaviors Such as Eating Exactly the Same Types of Food
NPI1-Difficulty Falling AsleepC100708NPI1-Difficulty Falling AsleepNeuropsychiatric Inventory - Does the patient have difficulty falling asleep?NPI - Difficulty Falling Asleep
NPI1-Difficulty SleepingC100707NPI1-Difficulty SleepingNeuropsychiatric Inventory - Does the patient have difficulty sleeping (do not count as present if the patient simply gets up once or twice per night to go the bathroom and falls back asleep immediately)? Is he/she up at night? Does he/she wander at night, get dressed, or disturb your sleep?NPI - Difficulty Sleeping
NPI1-DiscouragedC100654NPI1-DiscouragedNeuropsychiatric Inventory - Does the patient seem very discouraged or say that he/she has no future?NPI - Seem Very Discouraged
NPI1-Disinhibition DistressC103625NPI1-Disinhibition DistressNeuropsychiatric Inventory - How emotionally distressing do you find this behavior?NPI - Disinhibition Distress
NPI1-Disinhibition FrequencyC103623NPI1-Disinhibition FrequencyNeuropsychiatric Inventory - Frequency of the disinhibition.NPI - Disinhibition Frequency
NPI1-Disinhibition FxS ScoreC112476NPI1-Disinhibition FxS ScoreNeuropsychiatric Inventory - Disinhibition: (frequency score x severity score).NPI - Disinhibition FxS Score
NPI1-Disinhibition SeverityC103624NPI1-Disinhibition SeverityNeuropsychiatric Inventory - Severity of the disinhibition.NPI - Disinhibition Severity
NPI1-Do Things RepeatedlyC100699NPI1-Do Things RepeatedlyNeuropsychiatric Inventory - Does the patient pace, do things over and over such as opening closets or drawers, or repeatedly pick at things or wind string or threads?NPI - Pace, Do Things Over and Over, Repeatedly Pick at Things
NPI1-Elation/Euphoria DistressC103619NPI1-Elation/Euphoria DistressNeuropsychiatric Inventory - How emotionally distressing do you find this behavior?NPI - Elation/Euphoria Distress
NPI1-Elation/Euphoria FrequencyC103617NPI1-Elation/Euphoria FrequencyNeuropsychiatric Inventory - Frequency of the elation/euphoria.NPI - Elation/Euphoria Frequency
NPI1-Elation/Euphoria FxS ScoreC112474NPI1-Elation/Euphoria FxS ScoreNeuropsychiatric Inventory - Elation/Euphoria: (frequency score x severity score).NPI - Elation/Euphoria FxS Score
NPI1-Elation/Euphoria SeverityC103618NPI1-Elation/Euphoria SeverityNeuropsychiatric Inventory - Severity of the elation/euphoria.NPI - Elation/Euphoria Severity
NPI1-Excessive Sleep during DayC100714NPI1-Excessive Sleep during DayNeuropsychiatric Inventory - Does the patient sleep excessively during the day?NPI - Sleep Excessively During the Day
NPI1-False Visions or VoicesC100632NPI1-False Visions or VoicesNeuropsychiatric Inventory - Does the patient have hallucinations such as seeing false visions or hearing false voices? Does he/she seem to see, hear or experience things that are not present? By this question we do not mean just mistaken beliefs such as stating that someone who has died is still alive; rather we are asking if the patient actually has abnormal experiences of sounds or visions.NPI - Hallucinations Such as Seeing False Visions or Hearing False Voices
NPI1-Family Plans to AbandonC100629NPI1-Family Plans to AbandonNeuropsychiatric Inventory - Does the patient believe that family members plan to abandon him/her?NPI - Family Members Plan to Abandon Him/Her
NPI1-Feel Good or Too HappyC100667NPI1-Feel Good or Too HappyNeuropsychiatric Inventory - Does the patient appear to feel good or to be too happy, different from his/her usual self?NPI - Appear to Feel Good or to Be Too Happy
NPI1-Feel Like a FailureC100652NPI1-Feel Like a FailureNeuropsychiatric Inventory - Does the patient put him/herself down or say that he/she feels like a failure?NPI - Put Him/Herself Down or Say That He/She Feels Like a Failure
NPI1-Feel Things on SkinC100637NPI1-Feel Things on SkinNeuropsychiatric Inventory - Does the patient describe feeling things on his/her skin or otherwise appear to be feeling things crawling or touching him/her?NPI - Describe Feeling Things on His/Her Skin
NPI1-Fidget ExcessivelyC100705NPI1-Fidget ExcessivelyNeuropsychiatric Inventory - Does the patient fidget excessively, seem unable to sit still, or bounce his/her feet or tap his/her fingers a lot?NPI - Fidget Excessively, Seem Unable to Sit Still
NPI1-Get Up during NightC100709NPI1-Get Up during NightNeuropsychiatric Inventory - Does the patient get up during the night (do not count if the patient gets up once or twice per night only to go to the bathroom and falls back asleep immediately)?NPI - Get Up During the Night
NPI1-Get Upset with CaregiverC100641NPI1-Get Upset with CaregiverNeuropsychiatric Inventory - Does the patient get upset with those trying to care for him/her or resist activities such as bathing or changing clothes?NPI - Get Upset with Those Trying to Care for Him/Her
NPI1-Hallucinations DistressC103607NPI1-Hallucinations DistressNeuropsychiatric Inventory - How emotionally distressing do you find this behavior?NPI - Hallucinations Distress
NPI1-Hallucinations FrequencyC103605NPI1-Hallucinations FrequencyNeuropsychiatric Inventory - Frequency of the hallucinations.NPI - Hallucinations Frequency
NPI1-Hallucinations FxS ScoreC112470NPI1-Hallucinations FxS ScoreNeuropsychiatric Inventory - Hallucinations: (frequency score x severity score).NPI - Hallucinations FxS Score
NPI1-Hallucinations SeverityC103606NPI1-Hallucinations SeverityNeuropsychiatric Inventory - Severity of the hallucinations.NPI - Hallucinations Severity
NPI1-Hearing VoicesC100633NPI1-Hearing VoicesNeuropsychiatric Inventory - Does the patient describe hearing voices or act as if he/she hears voices?NPI - Describe Hearing Voices or Act as if He/She Hears Voices
NPI1-House Not Their HomeC100628NPI1-House Not Their HomeNeuropsychiatric Inventory - Does the patient believe that his/her house is not his/her home?NPI - His/Her House Is Not His/Her Home
NPI1-Humor Others Do Not Find FunnyC100668NPI1-Humor Others Do Not Find FunnyNeuropsychiatric Inventory - Does the patient find humor and laugh at things that others do not find funny?NPI - Fine Humor and Laugh at Things That Others Do Not Find Funny
NPI1-Hurt or Hit OthersC100647NPI1-Hurt or Hit OthersNeuropsychiatric Inventory - Does the patient attempt to hurt or hit others?NPI - Attempt to Hurt or Hit Others
NPI1-ImpatientC100695NPI1-ImpatientNeuropsychiatric Inventory - Is the patient impatient, having trouble coping with delays or waiting for planned activities?NPI - Impatient, Having Trouble Coping with Delays
NPI1-In DangerC100623NPI1-In DangerNeuropsychiatric Inventory - Does the patient believe that he/she is in danger - that others are planning to hurt him/her?NPI - He/She is in Danger
NPI1-Increase in AppetiteC100718NPI1-Increase in AppetiteNeuropsychiatric Inventory - Has he/she had an increase in appetite?NPI - Increase in Appetite
NPI1-Irritability/Lability DistressC103628NPI1-Irritability/Lability DistressNeuropsychiatric Inventory - How emotionally distressing do you find this behavior?NPI - Irritability/Lability Distress
NPI1-Irritability/Lability FrequencyC103626NPI1-Irritability/Lability FrequencyNeuropsychiatric Inventory - Frequency of the irritability/lability.NPI - Irritability/Lability Frequency
NPI1-Irritability/Lability FxS ScoreC112477NPI1-Irritability/Lability FxS ScoreNeuropsychiatric Inventory - Irritability/Lability: (frequency score x severity score).NPI - Irritability/Lability FxS Score
NPI1-Irritability/Lability SeverityC103627NPI1-Irritability/Lability SeverityNeuropsychiatric Inventory - Severity of the irritability/lability.NPI - Irritability/Lability Severity
NPI1-Irritated and Easily DisturbedC100691NPI1-Irritated and Easily DisturbedNeuropsychiatric Inventory - Does the patient get irritated and easily disturbed? Are his/her moods very changeable? Is he/she abnormally impatient? We do not mean frustration over memory loss or inability to perform usual tasks; we are interested to know if the patient has abnormal irritability, impatience, or rapid emotional changes different from his/her usual self.NPI - Get Irritated and Easily Disturbed
NPI1-Jokes Others Do Not Find FunnyC100670NPI1-Jokes Others Do Not Find FunnyNeuropsychiatric Inventory - Does the patient tell jokes or make remarks that are not funny to others but seem funny to him/her?NPI - Tell Jokes or Make Remarks That are Not Funny to Others
NPI1-Less AffectionateC100677NPI1-Less AffectionateNeuropsychiatric Inventory - Is the patient less affectionate or lacking in emotions when compared to his/her usual self?NPI - Less Affectionate or Lacking in Emotions
NPI1-Less EnthusiasticC100681NPI1-Less EnthusiasticNeuropsychiatric Inventory - Is the patient less enthusiastic about his/her usual interests?NPI - Less Enthusiastic About His/Her Usual Interests
NPI1-Less Interest in ActivitiesC100679NPI1-Less Interest in ActivitiesNeuropsychiatric Inventory - Does the patient seem less interested in the activities and plans of others?NPI - Less Interested in the Activities and Plans of Others
NPI1-Less Likely Initiate ConversationC100676NPI1-Less Likely Initiate ConversationNeuropsychiatric Inventory - Is the patient less likely to initiate a conversation?NPI - Less Likely Initiate to Initiate a Conversation
NPI1-Less Spontaneous or ActiveC100675NPI1-Less Spontaneous or ActiveNeuropsychiatric Inventory - Does the patient seem less spontaneous and less active than usual?NPI - Seem Less Spontaneous and Less Active Than Usual
NPI1-Loss of AppetiteC100717NPI1-Loss of AppetiteNeuropsychiatric Inventory - Has he/she had a loss of appetite?NPI - Loss of Appetite
NPI1-Lost Interest in FriendsC100680NPI1-Lost Interest in FriendsNeuropsychiatric Inventory - Has the patient lost interest in friends and family members?NPI - Lost Interest in Friends and Family Members
NPI1-Lost Interest in WorldC100674NPI1-Lost Interest in WorldNeuropsychiatric Inventory - Has the patient lost interest in the world around him/her? Has he/she lost interest in doing things or does he/she lack motivation for starting new activities? Is he/she more difficult to engage in conversation or in doing chores? Is the patient apathetic or indifferent?NPI - Lost Interest in the World Around Him/Her
NPI1-Make Crude RemarksC100687NPI1-Make Crude RemarksNeuropsychiatric Inventory - Does the patient say crude things or make sexual remarks that he/she would not usually have said?NPI - Say Crude Things or Make Sexual Remarks
NPI1-Nervous or WorriedC100658NPI1-Nervous or WorriedNeuropsychiatric Inventory - Is the patient very nervous, worried, or frightened for no apparent reason? Does he/she seem very tense or fidgety? Is the patient afraid to be apart from you?NPI - Very Nervous, Worried, or Frightened for No Apparent Reason
NPI1-Nervous when SeparatedC100664NPI1-Nervous when SeparatedNeuropsychiatric Inventory - Does the patient become nervous and upset when separated from you (or his/her caregiver)? (Does he/she cling to you to keep from being separated?).NPI - Become Nervous and Upset When Separated From You
NPI1-NPI Total Distress ScoreC112482NPI1-NPI Total Distress ScoreNeuropsychiatric Inventory - Sub-total of distress score.NPI - NPI Total Distress Score
NPI1-NPI Total ScoreC112481NPI1-NPI Total ScoreNeuropsychiatric Inventory - Total of (Frequency Sub-total) x (Severity Sub-total).NPI - NPI Total Score
NPI1-Other Aggressive BehaviorC100648NPI1-Other Aggressive BehaviorNeuropsychiatric Inventory - Does the patient have any other aggressive or agitated behaviors?NPI - Any Other Aggressive or Agitated Behaviors
NPI1-Other Behaviors Hard to HandleC100644NPI1-Other Behaviors Hard to HandleNeuropsychiatric Inventory - Does the patient have any other behaviors that make him/her hard to handle?NPI - Any Other Behaviors That Make Him/Her Hard to Handle
NPI1-Other Changes in EatingC100724NPI1-Other Changes in EatingNeuropsychiatric Inventory - Have there been any other changes in appetite or eating that I haven't asked about?NPI - Any Other Changes in Appetite or Eating
NPI1-Other Nighttime BehaviorsC100715NPI1-Other Nighttime BehaviorsNeuropsychiatric Inventory - Does the patient have any other nighttime behaviors that bother you that we haven't talked about?NPI - Any Other Nighttime Behaviors That Bother You
NPI1-Other Repetitive ActivitiesC100706NPI1-Other Repetitive ActivitiesNeuropsychiatric Inventory - Does the patient do any other activities over and over?NPI - Do Any Other Activities Over and Over
NPI1-Other Signs of AnxietyC100665NPI1-Other Signs of AnxietyNeuropsychiatric Inventory - Does the patient show any other signs of anxiety?NPI - Show Any Other Signs of Anxiety
NPI1-Other Signs of DepressionC100657NPI1-Other Signs of DepressionNeuropsychiatric Inventory - Does the patient show any other signs of depression or sadness?NPI - Show Any Other Signs of Depression or Sadness
NPI1-Other Signs of Feeling Too HappyC100673NPI1-Other Signs of Feeling Too HappyNeuropsychiatric Inventory - Does the patient show any other signs of feeling too good or being too happy?NPI - Show Any Other Signs of Feeling Too Good or Being Too Happy
NPI1-Other Signs of ImpulsesC100690NPI1-Other Signs of ImpulsesNeuropsychiatric Inventory - Does the patient show any other signs of loss of control of his/her impulses?NPI - Show Any Other Signs of Loss of Control of His/Her Impulses
NPI1-Other Signs of IrritabilityC100698NPI1-Other Signs of IrritabilityNeuropsychiatric Inventory - Does the patient show any other signs of irritability?NPI - Show Any Other Signs of Irritability
NPI1-Other Signs of Not CaringC100682NPI1-Other Signs of Not CaringNeuropsychiatric Inventory - Does the patient show any other signs that he/she doesn't care about doing new things?NPI - Show Any Other Signs That He/She Doesn't Care About Doing New Things
NPI1-Other Unusual BeliefsC100631NPI1-Other Unusual BeliefsNeuropsychiatric Inventory - Does the patient believe any other unusual things that I haven't asked about?NPI - Any Other Unusual Things That I Haven't Asked About
NPI1-Other Unusual Sensory ExperienceC100639NPI1-Other Unusual Sensory ExperienceNeuropsychiatric Inventory - Does the patient describe any other unusual sensory experiences?NPI - Describe Any Other Unusual Sensory Experiences
NPI1-Others Are StealingC100624NPI1-Others Are StealingNeuropsychiatric Inventory - Does the patient believe that others are stealing from him/her?NPI - Others are Stealing From Him/Her
NPI1-PaceC100700NPI1-PaceNeuropsychiatric Inventory - Does the patient pace around the house without apparent purpose?NPI - Pace Around the House Without Apparent Purpose
NPI1-People Not Who They ClaimC100627NPI1-People Not Who They ClaimNeuropsychiatric Inventory - Does the patient believe that his/her spouse or others are not who they claim to be?NPI - His/Her Spouse or Others Are Not Who They Claim To Be
NPI1-Rapidly Change MoodsC100693NPI1-Rapidly Change MoodsNeuropsychiatric Inventory - Does the patient rapidly change moods from one to another, being fine one minute and angry the next?NPI - Rapidly Change Moods From One to Another
NPI1-Refuse to CooperateC100640NPI1-Refuse to CooperateNeuropsychiatric Inventory - Does the patient have periods when he/she refuses to cooperate or won't let people help him/her? Is he/she hard to handle?NPI - Periods When He/She Refuses to Cooperate
NPI1-Repeatedly Change ClothingC100702NPI1-Repeatedly Change ClothingNeuropsychiatric Inventory - Does the patient repeatedly put on and take off clothing?NPI - Repeatedly Put On and Take Off Clothing
NPI1-Repetitive Activities or HabitsC100703NPI1-Repetitive Activities or HabitsNeuropsychiatric Inventory - Does the patient have repetitive activities or "habits" that he/she performs over and over?NPI - Repetitive Activities or 'Habits'
NPI1-Repetitive ActivitiesC100704NPI1-Repetitive ActivitiesNeuropsychiatric Inventory - Does the patient engage in repetitive activities such as handling buttons, picking, wrapping string, etc.?NPI - Engage in Repetitive Activities
NPI1-Rummage Around and UnpackC100701NPI1-Rummage Around and UnpackNeuropsychiatric Inventory - Does the patient rummage around opening and unpacking drawers or closets?NPI - Rummage Around Opening and Unpacking Drawers or Closets
NPI1-Sad or DepressedC100649NPI1-Sad or DepressedNeuropsychiatric Inventory - Does the patient seem sad or depressed? Does he/she say that he/she feels sad or depressed?NPI - Seem Sad or Depressed
NPI1-Say Insensitive ThingsC100686NPI1-Say Insensitive ThingsNeuropsychiatric Inventory - Does the patient say things to people that are insensitive or hurt their feelings?NPI - Say Things to People that are Insensitive
NPI1-Say or Act in Low SpiritsC100651NPI1-Say or Act in Low SpiritsNeuropsychiatric Inventory - Does the patient say, or act as if he/she is sad or in low spirits?NPI - Say, or Act as if He/She is Sad or in Low Spirits
NPI1-See Things Not Seen by OthersC100635NPI1-See Things Not Seen by OthersNeuropsychiatric Inventory - Does the patient describe seeing things not seen by others or behave as if he/she is seeing things not seen by others (people, animals, lights, etc.)?NPI - Describe Seeing Things Not Seen by Others
NPI1-Shaky or Unable to RelaxC100660NPI1-Shaky or Unable to RelaxNeuropsychiatric Inventory - Does the patient have periods of feeling shaky, unable to relax, or feeling excessively tense?NPI - Periods of Feeling Shaky, Unable to Relax, or Feeling Excessively Tense
NPI1-Short of Breath, Gasp, SighC100661NPI1-Short of Breath, Gasp, SighNeuropsychiatric Inventory - Does the patient have periods of (or complain of) shortness of breath, gasping, or sighing for no apparent reason other than nervousness?NPI - Periods of Shortness of Breath, Gasping, or Sighing for No Apparent Reason
NPI1-Shout or Curse AngrilyC100645NPI1-Shout or Curse AngrilyNeuropsychiatric Inventory - Does the patient shout or curse angrily?NPI - Shout or Curse Angrily
NPI1-Slam, Kick or Throw ThingsC100646NPI1-Slam, Kick or Throw ThingsNeuropsychiatric Inventory - Does the patient slam doors, kick furniture, throw things?NPI - Slam doors, Kick Furniture, Throw Things
NPI1-Sleep/Night Behav Disord FxS ScoreC112479NPI1-Sleep/Night Behav Disord FxS ScoreNeuropsychiatric Inventory - Sleep and Nighttime Behavior Disorders: (frequency score x severity score).NPI - Sleep/Night Behavior Disorder FxS Score
NPI1-Sleep/Nighttime Behavior DistressC103634NPI1-Sleep/Nighttime Behavior DistressNeuropsychiatric Inventory - How emotionally distressing do you find this behavior?NPI - Sleep and Nighttime Behavior Disorders Distress
NPI1-Sleep/Nighttime Behavior FrequencyC103632NPI1-Sleep/Nighttime Behavior FrequencyNeuropsychiatric Inventory - Frequency of the nighttime behavior.NPI - Sleep and Nighttime Behavior Disorders Frequency
NPI1-Sleep/Nighttime Behavior SeverityC103633NPI1-Sleep/Nighttime Behavior SeverityNeuropsychiatric Inventory - Severity of the nighttime behavior.NPI - Sleep and Nighttime Behavior Disorders Severity
NPI1-Smell Odors Others Do Not SmellC100636NPI1-Smell Odors Others Do Not SmellNeuropsychiatric Inventory - Does the patient report smelling odors not smelled by others?NPI - Report Smelling Odors Not Smelled by Others
NPI1-Spouse Having AffairC100625NPI1-Spouse Having AffairNeuropsychiatric Inventory - Does the patient believe that his/her spouse is having an affair?NPI - His/Her Spouse is Having an Affair
NPI1-StubbornC100642NPI1-StubbornNeuropsychiatric Inventory - Is the patient stubborn, having to have things his/her way?NPI - Stubborn
NPI1-Sudden AngerC100694NPI1-Sudden AngerNeuropsychiatric Inventory - Does the patient have sudden flashes of anger?NPI - Sudden Flares of Anger
NPI1-Take Liberties or Touch OthersC100689NPI1-Take Liberties or Touch OthersNeuropsychiatric Inventory - Does the patient take liberties or touch or hug others in a way that is out of character for him/her?NPI - Take Liberties or Touch or Hug Others
NPI1-Talk BigC100672NPI1-Talk BigNeuropsychiatric Inventory - Does the patient "talk big" or claim to have more abilities or wealth than is true?NPI - Talk Big or Claim to Have More Abilities or Wealth Than is True
NPI1-Talk Openly about Private MattersC100688NPI1-Talk Openly about Private MattersNeuropsychiatric Inventory - Does the patient talk openly about very personal or private matters not usually discussed in public?NPI - Talk Openly About Very Personal or Private Matters
NPI1-Talk to People Not ThereC100634NPI1-Talk to People Not ThereNeuropsychiatric Inventory - Does the patient talk to people who are not there?NPI - Talk to People Who Are Not There
NPI1-Talk to StrangersC100685NPI1-Talk to StrangersNeuropsychiatric Inventory - Does the patient talk to total strangers as if he/she knew them?NPI - Talk to Total Strangers as if He/She Knew Them
NPI1-Taste without Known CauseC100638NPI1-Taste without Known CauseNeuropsychiatric Inventory - Does the patient describe tastes that are without any known cause?NPI - Describe Tastes That Are Without Any Known Cause
NPI1-Tearfulness or SobbingC100650NPI1-Tearfulness or SobbingNeuropsychiatric Inventory - Does the patient have periods of tearfulness or sobbing that seem to indicate sadness?NPI - Periods of Tearfulness or Sobbing
NPI1-Too Cheerful or HappyC100666NPI1-Too Cheerful or HappyNeuropsychiatric Inventory - Does the patient seem too cheerful or too happy for no reason? I don't mean the normal happiness that comes from seeing friends, receiving presents, or spending time with family members. I am asking if the patient has a persistent and abnormally good mood or finds humor where others do not.NPI - Seem Too Cheerful or Too Happy for No Reason
NPI1-TV/Magazine Figures PresentC100630NPI1-TV/Magazine Figures PresentNeuropsychiatric Inventory - Does the patient believe that television or magazine figures are actually present in the home? (Does he/she try to talk or interact with them?)NPI - Television or Magazine Figures Are Actually Present In the Home
NPI1-UncooperativeC100643NPI1-UncooperativeNeuropsychiatric Inventory - Is the patient uncooperative, resistive to help from others?NPI - Uncooperative
NPI1-Unwelcome Guests in HouseC100626NPI1-Unwelcome Guests in HouseNeuropsychiatric Inventory - Does the patient believe that unwelcome guests are living in his/her house?NPI - Unwelcome Guests are Living in His/Her House
NPI1-Wake at Night and Think MorningC100712NPI1-Wake at Night and Think MorningNeuropsychiatric Inventory - Does the patient wake up at night, dress, and plan to go out thinking that it is morning and time to start the day?NPI - Wake Up at Night, Dress, and Plan to Go Out
NPI1-Wander or Pace at NightC100710NPI1-Wander or Pace at NightNeuropsychiatric Inventory - Does the patient wander, pace or get involved in inappropriate activities at night?NPI - Wander, Pace or Get Involved in Inappropriate Activities at Night
NPI1-Weight GainC100720NPI1-Weight GainNeuropsychiatric Inventory - Has he/she gained weight?NPI - Gained Weight
NPI1-Weight LossC100719NPI1-Weight LossNeuropsychiatric Inventory - Has he/she had a loss of weight?NPI - Loss of Weight
NPI1-Wish for DeathC100656NPI1-Wish for DeathNeuropsychiatric Inventory - Does the patient express a wish for death or talk about killing himself/herself?NPI - Express a Wish for Death
NPI1-Worried about Planned EventC100659NPI1-Worried about Planned EventNeuropsychiatric Inventory - Does the patient say that he/she is worried about planned events?NPI - Say That He/She is Worried About Planned Events
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CL.C115392.NHPT01TCNine-Hole Peg Test Functional Test Test Code
(NHPT01TC)
text
Extensible: No
C115392Nine-Hole Peg Test Functional Test Test CodeNine-Hole Peg Test test code.CDISC Functional Test NHPT Test Code Terminology
NHPT0101C115807NHPT01-Time to Complete 9-Hole Peg TestNine-Hole Peg Test - Time in seconds to complete 9-Hole Peg Test.NHPT - Time to Complete 9-Hole Peg Test
NHPT0102C115808NHPT01-More Than Two AttemptsNine-Hole Peg Test - Did it take more than two attempts to get two successful trials?NHPT - More Than Two Attempts
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CL.C115391.NHPT01TNNine-Hole Peg Test Functional Test Test Name
(NHPT01TN)
text
Extensible: No
C115391Nine-Hole Peg Test Functional Test Test NameNine-Hole Peg Test test name.CDISC Functional Test NHPT Test Name Terminology
NHPT01-More Than Two AttemptsC115808NHPT01-More Than Two AttemptsNine-Hole Peg Test - Did it take more than two attempts to get two successful trials?NHPT - More Than Two Attempts
NHPT01-Time to Complete 9-Hole Peg TestC115807NHPT01-Time to Complete 9-Hole Peg TestNine-Hole Peg Test - Time in seconds to complete 9-Hole Peg Test.NHPT - Time to Complete 9-Hole Peg Test
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CL.C154455.NSCLC1TCNon-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 Questionnaire Test Code
(NSCLC1TC)
text
Extensible: No
C154455Non-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 Questionnaire Test CodeNon-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 test code.CDISC Questionnaire NSCLC-SAQ Version 1.0 Test Code Terminology
NSCLC101C155621NSCLC1-Rate Coughing at WorstNon-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - How would you rate your coughing at its worst over the last 7 days?NSCLC-SAQ Version 1.0 - Rate Coughing at Worst
NSCLC102C155622NSCLC1-Rate Worst Pain in ChestNon-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - How would you rate the worst pain in your chest over the last 7 days?NSCLC-SAQ Version 1.0 - Rate Worst Pain in Chest
NSCLC103C155623NSCLC1-Rate Worst Pain Other Than ChestNon-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - How would you rate the worst pain in areas other than your chest over the last 7 days?NSCLC-SAQ Version 1.0 - Rate Worst Pain Other Than Chest
NSCLC104C155624NSCLC1-Short of Breath Usual ActivitiesNon-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - How often did you feel short of breath during usual activities over the last 7 days?NSCLC-SAQ Version 1.0 - Short of Breath Usual Activities
NSCLC105C155625NSCLC1-How Often Low EnergyNon-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - How often did you have low energy over the last 7 days?NSCLC-SAQ Version 1.0 - How Often Low Energy
NSCLC106C155626NSCLC1-How Often Tire EasilyNon-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - How often did you tire easily over the last 7 days?NSCLC-SAQ Version 1.0 - How Often Tire Easily
NSCLC107C155627NSCLC1-How Often Poor AppetiteNon-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - How often did you have a poor appetite over the last 7 days?NSCLC-SAQ Version 1.0 - How Often Poor Appetite
NSCLC108C176206NSCLC1-Cough Domain SubscoreNon-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - Cough domain subscore.NSCLC-SAQ Version 1.0 - Cough Domain Subscore
NSCLC109C176207NSCLC1-Fatigue Domain SubscoreNon-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - Fatigue domain subscore.NSCLC-SAQ Version 1.0 - Fatigue Domain Subscore
NSCLC110C176208NSCLC1-Pain Domain SubscoreNon-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - Pain domain subscore.NSCLC-SAQ Version 1.0 - Pain Domain Subscore
NSCLC111C176209NSCLC1-Dyspnea Domain SubscoreNon-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - Dyspnea domain subscore.NSCLC-SAQ Version 1.0 - Dyspnea Domain Subscore
NSCLC112C176210NSCLC1-Appetite Domain SubscoreNon-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - Appetite domain subscore.NSCLC-SAQ Version 1.0 - Appetite Domain Subscore
NSCLC113C155628NSCLC1-Total ScoreNon-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - Total score.NSCLC-SAQ Version 1.0 - Total Score
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CL.C154454.NSCLC1TNNon-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 Questionnaire Test Name
(NSCLC1TN)
text
Extensible: No
C154454Non-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 Questionnaire Test NameNon-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 test name.CDISC Questionnaire NSCLC-SAQ Version 1.0 Test Name Terminology
NSCLC1-Appetite Domain SubscoreC176210NSCLC1-Appetite Domain SubscoreNon-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - Appetite domain subscore.NSCLC-SAQ Version 1.0 - Appetite Domain Subscore
NSCLC1-Cough Domain SubscoreC176206NSCLC1-Cough Domain SubscoreNon-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - Cough domain subscore.NSCLC-SAQ Version 1.0 - Cough Domain Subscore
NSCLC1-Dyspnea Domain SubscoreC176209NSCLC1-Dyspnea Domain SubscoreNon-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - Dyspnea domain subscore.NSCLC-SAQ Version 1.0 - Dyspnea Domain Subscore
NSCLC1-Fatigue Domain SubscoreC176207NSCLC1-Fatigue Domain SubscoreNon-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - Fatigue domain subscore.NSCLC-SAQ Version 1.0 - Fatigue Domain Subscore
NSCLC1-How Often Low EnergyC155625NSCLC1-How Often Low EnergyNon-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - How often did you have low energy over the last 7 days?NSCLC-SAQ Version 1.0 - How Often Low Energy
NSCLC1-How Often Poor AppetiteC155627NSCLC1-How Often Poor AppetiteNon-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - How often did you have a poor appetite over the last 7 days?NSCLC-SAQ Version 1.0 - How Often Poor Appetite
NSCLC1-How Often Tire EasilyC155626NSCLC1-How Often Tire EasilyNon-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - How often did you tire easily over the last 7 days?NSCLC-SAQ Version 1.0 - How Often Tire Easily
NSCLC1-Pain Domain SubscoreC176208NSCLC1-Pain Domain SubscoreNon-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - Pain domain subscore.NSCLC-SAQ Version 1.0 - Pain Domain Subscore
NSCLC1-Rate Coughing at WorstC155621NSCLC1-Rate Coughing at WorstNon-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - How would you rate your coughing at its worst over the last 7 days?NSCLC-SAQ Version 1.0 - Rate Coughing at Worst
NSCLC1-Rate Worst Pain in ChestC155622NSCLC1-Rate Worst Pain in ChestNon-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - How would you rate the worst pain in your chest over the last 7 days?NSCLC-SAQ Version 1.0 - Rate Worst Pain in Chest
NSCLC1-Rate Worst Pain Other Than ChestC155623NSCLC1-Rate Worst Pain Other Than ChestNon-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - How would you rate the worst pain in areas other than your chest over the last 7 days?NSCLC-SAQ Version 1.0 - Rate Worst Pain Other Than Chest
NSCLC1-Short of Breath Usual ActivitiesC155624NSCLC1-Short of Breath Usual ActivitiesNon-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - How often did you feel short of breath during usual activities over the last 7 days?NSCLC-SAQ Version 1.0 - Short of Breath Usual Activities
NSCLC1-Total ScoreC155628NSCLC1-Total ScoreNon-Small Cell Lung Cancer Symptom Assessment Questionnaire v1.0 - Total score.NSCLC-SAQ Version 1.0 - Total Score
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CL.C132517.NSAA1TCNorth Star Ambulatory Assessment Clinical Classification Test Code
(NSAA1TC)
text
Extensible: No
C132517North Star Ambulatory Assessment Clinical Classification Test CodeNorth Star Ambulatory Assessment test code.CDISC Clinical Classification NSAA Test Code Terminology
NSAA101C132536NSAA1-StandNorth Star Ambulatory Assessment - Can you stand up tall for me for as long as you can and as still as you can.NSAA - Stand
NSAA102C132537NSAA1-WalkNorth Star Ambulatory Assessment - Can you walk from A to B (state to and where from) for me.NSAA - Walk
NSAA103C132538NSAA1-Stand Up From ChairNorth Star Ambulatory Assessment - Stand up from the chair keeping your arms folded if you can.NSAA - Stand Up From Chair
NSAA104C132539NSAA1-Stand on One Leg - RightNorth Star Ambulatory Assessment - Can you stand on your right leg for as long as you can?NSAA - Stand on One Leg - Right
NSAA105C132540NSAA1-Stand on One Leg - LeftNorth Star Ambulatory Assessment - Can you stand on your left leg for as long as you can?NSAA - Stand on One Leg - Left
NSAA106C132541NSAA1-Climb Box Step - RightNorth Star Ambulatory Assessment - Can you step onto the top of the box using your right leg first?NSAA - Climb Box Step - Right
NSAA107C132542NSAA1-Climb Box Step - LeftNorth Star Ambulatory Assessment - Can you step onto the top of the box using your left leg first?NSAA - Climb Box Step - Left
NSAA108C132543NSAA1-Descend Box Step - RightNorth Star Ambulatory Assessment - Can you step down from the box using your right leg first?NSAA - Descend Box Step - Right
NSAA109C132544NSAA1-Descend Box Step - LeftNorth Star Ambulatory Assessment - Can you step down from the box using your left leg first?NSAA - Descend Box Step - Left
NSAA110C132545NSAA1-Gets to SittingNorth Star Ambulatory Assessment - Can you get from lying to sitting?NSAA - Gets to Sitting
NSAA111C132546NSAA1-Rise From FloorNorth Star Ambulatory Assessment - Get up from the floor using as little support as possible and as fast as you can (from supine).NSAA - Rise From Floor
NSAA111AC132547NSAA1-Rise From Floor TimeNorth Star Ambulatory Assessment - Time to get up from the floor using as little support as possible and as fast as you can (from supine) (seconds).NSAA - Rise From Floor Time
NSAA112C132548NSAA1-Lifts HeadNorth Star Ambulatory Assessment - Lift your head to look at your toes keeping your arms folded.NSAA - Lifts Head
NSAA113C132549NSAA1-Stands on HeelsNorth Star Ambulatory Assessment - Can you stand on your heels?NSAA - Stands on Heels
NSAA114C132550NSAA1-JumpNorth Star Ambulatory Assessment - How high can you jump?NSAA - Jump
NSAA115C132551NSAA1-Hop Right LegNorth Star Ambulatory Assessment - Can you hop on your right leg?NSAA - Hop Right Leg
NSAA116C132552NSAA1-Hop Left LegNorth Star Ambulatory Assessment - Can you hop on your left leg?NSAA - Hop Left Leg
NSAA117C132553NSAA1-Run (10m)North Star Ambulatory Assessment - Run as fast as you can to...(give point).NSAA - Run (10m)
NSAA117AC132554NSAA1-Run (10m) TimeNorth Star Ambulatory Assessment - Time to run as fast as you can (seconds).NSAA - Run (10m) Time
NSAA118C132555NSAA1-TotalNorth Star Ambulatory Assessment - Total.NSAA - Total
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CL.C132516.NSAA1TNNorth Star Ambulatory Assessment Clinical Classification Test Name
(NSAA1TN)
text
Extensible: No
C132516North Star Ambulatory Assessment Clinical Classification Test NameNorth Star Ambulatory Assessment test name.CDISC Clinical Classification NSAA Test Name Terminology
NSAA1-Climb Box Step - LeftC132542NSAA1-Climb Box Step - LeftNorth Star Ambulatory Assessment - Can you step onto the top of the box using your left leg first?NSAA - Climb Box Step - Left
NSAA1-Climb Box Step - RightC132541NSAA1-Climb Box Step - RightNorth Star Ambulatory Assessment - Can you step onto the top of the box using your right leg first?NSAA - Climb Box Step - Right
NSAA1-Descend Box Step - LeftC132544NSAA1-Descend Box Step - LeftNorth Star Ambulatory Assessment - Can you step down from the box using your left leg first?NSAA - Descend Box Step - Left
NSAA1-Descend Box Step - RightC132543NSAA1-Descend Box Step - RightNorth Star Ambulatory Assessment - Can you step down from the box using your right leg first?NSAA - Descend Box Step - Right
NSAA1-Gets to SittingC132545NSAA1-Gets to SittingNorth Star Ambulatory Assessment - Can you get from lying to sitting?NSAA - Gets to Sitting
NSAA1-Hop Left LegC132552NSAA1-Hop Left LegNorth Star Ambulatory Assessment - Can you hop on your left leg?NSAA - Hop Left Leg
NSAA1-Hop Right LegC132551NSAA1-Hop Right LegNorth Star Ambulatory Assessment - Can you hop on your right leg?NSAA - Hop Right Leg
NSAA1-JumpC132550NSAA1-JumpNorth Star Ambulatory Assessment - How high can you jump?NSAA - Jump
NSAA1-Lifts HeadC132548NSAA1-Lifts HeadNorth Star Ambulatory Assessment - Lift your head to look at your toes keeping your arms folded.NSAA - Lifts Head
NSAA1-Rise From Floor TimeC132547NSAA1-Rise From Floor TimeNorth Star Ambulatory Assessment - Time to get up from the floor using as little support as possible and as fast as you can (from supine) (seconds).NSAA - Rise From Floor Time
NSAA1-Rise From FloorC132546NSAA1-Rise From FloorNorth Star Ambulatory Assessment - Get up from the floor using as little support as possible and as fast as you can (from supine).NSAA - Rise From Floor
NSAA1-Run (10m) TimeC132554NSAA1-Run (10m) TimeNorth Star Ambulatory Assessment - Time to run as fast as you can (seconds).NSAA - Run (10m) Time
NSAA1-Run (10m)C132553NSAA1-Run (10m)North Star Ambulatory Assessment - Run as fast as you can to...(give point).NSAA - Run (10m)
NSAA1-Stand on One Leg - LeftC132540NSAA1-Stand on One Leg - LeftNorth Star Ambulatory Assessment - Can you stand on your left leg for as long as you can?NSAA - Stand on One Leg - Left
NSAA1-Stand on One Leg - RightC132539NSAA1-Stand on One Leg - RightNorth Star Ambulatory Assessment - Can you stand on your right leg for as long as you can?NSAA - Stand on One Leg - Right
NSAA1-Stand Up From ChairC132538NSAA1-Stand Up From ChairNorth Star Ambulatory Assessment - Stand up from the chair keeping your arms folded if you can.NSAA - Stand Up From Chair
NSAA1-StandC132536NSAA1-StandNorth Star Ambulatory Assessment - Can you stand up tall for me for as long as you can and as still as you can.NSAA - Stand
NSAA1-Stands on HeelsC132549NSAA1-Stands on HeelsNorth Star Ambulatory Assessment - Can you stand on your heels?NSAA - Stands on Heels
NSAA1-TotalC132555NSAA1-TotalNorth Star Ambulatory Assessment - Total.NSAA - Total
NSAA1-WalkC132537NSAA1-WalkNorth Star Ambulatory Assessment - Can you walk from A to B (state to and where from) for me.NSAA - Walk
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CL.C115394.PASAT1TCPaced Auditory Serial Addition Test Functional Test Test Code
(PASAT1TC)
text
Extensible: No
C115394Paced Auditory Serial Addition Test Functional Test Test CodePaced Auditory Serial Addition Test test code.CDISC Functional Test PASAT Test Code Terminology
PASAT101C115809PASAT1-Total CorrectPaced Auditory Serial Addition Test - Total correct.PASAT - Total Correct
PASAT102C115810PASAT1-Percent CorrectPaced Auditory Serial Addition Test - Percent correct.PASAT - Percent Correct
PASAT103C115811PASAT1-More Than One AttemptPaced Auditory Serial Addition Test - Did it take more than one attempt to get one successful trial?PASAT - More Than One Attempt
PASAT104C115812PASAT1-Total Correct in First HalfPaced Auditory Serial Addition Test - Total correct in first half.PASAT - Total Correct in First Half
PASAT105C115813PASAT1-Total Correct in Second HalfPaced Auditory Serial Addition Test - Total correct in second half.PASAT - Total Correct in Second Half
PASAT106C115814PASAT1-Total Commission ErrorsPaced Auditory Serial Addition Test - Total commission errors.PASAT - Total Commission Errors
PASAT107C115815PASAT1-Total Omission ErrorsPaced Auditory Serial Addition Test - Total omission errors.PASAT - Total Omission Errors
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CL.C115393.PASAT1TNPaced Auditory Serial Addition Test Functional Test Test Name
(PASAT1TN)
text
Extensible: No
C115393Paced Auditory Serial Addition Test Functional Test Test NamePaced Auditory Serial Addition Test test name.CDISC Functional Test PASAT Test Name Terminology
PASAT1-More Than One AttemptC115811PASAT1-More Than One AttemptPaced Auditory Serial Addition Test - Did it take more than one attempt to get one successful trial?PASAT - More Than One Attempt
PASAT1-Percent CorrectC115810PASAT1-Percent CorrectPaced Auditory Serial Addition Test - Percent correct.PASAT - Percent Correct
PASAT1-Total Commission ErrorsC115814PASAT1-Total Commission ErrorsPaced Auditory Serial Addition Test - Total commission errors.PASAT - Total Commission Errors
PASAT1-Total Correct in First HalfC115812PASAT1-Total Correct in First HalfPaced Auditory Serial Addition Test - Total correct in first half.PASAT - Total Correct in First Half
PASAT1-Total Correct in Second HalfC115813PASAT1-Total Correct in Second HalfPaced Auditory Serial Addition Test - Total correct in second half.PASAT - Total Correct in Second Half
PASAT1-Total CorrectC115809PASAT1-Total CorrectPaced Auditory Serial Addition Test - Total correct.PASAT - Total Correct
PASAT1-Total Omission ErrorsC115815PASAT1-Total Omission ErrorsPaced Auditory Serial Addition Test - Total omission errors.PASAT - Total Omission Errors
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CL.C150772.PTAP1TCPaced Tapping Functional Test Test Code
(PTAP1TC)
text
Extensible: No
C150772Paced Tapping Functional Test Test CodePaced Tapping test code.CDISC Functional Test Paced Tapping Test Code Terminology
PTAP101C151027PTAP1-Total Trials ExpectedPaced Tapping - Total number of trials expected to be administered in the task.Paced Tapping - Total Trials Expected
PTAP102C151028PTAP1-Total Trials AdministeredPaced Tapping - Total number of trials actually administered in the task.Paced Tapping - Total Trials Administered
PTAP103C151029PTAP1-Total Trials CompletedPaced Tapping - Total number of trials actually completed in the task.Paced Tapping - Total Trials Completed
PTAP104C151030PTAP1-Total Interval Tone Admin AllPaced Tapping - Total number of intertap intervals across all 4 toned tapping phases of each trial administered.Paced Tapping - Total Interval Tone Admin All
PTAP105C151031PTAP1-Total Interval Tone Trim AllPaced Tapping - Total number of intertap intervals across the 4 toned tapping phases of each trial, that were trimmed before analysis.Paced Tapping - Total Interval Tone Trim All
PTAP105AC151032PTAP1-Minimum Interval Tone AllPaced Tapping - The minimum intertap interval within the tone-paced tapping phase across all trials (in milliseconds).Paced Tapping - Minimum Interval Tone All
PTAP105BC151033PTAP1-Maximum Interval Tone AllPaced Tapping - The maximum intertap interval within the tone-paced tapping phase across all trials (in milliseconds).Paced Tapping - Maximum Interval Tone All
PTAP105CC151034PTAP1-Mean Interval Tone AllPaced Tapping - The mean intertap interval within the tone-paced tapping phase across all trials (in milliseconds).Paced Tapping - Mean Interval Tone All
PTAP105DC151035PTAP1-Median Interval Tone AllPaced Tapping - The median intertap interval within the tone-paced tapping phase across all trials (in milliseconds).Paced Tapping - Median Interval Tone All
PTAP105EC151036PTAP1-Variance Interval Tone AllPaced Tapping - The variance of the intertap interval within the tone-paced tapping phase across all trials (in milliseconds).Paced Tapping - Variance Interval Tone All
PTAP105FC151037PTAP1-Deviation Interval Tone AllPaced Tapping - The standard deviation of the intertap intervals within the tone-paced tapping phase across all trials.Paced Tapping - Deviation Interval Tone All
PTAP105GC151038PTAP1-Reciprocal Interval Tone AllPaced Tapping - The reciprocal of the standard deviation of the intertap intervals within the tone-paced tapping phase across all trials.Paced Tapping - Reciprocal Interval Tone All
PTAP105HC151039PTAP1-Avg Sign Dev Interval Tone AllPaced Tapping - The average signed deviation of the intertap intervals within the tone-paced tapping phase across all trials.Paced Tapping - Avg Sign Dev Interval Tone All
PTAP106C151040PTAP1-Total Interval Self Admin AllPaced Tapping - Total number of interlap intervals across all 4 trials administered (self-paced tapping phases).Paced Tapping - Total Interval Self Admin All
PTAP107C151041PTAP1-Total Interval Self Trim AllPaced Tapping - Total number of intertap intervals across all 4 trials that were trimmed before analysis (self-paced tapping phases).Paced Tapping - Total Interval Self Trim All
PTAP107AC151042PTAP1-Minimum Interval Self AllPaced Tapping - The minimum intertap interval within the self-paced tapping phase across all trials (in milliseconds).Paced Tapping - Minimum Interval Self All
PTAP107BC151043PTAP1-Maximum Interval Self AllPaced Tapping - The maximum intertap interval within the self-paced tapping phase across all trials (in milliseconds).Paced Tapping - Maximum Interval Self All
PTAP107CC151044PTAP1-Mean Interval Self AllPaced Tapping - The mean intertap interval within the self-paced tapping phase across all trials (in milliseconds).Paced Tapping - Mean Interval Self All
PTAP107DC151045PTAP1-Median Interval Self AllPaced Tapping - The median intertap interval within the self-paced tapping phase across all trials (in milliseconds).Paced Tapping - Median Interval Self All
PTAP107EC151046PTAP1-Variance Interval Self AllPaced Tapping - The variance of the intertap interval within the self-paced tapping phase across all trials (in milliseconds).Paced Tapping - Variance Interval Self All
PTAP107FC151047PTAP1-Deviation Interval Self AllPaced Tapping - The standard deviation of the intertap intervals within the self-paced tapping phase across all trials.Paced Tapping - Deviation Interval Self All
PTAP107GC151048PTAP1-Reciprocal Interval Self AllPaced Tapping - The reciprocal of the standard deviation of the intertap intervals within the self-paced tapping phase across all trials.Paced Tapping - Reciprocal Interval Self All
PTAP107HC151049PTAP1-Avg Sign Dev Interval Self AllPaced Tapping - The average signed deviation of the intertap intervals within the self-paced tapping phase across all trials.Paced Tapping - Avg Sign Dev Interval Self All
PTAP108C151050PTAP1-Trials Expected in TrialPaced Tapping - Number of trials expected to be administered in Trial n.Paced Tapping - Trials Expected in Trial
PTAP109C151051PTAP1-Trials Administered in TrialPaced Tapping - Number of trials actually administered in Trial n.Paced Tapping - Trials Administered in Trial
PTAP110C151052PTAP1-Trials Completed in TrialPaced Tapping - Number of trials actually completed in Trial n.Paced Tapping - Trials Completed in Trial
PTAP111C151053PTAP1-Num Intervals Expected Tone TrialPaced Tapping - Total number of intertap intervals expected for the tone-tapping phase of Trial n.Paced Tapping - Num Intervals Expected Tone Trial
PTAP112C151054PTAP1-Num Intervals Trim Tone TrialPaced Tapping - Total number of intertap intervals within the tone-tapping phase of Trial n, that were trimmed before analysis.Paced Tapping - Num Intervals Trim Tone Trial
PTAP112AC151055PTAP1-Minimum Interval Tone TrialPaced Tapping - The minimum intertap interval within the tone-tapping phase of Trial n (in milliseconds).Paced Tapping - Minimum Interval Tone Trial
PTAP112BC151056PTAP1-Maximum Interval Tone TrialPaced Tapping - The maximum intertap interval within the tone-tapping phase of Trial n (in milliseconds).Paced Tapping - Maximum Interval Tone Trial
PTAP112CC151057PTAP1-Mean Interval Tone TrialPaced Tapping - The mean intertap interval within the tone-tapping phase of Trial n (in milliseconds).Paced Tapping - Mean Interval Tone Trial
PTAP112DC151058PTAP1-Median Interval Tone TrialPaced Tapping - The median intertap interval within the tone-tapping phase of Trial n (in milliseconds).Paced Tapping - Median Interval Tone Trial
PTAP112EC151059PTAP1-Variance Interval Tone TrialPaced Tapping - The variance of the intertap interval within the tone-tapping phase of Trial n (in milliseconds).Paced Tapping - Variance Interval Tone Trial
PTAP112FC151060PTAP1-Deviation Interval Tone TrialPaced Tapping - The standard deviation of the intertap intervals within the tone-tapping phase of Trial n.Paced Tapping - Deviation Interval Tone Trial
PTAP112GC151061PTAP1-Reciprocal Interval ToneTrialPaced Tapping - The reciprocal of the standard deviation of the intertap intervals within the tone-tapping phase of Trial n.Paced Tapping - Reciprocal Interval ToneTrial
PTAP112HC151062PTAP1-Avg Sign Dev Interval Tone TrialPaced Tapping - The average signed deviation of the intertap intervals within the tone-tapping phase of Trial n.Paced Tapping - Avg Sign Dev Interval Tone Trial
PTAP113C151063PTAP1-Num Intervals Expected Self TrialPaced Tapping - Total number of intertap intervals expected for the self-paced tapping phase of Trial n.Paced Tapping - Num Intervals Expected Self Trial
PTAP114C151064PTAP1-Num Intervals Trim Self TrialPaced Tapping - Total number of intertap intervals within the self-paced tapping phase of Trial n, that were trimmed before analysis.Paced Tapping - Num Intervals Trim Self Trial
PTAP114AC151065PTAP1-Minimum Interval Self TrialPaced Tapping - The minimum intertap interval within the self-paced tapping phase of Trial n (in milliseconds).Paced Tapping - Minimum Interval Self Trial
PTAP114BC151066PTAP1-Maximum Interval Self TrialPaced Tapping - The maximum intertap interval within the self-paced tapping phase of Trial n (in milliseconds).Paced Tapping - Maximum Interval Self Trial
PTAP114CC151067PTAP1-Mean Interval Self TrialPaced Tapping - The mean intertap interval within the self-paced tapping phase of Trial n (in milliseconds).Paced Tapping - Mean Interval Self Trial
PTAP114DC151068PTAP1-Median Interval Self TrialPaced Tapping - The median intertap interval within the self-paced tapping phase of Trial n (in milliseconds).Paced Tapping - Median Interval Self Trial
PTAP114EC151069PTAP1-Variance Interval Self TrialPaced Tapping - The variance of the intertap interval within the self-paced tapping phase of Trial n (in milliseconds).Paced Tapping - Variance Interval Self Trial
PTAP114FC151070PTAP1-Deviation Interval Self TrialPaced Tapping - The standard deviation of the intertap intervals within the self-paced tapping phase of Trial n.Paced Tapping - Deviation Interval Self Trial
PTAP114GC151071PTAP1-Reciprocal Interval Self TrialPaced Tapping - The reciprocal of the standard deviation of the intertap intervals within the self-paced tapping phase of Trial n.Paced Tapping - Reciprocal Interval Self Trial
PTAP114HC151072PTAP1-Avg Sign Dev Interval Self TrialPaced Tapping - The average signed deviation of the intertap intervals within the self-paced tapping phase of Trial n.Paced Tapping - Avg Sign Dev Interval Self Trial
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CL.C150771.PTAP1TNPaced Tapping Functional Test Test Name
(PTAP1TN)
text
Extensible: No
C150771Paced Tapping Functional Test Test NamePaced Tapping test name.CDISC Functional Test Paced Tapping Test Name Terminology
PTAP1-Avg Sign Dev Interval Self AllC151049PTAP1-Avg Sign Dev Interval Self AllPaced Tapping - The average signed deviation of the intertap intervals within the self-paced tapping phase across all trials.Paced Tapping - Avg Sign Dev Interval Self All
PTAP1-Avg Sign Dev Interval Self TrialC151072PTAP1-Avg Sign Dev Interval Self TrialPaced Tapping - The average signed deviation of the intertap intervals within the self-paced tapping phase of Trial n.Paced Tapping - Avg Sign Dev Interval Self Trial
PTAP1-Avg Sign Dev Interval Tone AllC151039PTAP1-Avg Sign Dev Interval Tone AllPaced Tapping - The average signed deviation of the intertap intervals within the tone-paced tapping phase across all trials.Paced Tapping - Avg Sign Dev Interval Tone All
PTAP1-Avg Sign Dev Interval Tone TrialC151062PTAP1-Avg Sign Dev Interval Tone TrialPaced Tapping - The average signed deviation of the intertap intervals within the tone-tapping phase of Trial n.Paced Tapping - Avg Sign Dev Interval Tone Trial
PTAP1-Deviation Interval Self AllC151047PTAP1-Deviation Interval Self AllPaced Tapping - The standard deviation of the intertap intervals within the self-paced tapping phase across all trials.Paced Tapping - Deviation Interval Self All
PTAP1-Deviation Interval Self TrialC151070PTAP1-Deviation Interval Self TrialPaced Tapping - The standard deviation of the intertap intervals within the self-paced tapping phase of Trial n.Paced Tapping - Deviation Interval Self Trial
PTAP1-Deviation Interval Tone AllC151037PTAP1-Deviation Interval Tone AllPaced Tapping - The standard deviation of the intertap intervals within the tone-paced tapping phase across all trials.Paced Tapping - Deviation Interval Tone All
PTAP1-Deviation Interval Tone TrialC151060PTAP1-Deviation Interval Tone TrialPaced Tapping - The standard deviation of the intertap intervals within the tone-tapping phase of Trial n.Paced Tapping - Deviation Interval Tone Trial
PTAP1-Maximum Interval Self AllC151043PTAP1-Maximum Interval Self AllPaced Tapping - The maximum intertap interval within the self-paced tapping phase across all trials (in milliseconds).Paced Tapping - Maximum Interval Self All
PTAP1-Maximum Interval Self TrialC151066PTAP1-Maximum Interval Self TrialPaced Tapping - The maximum intertap interval within the self-paced tapping phase of Trial n (in milliseconds).Paced Tapping - Maximum Interval Self Trial
PTAP1-Maximum Interval Tone AllC151033PTAP1-Maximum Interval Tone AllPaced Tapping - The maximum intertap interval within the tone-paced tapping phase across all trials (in milliseconds).Paced Tapping - Maximum Interval Tone All
PTAP1-Maximum Interval Tone TrialC151056PTAP1-Maximum Interval Tone TrialPaced Tapping - The maximum intertap interval within the tone-tapping phase of Trial n (in milliseconds).Paced Tapping - Maximum Interval Tone Trial
PTAP1-Mean Interval Self AllC151044PTAP1-Mean Interval Self AllPaced Tapping - The mean intertap interval within the self-paced tapping phase across all trials (in milliseconds).Paced Tapping - Mean Interval Self All
PTAP1-Mean Interval Self TrialC151067PTAP1-Mean Interval Self TrialPaced Tapping - The mean intertap interval within the self-paced tapping phase of Trial n (in milliseconds).Paced Tapping - Mean Interval Self Trial
PTAP1-Mean Interval Tone AllC151034PTAP1-Mean Interval Tone AllPaced Tapping - The mean intertap interval within the tone-paced tapping phase across all trials (in milliseconds).Paced Tapping - Mean Interval Tone All
PTAP1-Mean Interval Tone TrialC151057PTAP1-Mean Interval Tone TrialPaced Tapping - The mean intertap interval within the tone-tapping phase of Trial n (in milliseconds).Paced Tapping - Mean Interval Tone Trial
PTAP1-Median Interval Self AllC151045PTAP1-Median Interval Self AllPaced Tapping - The median intertap interval within the self-paced tapping phase across all trials (in milliseconds).Paced Tapping - Median Interval Self All
PTAP1-Median Interval Self TrialC151068PTAP1-Median Interval Self TrialPaced Tapping - The median intertap interval within the self-paced tapping phase of Trial n (in milliseconds).Paced Tapping - Median Interval Self Trial
PTAP1-Median Interval Tone AllC151035PTAP1-Median Interval Tone AllPaced Tapping - The median intertap interval within the tone-paced tapping phase across all trials (in milliseconds).Paced Tapping - Median Interval Tone All
PTAP1-Median Interval Tone TrialC151058PTAP1-Median Interval Tone TrialPaced Tapping - The median intertap interval within the tone-tapping phase of Trial n (in milliseconds).Paced Tapping - Median Interval Tone Trial
PTAP1-Minimum Interval Self AllC151042PTAP1-Minimum Interval Self AllPaced Tapping - The minimum intertap interval within the self-paced tapping phase across all trials (in milliseconds).Paced Tapping - Minimum Interval Self All
PTAP1-Minimum Interval Self TrialC151065PTAP1-Minimum Interval Self TrialPaced Tapping - The minimum intertap interval within the self-paced tapping phase of Trial n (in milliseconds).Paced Tapping - Minimum Interval Self Trial
PTAP1-Minimum Interval Tone AllC151032PTAP1-Minimum Interval Tone AllPaced Tapping - The minimum intertap interval within the tone-paced tapping phase across all trials (in milliseconds).Paced Tapping - Minimum Interval Tone All
PTAP1-Minimum Interval Tone TrialC151055PTAP1-Minimum Interval Tone TrialPaced Tapping - The minimum intertap interval within the tone-tapping phase of Trial n (in milliseconds).Paced Tapping - Minimum Interval Tone Trial
PTAP1-Num Intervals Expected Self TrialC151063PTAP1-Num Intervals Expected Self TrialPaced Tapping - Total number of intertap intervals expected for the self-paced tapping phase of Trial n.Paced Tapping - Num Intervals Expected Self Trial
PTAP1-Num Intervals Expected Tone TrialC151053PTAP1-Num Intervals Expected Tone TrialPaced Tapping - Total number of intertap intervals expected for the tone-tapping phase of Trial n.Paced Tapping - Num Intervals Expected Tone Trial
PTAP1-Num Intervals Trim Self TrialC151064PTAP1-Num Intervals Trim Self TrialPaced Tapping - Total number of intertap intervals within the self-paced tapping phase of Trial n, that were trimmed before analysis.Paced Tapping - Num Intervals Trim Self Trial
PTAP1-Num Intervals Trim Tone TrialC151054PTAP1-Num Intervals Trim Tone TrialPaced Tapping - Total number of intertap intervals within the tone-tapping phase of Trial n, that were trimmed before analysis.Paced Tapping - Num Intervals Trim Tone Trial
PTAP1-Reciprocal Interval Self AllC151048PTAP1-Reciprocal Interval Self AllPaced Tapping - The reciprocal of the standard deviation of the intertap intervals within the self-paced tapping phase across all trials.Paced Tapping - Reciprocal Interval Self All
PTAP1-Reciprocal Interval Self TrialC151071PTAP1-Reciprocal Interval Self TrialPaced Tapping - The reciprocal of the standard deviation of the intertap intervals within the self-paced tapping phase of Trial n.Paced Tapping - Reciprocal Interval Self Trial
PTAP1-Reciprocal Interval Tone AllC151038PTAP1-Reciprocal Interval Tone AllPaced Tapping - The reciprocal of the standard deviation of the intertap intervals within the tone-paced tapping phase across all trials.Paced Tapping - Reciprocal Interval Tone All
PTAP1-Reciprocal Interval ToneTrialC151061PTAP1-Reciprocal Interval ToneTrialPaced Tapping - The reciprocal of the standard deviation of the intertap intervals within the tone-tapping phase of Trial n.Paced Tapping - Reciprocal Interval ToneTrial
PTAP1-Total Interval Self Admin AllC151040PTAP1-Total Interval Self Admin AllPaced Tapping - Total number of interlap intervals across all 4 trials administered (self-paced tapping phases).Paced Tapping - Total Interval Self Admin All
PTAP1-Total Interval Self Trim AllC151041PTAP1-Total Interval Self Trim AllPaced Tapping - Total number of intertap intervals across all 4 trials that were trimmed before analysis (self-paced tapping phases).Paced Tapping - Total Interval Self Trim All
PTAP1-Total Interval Tone Admin AllC151030PTAP1-Total Interval Tone Admin AllPaced Tapping - Total number of intertap intervals across all 4 toned tapping phases of each trial administered.Paced Tapping - Total Interval Tone Admin All
PTAP1-Total Interval Tone Trim AllC151031PTAP1-Total Interval Tone Trim AllPaced Tapping - Total number of intertap intervals across the 4 toned tapping phases of each trial, that were trimmed before analysis.Paced Tapping - Total Interval Tone Trim All
PTAP1-Total Trials AdministeredC151028PTAP1-Total Trials AdministeredPaced Tapping - Total number of trials actually administered in the task.Paced Tapping - Total Trials Administered
PTAP1-Total Trials CompletedC151029PTAP1-Total Trials CompletedPaced Tapping - Total number of trials actually completed in the task.Paced Tapping - Total Trials Completed
PTAP1-Total Trials ExpectedC151027PTAP1-Total Trials ExpectedPaced Tapping - Total number of trials expected to be administered in the task.Paced Tapping - Total Trials Expected
PTAP1-Trials Administered in TrialC151051PTAP1-Trials Administered in TrialPaced Tapping - Number of trials actually administered in Trial n.Paced Tapping - Trials Administered in Trial
PTAP1-Trials Completed in TrialC151052PTAP1-Trials Completed in TrialPaced Tapping - Number of trials actually completed in Trial n.Paced Tapping - Trials Completed in Trial
PTAP1-Trials Expected in TrialC151050PTAP1-Trials Expected in TrialPaced Tapping - Number of trials expected to be administered in Trial n.Paced Tapping - Trials Expected in Trial
PTAP1-Variance Interval Self AllC151046PTAP1-Variance Interval Self AllPaced Tapping - The variance of the intertap interval within the self-paced tapping phase across all trials (in milliseconds).Paced Tapping - Variance Interval Self All
PTAP1-Variance Interval Self TrialC151069PTAP1-Variance Interval Self TrialPaced Tapping - The variance of the intertap interval within the self-paced tapping phase of Trial n (in milliseconds).Paced Tapping - Variance Interval Self Trial
PTAP1-Variance Interval Tone AllC151036PTAP1-Variance Interval Tone AllPaced Tapping - The variance of the intertap interval within the tone-paced tapping phase across all trials (in milliseconds).Paced Tapping - Variance Interval Tone All
PTAP1-Variance Interval Tone TrialC151059PTAP1-Variance Interval Tone TrialPaced Tapping - The variance of the intertap interval within the tone-tapping phase of Trial n (in milliseconds).Paced Tapping - Variance Interval Tone Trial
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CL.C105134.PI01TCPain Intensity Questionnaire Test Code
(PI01TC)
text
Extensible: No
C105134Pain Intensity Questionnaire Test CodePain Intensity test code.CDISC Questionnaire PI v1 Test Code Terminology
PI0101C105261PI01-Pain IntensityPain Intensity - Pain intensity for various time periods of evaluation.PI - Pain Intensity For Various Time Periods of Evaluation
PI0102C105262PI01-Average Pain IntensityPain Intensity - Average pain intensity for various time periods of evaluation.PI - Average Pain Intensity For Various Time Periods of Evaluation
PI0103C105263PI01-Minimum Pain IntensityPain Intensity - Minimum pain intensity for various time periods of evaluation.PI - Minimum Pain Intensity For Various Time Periods of Evaluation
PI0104C105264PI01-Maximum Pain IntensityPain Intensity - Maximum pain intensity for various time periods of evaluation.PI - Maximum Pain Intensity For Various Time Periods of Evaluation
PI0105C105265PI01-Least Pain IntensityPain Intensity - Least pain intensity for various time periods of evaluation.PI - Least Pain Intensity For Various Time Periods of Evaluation
PI0106C105266PI01-Worst Pain IntensityPain Intensity - Worst pain intensity for various time periods of evaluation.PI - Worst Pain Intensity For Various Time Periods of Evaluation
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CL.C105133.PI01TNPain Intensity Questionnaire Test Name
(PI01TN)
text
Extensible: No
C105133Pain Intensity Questionnaire Test NamePain Intensity test name.CDISC Questionnaire PI v1 Test Name Terminology
PI01-Average Pain IntensityC105262PI01-Average Pain IntensityPain Intensity - Average pain intensity for various time periods of evaluation.PI - Average Pain Intensity For Various Time Periods of Evaluation
PI01-Least Pain IntensityC105265PI01-Least Pain IntensityPain Intensity - Least pain intensity for various time periods of evaluation.PI - Least Pain Intensity For Various Time Periods of Evaluation
PI01-Maximum Pain IntensityC105264PI01-Maximum Pain IntensityPain Intensity - Maximum pain intensity for various time periods of evaluation.PI - Maximum Pain Intensity For Various Time Periods of Evaluation
PI01-Minimum Pain IntensityC105263PI01-Minimum Pain IntensityPain Intensity - Minimum pain intensity for various time periods of evaluation.PI - Minimum Pain Intensity For Various Time Periods of Evaluation
PI01-Pain IntensityC105261PI01-Pain IntensityPain Intensity - Pain intensity for various time periods of evaluation.PI - Pain Intensity For Various Time Periods of Evaluation
PI01-Worst Pain IntensityC105266PI01-Worst Pain IntensityPain Intensity - Worst pain intensity for various time periods of evaluation.PI - Worst Pain Intensity For Various Time Periods of Evaluation
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CL.C105136.PR01TCPain Relief Questionnaire Test Code
(PR01TC)
text
Extensible: No
C105136Pain Relief Questionnaire Test CodePain Relief test code.CDISC Questionnaire PR v1 Test Code Terminology
PR0101C105267PR01-Pain ReliefPain Relief - Pain relief for various time periods of evaluation.PR - Pain Relief For Various Time Periods of Evaluation
PR0102C105268PR01-Average Pain ReliefPain Relief - Average pain relief for various time periods of evaluation.PR - Average Pain Relief For Various Time Periods of Evaluation
PR0103C105269PR01-Minimum Pain ReliefPain Relief - Minimum pain relief for various time periods of evaluation.PR - Minimum Pain Relief For Various Time Periods of Evaluation
PR0104C105270PR01-Maximum Pain ReliefPain Relief - Maximum pain relief for various time periods of evaluation.PR - Maximum Pain Relief For Various Time Periods of Evaluation
PR0105C105271PR01-Least Pain ReliefPain Relief - Least pain relief for various time periods of evaluation.PR - Least Pain Relief For Various Time Periods of Evaluation
PR0106C105272PR01-Worst Pain ReliefPain Relief - Worst pain relief for various time periods of evaluation.PR - Worst Pain Relief For Various Time Periods of Evaluation
PR0107C105273PR01-Starting Pain at Least 1/2 GonePain Relief - Starting pain at least 1/2 Gone?PR - Starting Pain Half Gone
PR0108C105274PR01-Was there Perceptible Pain ReliefPain Relief - Was there perceptible pain relief?PR - Was There Perceptible Pain Relief
PR0109C105275PR01-Time to Perceptible Pain ReliefPain Relief - Time to perceptible pain relief.PR - Time to Perceptible Pain Relief
PR0110C105276PR01-Was there Meaningful Pain ReliefPain Relief - Was there meaningful pain relief?PR - Was There Meaningful Pain Relief
PR0111C105277PR01-Time to Meaningful Pain ReliefPain Relief - Time to meaningful pain relief.PR - Time to Meaningful Pain Relief
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CL.C105135.PR01TNPain Relief Questionnaire Test Name
(PR01TN)
text
Extensible: No
C105135Pain Relief Questionnaire Test NamePain Relief test name.CDISC Questionnaire PR v1 Test Name Terminology
PR01-Average Pain ReliefC105268PR01-Average Pain ReliefPain Relief - Average pain relief for various time periods of evaluation.PR - Average Pain Relief For Various Time Periods of Evaluation
PR01-Least Pain ReliefC105271PR01-Least Pain ReliefPain Relief - Least pain relief for various time periods of evaluation.PR - Least Pain Relief For Various Time Periods of Evaluation
PR01-Maximum Pain ReliefC105270PR01-Maximum Pain ReliefPain Relief - Maximum pain relief for various time periods of evaluation.PR - Maximum Pain Relief For Various Time Periods of Evaluation
PR01-Minimum Pain ReliefC105269PR01-Minimum Pain ReliefPain Relief - Minimum pain relief for various time periods of evaluation.PR - Minimum Pain Relief For Various Time Periods of Evaluation
PR01-Pain ReliefC105267PR01-Pain ReliefPain Relief - Pain relief for various time periods of evaluation.PR - Pain Relief For Various Time Periods of Evaluation
PR01-Starting Pain at Least 1/2 GoneC105273PR01-Starting Pain at Least 1/2 GonePain Relief - Starting pain at least 1/2 Gone?PR - Starting Pain Half Gone
PR01-Time to Meaningful Pain ReliefC105277PR01-Time to Meaningful Pain ReliefPain Relief - Time to meaningful pain relief.PR - Time to Meaningful Pain Relief
PR01-Time to Perceptible Pain ReliefC105275PR01-Time to Perceptible Pain ReliefPain Relief - Time to perceptible pain relief.PR - Time to Perceptible Pain Relief
PR01-Was there Meaningful Pain ReliefC105276PR01-Was there Meaningful Pain ReliefPain Relief - Was there meaningful pain relief?PR - Was There Meaningful Pain Relief
PR01-Was there Perceptible Pain ReliefC105274PR01-Was there Perceptible Pain ReliefPain Relief - Was there perceptible pain relief?PR - Was There Perceptible Pain Relief
PR01-Worst Pain ReliefC105272PR01-Worst Pain ReliefPain Relief - Worst pain relief for various time periods of evaluation.PR - Worst Pain Relief For Various Time Periods of Evaluation
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CL.C112447.PDDS01TCPatient Determined Disease Steps Questionnaire Test Code
(PDDS01TC)
text
Extensible: No
C112447Patient Determined Disease Steps Questionnaire Test CodePatient Determined Disease Steps test code.CDISC Questionnaire PDDS Test Code Terminology
PDDS0101C112626PDDS01-Category Describing SituationPatient Determined Disease Steps - This scale focuses mainly on how well you walk. You might not find a description that reflects your condition exactly, but please mark the one category that describes your situation the closest.PDDS - Category Describing Situation
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CL.C112446.PDDS01TNPatient Determined Disease Steps Questionnaire Test Name
(PDDS01TN)
text
Extensible: No
C112446Patient Determined Disease Steps Questionnaire Test NamePatient Determined Disease Steps test name.CDISC Questionnaire PDDS Test Name Terminology
PDDS01-Category Describing SituationC112626PDDS01-Category Describing SituationPatient Determined Disease Steps - This scale focuses mainly on how well you walk. You might not find a description that reflects your condition exactly, but please mark the one category that describes your situation the closest.PDDS - Category Describing Situation
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CL.C135688.PGI01TCPatient Global Impression Generic Modification Version Questionnaire Test Code
(PGI01TC)
text
Extensible: No
C135688Patient Global Impression Generic Modification Version Questionnaire Test CodePatient Global Impression Generic Modification Version test code.CDISC Questionnaire PGI Generic Modification Version Test Code Terminology
PGI0101C135817PGI01-SeverityPatient Global Impression - Considering all the ways your condition impacts you, how severe is your condition at this time?PGI Generic Modification Version - Severity
PGI0102C135818PGI01-ChangePatient Global Impression - Compared to <previously assessed protocol specified time point> how much has your condition changed?PGI Generic Modification Version - Change
PGI0103C135819PGI01-ImprovementPatient Global Impression - Compared to <previously assessed protocol specified time point> how much has your condition improved?PGI Generic Modification Version - Improvement
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CL.C135687.PGI01TNPatient Global Impression Generic Modification Version Questionnaire Test Name
(PGI01TN)
text
Extensible: No
C135687Patient Global Impression Generic Modification Version Questionnaire Test NamePatient Global Impression Generic Modification Version test name.CDISC Questionnaire PGI Generic Modification Version Test Name Terminology
PGI01-ChangeC135818PGI01-ChangePatient Global Impression - Compared to <previously assessed protocol specified time point> how much has your condition changed?PGI Generic Modification Version - Change
PGI01-ImprovementC135819PGI01-ImprovementPatient Global Impression - Compared to <previously assessed protocol specified time point> how much has your condition improved?PGI Generic Modification Version - Improvement
PGI01-SeverityC135817PGI01-SeverityPatient Global Impression - Considering all the ways your condition impacts you, how severe is your condition at this time?PGI Generic Modification Version - Severity
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CL.C103483.PHQ02TCPatient Health Questionnaire - 15 Item Questionnaire Test Code
(PHQ02TC)
text
Extensible: No
C103483Patient Health Questionnaire - 15 Item Questionnaire Test CodePatient Health Questionnaire - 15 test code.CDISC Questionnaire PHQ-15 Test Code Terminology
PHQ0201C103715PHQ02-Stomach PainPatient Health Questionnaire - 15 - Stomach pain.PHQ-15 - Stomach Pain
PHQ0202C103716PHQ02-Back PainPatient Health Questionnaire - 15 - Back pain.PHQ-15 - Back Pain
PHQ0203C103717PHQ02-Pain In Your Arms, Legs, or JointsPatient Health Questionnaire - 15 - Pain in your arms, legs, or joints (knees, hips, etc.).PHQ-15 - Pain In Your Arms, Legs, or Joints
PHQ0204C103718PHQ02-Menstrual Cramp/Problem PeriodsPatient Health Questionnaire - 15 - Menstrual cramps or other problems with your periods [Women only].PHQ-15 - Menstrual Cramp or Other Problems with Your Periods
PHQ0205C103719PHQ02-HeadachesPatient Health Questionnaire - 15 - Headaches.PHQ-15 - Headaches
PHQ0206C103720PHQ02-Chest PainPatient Health Questionnaire - 15 - Chest pain.PHQ-15 - Chest Pain
PHQ0207C103721PHQ02-DizzinessPatient Health Questionnaire - 15 - Dizziness.PHQ-15 - Dizziness
PHQ0208C103722PHQ02-Fainting SpellsPatient Health Questionnaire - 15 - Fainting spells.PHQ-15 - Fainting Spells
PHQ0209C103723PHQ02-Feeling Your Heart Pound or RacePatient Health Questionnaire - 15 - Feeling your heart pound or race.PHQ-15 - Feeling Your Heart Pound or Race
PHQ0210C103724PHQ02-Shortness of BreathPatient Health Questionnaire - 15 - Shortness of breath.PHQ-15 - Shortness of Breath
PHQ0211C103725PHQ02-Pain/Problems During IntercoursePatient Health Questionnaire - 15 - Pain or problems during sexual intercourse.PHQ-15 - Pain or Problems During Sexual Intercourse
PHQ0212C103726PHQ02-Constipation/Loose Bowels/DiarrheaPatient Health Questionnaire - 15 - Constipation, loose bowels, or diarrhea.PHQ-15 - Constipation, Loose Bowels, or Diarrhea
PHQ0213C103727PHQ02-Nausea, Gas, or IndigestionPatient Health Questionnaire - 15 - Nausea, gas, or indigestion.PHQ-15 - Nausea, Gas, or Indigestion
PHQ0214C103728PHQ02-Feeling Tired or Having Low EnergyPatient Health Questionnaire - 15 - Feeling tired or having low energy.PHQ-15 - Feeling Tired or Having Low Energy
PHQ0215C103729PHQ02-Trouble SleepingPatient Health Questionnaire - 15 - Trouble sleeping.PHQ-15 - Trouble Sleeping
PHQ0216C124782PHQ02-Total ScorePatient Health Questionnaire - 15 - Total score.PHQ-15 - Total Score
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CL.C103482.PHQ02TNPatient Health Questionnaire - 15 Item Questionnaire Test Name
(PHQ02TN)
text
Extensible: No
C103482Patient Health Questionnaire - 15 Item Questionnaire Test NamePatient Health Questionnaire - 15 test name.CDISC Questionnaire PHQ-15 Test Name Terminology
PHQ02-Back PainC103716PHQ02-Back PainPatient Health Questionnaire - 15 - Back pain.PHQ-15 - Back Pain
PHQ02-Chest PainC103720PHQ02-Chest PainPatient Health Questionnaire - 15 - Chest pain.PHQ-15 - Chest Pain
PHQ02-Constipation/Loose Bowels/DiarrheaC103726PHQ02-Constipation/Loose Bowels/DiarrheaPatient Health Questionnaire - 15 - Constipation, loose bowels, or diarrhea.PHQ-15 - Constipation, Loose Bowels, or Diarrhea
PHQ02-DizzinessC103721PHQ02-DizzinessPatient Health Questionnaire - 15 - Dizziness.PHQ-15 - Dizziness
PHQ02-Fainting SpellsC103722PHQ02-Fainting SpellsPatient Health Questionnaire - 15 - Fainting spells.PHQ-15 - Fainting Spells
PHQ02-Feeling Tired or Having Low EnergyC103728PHQ02-Feeling Tired or Having Low EnergyPatient Health Questionnaire - 15 - Feeling tired or having low energy.PHQ-15 - Feeling Tired or Having Low Energy
PHQ02-Feeling Your Heart Pound or RaceC103723PHQ02-Feeling Your Heart Pound or RacePatient Health Questionnaire - 15 - Feeling your heart pound or race.PHQ-15 - Feeling Your Heart Pound or Race
PHQ02-HeadachesC103719PHQ02-HeadachesPatient Health Questionnaire - 15 - Headaches.PHQ-15 - Headaches
PHQ02-Menstrual Cramp/Problem PeriodsC103718PHQ02-Menstrual Cramp/Problem PeriodsPatient Health Questionnaire - 15 - Menstrual cramps or other problems with your periods [Women only].PHQ-15 - Menstrual Cramp or Other Problems with Your Periods
PHQ02-Nausea, Gas, or IndigestionC103727PHQ02-Nausea, Gas, or IndigestionPatient Health Questionnaire - 15 - Nausea, gas, or indigestion.PHQ-15 - Nausea, Gas, or Indigestion
PHQ02-Pain In Your Arms, Legs, or JointsC103717PHQ02-Pain In Your Arms, Legs, or JointsPatient Health Questionnaire - 15 - Pain in your arms, legs, or joints (knees, hips, etc.).PHQ-15 - Pain In Your Arms, Legs, or Joints
PHQ02-Pain/Problems During IntercourseC103725PHQ02-Pain/Problems During IntercoursePatient Health Questionnaire - 15 - Pain or problems during sexual intercourse.PHQ-15 - Pain or Problems During Sexual Intercourse
PHQ02-Shortness of BreathC103724PHQ02-Shortness of BreathPatient Health Questionnaire - 15 - Shortness of breath.PHQ-15 - Shortness of Breath
PHQ02-Stomach PainC103715PHQ02-Stomach PainPatient Health Questionnaire - 15 - Stomach pain.PHQ-15 - Stomach Pain
PHQ02-Total ScoreC124782PHQ02-Total ScorePatient Health Questionnaire - 15 - Total score.PHQ-15 - Total Score
PHQ02-Trouble SleepingC103729PHQ02-Trouble SleepingPatient Health Questionnaire - 15 - Trouble sleeping.PHQ-15 - Trouble Sleeping
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CL.C157727.PHQ04TCPatient Health Questionnaire - 2 Item Questionnaire Test Code
(PHQ04TC)
text
Extensible: No
C157727Patient Health Questionnaire - 2 Item Questionnaire Test CodePatient Health Questionnaire - 2 test code.CDISC Questionnaire PHQ-2 Test Code Terminology
PHQ0401C157729PHQ04-Little Interest/Pleasure in ThingsThe Patient Health Questionnaire-2 - Over the past 2 weeks, how often have you been bothered by any of the following problems? Little interest or pleasure in doing things.PHQ-2 - Little Interest or Pleasure in Doing Things
PHQ0402C157730PHQ04-Feeling Down Depressed or HopelessThe Patient Health Questionnaire-2 - Over the past 2 weeks, how often have you been bothered by any of the following problems? Feeling down, depressed or hopeless.PHQ-2 - Feeling Down, Depressed or Hopeless
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CL.C157726.PHQ04TNPatient Health Questionnaire - 2 Item Questionnaire Test Name
(PHQ04TN)
text
Extensible: No
C157726Patient Health Questionnaire - 2 Item Questionnaire Test NamePatient Health Questionnaire - 2 test name.CDISC Questionnaire PHQ-2 Test Name Terminology
PHQ04-Feeling Down Depressed or HopelessC157730PHQ04-Feeling Down Depressed or HopelessThe Patient Health Questionnaire-2 - Over the past 2 weeks, how often have you been bothered by any of the following problems? Feeling down, depressed or hopeless.PHQ-2 - Feeling Down, Depressed or Hopeless
PHQ04-Little Interest/Pleasure in ThingsC157729PHQ04-Little Interest/Pleasure in ThingsThe Patient Health Questionnaire-2 - Over the past 2 weeks, how often have you been bothered by any of the following problems? Little interest or pleasure in doing things.PHQ-2 - Little Interest or Pleasure in Doing Things
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CL.C103481.PHQ01TCPatient Health Questionnaire - 9 Item Questionnaire Test Code
(PHQ01TC)
text
Extensible: No
C103481Patient Health Questionnaire - 9 Item Questionnaire Test CodePatient Health Questionnaire - 9 test code.CDISC Questionnaire PHQ-9 Test Code Terminology
PHQ0101C103705PHQ01-Little Interest/Pleasure in ThingsPatient Health Questionnaire - 9 - Little interest or pleasure in doing things.PHQ-9 - Little Interest or Pleasure in Doing Things
PHQ0102C103706PHQ01-Feeling Down Depressed or HopelessPatient Health Questionnaire - 9 - Feeling down, depressed, or hopeless.PHQ-9 - Feeling Down, Depressed, or Hopeless
PHQ0103C103707PHQ01-Trouble Falling or Staying AsleepPatient Health Questionnaire - 9 - Trouble falling or staying asleep, or sleeping too much.PHQ-9 - Trouble Falling or Staying Asleep, or Sleeping Too Much
PHQ0104C103708PHQ01-Feeling Tired or Little EnergyPatient Health Questionnaire - 9 - Feeling tired or having little energy.PHQ-9 - Feeling Tired or Having Little Energy
PHQ0105C103709PHQ01-Poor Appetite or OvereatingPatient Health Questionnaire - 9 - Poor appetite or overeating.PHQ-9 - Poor Appetite or Overeating
PHQ0106C103710PHQ01-Feeling Bad About YourselfPatient Health Questionnaire - 9 - Feeling bad about yourself - or that you are a failure or have let yourself or your family down.PHQ-9 - Feeling Bad About Yourself
PHQ0107C103711PHQ01-Trouble Concentrating on ThingsPatient Health Questionnaire - 9 - Trouble concentrating on things, such as reading the newspaper or watching television.PHQ-9 - Trouble Concentrating on Things
PHQ0108C103712PHQ01-Moving Slowly or Fidgety/RestlessPatient Health Questionnaire - 9 - Moving or speaking so slowly that other people could have noticed? Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual.PHQ-9 - Moving or Speaking Slowly or the Opposite being Fidgety or Restless
PHQ0109C103713PHQ01-Thoughts You Be Better Off DeadPatient Health Questionnaire - 9 - Thoughts that you would be better off dead or of hurting yourself in some way.PHQ-9 - Thoughts That You Would be Better Off Dead
PHQ0110C103714PHQ01-Difficult to Work/Take Care ThingsPatient Health Questionnaire - 9 - If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?PHQ-9 - How Difficult have Problems Made it for You to Work, Take Care of Things, or Get Along with Other People
PHQ0111C113887PHQ01-Total ScorePatient Health Questionnaire - 9 - Total score.PHQ-9 - Total Score
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CL.C103480.PHQ01TNPatient Health Questionnaire - 9 Item Questionnaire Test Name
(PHQ01TN)
text
Extensible: No
C103480Patient Health Questionnaire - 9 Item Questionnaire Test NamePatient Health Questionnaire - 9 test name.CDISC Questionnaire PHQ-9 Test Name Terminology
PHQ01-Difficult to Work/Take Care ThingsC103714PHQ01-Difficult to Work/Take Care ThingsPatient Health Questionnaire - 9 - If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?PHQ-9 - How Difficult have Problems Made it for You to Work, Take Care of Things, or Get Along with Other People
PHQ01-Feeling Bad About YourselfC103710PHQ01-Feeling Bad About YourselfPatient Health Questionnaire - 9 - Feeling bad about yourself - or that you are a failure or have let yourself or your family down.PHQ-9 - Feeling Bad About Yourself
PHQ01-Feeling Down Depressed or HopelessC103706PHQ01-Feeling Down Depressed or HopelessPatient Health Questionnaire - 9 - Feeling down, depressed, or hopeless.PHQ-9 - Feeling Down, Depressed, or Hopeless
PHQ01-Feeling Tired or Little EnergyC103708PHQ01-Feeling Tired or Little EnergyPatient Health Questionnaire - 9 - Feeling tired or having little energy.PHQ-9 - Feeling Tired or Having Little Energy
PHQ01-Little Interest/Pleasure in ThingsC103705PHQ01-Little Interest/Pleasure in ThingsPatient Health Questionnaire - 9 - Little interest or pleasure in doing things.PHQ-9 - Little Interest or Pleasure in Doing Things
PHQ01-Moving Slowly or Fidgety/RestlessC103712PHQ01-Moving Slowly or Fidgety/RestlessPatient Health Questionnaire - 9 - Moving or speaking so slowly that other people could have noticed? Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual.PHQ-9 - Moving or Speaking Slowly or the Opposite being Fidgety or Restless
PHQ01-Poor Appetite or OvereatingC103709PHQ01-Poor Appetite or OvereatingPatient Health Questionnaire - 9 - Poor appetite or overeating.PHQ-9 - Poor Appetite or Overeating
PHQ01-Thoughts You Be Better Off DeadC103713PHQ01-Thoughts You Be Better Off DeadPatient Health Questionnaire - 9 - Thoughts that you would be better off dead or of hurting yourself in some way.PHQ-9 - Thoughts That You Would be Better Off Dead
PHQ01-Total ScoreC113887PHQ01-Total ScorePatient Health Questionnaire - 9 - Total score.PHQ-9 - Total Score
PHQ01-Trouble Concentrating on ThingsC103711PHQ01-Trouble Concentrating on ThingsPatient Health Questionnaire - 9 - Trouble concentrating on things, such as reading the newspaper or watching television.PHQ-9 - Trouble Concentrating on Things
PHQ01-Trouble Falling or Staying AsleepC103707PHQ01-Trouble Falling or Staying AsleepPatient Health Questionnaire - 9 - Trouble falling or staying asleep, or sleeping too much.PHQ-9 - Trouble Falling or Staying Asleep, or Sleeping Too Much
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CL.C125749.PHQ03TCPatient Health Questionnaire Screener Version Questionnaire Test Code
(PHQ03TC)
text
Extensible: No
C125749Patient Health Questionnaire Screener Version Questionnaire Test CodePatient Health Questionnaire Screener Version test code.CDISC Questionnaire PHQ Screener Version Test Code Terminology
PHQ0301AC125829PHQ03-Stomach PainPatient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by stomach pain?PHQ Screener Version - Stomach Pain
PHQ0301BC125830PHQ03-Back PainPatient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by back pain?PHQ Screener Version - Back Pain
PHQ0301CC125831PHQ03-Pain in Your Arms/Legs/JointsPatient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by pain in your arms, legs, or joints (knees, hips, etc.)?PHQ Screener Version - Pain in Arms, Legs, Joints
PHQ0301DC125832PHQ03-Menstrual Cramp/ProblemPatient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by menstrual cramps or other problems with your periods?PHQ Screener Version - Menstrual Cramp or Other Problem
PHQ0301EC125833PHQ03-Pain/Problems During IntercoursePatient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by pain or problems during sexual intercourse?PHQ Screener Version - Pain During Intercourse
PHQ0301FC125834PHQ03-HeadachesPatient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by headaches?PHQ Screener Version - Headaches
PHQ0301GC125835PHQ03-Chest PainPatient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by chest pain?PHQ Screener Version - Chest Pain
PHQ0301HC125836PHQ03-DizzinessPatient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by dizziness?PHQ Screener Version - Dizziness
PHQ0301IC125837PHQ03-Fainting SpellsPatient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by fainting spells?PHQ Screener Version - Fainting Spells
PHQ0301JC125838PHQ03-Feeling Your Heart Pound/RacePatient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by feeling your heart pound/race?PHQ Screener Version - Feeling Your Heart Pound or Race
PHQ0301KC125839PHQ03-Shortness of BreathPatient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by shortness of breath?PHQ Screener Version - Shortness of Breath
PHQ0301LC125840PHQ03-Constipation/DiarrheaPatient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by constipation, loose bowels, or diarrhea?PHQ Screener Version - Constipation or Diarrhea
PHQ0301MC125841PHQ03-Nausea/Gas/IndigestionPatient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by nausea, gas, indigestion?PHQ Screener Version - Nausea, Gas or Indigestion
PHQ0302AC125842PHQ03-Little Interest in Doing ThingsPatient Health Questionnaire Screener Version - Over the last 2 weeks, how often have you been bothered by little interest or pleasure in doing things?PHQ Screener Version - Little Interest in Doing Things
PHQ0302BC125843PHQ03-Feeling Down/DepressedPatient Health Questionnaire Screener Version - Over the last 2 weeks, how often have you been bothered by feeling down, depressed, or hopeless?PHQ Screener Version - Feeling Down or Depressed
PHQ0302CC125844PHQ03-Last 2 Week Trouble Falling AsleepPatient Health Questionnaire Screener Version - Over the last 2 weeks, how often have you been bothered by trouble falling or staying asleep, or sleeping too much?PHQ Screener Version - Last 2 Weeks, Trouble Falling or Staying Asleep
PHQ0302DC125845PHQ03-Feeling Tired/Little EnergyPatient Health Questionnaire Screener Version - Over the last 2 weeks, how often have you been bothered by feeling tired or having little energy?PHQ Screener Version - Feeling Tired or Little Energy
PHQ0302EC125846PHQ03-Poor Appetite or OvereatingPatient Health Questionnaire Screener Version - Over the last 2 weeks, how often have you been bothered by poor appetite or overeating?PHQ Screener Version - Poor Appetite or Overeating
PHQ0302FC125847PHQ03-Feeling Bad About YourselfPatient Health Questionnaire Screener Version - Over the last 2 weeks, how often have you been bothered by feeling bad about yourself - or that you are a failure or have let yourself or your family down?PHQ Screener Version - Feeling Bad About Yourself
PHQ0302GC125848PHQ03-Last 2 Week Trouble ConcentratingPatient Health Questionnaire Screener Version - Over the last 2 weeks, how often have you been bothered by trouble concentrating on things, such as reading the newspaper or watching television?PHQ Screener Version - Last 2 Weeks, Trouble Concentrating
PHQ0302HC125849PHQ03-Moving Slowly/Fidgety/RestlessPatient Health Questionnaire Screener Version - Over the last 2 weeks, how often have you been bothered by moving or speaking so slowly that other people could have noticed? Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual?PHQ Screener Version - Moving Slowly or Moving More
PHQ0302IC125850PHQ03-Thoughts Be Better Off DeadPatient Health Questionnaire Screener Version - Over the last 2 weeks, how often have you been bothered by thoughts that you would be better off dead or of hurting yourself in some way?PHQ Screener Version - Thoughts Be Better Off Dead
PHQ0303AC125851PHQ03-Anxiety AttackPatient Health Questionnaire Screener Version - In the last 4 weeks, have you had an anxiety attack - suddenly feeling fear or panic?PHQ Screener Version - Anxiety Attack
PHQ0303BC125852PHQ03-Anxiety Attack Happened BeforePatient Health Questionnaire Screener Version - Has this ever happened before?PHQ Screener Version - Anxiety Attack Happened Before
PHQ0303CC125853PHQ03-Anxiety Attacks Come SuddenlyPatient Health Questionnaire Screener Version - Do some of these attacks come suddenly out of the blue - that is, in situations where you don't expect to be nervous or uncomfortable?PHQ Screener Version - Anxiety Attacks Come Suddenly
PHQ0303DC125854PHQ03-Anxiety Attacks Bother a LotPatient Health Questionnaire Screener Version - Do these attacks bother you a lot or are you worried about having another attack?PHQ Screener Version - Anxiety Attacks Bother a Lot
PHQ0304AC125855PHQ03-Anxiety Attack Short of BreathPatient Health Questionnaire Screener Version - Think about your last bad anxiety attack. Were you short of breath?PHQ Screener Version - Anxiety Attack Short of Breath
PHQ0304BC125856PHQ03-Anxiety Attack Heart Race/PoundPatient Health Questionnaire Screener Version - Think about your last bad anxiety attack. Did your heart race, pound, or skip?PHQ Screener Version - Anxiety Attack Heart Race or Pound
PHQ0304CC125857PHQ03-Anxiety Attack Chest PainPatient Health Questionnaire Screener Version - Think about your last bad anxiety attack. Did you have chest pain or pressure?PHQ Screener Version - Anxiety Attack Chest Pain
PHQ0304DC125858PHQ03-Anxiety Attack SweatPatient Health Questionnaire Screener Version - Think about your last bad anxiety attack. Did you sweat?PHQ Screener Version - Anxiety Attack Sweat
PHQ0304EC125859PHQ03-Anxiety Attack ChokingPatient Health Questionnaire Screener Version - Think about your last bad anxiety attack. Did you feel as if you were choking?PHQ Screener Version - Anxiety Attack Choking
PHQ0304FC125860PHQ03-Anxiety Attack Hot Flash/ChillPatient Health Questionnaire Screener Version - Think about your last bad anxiety attack. Did you have hot flashes or chills?PHQ Screener Version - Anxiety Attack Hot Flash or Chill
PHQ0304GC125861PHQ03-Anxiety Attack Nausea/DiarrheaPatient Health Questionnaire Screener Version - Think about your last bad anxiety attack. Did you have nausea or an upset stomach, or the feeling that you were going to have diarrhea?PHQ Screener Version - Anxiety Attack Nausea or Diarrhea
PHQ0304HC125862PHQ03-Anxiety Attack Dizzy/FaintPatient Health Questionnaire Screener Version - Think about your last bad anxiety attack. Did you feel dizzy, unsteady, or faint?PHQ Screener Version - Anxiety Attack Dizzy or Faint
PHQ0304IC125863PHQ03-Anxiety Attack Tingling/NumbnessPatient Health Questionnaire Screener Version - Think about your last bad anxiety attack. Did you have tingling or numbness in parts of your body?PHQ Screener Version - Anxiety Attack Tingling or Numbness
PHQ0304JC125864PHQ03-Anxiety Attack Tremble/ShakePatient Health Questionnaire Screener Version - Think about your last bad anxiety attack. Did you tremble or shake?PHQ Screener Version - Anxiety Attack Tremble or Shake
PHQ0304KC125865PHQ03-Anxiety Attack Afraid You DyingPatient Health Questionnaire Screener Version - Think about your last bad anxiety attack. Were you afraid you were dying?PHQ Screener Version - Anxiety Attack Afraid You Were Dying
PHQ0305AC125866PHQ03-Feeling Nervous/AnxiousPatient Health Questionnaire Screener Version - Over the last 4 weeks, how often have you been bothered by feeling nervous, anxious, on edge, or worrying a lot about different things?PHQ Screener Version - Feeling Nervous or Anxious
PHQ0305BC125867PHQ03-Feeling RestlessPatient Health Questionnaire Screener Version - Over the last 4 weeks, how often have you been bothered by feeling restless so that it is hard to sit still?PHQ Screener Version - Feeling Restless
PHQ0305CC125868PHQ03-Getting Tired EasilyPatient Health Questionnaire Screener Version - Over the last 4 weeks, how often have you been bothered by getting tired very easily?PHQ Screener Version - Getting Tired Easily
PHQ0305DC125869PHQ03-Muscle Tension/Aches/SorenessPatient Health Questionnaire Screener Version - Over the last 4 weeks, how often have you been bothered by muscle tension, aches, or soreness?PHQ Screener Version - Muscle Tension
PHQ0305EC125870PHQ03-Last 4 Week Trouble Falling AsleepPatient Health Questionnaire Screener Version - Over the last 4 weeks, how often have you been bothered by trouble falling asleep or staying asleep?PHQ Screener Version - Last 4 Weeks, Trouble Falling or Staying Asleep
PHQ0305FC125871PHQ03-Last 4 Week Trouble ConcentratingPatient Health Questionnaire Screener Version - Over the last 4 weeks, how often have you been bothered by trouble concentrating on things, such as reading a book or watching TV?PHQ Screener Version - Last 4 Weeks, Trouble Concentrating
PHQ0305GC125872PHQ03-Becoming Easily AnnoyedPatient Health Questionnaire Screener Version - Over the last 4 weeks, how often have you been bothered by becoming easily annoyed or irritable?PHQ Screener Version - Becoming Easily Annoyed
PHQ0306AC125873PHQ03-No Control What/How Much EatPatient Health Questionnaire Screener Version - Do you often feel that you can't control what or how much you eat?PHQ Screener Version - No Control What or How Much Eat
PHQ0306BC125874PHQ03-Eat 2-Hours Large Amount FoodPatient Health Questionnaire Screener Version - Do you often eat, within any 2 - hour period, what most people would regard as an unusually large amount of food?PHQ Screener Version - Often Eat Large Amount Food
PHQ0306CC125875PHQ03-Eat a Lot Twice WeekPatient Health Questionnaire Screener Version - Has this been as often, on average, as twice a week for the last 3 months?PHQ Screener Version - Eat a Lot Twice Week
PHQ0307AC125876PHQ03-Made Yourself VomitPatient Health Questionnaire Screener Version - In the last 3 months have you often done any of the following in order to avoid gaining weight: Made yourself vomit?PHQ Screener Version - Avoid Gaining Weight, Made Yourself Vomit
PHQ0307BC125877PHQ03-Took Twice Dose of LaxativesPatient Health Questionnaire Screener Version - In the last 3 months have you often done any of the following in order to avoid gaining weight: Took more than twice the recommended dose of laxatives to avoid gaining weight?PHQ Screener Version - Avoid Gaining Weight, Took Twice Dose of Laxatives
PHQ0307CC125878PHQ03-Fasted at Least 24 HoursPatient Health Questionnaire Screener Version - In the last 3 months have you often done any of the following in order to avoid gaining weight: Fasted - not eaten anything at all for at least 24 hours to avoid gaining weight?PHQ Screener Version - Avoid Gaining Weight, Fasted at Least 24 Hours
PHQ0307DC125879PHQ03-Exercised Avoid Gaining WeightPatient Health Questionnaire Screener Version - In the last 3 months have you often done any of the following in order to avoid gaining weight: Exercised for more than an hour specifically to avoid gaining weight after binge eating?PHQ Screener Version - Avoid Gaining Weight, Exercise
PHQ0308C125880PHQ03-Avoid Gaining Weight Twice WeekPatient Health Questionnaire Screener Version - If you checked "YES" to any of these ways of avoiding gaining weight, were any as often, on average, as twice a week?PHQ Screener Version - Avoid Gaining Weight Twice Week
PHQ0309C125881PHQ03-Drink AlcoholPatient Health Questionnaire Screener Version - Do you ever drink alcohol (including beer or wine)?PHQ Screener Version - Drink Alcohol
PHQ0310AC125882PHQ03-Drank Alcohol With Health ProblemPatient Health Questionnaire Screener Version - Have any of the following happened to you more than once in the last 6 months: You drank alcohol even though a doctor suggested that you stop drinking because of a problem with your health?PHQ Screener Version - Drank Alcohol With Health Problem
PHQ0310BC125883PHQ03-Alcohol at Work/SchoolPatient Health Questionnaire Screener Version - Have any of the following happened to you more than once in the last 6 months: You drank alcohol, were high from alcohol, or hung over while you were working, or going to school, or taking care of children or other responsibilities?PHQ Screener Version - Drank Alcohol at Work or School
PHQ0310CC125884PHQ03-Missed Work Because of DrinkingPatient Health Questionnaire Screener Version - Have any of the following happened to you more than once in the last 6 months: You missed or were late for work, school, or other activities because you were drinking or hung over?PHQ Screener Version - Missed Work Because of Drinking
PHQ0310DC125885PHQ03-Problem With People While DrinkingPatient Health Questionnaire Screener Version - Have any of the following happened to you more than once in the last 6 months: You had a problem getting along with other people while you were drinking?PHQ Screener Version - Problem Getting Along With People While Drinking
PHQ0310EC125886PHQ03-Drove After Several DrinksPatient Health Questionnaire Screener Version - Have any of the following happened to you more than once in the last 6 months: You drove a car after having several drinks or after drinking too much?PHQ Screener Version - Drove Car After Several Drinks
PHQ0311C125887PHQ03-Problems Made It Difficult to WorkPatient Health Questionnaire Screener Version - If you checked off any problems on this questionnaire, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?PHQ Screener Version - Problems Made It Difficult to Work
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CL.C125748.PHQ03TNPatient Health Questionnaire Screener Version Questionnaire Test Name
(PHQ03TN)
text
Extensible: No
C125748Patient Health Questionnaire Screener Version Questionnaire Test NamePatient Health Questionnaire Screener Version test name.CDISC Questionnaire PHQ Screener Version Test Name Terminology
PHQ03-Alcohol at Work/SchoolC125883PHQ03-Alcohol at Work/SchoolPatient Health Questionnaire Screener Version - Have any of the following happened to you more than once in the last 6 months: You drank alcohol, were high from alcohol, or hung over while you were working, or going to school, or taking care of children or other responsibilities?PHQ Screener Version - Drank Alcohol at Work or School
PHQ03-Anxiety Attack Afraid You DyingC125865PHQ03-Anxiety Attack Afraid You DyingPatient Health Questionnaire Screener Version - Think about your last bad anxiety attack. Were you afraid you were dying?PHQ Screener Version - Anxiety Attack Afraid You Were Dying
PHQ03-Anxiety Attack Chest PainC125857PHQ03-Anxiety Attack Chest PainPatient Health Questionnaire Screener Version - Think about your last bad anxiety attack. Did you have chest pain or pressure?PHQ Screener Version - Anxiety Attack Chest Pain
PHQ03-Anxiety Attack ChokingC125859PHQ03-Anxiety Attack ChokingPatient Health Questionnaire Screener Version - Think about your last bad anxiety attack. Did you feel as if you were choking?PHQ Screener Version - Anxiety Attack Choking
PHQ03-Anxiety Attack Dizzy/FaintC125862PHQ03-Anxiety Attack Dizzy/FaintPatient Health Questionnaire Screener Version - Think about your last bad anxiety attack. Did you feel dizzy, unsteady, or faint?PHQ Screener Version - Anxiety Attack Dizzy or Faint
PHQ03-Anxiety Attack Happened BeforeC125852PHQ03-Anxiety Attack Happened BeforePatient Health Questionnaire Screener Version - Has this ever happened before?PHQ Screener Version - Anxiety Attack Happened Before
PHQ03-Anxiety Attack Heart Race/PoundC125856PHQ03-Anxiety Attack Heart Race/PoundPatient Health Questionnaire Screener Version - Think about your last bad anxiety attack. Did your heart race, pound, or skip?PHQ Screener Version - Anxiety Attack Heart Race or Pound
PHQ03-Anxiety Attack Hot Flash/ChillC125860PHQ03-Anxiety Attack Hot Flash/ChillPatient Health Questionnaire Screener Version - Think about your last bad anxiety attack. Did you have hot flashes or chills?PHQ Screener Version - Anxiety Attack Hot Flash or Chill
PHQ03-Anxiety Attack Nausea/DiarrheaC125861PHQ03-Anxiety Attack Nausea/DiarrheaPatient Health Questionnaire Screener Version - Think about your last bad anxiety attack. Did you have nausea or an upset stomach, or the feeling that you were going to have diarrhea?PHQ Screener Version - Anxiety Attack Nausea or Diarrhea
PHQ03-Anxiety Attack Short of BreathC125855PHQ03-Anxiety Attack Short of BreathPatient Health Questionnaire Screener Version - Think about your last bad anxiety attack. Were you short of breath?PHQ Screener Version - Anxiety Attack Short of Breath
PHQ03-Anxiety Attack SweatC125858PHQ03-Anxiety Attack SweatPatient Health Questionnaire Screener Version - Think about your last bad anxiety attack. Did you sweat?PHQ Screener Version - Anxiety Attack Sweat
PHQ03-Anxiety Attack Tingling/NumbnessC125863PHQ03-Anxiety Attack Tingling/NumbnessPatient Health Questionnaire Screener Version - Think about your last bad anxiety attack. Did you have tingling or numbness in parts of your body?PHQ Screener Version - Anxiety Attack Tingling or Numbness
PHQ03-Anxiety Attack Tremble/ShakeC125864PHQ03-Anxiety Attack Tremble/ShakePatient Health Questionnaire Screener Version - Think about your last bad anxiety attack. Did you tremble or shake?PHQ Screener Version - Anxiety Attack Tremble or Shake
PHQ03-Anxiety AttackC125851PHQ03-Anxiety AttackPatient Health Questionnaire Screener Version - In the last 4 weeks, have you had an anxiety attack - suddenly feeling fear or panic?PHQ Screener Version - Anxiety Attack
PHQ03-Anxiety Attacks Bother a LotC125854PHQ03-Anxiety Attacks Bother a LotPatient Health Questionnaire Screener Version - Do these attacks bother you a lot or are you worried about having another attack?PHQ Screener Version - Anxiety Attacks Bother a Lot
PHQ03-Anxiety Attacks Come SuddenlyC125853PHQ03-Anxiety Attacks Come SuddenlyPatient Health Questionnaire Screener Version - Do some of these attacks come suddenly out of the blue - that is, in situations where you don't expect to be nervous or uncomfortable?PHQ Screener Version - Anxiety Attacks Come Suddenly
PHQ03-Avoid Gaining Weight Twice WeekC125880PHQ03-Avoid Gaining Weight Twice WeekPatient Health Questionnaire Screener Version - If you checked "YES" to any of these ways of avoiding gaining weight, were any as often, on average, as twice a week?PHQ Screener Version - Avoid Gaining Weight Twice Week
PHQ03-Back PainC125830PHQ03-Back PainPatient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by back pain?PHQ Screener Version - Back Pain
PHQ03-Becoming Easily AnnoyedC125872PHQ03-Becoming Easily AnnoyedPatient Health Questionnaire Screener Version - Over the last 4 weeks, how often have you been bothered by becoming easily annoyed or irritable?PHQ Screener Version - Becoming Easily Annoyed
PHQ03-Chest PainC125835PHQ03-Chest PainPatient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by chest pain?PHQ Screener Version - Chest Pain
PHQ03-Constipation/DiarrheaC125840PHQ03-Constipation/DiarrheaPatient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by constipation, loose bowels, or diarrhea?PHQ Screener Version - Constipation or Diarrhea
PHQ03-DizzinessC125836PHQ03-DizzinessPatient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by dizziness?PHQ Screener Version - Dizziness
PHQ03-Drank Alcohol With Health ProblemC125882PHQ03-Drank Alcohol With Health ProblemPatient Health Questionnaire Screener Version - Have any of the following happened to you more than once in the last 6 months: You drank alcohol even though a doctor suggested that you stop drinking because of a problem with your health?PHQ Screener Version - Drank Alcohol With Health Problem
PHQ03-Drink AlcoholC125881PHQ03-Drink AlcoholPatient Health Questionnaire Screener Version - Do you ever drink alcohol (including beer or wine)?PHQ Screener Version - Drink Alcohol
PHQ03-Drove After Several DrinksC125886PHQ03-Drove After Several DrinksPatient Health Questionnaire Screener Version - Have any of the following happened to you more than once in the last 6 months: You drove a car after having several drinks or after drinking too much?PHQ Screener Version - Drove Car After Several Drinks
PHQ03-Eat 2-Hours Large Amount FoodC125874PHQ03-Eat 2-Hours Large Amount FoodPatient Health Questionnaire Screener Version - Do you often eat, within any 2 - hour period, what most people would regard as an unusually large amount of food?PHQ Screener Version - Often Eat Large Amount Food
PHQ03-Eat a Lot Twice WeekC125875PHQ03-Eat a Lot Twice WeekPatient Health Questionnaire Screener Version - Has this been as often, on average, as twice a week for the last 3 months?PHQ Screener Version - Eat a Lot Twice Week
PHQ03-Exercised Avoid Gaining WeightC125879PHQ03-Exercised Avoid Gaining WeightPatient Health Questionnaire Screener Version - In the last 3 months have you often done any of the following in order to avoid gaining weight: Exercised for more than an hour specifically to avoid gaining weight after binge eating?PHQ Screener Version - Avoid Gaining Weight, Exercise
PHQ03-Fainting SpellsC125837PHQ03-Fainting SpellsPatient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by fainting spells?PHQ Screener Version - Fainting Spells
PHQ03-Fasted at Least 24 HoursC125878PHQ03-Fasted at Least 24 HoursPatient Health Questionnaire Screener Version - In the last 3 months have you often done any of the following in order to avoid gaining weight: Fasted - not eaten anything at all for at least 24 hours to avoid gaining weight?PHQ Screener Version - Avoid Gaining Weight, Fasted at Least 24 Hours
PHQ03-Feeling Bad About YourselfC125847PHQ03-Feeling Bad About YourselfPatient Health Questionnaire Screener Version - Over the last 2 weeks, how often have you been bothered by feeling bad about yourself - or that you are a failure or have let yourself or your family down?PHQ Screener Version - Feeling Bad About Yourself
PHQ03-Feeling Down/DepressedC125843PHQ03-Feeling Down/DepressedPatient Health Questionnaire Screener Version - Over the last 2 weeks, how often have you been bothered by feeling down, depressed, or hopeless?PHQ Screener Version - Feeling Down or Depressed
PHQ03-Feeling Nervous/AnxiousC125866PHQ03-Feeling Nervous/AnxiousPatient Health Questionnaire Screener Version - Over the last 4 weeks, how often have you been bothered by feeling nervous, anxious, on edge, or worrying a lot about different things?PHQ Screener Version - Feeling Nervous or Anxious
PHQ03-Feeling RestlessC125867PHQ03-Feeling RestlessPatient Health Questionnaire Screener Version - Over the last 4 weeks, how often have you been bothered by feeling restless so that it is hard to sit still?PHQ Screener Version - Feeling Restless
PHQ03-Feeling Tired/Little EnergyC125845PHQ03-Feeling Tired/Little EnergyPatient Health Questionnaire Screener Version - Over the last 2 weeks, how often have you been bothered by feeling tired or having little energy?PHQ Screener Version - Feeling Tired or Little Energy
PHQ03-Feeling Your Heart Pound/RaceC125838PHQ03-Feeling Your Heart Pound/RacePatient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by feeling your heart pound/race?PHQ Screener Version - Feeling Your Heart Pound or Race
PHQ03-Getting Tired EasilyC125868PHQ03-Getting Tired EasilyPatient Health Questionnaire Screener Version - Over the last 4 weeks, how often have you been bothered by getting tired very easily?PHQ Screener Version - Getting Tired Easily
PHQ03-HeadachesC125834PHQ03-HeadachesPatient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by headaches?PHQ Screener Version - Headaches
PHQ03-Last 2 Week Trouble ConcentratingC125848PHQ03-Last 2 Week Trouble ConcentratingPatient Health Questionnaire Screener Version - Over the last 2 weeks, how often have you been bothered by trouble concentrating on things, such as reading the newspaper or watching television?PHQ Screener Version - Last 2 Weeks, Trouble Concentrating
PHQ03-Last 2 Week Trouble Falling AsleepC125844PHQ03-Last 2 Week Trouble Falling AsleepPatient Health Questionnaire Screener Version - Over the last 2 weeks, how often have you been bothered by trouble falling or staying asleep, or sleeping too much?PHQ Screener Version - Last 2 Weeks, Trouble Falling or Staying Asleep
PHQ03-Last 4 Week Trouble ConcentratingC125871PHQ03-Last 4 Week Trouble ConcentratingPatient Health Questionnaire Screener Version - Over the last 4 weeks, how often have you been bothered by trouble concentrating on things, such as reading a book or watching TV?PHQ Screener Version - Last 4 Weeks, Trouble Concentrating
PHQ03-Last 4 Week Trouble Falling AsleepC125870PHQ03-Last 4 Week Trouble Falling AsleepPatient Health Questionnaire Screener Version - Over the last 4 weeks, how often have you been bothered by trouble falling asleep or staying asleep?PHQ Screener Version - Last 4 Weeks, Trouble Falling or Staying Asleep
PHQ03-Little Interest in Doing ThingsC125842PHQ03-Little Interest in Doing ThingsPatient Health Questionnaire Screener Version - Over the last 2 weeks, how often have you been bothered by little interest or pleasure in doing things?PHQ Screener Version - Little Interest in Doing Things
PHQ03-Made Yourself VomitC125876PHQ03-Made Yourself VomitPatient Health Questionnaire Screener Version - In the last 3 months have you often done any of the following in order to avoid gaining weight: Made yourself vomit?PHQ Screener Version - Avoid Gaining Weight, Made Yourself Vomit
PHQ03-Menstrual Cramp/ProblemC125832PHQ03-Menstrual Cramp/ProblemPatient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by menstrual cramps or other problems with your periods?PHQ Screener Version - Menstrual Cramp or Other Problem
PHQ03-Missed Work Because of DrinkingC125884PHQ03-Missed Work Because of DrinkingPatient Health Questionnaire Screener Version - Have any of the following happened to you more than once in the last 6 months: You missed or were late for work, school, or other activities because you were drinking or hung over?PHQ Screener Version - Missed Work Because of Drinking
PHQ03-Moving Slowly/Fidgety/RestlessC125849PHQ03-Moving Slowly/Fidgety/RestlessPatient Health Questionnaire Screener Version - Over the last 2 weeks, how often have you been bothered by moving or speaking so slowly that other people could have noticed? Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual?PHQ Screener Version - Moving Slowly or Moving More
PHQ03-Muscle Tension/Aches/SorenessC125869PHQ03-Muscle Tension/Aches/SorenessPatient Health Questionnaire Screener Version - Over the last 4 weeks, how often have you been bothered by muscle tension, aches, or soreness?PHQ Screener Version - Muscle Tension
PHQ03-Nausea/Gas/IndigestionC125841PHQ03-Nausea/Gas/IndigestionPatient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by nausea, gas, indigestion?PHQ Screener Version - Nausea, Gas or Indigestion
PHQ03-No Control What/How Much EatC125873PHQ03-No Control What/How Much EatPatient Health Questionnaire Screener Version - Do you often feel that you can't control what or how much you eat?PHQ Screener Version - No Control What or How Much Eat
PHQ03-Pain in Your Arms/Legs/JointsC125831PHQ03-Pain in Your Arms/Legs/JointsPatient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by pain in your arms, legs, or joints (knees, hips, etc.)?PHQ Screener Version - Pain in Arms, Legs, Joints
PHQ03-Pain/Problems During IntercourseC125833PHQ03-Pain/Problems During IntercoursePatient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by pain or problems during sexual intercourse?PHQ Screener Version - Pain During Intercourse
PHQ03-Poor Appetite or OvereatingC125846PHQ03-Poor Appetite or OvereatingPatient Health Questionnaire Screener Version - Over the last 2 weeks, how often have you been bothered by poor appetite or overeating?PHQ Screener Version - Poor Appetite or Overeating
PHQ03-Problem With People While DrinkingC125885PHQ03-Problem With People While DrinkingPatient Health Questionnaire Screener Version - Have any of the following happened to you more than once in the last 6 months: You had a problem getting along with other people while you were drinking?PHQ Screener Version - Problem Getting Along With People While Drinking
PHQ03-Problems Made It Difficult to WorkC125887PHQ03-Problems Made It Difficult to WorkPatient Health Questionnaire Screener Version - If you checked off any problems on this questionnaire, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?PHQ Screener Version - Problems Made It Difficult to Work
PHQ03-Shortness of BreathC125839PHQ03-Shortness of BreathPatient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by shortness of breath?PHQ Screener Version - Shortness of Breath
PHQ03-Stomach PainC125829PHQ03-Stomach PainPatient Health Questionnaire Screener Version - During the last 4 weeks, how much have you been bothered by stomach pain?PHQ Screener Version - Stomach Pain
PHQ03-Thoughts Be Better Off DeadC125850PHQ03-Thoughts Be Better Off DeadPatient Health Questionnaire Screener Version - Over the last 2 weeks, how often have you been bothered by thoughts that you would be better off dead or of hurting yourself in some way?PHQ Screener Version - Thoughts Be Better Off Dead
PHQ03-Took Twice Dose of LaxativesC125877PHQ03-Took Twice Dose of LaxativesPatient Health Questionnaire Screener Version - In the last 3 months have you often done any of the following in order to avoid gaining weight: Took more than twice the recommended dose of laxatives to avoid gaining weight?PHQ Screener Version - Avoid Gaining Weight, Took Twice Dose of Laxatives
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CL.C179942.PT01TCPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 Questionnaire Test Code
(PT01TC)
text
Extensible: No
C179942Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 Questionnaire Test CodePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 test code.CDISC Questionnaire PRO-CTCAE V1.0 Version Date 4/26/2020 Test Code Terminology
PT01001AC180044PT01-Dry Mouth SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your dry mouth at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Dry Mouth Severity
PT01002AC180045PT01-Difficulty Swallowing SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your difficulty swallowing at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Difficulty Swallowing Severity
PT01003AC180046PT01-Mouth/Throat Sores SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your mouth or throat sores at their worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Mouth/Throat Sores Severity
PT01003BC180047PT01-Mouth/Throat Sores InterferencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did mouth or throat sores interfere with your usual or daily activities?PRO-CTCAE V1.0 Version Date 4/26/2020 - Mouth/Throat Sores Interference
PT01004AC180048PT01-Cracking Corners of Mouth SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of skin cracking at the corners of your mouth at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Cracking Corners of Mouth Severity
PT01005AC180049PT01-Voice Quality Changes PresencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any voice changes?PRO-CTCAE V1.0 Version Date 4/26/2020 - Voice Quality Changes Presence
PT01006AC180050PT01-Hoarseness SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your hoarse voice at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Hoarseness Severity
PT01007AC180051PT01-Taste Changes SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your problems with tasting food or drink at their worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Taste Changes Severity
PT01008AC180052PT01-Decreased Appetite SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your decreased appetite at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Decreased Appetite Severity
PT01008BC180053PT01-Decreased Appetite InterferencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did decreased appetite interfere with your usual or daily activities?PRO-CTCAE V1.0 Version Date 4/26/2020 - Decreased Appetite Interference
PT01009AC180054PT01-Nausea FrequencyPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have nausea?PRO-CTCAE V1.0 Version Date 4/26/2020 - Nausea Frequency
PT01009BC180055PT01-Nausea SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your nausea at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Nausea Severity
PT01010AC180056PT01-Vomiting FrequencyPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have vomiting?PRO-CTCAE V1.0 Version Date 4/26/2020 - Vomiting Frequency
PT01010BC180057PT01-Vomiting SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your vomiting at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Vomiting Severity
PT01011AC180058PT01-Heartburn FrequencyPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have heartburn?PRO-CTCAE V1.0 Version Date 4/26/2020 - Heartburn Frequency
PT01011BC180059PT01-Heartburn SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your heartburn at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Heartburn Severity
PT01012AC180060PT01-Gas PresencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any increased passing of gas (flatulence)?PRO-CTCAE V1.0 Version Date 4/26/2020 - Gas Presence
PT01013AC180061PT01-Bloating FrequencyPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have bloating of the abdomen (belly)?PRO-CTCAE V1.0 Version Date 4/26/2020 - Bloating Frequency
PT01013BC180062PT01-Bloating SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your bloating of the abdomen (belly) at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Bloating Severity
PT01014AC180063PT01-Hiccups FrequencyPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have hiccups?PRO-CTCAE V1.0 Version Date 4/26/2020 - Hiccups Frequency
PT01014BC180064PT01-Hiccups SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your hiccups at their worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Hiccups Severity
PT01015AC180065PT01-Constipation SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your constipation at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Constipation Severity
PT01016AC180066PT01-Diarrhea FrequencyPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have loose or watery stools (diarrhea/diarrhoea)?PRO-CTCAE V1.0 Version Date 4/26/2020 - Diarrhea Frequency
PT01017AC180067PT01-Abdominal Pain FrequencyPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have pain in the abdomen (belly area)?PRO-CTCAE V1.0 Version Date 4/26/2020 - Abdominal Pain Frequency
PT01017BC180068PT01-Abdominal Pain SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your pain in the abdomen (belly area) at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Abdominal Pain Severity
PT01017CC180069PT01-Abdominal Pain InterferencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did pain in the abdomen (belly area) interfere with your usual or daily activities?PRO-CTCAE V1.0 Version Date 4/26/2020 - Abdominal Pain Interference
PT01018AC180070PT01-Fecal Incontinence FrequencyPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you lose control of bowel movements?PRO-CTCAE V1.0 Version Date 4/26/2020 - Fecal Incontinence Frequency
PT01018BC180071PT01-Fecal Incontinence InterferencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did loss of control of bowel movements interfere with your usual or daily activities?PRO-CTCAE V1.0 Version Date 4/26/2020 - Fecal Incontinence Interference
PT01019AC180072PT01-Shortness of Breath SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your shortness of breath at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Shortness of Breath Severity
PT01019BC180073PT01-Shortness of Breath InterferencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did your shortness of breath interfere with your usual or daily activities?PRO-CTCAE V1.0 Version Date 4/26/2020 - Shortness of Breath Interference
PT01020AC180074PT01-Cough SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your cough at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Cough Severity
PT01020BC180075PT01-Cough InterferencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did cough interfere with your usual or daily activities?PRO-CTCAE V1.0 Version Date 4/26/2020 - Cough Interference
PT01021AC180076PT01-Wheezing SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your wheezing (whistling noise in the chest with breathing) at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Wheezing Severity
PT01022AC180077PT01-Swelling FrequencyPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have arm or leg swelling?PRO-CTCAE V1.0 Version Date 4/26/2020 - Swelling Frequency
PT01022BC180078PT01-Swelling SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your arm or leg swelling at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Swelling Severity
PT01022CC180079PT01-Swelling InterferencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did arm or leg swelling interfere with your usual or daily activities?PRO-CTCAE V1.0 Version Date 4/26/2020 - Swelling Interference
PT01023AC180080PT01-Heart Palpitations FrequencyPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you feel a pounding or racing heartbeat (palpitations)?PRO-CTCAE V1.0 Version Date 4/26/2020 - Heart Palpitations Frequency
PT01023BC180081PT01-Heart Palpitations SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your pounding or racing heartbeat (palpitations) at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Heart Palpitations Severity
PT01024AC180082PT01-Rash PresencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any rash?PRO-CTCAE V1.0 Version Date 4/26/2020 - Rash Presence
PT01025AC180083PT01-Skin Dryness SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your dry skin at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Skin Dryness Severity
PT01026AC180084PT01-Acne SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your acne or pimples on the face or chest at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Acne Severity
PT01027AC180085PT01-Hair Loss AmountPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any hair loss?PRO-CTCAE V1.0 Version Date 4/26/2020 - Hair Loss Amount
PT01028AC180086PT01-Itching SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your itchy skin at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Itching Severity
PT01029AC180087PT01-Hives PresencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any hives (itchy red bumps on the skin)?PRO-CTCAE V1.0 Version Date 4/26/2020 - Hives Presence
PT01030AC180088PT01-Hand-Foot Syndrome SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your hand-foot syndrome (a rash of the hands or feet that can cause cracking, peeling, redness or pain) at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Hand-Foot Syndrome Severity
PT01031AC180089PT01-Nail Loss PresencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you lose any fingernails or toenails?PRO-CTCAE V1.0 Version Date 4/26/2020 - Nail Loss Presence
PT01032AC180090PT01-Nail Ridging PresencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any ridges or bumps on your fingernails or toenails?PRO-CTCAE V1.0 Version Date 4/26/2020 - Nail Ridging Presence
PT01033AC180091PT01-Nail Discoloration PresencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any change in the color of your fingernails or toenails?PRO-CTCAE V1.0 Version Date 4/26/2020 - Nail Discoloration Presence
PT01034AC180092PT01-Sensitivity to Sunlight PresencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any increased skin sensitivity to sunlight?PRO-CTCAE V1.0 Version Date 4/26/2020 - Sensitivity to Sunlight Presence
PT01035AC180093PT01-Bed/Pressure Sores PresencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any bed sores?PRO-CTCAE V1.0 Version Date 4/26/2020 - Bed/Pressure Sores Presence
PT01036AC180094PT01-Radiation Skin Reaction SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your skin burns from radiation at their worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Radiation Skin Reaction Severity
PT01037AC180095PT01-Skin Darkening PresencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any unusual darkening of the skin?PRO-CTCAE V1.0 Version Date 4/26/2020 - Skin Darkening Presence
PT01038AC180096PT01-Stretch Marks PresencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any stretch marks?PRO-CTCAE V1.0 Version Date 4/26/2020 - Stretch Marks Presence
PT01039AC180097PT01-Numbness & Tingling SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your numbness or tingling in your hands or feet at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Numbness & Tingling Severity
PT01039BC180098PT01-Numbness & Tingling InterferencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did numbness or tingling in your hands or feet interfere with your usual or daily activities?PRO-CTCAE V1.0 Version Date 4/26/2020 - Numbness & Tingling Interference
PT01040AC180099PT01-Dizziness SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your dizziness at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Dizziness Severity
PT01040BC180100PT01-Dizziness InterferencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did dizziness interfere with your usual or daily activities?PRO-CTCAE V1.0 Version Date 4/26/2020 - Dizziness Interference
PT01041AC180101PT01-Blurred Vision SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your blurry vision at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Blurred Vision Severity
PT01041BC180102PT01-Blurred Vision InterferencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did blurry vision interfere with your usual or daily activities?PRO-CTCAE V1.0 Version Date 4/26/2020 - Blurred Vision Interference
PT01042AC180103PT01-Flashing Lights in Eyes PresencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any flashing lights in front of your eyes?PRO-CTCAE V1.0 Version Date 4/26/2020 - Flashing Lights in Eyes Presence
PT01043AC180104PT01-Visual Floaters PresencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any spots or lines (floaters) that drift in front of your eyes?PRO-CTCAE V1.0 Version Date 4/26/2020 - Visual Floaters Presence
PT01044AC180105PT01-Watery Eyes SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your watery eyes (tearing) at their worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Watery Eyes Severity
PT01044BC180106PT01-Watery Eyes InterferencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did watery eyes (tearing) interfere with your usual or daily activities?PRO-CTCAE V1.0 Version Date 4/26/2020 - Watery Eyes Interference
PT01045AC180107PT01-Ringing in Ears SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of ringing in your ears at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Ringing in Ears Severity
PT01046AC180108PT01-Concentration Problems SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your problems with concentration at their worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Concentration Problems Severity
PT01046BC180109PT01-Concentration Problems InterferencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did problems with concentration interfere with your usual or daily activities?PRO-CTCAE V1.0 Version Date 4/26/2020 - Concentration Problems Interference
PT01047AC180110PT01-Memory Problems SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your problems with memory at their worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Memory Problems Severity
PT01047BC180111PT01-Memory Problems InterferencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did problems with memory interfere with your usual or daily activities?PRO-CTCAE V1.0 Version Date 4/26/2020 - Memory Problems Interference
PT01048AC180112PT01-General Pain FrequencyPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have pain?PRO-CTCAE V1.0 Version Date 4/26/2020 - General Pain Frequency
PT01048BC180113PT01-General Pain SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your pain at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - General Pain Severity
PT01048CC180114PT01-General Pain InterferencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did pain interfere with your usual or daily activities?PRO-CTCAE V1.0 Version Date 4/26/2020 - General Pain Interference
PT01049AC180115PT01-Headache FrequencyPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have a headache?PRO-CTCAE V1.0 Version Date 4/26/2020 - Headache Frequency
PT01049BC180116PT01-Headache SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your headache at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Headache Severity
PT01049CC180117PT01-Headache InterferencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did your headache interfere with your usual or daily activities?PRO-CTCAE V1.0 Version Date 4/26/2020 - Headache Interference
PT01050AC180118PT01-Muscle Pain FrequencyPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have aching muscles?PRO-CTCAE V1.0 Version Date 4/26/2020 - Muscle Pain Frequency
PT01050BC180119PT01-Muscle Pain SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your aching muscles at their worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Muscle Pain Severity
PT01050CC180120PT01-Muscle Pain InterferencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did aching muscles interfere with your usual or daily activities?PRO-CTCAE V1.0 Version Date 4/26/2020 - Muscle Pain Interference
PT01051AC180121PT01-Joint Pain FrequencyPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have aching joints (such as elbows, knees, shoulders)?PRO-CTCAE V1.0 Version Date 4/26/2020 - Joint Pain Frequency
PT01051BC180122PT01-Joint Pain SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your aching joints (such as elbows, knees, shoulders) at their worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Joint Pain Severity
PT01051CC180123PT01-Joint Pain InterferencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did aching joints (such as elbows, knees, shoulders) interfere with your usual or daily activities?PRO-CTCAE V1.0 Version Date 4/26/2020 - Joint Pain Interference
PT01052AC180124PT01-Insomnia SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your insomnia (including difficulty falling asleep, staying asleep, or waking up early) at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Insomnia Severity
PT01052BC180125PT01-Insomnia InterferencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did insomnia (including difficulty falling asleep, staying asleep, or waking up early) interfere with your usual or daily activities?PRO-CTCAE V1.0 Version Date 4/26/2020 - Insomnia Interference
PT01053AC180126PT01-Fatigue SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your fatigue, tiredness, or lack of energy at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Fatigue Severity
PT01053BC180127PT01-Fatigue InterferencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did fatigue, tiredness, or lack of energy interfere with your usual or daily activities?PRO-CTCAE V1.0 Version Date 4/26/2020 - Fatigue Interference
PT01054AC180128PT01-Anxious FrequencyPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you feel anxiety?PRO-CTCAE V1.0 Version Date 4/26/2020 - Anxious Frequency
PT01054BC180129PT01-Anxious SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your anxiety at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Anxious Severity
PT01054CC180130PT01-Anxious InterferencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did anxiety interfere with your usual or daily activities?PRO-CTCAE V1.0 Version Date 4/26/2020 - Anxious Interference
PT01055AC180131PT01-Discouraged FrequencyPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you feel that nothing could cheer you up?PRO-CTCAE V1.0 Version Date 4/26/2020 - Discouraged Frequency
PT01055BC180132PT01-Discouraged SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your feelings that nothing could cheer you up at their worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Discouraged Severity
PT01055CC180133PT01-Discouraged InterferencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did feeling that nothing could cheer you up interfere with your usual or daily activities?PRO-CTCAE V1.0 Version Date 4/26/2020 - Discouraged Interference
PT01056AC180134PT01-Sad FrequencyPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have sad or unhappy feelings?PRO-CTCAE V1.0 Version Date 4/26/2020 - Sad Frequency
PT01056BC180135PT01-Sad SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your sad or unhappy feelings at their worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Sad Severity
PT01056CC180136PT01-Sad InterferencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did sad or unhappy feelings interfere with your usual or daily activities?PRO-CTCAE V1.0 Version Date 4/26/2020 - Sad Interference
PT01057AC180137PT01-Irregular Menstrual Period PresencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any irregular menstrual periods?PRO-CTCAE V1.0 Version Date 4/26/2020 - Irregular Menstrual Period Presence
PT01058AC180138PT01-Missed Menstrual Period PresencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you miss an expected menstrual period?PRO-CTCAE V1.0 Version Date 4/26/2020 - Missed Menstrual Period Presence
PT01059AC180139PT01-Vaginal Discharge AmountPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any unusual vaginal discharge?PRO-CTCAE V1.0 Version Date 4/26/2020 - Vaginal Discharge Amount
PT01060AC180140PT01-Vaginal Dryness SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your vaginal dryness at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Vaginal Dryness Severity
PT01061AC180141PT01-Painful Urination SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your pain or burning with urination at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Painful Urination Severity
PT01062AC180142PT01-Urinary Urgency FrequencyPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you feel an urge to urinate all of a sudden?PRO-CTCAE V1.0 Version Date 4/26/2020 - Urinary Urgency Frequency
PT01062BC180143PT01-Urinary Urgency InterferencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did sudden urges to urinate interfere with your usual or daily activities?PRO-CTCAE V1.0 Version Date 4/26/2020 - Urinary Urgency Interference
PT01063AC180144PT01-Urinary Frequency FrequencyPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, were there times when you had to urinate frequently?PRO-CTCAE V1.0 Version Date 4/26/2020 - Urinary Frequency Frequency
PT01063BC180145PT01-Urinary Frequency InterferencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did frequent urination interfere with your usual or daily activities?PRO-CTCAE V1.0 Version Date 4/26/2020 - Urinary Frequency Interference
PT01064AC180146PT01-Urine Color Change PresencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any urine color change?PRO-CTCAE V1.0 Version Date 4/26/2020 - Urine Color Change Presence
PT01065AC180147PT01-Urinary Incontinence FrequencyPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have loss of control of urine (leakage)?PRO-CTCAE V1.0 Version Date 4/26/2020 - Urinary Incontinence Frequency
PT01065BC180148PT01-Urinary Incontinence InterferencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did loss of control of urine (leakage) interfere with your usual or daily activities?PRO-CTCAE V1.0 Version Date 4/26/2020 - Urinary Incontinence Interference
PT01066AC180149PT01-Achieve&Maintain Erection SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your difficulty getting or keeping an erection at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Achieve&Maintain Erection Severity
PT01067AC180150PT01-Ejaculation FrequencyPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have ejaculation problems?PRO-CTCAE V1.0 Version Date 4/26/2020 - Ejaculation Frequency
PT01068AC180151PT01-Decreased Libido SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your decreased sexual interest at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Decreased Libido Severity
PT01069AC180152PT01-Delayed Orgasm PresencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you feel that it took too long to have an orgasm or climax?PRO-CTCAE V1.0 Version Date 4/26/2020 - Delayed Orgasm Presence
PT01070AC180153PT01-Unable to Have Orgasm PresencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, were you unable to have an orgasm or climax?PRO-CTCAE V1.0 Version Date 4/26/2020 - Unable to Have Orgasm Presence
PT01071AC180154PT01-Pain w/Sexual Intercourse SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your pain during vaginal sex at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Pain w/Sexual Intercourse Severity
PT01072AC180155PT01-Breast Swelling&Tenderness SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your breast area enlargement or tenderness at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Breast Swelling&Tenderness Severity
PT01073AC180156PT01-Bruising PresencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you bruise easily (black and blue marks)?PRO-CTCAE V1.0 Version Date 4/26/2020 - Bruising Presence
PT01074AC180157PT01-Chills FrequencyPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have shivering or shaking chills?PRO-CTCAE V1.0 Version Date 4/26/2020 - Chills Frequency
PT01074BC180158PT01-Chills SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your shivering or shaking chills at their worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Chills Severity
PT01075AC180159PT01-Increased Sweating FrequencyPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have unexpected or excessive sweating during the day or nighttime (not related to hot flashes/flushes)?PRO-CTCAE V1.0 Version Date 4/26/2020 - Increased Sweating Frequency
PT01075BC180160PT01-Increased Sweating SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your unexpected or excessive sweating during the day or nighttime (not related to hot flashes/flushes) at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Increased Sweating Severity
PT01076AC180161PT01-Decreased Sweating PresencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have an unexpected decrease in sweating?PRO-CTCAE V1.0 Version Date 4/26/2020 - Decreased Sweating Presence
PT01077AC180162PT01-Hot Flashes FrequencyPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have hot flashes/flushes?PRO-CTCAE V1.0 Version Date 4/26/2020 - Hot Flashes Frequency
PT01077BC180163PT01-Hot Flashes SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your hot flashes/flushes at their worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Hot Flashes Severity
PT01078AC180164PT01-Nosebleed FrequencyPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have nosebleeds?PRO-CTCAE V1.0 Version Date 4/26/2020 - Nosebleed Frequency
PT01078BC180165PT01-Nosebleed SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your nosebleeds at their worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Nosebleed Severity
PT01079AC180166PT01-Pain&Swelling at Inj Site PresencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any pain, swelling, or redness at a site of drug injection or IV?PRO-CTCAE V1.0 Version Date 4/26/2020 - Pain&Swelling at Inj Site Presence
PT01080AC180167PT01-Body Odor SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your body odor at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Body Odor Severity
PT01081C180168PT01-Any Other Symptoms ReportedPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - Do you have any other symptoms that you wish to report?PRO-CTCAE V1.0 Version Date 4/26/2020 - Any Other Symptoms Reported
PT01082AC180169PT01-Other Symptom 1Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - Other symptom term 1?PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 1
PT01082BC180170PT01-Other Symptom 1 SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of this symptom 1 at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 1 Severity
PT01083AC180171PT01-Other Symptom 2Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - Other symptom term 2?PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 2
PT01083BC180172PT01-Other Symptom 2 SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of this symptom 2 at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 2 Severity
PT01084AC180173PT01-Other Symptom 3Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - Other symptom term 3?PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 3
PT01084BC180174PT01-Other Symptom 3 SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of this symptom 3 at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 3 Severity
PT01085AC180175PT01-Other Symptom 4Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - Other symptom term 4?PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 4
PT01085BC180176PT01-Other Symptom 4 SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of this symptom 4 at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 4 Severity
PT01086AC180177PT01-Other Symptom 5Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - Other symptom term 5?PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 5
PT01086BC180178PT01-Other Symptom 5 SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of this symptom 5 at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 5 Severity
PT01087AC180179PT01-Other Symptom 6Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - Other symptom term 6?PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 6
PT01087BC180180PT01-Other Symptom 6 SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of this symptom 6 at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 6 Severity
PT01088AC180181PT01-Other Symptom 7Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - Other symptom term 7?PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 7
PT01088BC180182PT01-Other Symptom 7 SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of this symptom 7 at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 7 Severity
PT01089AC180183PT01-Other Symptom 8Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - Other symptom term 8?PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 8
PT01089BC180184PT01-Other Symptom 8 SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of this symptom 8 at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 8 Severity
PT01090AC180185PT01-Other Symptom 9Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - Other symptom term 9?PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 9
PT01090BC180186PT01-Other Symptom 9 SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of this symptom 9 at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 9 Severity
PT01091AC180187PT01-Other Symptom 10Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - Other symptom term 10?PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 10
PT01091BC180188PT01-Other Symptom 10 SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of this symptom 10 at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 10 Severity
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CL.C179941.PT01TNPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 Questionnaire Test Name
(PT01TN)
text
Extensible: No
C179941Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 Questionnaire Test NamePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 test name.CDISC Questionnaire PRO-CTCAE V1.0 Version Date 4/26/2020 Test Name Terminology
PT01-Abdominal Pain FrequencyC180067PT01-Abdominal Pain FrequencyPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have pain in the abdomen (belly area)?PRO-CTCAE V1.0 Version Date 4/26/2020 - Abdominal Pain Frequency
PT01-Abdominal Pain InterferenceC180069PT01-Abdominal Pain InterferencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did pain in the abdomen (belly area) interfere with your usual or daily activities?PRO-CTCAE V1.0 Version Date 4/26/2020 - Abdominal Pain Interference
PT01-Abdominal Pain SeverityC180068PT01-Abdominal Pain SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your pain in the abdomen (belly area) at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Abdominal Pain Severity
PT01-Achieve&Maintain Erection SeverityC180149PT01-Achieve&Maintain Erection SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your difficulty getting or keeping an erection at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Achieve&Maintain Erection Severity
PT01-Acne SeverityC180084PT01-Acne SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your acne or pimples on the face or chest at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Acne Severity
PT01-Anxious FrequencyC180128PT01-Anxious FrequencyPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you feel anxiety?PRO-CTCAE V1.0 Version Date 4/26/2020 - Anxious Frequency
PT01-Anxious InterferenceC180130PT01-Anxious InterferencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did anxiety interfere with your usual or daily activities?PRO-CTCAE V1.0 Version Date 4/26/2020 - Anxious Interference
PT01-Anxious SeverityC180129PT01-Anxious SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your anxiety at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Anxious Severity
PT01-Any Other Symptoms ReportedC180168PT01-Any Other Symptoms ReportedPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - Do you have any other symptoms that you wish to report?PRO-CTCAE V1.0 Version Date 4/26/2020 - Any Other Symptoms Reported
PT01-Bed/Pressure Sores PresenceC180093PT01-Bed/Pressure Sores PresencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any bed sores?PRO-CTCAE V1.0 Version Date 4/26/2020 - Bed/Pressure Sores Presence
PT01-Bloating FrequencyC180061PT01-Bloating FrequencyPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have bloating of the abdomen (belly)?PRO-CTCAE V1.0 Version Date 4/26/2020 - Bloating Frequency
PT01-Bloating SeverityC180062PT01-Bloating SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your bloating of the abdomen (belly) at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Bloating Severity
PT01-Blurred Vision InterferenceC180102PT01-Blurred Vision InterferencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did blurry vision interfere with your usual or daily activities?PRO-CTCAE V1.0 Version Date 4/26/2020 - Blurred Vision Interference
PT01-Blurred Vision SeverityC180101PT01-Blurred Vision SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your blurry vision at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Blurred Vision Severity
PT01-Body Odor SeverityC180167PT01-Body Odor SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your body odor at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Body Odor Severity
PT01-Breast Swelling&Tenderness SeverityC180155PT01-Breast Swelling&Tenderness SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your breast area enlargement or tenderness at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Breast Swelling&Tenderness Severity
PT01-Bruising PresenceC180156PT01-Bruising PresencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you bruise easily (black and blue marks)?PRO-CTCAE V1.0 Version Date 4/26/2020 - Bruising Presence
PT01-Chills FrequencyC180157PT01-Chills FrequencyPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have shivering or shaking chills?PRO-CTCAE V1.0 Version Date 4/26/2020 - Chills Frequency
PT01-Chills SeverityC180158PT01-Chills SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your shivering or shaking chills at their worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Chills Severity
PT01-Concentration Problems InterferenceC180109PT01-Concentration Problems InterferencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did problems with concentration interfere with your usual or daily activities?PRO-CTCAE V1.0 Version Date 4/26/2020 - Concentration Problems Interference
PT01-Concentration Problems SeverityC180108PT01-Concentration Problems SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your problems with concentration at their worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Concentration Problems Severity
PT01-Constipation SeverityC180065PT01-Constipation SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your constipation at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Constipation Severity
PT01-Cough InterferenceC180075PT01-Cough InterferencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did cough interfere with your usual or daily activities?PRO-CTCAE V1.0 Version Date 4/26/2020 - Cough Interference
PT01-Cough SeverityC180074PT01-Cough SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your cough at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Cough Severity
PT01-Cracking Corners of Mouth SeverityC180048PT01-Cracking Corners of Mouth SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of skin cracking at the corners of your mouth at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Cracking Corners of Mouth Severity
PT01-Decreased Appetite InterferenceC180053PT01-Decreased Appetite InterferencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did decreased appetite interfere with your usual or daily activities?PRO-CTCAE V1.0 Version Date 4/26/2020 - Decreased Appetite Interference
PT01-Decreased Appetite SeverityC180052PT01-Decreased Appetite SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your decreased appetite at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Decreased Appetite Severity
PT01-Decreased Libido SeverityC180151PT01-Decreased Libido SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your decreased sexual interest at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Decreased Libido Severity
PT01-Decreased Sweating PresenceC180161PT01-Decreased Sweating PresencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have an unexpected decrease in sweating?PRO-CTCAE V1.0 Version Date 4/26/2020 - Decreased Sweating Presence
PT01-Delayed Orgasm PresenceC180152PT01-Delayed Orgasm PresencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you feel that it took too long to have an orgasm or climax?PRO-CTCAE V1.0 Version Date 4/26/2020 - Delayed Orgasm Presence
PT01-Diarrhea FrequencyC180066PT01-Diarrhea FrequencyPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have loose or watery stools (diarrhea/diarrhoea)?PRO-CTCAE V1.0 Version Date 4/26/2020 - Diarrhea Frequency
PT01-Difficulty Swallowing SeverityC180045PT01-Difficulty Swallowing SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your difficulty swallowing at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Difficulty Swallowing Severity
PT01-Discouraged FrequencyC180131PT01-Discouraged FrequencyPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you feel that nothing could cheer you up?PRO-CTCAE V1.0 Version Date 4/26/2020 - Discouraged Frequency
PT01-Discouraged InterferenceC180133PT01-Discouraged InterferencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did feeling that nothing could cheer you up interfere with your usual or daily activities?PRO-CTCAE V1.0 Version Date 4/26/2020 - Discouraged Interference
PT01-Discouraged SeverityC180132PT01-Discouraged SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your feelings that nothing could cheer you up at their worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Discouraged Severity
PT01-Dizziness InterferenceC180100PT01-Dizziness InterferencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did dizziness interfere with your usual or daily activities?PRO-CTCAE V1.0 Version Date 4/26/2020 - Dizziness Interference
PT01-Dizziness SeverityC180099PT01-Dizziness SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your dizziness at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Dizziness Severity
PT01-Dry Mouth SeverityC180044PT01-Dry Mouth SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your dry mouth at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Dry Mouth Severity
PT01-Ejaculation FrequencyC180150PT01-Ejaculation FrequencyPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have ejaculation problems?PRO-CTCAE V1.0 Version Date 4/26/2020 - Ejaculation Frequency
PT01-Fatigue InterferenceC180127PT01-Fatigue InterferencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did fatigue, tiredness, or lack of energy interfere with your usual or daily activities?PRO-CTCAE V1.0 Version Date 4/26/2020 - Fatigue Interference
PT01-Fatigue SeverityC180126PT01-Fatigue SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your fatigue, tiredness, or lack of energy at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Fatigue Severity
PT01-Fecal Incontinence FrequencyC180070PT01-Fecal Incontinence FrequencyPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you lose control of bowel movements?PRO-CTCAE V1.0 Version Date 4/26/2020 - Fecal Incontinence Frequency
PT01-Fecal Incontinence InterferenceC180071PT01-Fecal Incontinence InterferencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did loss of control of bowel movements interfere with your usual or daily activities?PRO-CTCAE V1.0 Version Date 4/26/2020 - Fecal Incontinence Interference
PT01-Flashing Lights in Eyes PresenceC180103PT01-Flashing Lights in Eyes PresencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any flashing lights in front of your eyes?PRO-CTCAE V1.0 Version Date 4/26/2020 - Flashing Lights in Eyes Presence
PT01-Gas PresenceC180060PT01-Gas PresencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any increased passing of gas (flatulence)?PRO-CTCAE V1.0 Version Date 4/26/2020 - Gas Presence
PT01-General Pain FrequencyC180112PT01-General Pain FrequencyPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have pain?PRO-CTCAE V1.0 Version Date 4/26/2020 - General Pain Frequency
PT01-General Pain InterferenceC180114PT01-General Pain InterferencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did pain interfere with your usual or daily activities?PRO-CTCAE V1.0 Version Date 4/26/2020 - General Pain Interference
PT01-General Pain SeverityC180113PT01-General Pain SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your pain at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - General Pain Severity
PT01-Hair Loss AmountC180085PT01-Hair Loss AmountPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any hair loss?PRO-CTCAE V1.0 Version Date 4/26/2020 - Hair Loss Amount
PT01-Hand-Foot Syndrome SeverityC180088PT01-Hand-Foot Syndrome SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your hand-foot syndrome (a rash of the hands or feet that can cause cracking, peeling, redness or pain) at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Hand-Foot Syndrome Severity
PT01-Headache FrequencyC180115PT01-Headache FrequencyPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have a headache?PRO-CTCAE V1.0 Version Date 4/26/2020 - Headache Frequency
PT01-Headache InterferenceC180117PT01-Headache InterferencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did your headache interfere with your usual or daily activities?PRO-CTCAE V1.0 Version Date 4/26/2020 - Headache Interference
PT01-Headache SeverityC180116PT01-Headache SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your headache at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Headache Severity
PT01-Heart Palpitations FrequencyC180080PT01-Heart Palpitations FrequencyPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you feel a pounding or racing heartbeat (palpitations)?PRO-CTCAE V1.0 Version Date 4/26/2020 - Heart Palpitations Frequency
PT01-Heart Palpitations SeverityC180081PT01-Heart Palpitations SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your pounding or racing heartbeat (palpitations) at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Heart Palpitations Severity
PT01-Heartburn FrequencyC180058PT01-Heartburn FrequencyPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have heartburn?PRO-CTCAE V1.0 Version Date 4/26/2020 - Heartburn Frequency
PT01-Heartburn SeverityC180059PT01-Heartburn SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your heartburn at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Heartburn Severity
PT01-Hiccups FrequencyC180063PT01-Hiccups FrequencyPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have hiccups?PRO-CTCAE V1.0 Version Date 4/26/2020 - Hiccups Frequency
PT01-Hiccups SeverityC180064PT01-Hiccups SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your hiccups at their worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Hiccups Severity
PT01-Hives PresenceC180087PT01-Hives PresencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any hives (itchy red bumps on the skin)?PRO-CTCAE V1.0 Version Date 4/26/2020 - Hives Presence
PT01-Hoarseness SeverityC180050PT01-Hoarseness SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your hoarse voice at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Hoarseness Severity
PT01-Hot Flashes FrequencyC180162PT01-Hot Flashes FrequencyPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have hot flashes/flushes?PRO-CTCAE V1.0 Version Date 4/26/2020 - Hot Flashes Frequency
PT01-Hot Flashes SeverityC180163PT01-Hot Flashes SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your hot flashes/flushes at their worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Hot Flashes Severity
PT01-Increased Sweating FrequencyC180159PT01-Increased Sweating FrequencyPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have unexpected or excessive sweating during the day or nighttime (not related to hot flashes/flushes)?PRO-CTCAE V1.0 Version Date 4/26/2020 - Increased Sweating Frequency
PT01-Increased Sweating SeverityC180160PT01-Increased Sweating SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your unexpected or excessive sweating during the day or nighttime (not related to hot flashes/flushes) at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Increased Sweating Severity
PT01-Insomnia InterferenceC180125PT01-Insomnia InterferencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did insomnia (including difficulty falling asleep, staying asleep, or waking up early) interfere with your usual or daily activities?PRO-CTCAE V1.0 Version Date 4/26/2020 - Insomnia Interference
PT01-Insomnia SeverityC180124PT01-Insomnia SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your insomnia (including difficulty falling asleep, staying asleep, or waking up early) at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Insomnia Severity
PT01-Irregular Menstrual Period PresenceC180137PT01-Irregular Menstrual Period PresencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any irregular menstrual periods?PRO-CTCAE V1.0 Version Date 4/26/2020 - Irregular Menstrual Period Presence
PT01-Itching SeverityC180086PT01-Itching SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your itchy skin at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Itching Severity
PT01-Joint Pain FrequencyC180121PT01-Joint Pain FrequencyPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have aching joints (such as elbows, knees, shoulders)?PRO-CTCAE V1.0 Version Date 4/26/2020 - Joint Pain Frequency
PT01-Joint Pain InterferenceC180123PT01-Joint Pain InterferencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did aching joints (such as elbows, knees, shoulders) interfere with your usual or daily activities?PRO-CTCAE V1.0 Version Date 4/26/2020 - Joint Pain Interference
PT01-Joint Pain SeverityC180122PT01-Joint Pain SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your aching joints (such as elbows, knees, shoulders) at their worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Joint Pain Severity
PT01-Memory Problems InterferenceC180111PT01-Memory Problems InterferencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did problems with memory interfere with your usual or daily activities?PRO-CTCAE V1.0 Version Date 4/26/2020 - Memory Problems Interference
PT01-Memory Problems SeverityC180110PT01-Memory Problems SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your problems with memory at their worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Memory Problems Severity
PT01-Missed Menstrual Period PresenceC180138PT01-Missed Menstrual Period PresencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you miss an expected menstrual period?PRO-CTCAE V1.0 Version Date 4/26/2020 - Missed Menstrual Period Presence
PT01-Mouth/Throat Sores InterferenceC180047PT01-Mouth/Throat Sores InterferencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did mouth or throat sores interfere with your usual or daily activities?PRO-CTCAE V1.0 Version Date 4/26/2020 - Mouth/Throat Sores Interference
PT01-Mouth/Throat Sores SeverityC180046PT01-Mouth/Throat Sores SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your mouth or throat sores at their worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Mouth/Throat Sores Severity
PT01-Muscle Pain FrequencyC180118PT01-Muscle Pain FrequencyPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have aching muscles?PRO-CTCAE V1.0 Version Date 4/26/2020 - Muscle Pain Frequency
PT01-Muscle Pain InterferenceC180120PT01-Muscle Pain InterferencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did aching muscles interfere with your usual or daily activities?PRO-CTCAE V1.0 Version Date 4/26/2020 - Muscle Pain Interference
PT01-Muscle Pain SeverityC180119PT01-Muscle Pain SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your aching muscles at their worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Muscle Pain Severity
PT01-Nail Discoloration PresenceC180091PT01-Nail Discoloration PresencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any change in the color of your fingernails or toenails?PRO-CTCAE V1.0 Version Date 4/26/2020 - Nail Discoloration Presence
PT01-Nail Loss PresenceC180089PT01-Nail Loss PresencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you lose any fingernails or toenails?PRO-CTCAE V1.0 Version Date 4/26/2020 - Nail Loss Presence
PT01-Nail Ridging PresenceC180090PT01-Nail Ridging PresencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any ridges or bumps on your fingernails or toenails?PRO-CTCAE V1.0 Version Date 4/26/2020 - Nail Ridging Presence
PT01-Nausea FrequencyC180054PT01-Nausea FrequencyPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have nausea?PRO-CTCAE V1.0 Version Date 4/26/2020 - Nausea Frequency
PT01-Nausea SeverityC180055PT01-Nausea SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your nausea at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Nausea Severity
PT01-Nosebleed FrequencyC180164PT01-Nosebleed FrequencyPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have nosebleeds?PRO-CTCAE V1.0 Version Date 4/26/2020 - Nosebleed Frequency
PT01-Nosebleed SeverityC180165PT01-Nosebleed SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your nosebleeds at their worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Nosebleed Severity
PT01-Numbness & Tingling InterferenceC180098PT01-Numbness & Tingling InterferencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did numbness or tingling in your hands or feet interfere with your usual or daily activities?PRO-CTCAE V1.0 Version Date 4/26/2020 - Numbness & Tingling Interference
PT01-Numbness & Tingling SeverityC180097PT01-Numbness & Tingling SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your numbness or tingling in your hands or feet at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Numbness & Tingling Severity
PT01-Other Symptom 1 SeverityC180170PT01-Other Symptom 1 SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of this symptom 1 at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 1 Severity
PT01-Other Symptom 1C180169PT01-Other Symptom 1Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - Other symptom term 1?PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 1
PT01-Other Symptom 10 SeverityC180188PT01-Other Symptom 10 SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of this symptom 10 at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 10 Severity
PT01-Other Symptom 10C180187PT01-Other Symptom 10Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - Other symptom term 10?PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 10
PT01-Other Symptom 2 SeverityC180172PT01-Other Symptom 2 SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of this symptom 2 at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 2 Severity
PT01-Other Symptom 2C180171PT01-Other Symptom 2Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - Other symptom term 2?PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 2
PT01-Other Symptom 3 SeverityC180174PT01-Other Symptom 3 SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of this symptom 3 at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 3 Severity
PT01-Other Symptom 3C180173PT01-Other Symptom 3Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - Other symptom term 3?PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 3
PT01-Other Symptom 4 SeverityC180176PT01-Other Symptom 4 SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of this symptom 4 at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 4 Severity
PT01-Other Symptom 4C180175PT01-Other Symptom 4Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - Other symptom term 4?PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 4
PT01-Other Symptom 5 SeverityC180178PT01-Other Symptom 5 SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of this symptom 5 at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 5 Severity
PT01-Other Symptom 5C180177PT01-Other Symptom 5Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - Other symptom term 5?PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 5
PT01-Other Symptom 6 SeverityC180180PT01-Other Symptom 6 SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of this symptom 6 at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 6 Severity
PT01-Other Symptom 6C180179PT01-Other Symptom 6Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - Other symptom term 6?PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 6
PT01-Other Symptom 7 SeverityC180182PT01-Other Symptom 7 SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of this symptom 7 at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 7 Severity
PT01-Other Symptom 7C180181PT01-Other Symptom 7Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - Other symptom term 7?PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 7
PT01-Other Symptom 8 SeverityC180184PT01-Other Symptom 8 SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of this symptom 8 at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 8 Severity
PT01-Other Symptom 8C180183PT01-Other Symptom 8Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - Other symptom term 8?PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 8
PT01-Other Symptom 9 SeverityC180186PT01-Other Symptom 9 SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of this symptom 9 at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 9 Severity
PT01-Other Symptom 9C180185PT01-Other Symptom 9Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - Other symptom term 9?PRO-CTCAE V1.0 Version Date 4/26/2020 - Other Symptom 9
PT01-Pain w/Sexual Intercourse SeverityC180154PT01-Pain w/Sexual Intercourse SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your pain during vaginal sex at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Pain w/Sexual Intercourse Severity
PT01-Pain&Swelling at Inj Site PresenceC180166PT01-Pain&Swelling at Inj Site PresencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any pain, swelling, or redness at a site of drug injection or IV?PRO-CTCAE V1.0 Version Date 4/26/2020 - Pain&Swelling at Inj Site Presence
PT01-Painful Urination SeverityC180141PT01-Painful Urination SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your pain or burning with urination at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Painful Urination Severity
PT01-Radiation Skin Reaction SeverityC180094PT01-Radiation Skin Reaction SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your skin burns from radiation at their worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Radiation Skin Reaction Severity
PT01-Rash PresenceC180082PT01-Rash PresencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any rash?PRO-CTCAE V1.0 Version Date 4/26/2020 - Rash Presence
PT01-Ringing in Ears SeverityC180107PT01-Ringing in Ears SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of ringing in your ears at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Ringing in Ears Severity
PT01-Sad FrequencyC180134PT01-Sad FrequencyPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have sad or unhappy feelings?PRO-CTCAE V1.0 Version Date 4/26/2020 - Sad Frequency
PT01-Sad InterferenceC180136PT01-Sad InterferencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did sad or unhappy feelings interfere with your usual or daily activities?PRO-CTCAE V1.0 Version Date 4/26/2020 - Sad Interference
PT01-Sad SeverityC180135PT01-Sad SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your sad or unhappy feelings at their worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Sad Severity
PT01-Sensitivity to Sunlight PresenceC180092PT01-Sensitivity to Sunlight PresencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any increased skin sensitivity to sunlight?PRO-CTCAE V1.0 Version Date 4/26/2020 - Sensitivity to Sunlight Presence
PT01-Shortness of Breath InterferenceC180073PT01-Shortness of Breath InterferencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did your shortness of breath interfere with your usual or daily activities?PRO-CTCAE V1.0 Version Date 4/26/2020 - Shortness of Breath Interference
PT01-Shortness of Breath SeverityC180072PT01-Shortness of Breath SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your shortness of breath at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Shortness of Breath Severity
PT01-Skin Darkening PresenceC180095PT01-Skin Darkening PresencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any unusual darkening of the skin?PRO-CTCAE V1.0 Version Date 4/26/2020 - Skin Darkening Presence
PT01-Skin Dryness SeverityC180083PT01-Skin Dryness SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your dry skin at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Skin Dryness Severity
PT01-Stretch Marks PresenceC180096PT01-Stretch Marks PresencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any stretch marks?PRO-CTCAE V1.0 Version Date 4/26/2020 - Stretch Marks Presence
PT01-Swelling FrequencyC180077PT01-Swelling FrequencyPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have arm or leg swelling?PRO-CTCAE V1.0 Version Date 4/26/2020 - Swelling Frequency
PT01-Swelling InterferenceC180079PT01-Swelling InterferencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did arm or leg swelling interfere with your usual or daily activities?PRO-CTCAE V1.0 Version Date 4/26/2020 - Swelling Interference
PT01-Swelling SeverityC180078PT01-Swelling SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your arm or leg swelling at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Swelling Severity
PT01-Taste Changes SeverityC180051PT01-Taste Changes SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your problems with tasting food or drink at their worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Taste Changes Severity
PT01-Unable to Have Orgasm PresenceC180153PT01-Unable to Have Orgasm PresencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, were you unable to have an orgasm or climax?PRO-CTCAE V1.0 Version Date 4/26/2020 - Unable to Have Orgasm Presence
PT01-Urinary Frequency FrequencyC180144PT01-Urinary Frequency FrequencyPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, were there times when you had to urinate frequently?PRO-CTCAE V1.0 Version Date 4/26/2020 - Urinary Frequency Frequency
PT01-Urinary Frequency InterferenceC180145PT01-Urinary Frequency InterferencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did frequent urination interfere with your usual or daily activities?PRO-CTCAE V1.0 Version Date 4/26/2020 - Urinary Frequency Interference
PT01-Urinary Incontinence FrequencyC180147PT01-Urinary Incontinence FrequencyPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have loss of control of urine (leakage)?PRO-CTCAE V1.0 Version Date 4/26/2020 - Urinary Incontinence Frequency
PT01-Urinary Incontinence InterferenceC180148PT01-Urinary Incontinence InterferencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did loss of control of urine (leakage) interfere with your usual or daily activities?PRO-CTCAE V1.0 Version Date 4/26/2020 - Urinary Incontinence Interference
PT01-Urinary Urgency FrequencyC180142PT01-Urinary Urgency FrequencyPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you feel an urge to urinate all of a sudden?PRO-CTCAE V1.0 Version Date 4/26/2020 - Urinary Urgency Frequency
PT01-Urinary Urgency InterferenceC180143PT01-Urinary Urgency InterferencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did sudden urges to urinate interfere with your usual or daily activities?PRO-CTCAE V1.0 Version Date 4/26/2020 - Urinary Urgency Interference
PT01-Urine Color Change PresenceC180146PT01-Urine Color Change PresencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any urine color change?PRO-CTCAE V1.0 Version Date 4/26/2020 - Urine Color Change Presence
PT01-Vaginal Discharge AmountC180139PT01-Vaginal Discharge AmountPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any unusual vaginal discharge?PRO-CTCAE V1.0 Version Date 4/26/2020 - Vaginal Discharge Amount
PT01-Vaginal Dryness SeverityC180140PT01-Vaginal Dryness SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your vaginal dryness at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Vaginal Dryness Severity
PT01-Visual Floaters PresenceC180104PT01-Visual Floaters PresencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any spots or lines (floaters) that drift in front of your eyes?PRO-CTCAE V1.0 Version Date 4/26/2020 - Visual Floaters Presence
PT01-Voice Quality Changes PresenceC180049PT01-Voice Quality Changes PresencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, did you have any voice changes?PRO-CTCAE V1.0 Version Date 4/26/2020 - Voice Quality Changes Presence
PT01-Vomiting FrequencyC180056PT01-Vomiting FrequencyPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how often did you have vomiting?PRO-CTCAE V1.0 Version Date 4/26/2020 - Vomiting Frequency
PT01-Vomiting SeverityC180057PT01-Vomiting SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your vomiting at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Vomiting Severity
PT01-Watery Eyes InterferenceC180106PT01-Watery Eyes InterferencePatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, how much did watery eyes (tearing) interfere with your usual or daily activities?PRO-CTCAE V1.0 Version Date 4/26/2020 - Watery Eyes Interference
PT01-Watery Eyes SeverityC180105PT01-Watery Eyes SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your watery eyes (tearing) at their worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Watery Eyes Severity
PT01-Wheezing SeverityC180076PT01-Wheezing SeverityPatient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events Item Library Version 1.0 Version Date 4/26/2020 - In the last 7 days, what was the severity of your wheezing (whistling noise in the chest with breathing) at its worst?PRO-CTCAE V1.0 Version Date 4/26/2020 - Wheezing Severity
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CL.C147546.FAC099TCPediatric Functional Assessment of Chronic Illness Therapy-Fatigue Questionnaire Test Code
(FAC099TC)
text
Extensible: No
C147546Pediatric Functional Assessment of Chronic Illness Therapy-Fatigue Questionnaire Test CodePediatric Functional Assessment of Chronic Illness Therapy-Fatigue test code.CDISC Questionnaire Peds-FACIT-F Test Code Terminology
FAC09901C147686FAC099-I Feel TiredPediatric Functional Assessment of Chronic Illness Therapy-Fatigue - I feel tired.Peds-FACIT-F - I Feel Tired
FAC09902C147687FAC099-I Have EnergyPediatric Functional Assessment of Chronic Illness Therapy-Fatigue - I have energy (or strength).Peds-FACIT-F - I Have Energy
FAC09903C147688FAC099-Could Do My Usual Things at HomePediatric Functional Assessment of Chronic Illness Therapy-Fatigue - I could do my usual things at home.Peds-FACIT-F - Could Do My Usual Things at Home
FAC09904C147689FAC099-Trouble Starting ThingsPediatric Functional Assessment of Chronic Illness Therapy-Fatigue - I had trouble starting things because I was too tired.Peds-FACIT-F - Trouble Starting Things
FAC09905C147690FAC099-Trouble Finishing ThingsPediatric Functional Assessment of Chronic Illness Therapy-Fatigue - I had trouble finishing things because I was too tired.Peds-FACIT-F - Trouble Finishing Things
FAC09906C147691FAC099-I Needed to Sleep During the DayPediatric Functional Assessment of Chronic Illness Therapy-Fatigue - I needed to sleep during the day.Peds-FACIT-F - I Needed to Sleep During the Day
FAC09907C147692FAC099-Upset by Being Too TiredPediatric Functional Assessment of Chronic Illness Therapy-Fatigue - I got upset by being too tired to do things I wanted to do.Peds-FACIT-F - Upset by Being Too Tired
FAC09908C147693FAC099-Hard for Me to Play With FriendsPediatric Functional Assessment of Chronic Illness Therapy-Fatigue - Being tired made it hard for me to play or go out with my friends as much as I'd like.Peds-FACIT-F - Hard for Me to Play With Friends
FAC09909C147694FAC099-Needed Help Doing Usual ThingsPediatric Functional Assessment of Chronic Illness Therapy-Fatigue - I needed help doing my usual things at home.Peds-FACIT-F - Needed Help Doing Usual Things
FAC09910C147695FAC099-I Feel WeakPediatric Functional Assessment of Chronic Illness Therapy-Fatigue - I feel weak.Peds-FACIT-F - I Feel Weak
FAC09911C147696FAC099-I Was Too Tired to EatPediatric Functional Assessment of Chronic Illness Therapy-Fatigue - I was too tired to eat.Peds-FACIT-F - I Was Too Tired to Eat
FAC09912C147697FAC099-Being Tired Made Me SadPediatric Functional Assessment of Chronic Illness Therapy-Fatigue - Being tired made me sad.Peds-FACIT-F - Being Tired Made Me Sad
FAC09913C147698FAC099-Being Tired Made Me MadPediatric Functional Assessment of Chronic Illness Therapy-Fatigue - Being tired made me mad (angry).Peds-FACIT-F - Being Tired Made Me Mad
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CL.C147545.FAC099TNPediatric Functional Assessment of Chronic Illness Therapy-Fatigue Questionnaire Test Name
(FAC099TN)
text
Extensible: No
C147545Pediatric Functional Assessment of Chronic Illness Therapy-Fatigue Questionnaire Test NamePediatric Functional Assessment of Chronic Illness Therapy-Fatigue test name.CDISC Questionnaire Peds-FACIT-F Test Name Terminology
FAC099-Being Tired Made Me MadC147698FAC099-Being Tired Made Me MadPediatric Functional Assessment of Chronic Illness Therapy-Fatigue - Being tired made me mad (angry).Peds-FACIT-F - Being Tired Made Me Mad
FAC099-Being Tired Made Me SadC147697FAC099-Being Tired Made Me SadPediatric Functional Assessment of Chronic Illness Therapy-Fatigue - Being tired made me sad.Peds-FACIT-F - Being Tired Made Me Sad
FAC099-Could Do My Usual Things at HomeC147688FAC099-Could Do My Usual Things at HomePediatric Functional Assessment of Chronic Illness Therapy-Fatigue - I could do my usual things at home.Peds-FACIT-F - Could Do My Usual Things at Home
FAC099-Hard for Me to Play With FriendsC147693FAC099-Hard for Me to Play With FriendsPediatric Functional Assessment of Chronic Illness Therapy-Fatigue - Being tired made it hard for me to play or go out with my friends as much as I'd like.Peds-FACIT-F - Hard for Me to Play With Friends
FAC099-I Feel TiredC147686FAC099-I Feel TiredPediatric Functional Assessment of Chronic Illness Therapy-Fatigue - I feel tired.Peds-FACIT-F - I Feel Tired
FAC099-I Feel WeakC147695FAC099-I Feel WeakPediatric Functional Assessment of Chronic Illness Therapy-Fatigue - I feel weak.Peds-FACIT-F - I Feel Weak
FAC099-I Have EnergyC147687FAC099-I Have EnergyPediatric Functional Assessment of Chronic Illness Therapy-Fatigue - I have energy (or strength).Peds-FACIT-F - I Have Energy
FAC099-I Needed to Sleep During the DayC147691FAC099-I Needed to Sleep During the DayPediatric Functional Assessment of Chronic Illness Therapy-Fatigue - I needed to sleep during the day.Peds-FACIT-F - I Needed to Sleep During the Day
FAC099-I Was Too Tired to EatC147696FAC099-I Was Too Tired to EatPediatric Functional Assessment of Chronic Illness Therapy-Fatigue - I was too tired to eat.Peds-FACIT-F - I Was Too Tired to Eat
FAC099-Needed Help Doing Usual ThingsC147694FAC099-Needed Help Doing Usual ThingsPediatric Functional Assessment of Chronic Illness Therapy-Fatigue - I needed help doing my usual things at home.Peds-FACIT-F - Needed Help Doing Usual Things
FAC099-Trouble Finishing ThingsC147690FAC099-Trouble Finishing ThingsPediatric Functional Assessment of Chronic Illness Therapy-Fatigue - I had trouble finishing things because I was too tired.Peds-FACIT-F - Trouble Finishing Things
FAC099-Trouble Starting ThingsC147689FAC099-Trouble Starting ThingsPediatric Functional Assessment of Chronic Illness Therapy-Fatigue - I had trouble starting things because I was too tired.Peds-FACIT-F - Trouble Starting Things
FAC099-Upset by Being Too TiredC147692FAC099-Upset by Being Too TiredPediatric Functional Assessment of Chronic Illness Therapy-Fatigue - I got upset by being too tired to do things I wanted to do.Peds-FACIT-F - Upset by Being Too Tired
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CL.C135696.PODCI2TCPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported Version Questionnaire Test Code
(PODCI2TC)
text
Extensible: No
C135696Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported Version Questionnaire Test CodePediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported Version test code.CDISC Questionnaire PODCI Adolescent Parent-Reported Version Test Code Terminology
PODCI201C136034PODCI2-Lift Heavy BooksPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, was it easy or hard for your child to: Lift heavy books?PODCI Adolescent Parent-Reported Version - Lift Heavy Books
PODCI202C136035PODCI2-Pour a Half Gallon of MilkPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, was it easy or hard for your child to: Pour a half gallon of milk?PODCI Adolescent Parent-Reported Version - Pour a Half Gallon of Milk
PODCI203C136036PODCI2-Open a Jar Been Opened BeforePediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, was it easy or hard for your child to: Open a jar that has been opened before?PODCI Adolescent Parent-Reported Version - Open a Jar Been Opened Before
PODCI204C136037PODCI2-Use a Fork and SpoonPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, was it easy or hard for your child to: Use a fork and spoon?PODCI Adolescent Parent-Reported Version - Use a Fork and Spoon
PODCI205C136038PODCI2-Comb His/Her HairPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, was it easy or hard for your child to: Comb his/her hair?PODCI Adolescent Parent-Reported Version - Comb His or Her Hair
PODCI206C136039PODCI2-Button ButtonsPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, was it easy or hard for your child to: Button buttons?PODCI Adolescent Parent-Reported Version - Button Buttons
PODCI207C136040PODCI2-Put on His/Her CoatPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, was it easy or hard for your child to: Put on his/her coat?PODCI Adolescent Parent-Reported Version - Put on His or Her Coat
PODCI208C136041PODCI2-Write With a PencilPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, was it easy or hard for your child to: Write with a pencil?PODCI Adolescent Parent-Reported Version - Write With a Pencil
PODCI209C136042PODCI2-Miss School Because of HealthPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - On average, over the last 12 months, how often did your child miss school (camp, etc.) because of his/her health?PODCI Adolescent Parent-Reported Version - Miss School Because of Health
PODCI210C136043PODCI2-How He/She LooksPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, how happy has your child been with: How he/she looks?PODCI Adolescent Parent-Reported Version - How He or She Looks
PODCI211C136044PODCI2-His/Her BodyPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, how happy has your child been with: His/her body?PODCI Adolescent Parent-Reported Version - His or Her Body
PODCI212C136045PODCI2-What Clothes/Shoes He/She WearPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, how happy has your child been with: What clothes or shoes he/she can wear?PODCI Adolescent Parent-Reported Version - What Clothes or Shoes He or She Wear
PODCI213C136046PODCI2-Ability Do Same Things Friends DoPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, how happy has your child been with: His/her ability to do the same things his/her friends do?PODCI Adolescent Parent-Reported Version - Ability Do Same Things Friends Do
PODCI214C136047PODCI2-His/Her Health in GeneralPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, how happy has your child been with: His/her health in general?PODCI Adolescent Parent-Reported Version - His or Her Health in General
PODCI215C136048PODCI2-Feel Sick and TiredPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, how much of the time: Did your child feel sick and tired?PODCI Adolescent Parent-Reported Version - Feel Sick and Tired
PODCI216C136049PODCI2-Full of Pep and EnergyPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, how much of the time: Were your child full of pep and energy?PODCI Adolescent Parent-Reported Version - Full of Pep and Energy
PODCI217C136050PODCI2-Pain/Discom Inter With ActivitiesPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, how much of the time: Did pain or discomfort interfere with your child's activities?PODCI Adolescent Parent-Reported Version - Pain or Discomfort Interfere With Activities
PODCI218C136051PODCI2-Run Short DistancesPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Run short distances?PODCI Adolescent Parent-Reported Version - Run Short Distances
PODCI219C136052PODCI2-Bicycle or TricyclePediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Bicycle or tricycle?PODCI Adolescent Parent-Reported Version - Bicycle or Tricycle
PODCI220C136053PODCI2-Climb Three Flights of StairsPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Climb three flights of stairs?PODCI Adolescent Parent-Reported Version - Climb Three Flights of Stairs
PODCI221C136054PODCI2-Climb One Flight of StairsPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Climb one flight of stairs?PODCI Adolescent Parent-Reported Version - Climb One Flight of Stairs
PODCI222C136055PODCI2-Walk More Than a MilePediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Walk more than a mile?PODCI Adolescent Parent-Reported Version - Walk More Than a Mile
PODCI223C136056PODCI2-Walk Three BlocksPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Walk three blocks?PODCI Adolescent Parent-Reported Version - Walk Three Blocks
PODCI224C136057PODCI2-Walk One BlockPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Walk one block?PODCI Adolescent Parent-Reported Version - Walk One Block
PODCI225C136058PODCI2-Get On and Off a BusPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Get on and off a bus?PODCI Adolescent Parent-Reported Version - Get On and Off a Bus
PODCI226C136059PODCI2-Need Help Walking and ClimbingPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - How often does your child need help from another person for walking and climbing?PODCI Adolescent Parent-Reported Version - Need Help Walking and Climbing
PODCI227C136060PODCI2-Use Assistive Devices for WalkingPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - How often does your child use assistive devices (such as braces, crutches, or wheelchair) for walking and climbing?PODCI Adolescent Parent-Reported Version - Use Assistive Devices for Walking
PODCI228C136061PODCI2-Stand Washing Hands at a SinkPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Stand while washing his/her hands and face at a sink?PODCI Adolescent Parent-Reported Version - Stand Washing Hands at a Sink
PODCI229C136062PODCI2-Sit in Chair Without Holding OnPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Sit in a regular chair without holding on?PODCI Adolescent Parent-Reported Version - Sit in Chair Without Holding On
PODCI230C136063PODCI2-Get On and Off a Toilet or ChairPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Get on and off a toilet or chair?PODCI Adolescent Parent-Reported Version - Get On and Off a Toilet or Chair
PODCI231C136064PODCI2-Get In and Out of BedPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Get in and out of bed?PODCI Adolescent Parent-Reported Version - Get In and Out of Bed
PODCI232C136065PODCI2-Turn Door KnobsPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Turn door knobs?PODCI Adolescent Parent-Reported Version - Turn Door Knobs
PODCI233C136066PODCI2-Bend Over and Pick Up SomethingPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Bend over from a standing position and pick up something off the floor?PODCI Adolescent Parent-Reported Version - Bend Over and Pick Up Something
PODCI234C136067PODCI2-Need Help Sitting and StandingPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - How often does your child need help from another person for sitting and standing?PODCI Adolescent Parent-Reported Version - Need Help Sitting and Standing
PODCI235C136068PODCI2-Use Assistive Devices for SittingPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - How often does your child use assistive devices (such as braces, crutches, or wheelchair) for sitting and standing?PODCI Adolescent Parent-Reported Version - Use Assistive Devices for Sitting
PODCI236C136069PODCI2-Participate in Outdoor ActivitiesPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - Can your child participate in recreational outdoor activities with other children the same age (For example: bicycling, skating, hiking, jogging)?PODCI Adolescent Parent-Reported Version - Participate in Outdoor Activities
PODCI237C136070PODCI2-Outdoor Limited by: PainPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: Pain?PODCI Adolescent Parent-Reported Version - Outdoor Limited by: Pain
PODCI238C136071PODCI2-Outdoor Limited by: HealthPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: General health?PODCI Adolescent Parent-Reported Version - Outdoor Limited by: Health
PODCI239C136072PODCI2-Outdoor Limited by: InstructionsPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: Doctor or parent instructions?PODCI Adolescent Parent-Reported Version - Outdoor Limited by: Instructions
PODCI240C136073PODCI2-Outdoor Limited by: FearPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: Fear the other kids won't like him/her?PODCI Adolescent Parent-Reported Version - Outdoor Limited by: Fear
PODCI241C136074PODCI2-Outdoor Limited by: DislikePediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: Dislike of recreational outdoor activities?PODCI Adolescent Parent-Reported Version - Outdoor Limited by: Dislike
PODCI242C136075PODCI2-Outdoor Limited by: Too YoungPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: Too young?PODCI Adolescent Parent-Reported Version - Outdoor Limited by: Too Young
PODCI243C136076PODCI2-Outdoor Limited by: SeasonPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: Activity not in season?PODCI Adolescent Parent-Reported Version - Outdoor Limited by: Season
PODCI244C136077PODCI2-Participate in Pickup GamesPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - Can your child participate in pickup games or sports with other children the same age (For example: tag, dodge ball, basketball, softball, soccer, catch, jump rope, touch football, hop scotch)?PODCI Adolescent Parent-Reported Version - Participate in Pickup Games
PODCI245C136078PODCI2-Games Limited by: PainPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: Pain?PODCI Adolescent Parent-Reported Version - Games Limited by: Pain
PODCI246C136079PODCI2-Games Limited by: HealthPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: General health?PODCI Adolescent Parent-Reported Version - Games Limited by: Health
PODCI247C136080PODCI2-Games Limited by: InstructionsPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: Doctor or parent instructions?PODCI Adolescent Parent-Reported Version - Games Limited by: Instructions
PODCI248C136081PODCI2-Games Limited by: FearPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: Fear the other kids won't like him/her?PODCI Adolescent Parent-Reported Version - Games Limited by: Fear
PODCI249C136082PODCI2-Games Limited by: DislikePediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: Dislike of pickup games or sports?PODCI Adolescent Parent-Reported Version - Games Limited by: Dislike
PODCI250C136083PODCI2-Games Limited by: Too YoungPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: Too young?PODCI Adolescent Parent-Reported Version - Games Limited by: Too Young
PODCI251C136084PODCI2-Games Limited by: SeasonPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: Activity not in season?PODCI Adolescent Parent-Reported Version - Games Limited by: Season
PODCI252C136085PODCI2-Participate in Competitive SportsPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - Can your child participate in competitive level sports with other children the same age (For example: hockey, basketball, soccer, football, baseball, swimming, running [track or cross country], gymnastics, or dance)?PODCI Adolescent Parent-Reported Version - Participate in Competitive Sports
PODCI253C136086PODCI2-Comp Sports Limited by: PainPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: Pain?PODCI Adolescent Parent-Reported Version - Competitive Sports Limited by: Pain
PODCI254C136087PODCI2-Comp Sports Limited by: HealthPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: General health?PODCI Adolescent Parent-Reported Version - Competitive Sports Limited by: Health
PODCI255C136088PODCI2-Comp Sports Limited by: InstructPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: Doctor or parent instructions?PODCI Adolescent Parent-Reported Version - Competitive Sports Limited by: Instructions
PODCI256C136089PODCI2-Comp Sports Limited by: FearPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: Fear the other kids won't like him/her?PODCI Adolescent Parent-Reported Version - Competitive Sports Limited by: Fear
PODCI257C136090PODCI2-Comp Sports Limited by: DislikePediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: Dislike of pickup games or sports?PODCI Adolescent Parent-Reported Version - Competitive Sports Limited by: Dislike
PODCI258C136091PODCI2-Comp Sports Limited by: Too YoungPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: Too young?PODCI Adolescent Parent-Reported Version - Competitive Sports Limited by: Too Young
PODCI259C136092PODCI2-Comp Sports Limited by: SeasonPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: Activity not in season?PODCI Adolescent Parent-Reported Version - Competitive Sports Limited by: Season
PODCI260C136093PODCI2-Get Together With FriendsPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - How often in the last week did your child get together and do things with friends?PODCI Adolescent Parent-Reported Version - Get Together With Friends
PODCI261C136094PODCI2-Friends Limited by: PainPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 60 above, was your child's activity limited by: Pain?PODCI Adolescent Parent-Reported Version - Friends Limited by: Pain
PODCI262C136095PODCI2-Friends Limited by: HealthPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 60 above, was your child's activity limited by: General health?PODCI Adolescent Parent-Reported Version - Friends Limited by: Health
PODCI263C136096PODCI2-Friends Limited by: InstructionsPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 60 above, was your child's activity limited by: Doctor or parent instructions?PODCI Adolescent Parent-Reported Version - Friends Limited by: Instructions
PODCI264C136097PODCI2-Friends Limited by: FearPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 60 above, was your child's activity limited by: Fear the other kids won't like him/her?PODCI Adolescent Parent-Reported Version - Friends Limited by: Fear
PODCI265C136098PODCI2-Friends Limited by: Not AroundPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 60 above, was your child's activity limited by: Friends not around?PODCI Adolescent Parent-Reported Version - Friends Limited by: Not Around
PODCI266C136099PODCI2-Participate in Gym/RecessPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - How often in the last week did your child participate in gym/recess?PODCI Adolescent Parent-Reported Version - Participate in Gym or Recess
PODCI267C136100PODCI2-Gym Limited by: PainPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: Pain?PODCI Adolescent Parent-Reported Version - Gym Limited by: Pain
PODCI268C136101PODCI2-Gym Limited by: HealthPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: General health?PODCI Adolescent Parent-Reported Version - Gym Limited by: Health
PODCI269C136102PODCI2-Gym Limited by: InstructionsPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: Doctor or parent instructions?PODCI Adolescent Parent-Reported Version - Gym Limited by: Instructions
PODCI270C136103PODCI2-Gym Limited by: FearPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: Fear the other kids won't like him/her?PODCI Adolescent Parent-Reported Version - Gym Limited by: Fear
PODCI271C136104PODCI2-Gym Limited by: DislikePediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: Dislike of gym/recess?PODCI Adolescent Parent-Reported Version - Gym Limited by: Dislike
PODCI272C136105PODCI2-Gym Limited by: Not in SessionPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: School not in session?PODCI Adolescent Parent-Reported Version - Gym Limited by: Not in Session
PODCI273C136106PODCI2-Gym Limited by: Not Attend SchoolPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: Does not attend school?PODCI Adolescent Parent-Reported Version - Gym Limited by: Not Attend School
PODCI274C136107PODCI2-Easy to Make FriendsPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - Is it easy or hard for your child to make friends with children his/her own age?PODCI Adolescent Parent-Reported Version - Easy to Make Friends
PODCI275C136108PODCI2-Pain During the Last WeekPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - How much pain has your child had during the last week?PODCI Adolescent Parent-Reported Version - Pain During the Last Week
PODCI276C136109PODCI2-Pain Interfere With ActivitiesPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, how much did pain interfere with your child's normal activities (including at home, outside of the home, and at school)?PODCI Adolescent Parent-Reported Version - Pain Interfere With Activities
PODCI277C136110PODCI2-Have Pain ReliefPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - As a result of my child's treatment, I expect my child: To have pain relief.PODCI Adolescent Parent-Reported Version - Have Pain Relief
PODCI278C136111PODCI2-Look BetterPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - As a result of my child's treatment, I expect my child: To look better.PODCI Adolescent Parent-Reported Version - Look Better
PODCI279C136112PODCI2-Feel BetterPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - As a result of my child's treatment, I expect my child: To feel better about himself/herself.PODCI Adolescent Parent-Reported Version - Feel Better
PODCI280C136113PODCI2-Sleep More ComfortablyPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - As a result of my child's treatment, I expect my child: To sleep more comfortably.PODCI Adolescent Parent-Reported Version - Sleep More Comfortably
PODCI281C136114PODCI2-Able to Do Activities at HomePediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - As a result of my child's treatment, I expect my child: To be able to do activities at home.PODCI Adolescent Parent-Reported Version - Able to Do Activities at Home
PODCI282C136115PODCI2-Able to Do More at SchoolPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - As a result of my child's treatment, I expect my child: To be able to do more at school.PODCI Adolescent Parent-Reported Version - Able to Do More at School
PODCI283C136116PODCI2-Able to Do More PlayPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - As a result of my child's treatment, I expect my child: To be able to do more play or recreational activities.PODCI Adolescent Parent-Reported Version - Able to Do More Play
PODCI284C136117PODCI2-Able to Do More SportsPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - As a result of my child's treatment, I expect my child: To be able to do more sports.PODCI Adolescent Parent-Reported Version - Able to Do More Sports
PODCI285C136118PODCI2-Free From Pain as AdultPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - As a result of my child's treatment, I expect my child: To be free from pain or disability as an adult.PODCI Adolescent Parent-Reported Version - Free From Pain as Adult
PODCI286C136119PODCI2-Spend Rest of Life With ConditionPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If your child had to spend the rest of his/her life with his/her bone and muscle condition as it is right now, how would you feel about it?PODCI Adolescent Parent-Reported Version - Spend Rest of Life With Condition
PODCI287C136120PODCI2-Up Extremity/Phys Function ScalePediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - Upper extremity and physical function core scale.PODCI Adolescent Parent-Reported Version - Upper Extremity and Physical Function Scale
PODCI288C136121PODCI2-Transfer/Basic Mobility ScalePediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - Transfer and basic mobility core scale.PODCI Adolescent Parent-Reported Version - Transfer and Basic Mobility Scale
PODCI289C136122PODCI2-Sports/Phys Function ScalePediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - Sports and physical functioning core scale.PODCI Adolescent Parent-Reported Version - Sports and Physical Function Scale
PODCI290C136123PODCI2-Pain/Comfort ScalePediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - Pain/comfort core scale.PODCI Adolescent Parent-Reported Version - Pain or Comfort Scale
PODCI291C136124PODCI2-Happiness ScalePediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - Happiness core scale.PODCI Adolescent Parent-Reported Version - Happiness Scale
PODCI292C136125PODCI2-Global Functioning ScalePediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - Global functioning scale.PODCI Adolescent Parent-Reported Version - Global Functioning Scale
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CL.C135695.PODCI2TNPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported Version Questionnaire Test Name
(PODCI2TN)
text
Extensible: No
C135695Pediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported Version Questionnaire Test NamePediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported Version test name.CDISC Questionnaire PODCI Adolescent Parent-Reported Version Test Name Terminology
PODCI2-Ability Do Same Things Friends DoC136046PODCI2-Ability Do Same Things Friends DoPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, how happy has your child been with: His/her ability to do the same things his/her friends do?PODCI Adolescent Parent-Reported Version - Ability Do Same Things Friends Do
PODCI2-Able to Do Activities at HomeC136114PODCI2-Able to Do Activities at HomePediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - As a result of my child's treatment, I expect my child: To be able to do activities at home.PODCI Adolescent Parent-Reported Version - Able to Do Activities at Home
PODCI2-Able to Do More at SchoolC136115PODCI2-Able to Do More at SchoolPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - As a result of my child's treatment, I expect my child: To be able to do more at school.PODCI Adolescent Parent-Reported Version - Able to Do More at School
PODCI2-Able to Do More PlayC136116PODCI2-Able to Do More PlayPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - As a result of my child's treatment, I expect my child: To be able to do more play or recreational activities.PODCI Adolescent Parent-Reported Version - Able to Do More Play
PODCI2-Able to Do More SportsC136117PODCI2-Able to Do More SportsPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - As a result of my child's treatment, I expect my child: To be able to do more sports.PODCI Adolescent Parent-Reported Version - Able to Do More Sports
PODCI2-Bend Over and Pick Up SomethingC136066PODCI2-Bend Over and Pick Up SomethingPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Bend over from a standing position and pick up something off the floor?PODCI Adolescent Parent-Reported Version - Bend Over and Pick Up Something
PODCI2-Bicycle or TricycleC136052PODCI2-Bicycle or TricyclePediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Bicycle or tricycle?PODCI Adolescent Parent-Reported Version - Bicycle or Tricycle
PODCI2-Button ButtonsC136039PODCI2-Button ButtonsPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, was it easy or hard for your child to: Button buttons?PODCI Adolescent Parent-Reported Version - Button Buttons
PODCI2-Climb One Flight of StairsC136054PODCI2-Climb One Flight of StairsPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Climb one flight of stairs?PODCI Adolescent Parent-Reported Version - Climb One Flight of Stairs
PODCI2-Climb Three Flights of StairsC136053PODCI2-Climb Three Flights of StairsPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Climb three flights of stairs?PODCI Adolescent Parent-Reported Version - Climb Three Flights of Stairs
PODCI2-Comb His/Her HairC136038PODCI2-Comb His/Her HairPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, was it easy or hard for your child to: Comb his/her hair?PODCI Adolescent Parent-Reported Version - Comb His or Her Hair
PODCI2-Comp Sports Limited by: DislikeC136090PODCI2-Comp Sports Limited by: DislikePediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: Dislike of pickup games or sports?PODCI Adolescent Parent-Reported Version - Competitive Sports Limited by: Dislike
PODCI2-Comp Sports Limited by: FearC136089PODCI2-Comp Sports Limited by: FearPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: Fear the other kids won't like him/her?PODCI Adolescent Parent-Reported Version - Competitive Sports Limited by: Fear
PODCI2-Comp Sports Limited by: HealthC136087PODCI2-Comp Sports Limited by: HealthPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: General health?PODCI Adolescent Parent-Reported Version - Competitive Sports Limited by: Health
PODCI2-Comp Sports Limited by: InstructC136088PODCI2-Comp Sports Limited by: InstructPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: Doctor or parent instructions?PODCI Adolescent Parent-Reported Version - Competitive Sports Limited by: Instructions
PODCI2-Comp Sports Limited by: PainC136086PODCI2-Comp Sports Limited by: PainPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: Pain?PODCI Adolescent Parent-Reported Version - Competitive Sports Limited by: Pain
PODCI2-Comp Sports Limited by: SeasonC136092PODCI2-Comp Sports Limited by: SeasonPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: Activity not in season?PODCI Adolescent Parent-Reported Version - Competitive Sports Limited by: Season
PODCI2-Comp Sports Limited by: Too YoungC136091PODCI2-Comp Sports Limited by: Too YoungPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: Too young?PODCI Adolescent Parent-Reported Version - Competitive Sports Limited by: Too Young
PODCI2-Easy to Make FriendsC136107PODCI2-Easy to Make FriendsPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - Is it easy or hard for your child to make friends with children his/her own age?PODCI Adolescent Parent-Reported Version - Easy to Make Friends
PODCI2-Feel BetterC136112PODCI2-Feel BetterPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - As a result of my child's treatment, I expect my child: To feel better about himself/herself.PODCI Adolescent Parent-Reported Version - Feel Better
PODCI2-Feel Sick and TiredC136048PODCI2-Feel Sick and TiredPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, how much of the time: Did your child feel sick and tired?PODCI Adolescent Parent-Reported Version - Feel Sick and Tired
PODCI2-Free From Pain as AdultC136118PODCI2-Free From Pain as AdultPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - As a result of my child's treatment, I expect my child: To be free from pain or disability as an adult.PODCI Adolescent Parent-Reported Version - Free From Pain as Adult
PODCI2-Friends Limited by: FearC136097PODCI2-Friends Limited by: FearPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 60 above, was your child's activity limited by: Fear the other kids won't like him/her?PODCI Adolescent Parent-Reported Version - Friends Limited by: Fear
PODCI2-Friends Limited by: HealthC136095PODCI2-Friends Limited by: HealthPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 60 above, was your child's activity limited by: General health?PODCI Adolescent Parent-Reported Version - Friends Limited by: Health
PODCI2-Friends Limited by: InstructionsC136096PODCI2-Friends Limited by: InstructionsPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 60 above, was your child's activity limited by: Doctor or parent instructions?PODCI Adolescent Parent-Reported Version - Friends Limited by: Instructions
PODCI2-Friends Limited by: Not AroundC136098PODCI2-Friends Limited by: Not AroundPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 60 above, was your child's activity limited by: Friends not around?PODCI Adolescent Parent-Reported Version - Friends Limited by: Not Around
PODCI2-Friends Limited by: PainC136094PODCI2-Friends Limited by: PainPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 60 above, was your child's activity limited by: Pain?PODCI Adolescent Parent-Reported Version - Friends Limited by: Pain
PODCI2-Full of Pep and EnergyC136049PODCI2-Full of Pep and EnergyPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, how much of the time: Were your child full of pep and energy?PODCI Adolescent Parent-Reported Version - Full of Pep and Energy
PODCI2-Games Limited by: DislikeC136082PODCI2-Games Limited by: DislikePediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: Dislike of pickup games or sports?PODCI Adolescent Parent-Reported Version - Games Limited by: Dislike
PODCI2-Games Limited by: FearC136081PODCI2-Games Limited by: FearPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: Fear the other kids won't like him/her?PODCI Adolescent Parent-Reported Version - Games Limited by: Fear
PODCI2-Games Limited by: HealthC136079PODCI2-Games Limited by: HealthPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: General health?PODCI Adolescent Parent-Reported Version - Games Limited by: Health
PODCI2-Games Limited by: InstructionsC136080PODCI2-Games Limited by: InstructionsPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: Doctor or parent instructions?PODCI Adolescent Parent-Reported Version - Games Limited by: Instructions
PODCI2-Games Limited by: PainC136078PODCI2-Games Limited by: PainPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: Pain?PODCI Adolescent Parent-Reported Version - Games Limited by: Pain
PODCI2-Games Limited by: SeasonC136084PODCI2-Games Limited by: SeasonPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: Activity not in season?PODCI Adolescent Parent-Reported Version - Games Limited by: Season
PODCI2-Games Limited by: Too YoungC136083PODCI2-Games Limited by: Too YoungPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: Too young?PODCI Adolescent Parent-Reported Version - Games Limited by: Too Young
PODCI2-Get In and Out of BedC136064PODCI2-Get In and Out of BedPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Get in and out of bed?PODCI Adolescent Parent-Reported Version - Get In and Out of Bed
PODCI2-Get On and Off a BusC136058PODCI2-Get On and Off a BusPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Get on and off a bus?PODCI Adolescent Parent-Reported Version - Get On and Off a Bus
PODCI2-Get On and Off a Toilet or ChairC136063PODCI2-Get On and Off a Toilet or ChairPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Get on and off a toilet or chair?PODCI Adolescent Parent-Reported Version - Get On and Off a Toilet or Chair
PODCI2-Get Together With FriendsC136093PODCI2-Get Together With FriendsPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - How often in the last week did your child get together and do things with friends?PODCI Adolescent Parent-Reported Version - Get Together With Friends
PODCI2-Global Functioning ScaleC136125PODCI2-Global Functioning ScalePediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - Global functioning scale.PODCI Adolescent Parent-Reported Version - Global Functioning Scale
PODCI2-Gym Limited by: DislikeC136104PODCI2-Gym Limited by: DislikePediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: Dislike of gym/recess?PODCI Adolescent Parent-Reported Version - Gym Limited by: Dislike
PODCI2-Gym Limited by: FearC136103PODCI2-Gym Limited by: FearPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: Fear the other kids won't like him/her?PODCI Adolescent Parent-Reported Version - Gym Limited by: Fear
PODCI2-Gym Limited by: HealthC136101PODCI2-Gym Limited by: HealthPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: General health?PODCI Adolescent Parent-Reported Version - Gym Limited by: Health
PODCI2-Gym Limited by: InstructionsC136102PODCI2-Gym Limited by: InstructionsPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: Doctor or parent instructions?PODCI Adolescent Parent-Reported Version - Gym Limited by: Instructions
PODCI2-Gym Limited by: Not Attend SchoolC136106PODCI2-Gym Limited by: Not Attend SchoolPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: Does not attend school?PODCI Adolescent Parent-Reported Version - Gym Limited by: Not Attend School
PODCI2-Gym Limited by: Not in SessionC136105PODCI2-Gym Limited by: Not in SessionPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: School not in session?PODCI Adolescent Parent-Reported Version - Gym Limited by: Not in Session
PODCI2-Gym Limited by: PainC136100PODCI2-Gym Limited by: PainPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: Pain?PODCI Adolescent Parent-Reported Version - Gym Limited by: Pain
PODCI2-Happiness ScaleC136124PODCI2-Happiness ScalePediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - Happiness core scale.PODCI Adolescent Parent-Reported Version - Happiness Scale
PODCI2-Have Pain ReliefC136110PODCI2-Have Pain ReliefPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - As a result of my child's treatment, I expect my child: To have pain relief.PODCI Adolescent Parent-Reported Version - Have Pain Relief
PODCI2-His/Her BodyC136044PODCI2-His/Her BodyPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, how happy has your child been with: His/her body?PODCI Adolescent Parent-Reported Version - His or Her Body
PODCI2-His/Her Health in GeneralC136047PODCI2-His/Her Health in GeneralPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, how happy has your child been with: His/her health in general?PODCI Adolescent Parent-Reported Version - His or Her Health in General
PODCI2-How He/She LooksC136043PODCI2-How He/She LooksPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, how happy has your child been with: How he/she looks?PODCI Adolescent Parent-Reported Version - How He or She Looks
PODCI2-Lift Heavy BooksC136034PODCI2-Lift Heavy BooksPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, was it easy or hard for your child to: Lift heavy books?PODCI Adolescent Parent-Reported Version - Lift Heavy Books
PODCI2-Look BetterC136111PODCI2-Look BetterPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - As a result of my child's treatment, I expect my child: To look better.PODCI Adolescent Parent-Reported Version - Look Better
PODCI2-Miss School Because of HealthC136042PODCI2-Miss School Because of HealthPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - On average, over the last 12 months, how often did your child miss school (camp, etc.) because of his/her health?PODCI Adolescent Parent-Reported Version - Miss School Because of Health
PODCI2-Need Help Sitting and StandingC136067PODCI2-Need Help Sitting and StandingPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - How often does your child need help from another person for sitting and standing?PODCI Adolescent Parent-Reported Version - Need Help Sitting and Standing
PODCI2-Need Help Walking and ClimbingC136059PODCI2-Need Help Walking and ClimbingPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - How often does your child need help from another person for walking and climbing?PODCI Adolescent Parent-Reported Version - Need Help Walking and Climbing
PODCI2-Open a Jar Been Opened BeforeC136036PODCI2-Open a Jar Been Opened BeforePediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, was it easy or hard for your child to: Open a jar that has been opened before?PODCI Adolescent Parent-Reported Version - Open a Jar Been Opened Before
PODCI2-Outdoor Limited by: DislikeC136074PODCI2-Outdoor Limited by: DislikePediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: Dislike of recreational outdoor activities?PODCI Adolescent Parent-Reported Version - Outdoor Limited by: Dislike
PODCI2-Outdoor Limited by: FearC136073PODCI2-Outdoor Limited by: FearPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: Fear the other kids won't like him/her?PODCI Adolescent Parent-Reported Version - Outdoor Limited by: Fear
PODCI2-Outdoor Limited by: HealthC136071PODCI2-Outdoor Limited by: HealthPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: General health?PODCI Adolescent Parent-Reported Version - Outdoor Limited by: Health
PODCI2-Outdoor Limited by: InstructionsC136072PODCI2-Outdoor Limited by: InstructionsPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: Doctor or parent instructions?PODCI Adolescent Parent-Reported Version - Outdoor Limited by: Instructions
PODCI2-Outdoor Limited by: PainC136070PODCI2-Outdoor Limited by: PainPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: Pain?PODCI Adolescent Parent-Reported Version - Outdoor Limited by: Pain
PODCI2-Outdoor Limited by: SeasonC136076PODCI2-Outdoor Limited by: SeasonPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: Activity not in season?PODCI Adolescent Parent-Reported Version - Outdoor Limited by: Season
PODCI2-Outdoor Limited by: Too YoungC136075PODCI2-Outdoor Limited by: Too YoungPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: Too young?PODCI Adolescent Parent-Reported Version - Outdoor Limited by: Too Young
PODCI2-Pain During the Last WeekC136108PODCI2-Pain During the Last WeekPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - How much pain has your child had during the last week?PODCI Adolescent Parent-Reported Version - Pain During the Last Week
PODCI2-Pain Interfere With ActivitiesC136109PODCI2-Pain Interfere With ActivitiesPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, how much did pain interfere with your child's normal activities (including at home, outside of the home, and at school)?PODCI Adolescent Parent-Reported Version - Pain Interfere With Activities
PODCI2-Pain/Comfort ScaleC136123PODCI2-Pain/Comfort ScalePediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - Pain/comfort core scale.PODCI Adolescent Parent-Reported Version - Pain or Comfort Scale
PODCI2-Pain/Discom Inter With ActivitiesC136050PODCI2-Pain/Discom Inter With ActivitiesPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, how much of the time: Did pain or discomfort interfere with your child's activities?PODCI Adolescent Parent-Reported Version - Pain or Discomfort Interfere With Activities
PODCI2-Participate in Competitive SportsC136085PODCI2-Participate in Competitive SportsPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - Can your child participate in competitive level sports with other children the same age (For example: hockey, basketball, soccer, football, baseball, swimming, running [track or cross country], gymnastics, or dance)?PODCI Adolescent Parent-Reported Version - Participate in Competitive Sports
PODCI2-Participate in Gym/RecessC136099PODCI2-Participate in Gym/RecessPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - How often in the last week did your child participate in gym/recess?PODCI Adolescent Parent-Reported Version - Participate in Gym or Recess
PODCI2-Participate in Outdoor ActivitiesC136069PODCI2-Participate in Outdoor ActivitiesPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - Can your child participate in recreational outdoor activities with other children the same age (For example: bicycling, skating, hiking, jogging)?PODCI Adolescent Parent-Reported Version - Participate in Outdoor Activities
PODCI2-Participate in Pickup GamesC136077PODCI2-Participate in Pickup GamesPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - Can your child participate in pickup games or sports with other children the same age (For example: tag, dodge ball, basketball, softball, soccer, catch, jump rope, touch football, hop scotch)?PODCI Adolescent Parent-Reported Version - Participate in Pickup Games
PODCI2-Pour a Half Gallon of MilkC136035PODCI2-Pour a Half Gallon of MilkPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, was it easy or hard for your child to: Pour a half gallon of milk?PODCI Adolescent Parent-Reported Version - Pour a Half Gallon of Milk
PODCI2-Put on His/Her CoatC136040PODCI2-Put on His/Her CoatPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, was it easy or hard for your child to: Put on his/her coat?PODCI Adolescent Parent-Reported Version - Put on His or Her Coat
PODCI2-Run Short DistancesC136051PODCI2-Run Short DistancesPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Run short distances?PODCI Adolescent Parent-Reported Version - Run Short Distances
PODCI2-Sit in Chair Without Holding OnC136062PODCI2-Sit in Chair Without Holding OnPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Sit in a regular chair without holding on?PODCI Adolescent Parent-Reported Version - Sit in Chair Without Holding On
PODCI2-Sleep More ComfortablyC136113PODCI2-Sleep More ComfortablyPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - As a result of my child's treatment, I expect my child: To sleep more comfortably.PODCI Adolescent Parent-Reported Version - Sleep More Comfortably
PODCI2-Spend Rest of Life With ConditionC136119PODCI2-Spend Rest of Life With ConditionPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - If your child had to spend the rest of his/her life with his/her bone and muscle condition as it is right now, how would you feel about it?PODCI Adolescent Parent-Reported Version - Spend Rest of Life With Condition
PODCI2-Sports/Phys Function ScaleC136122PODCI2-Sports/Phys Function ScalePediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - Sports and physical functioning core scale.PODCI Adolescent Parent-Reported Version - Sports and Physical Function Scale
PODCI2-Stand Washing Hands at a SinkC136061PODCI2-Stand Washing Hands at a SinkPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Stand while washing his/her hands and face at a sink?PODCI Adolescent Parent-Reported Version - Stand Washing Hands at a Sink
PODCI2-Transfer/Basic Mobility ScaleC136121PODCI2-Transfer/Basic Mobility ScalePediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - Transfer and basic mobility core scale.PODCI Adolescent Parent-Reported Version - Transfer and Basic Mobility Scale
PODCI2-Turn Door KnobsC136065PODCI2-Turn Door KnobsPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Turn door knobs?PODCI Adolescent Parent-Reported Version - Turn Door Knobs
PODCI2-Up Extremity/Phys Function ScaleC136120PODCI2-Up Extremity/Phys Function ScalePediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - Upper extremity and physical function core scale.PODCI Adolescent Parent-Reported Version - Upper Extremity and Physical Function Scale
PODCI2-Use a Fork and SpoonC136037PODCI2-Use a Fork and SpoonPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, was it easy or hard for your child to: Use a fork and spoon?PODCI Adolescent Parent-Reported Version - Use a Fork and Spoon
PODCI2-Use Assistive Devices for SittingC136068PODCI2-Use Assistive Devices for SittingPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - How often does your child use assistive devices (such as braces, crutches, or wheelchair) for sitting and standing?PODCI Adolescent Parent-Reported Version - Use Assistive Devices for Sitting
PODCI2-Use Assistive Devices for WalkingC136060PODCI2-Use Assistive Devices for WalkingPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - How often does your child use assistive devices (such as braces, crutches, or wheelchair) for walking and climbing?PODCI Adolescent Parent-Reported Version - Use Assistive Devices for Walking
PODCI2-Walk More Than a MileC136055PODCI2-Walk More Than a MilePediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Walk more than a mile?PODCI Adolescent Parent-Reported Version - Walk More Than a Mile
PODCI2-Walk One BlockC136057PODCI2-Walk One BlockPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Walk one block?PODCI Adolescent Parent-Reported Version - Walk One Block
PODCI2-Walk Three BlocksC136056PODCI2-Walk Three BlocksPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, has it been easy or hard for your child to: Walk three blocks?PODCI Adolescent Parent-Reported Version - Walk Three Blocks
PODCI2-What Clothes/Shoes He/She WearC136045PODCI2-What Clothes/Shoes He/She WearPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, how happy has your child been with: What clothes or shoes he/she can wear?PODCI Adolescent Parent-Reported Version - What Clothes or Shoes He or She Wear
PODCI2-Write With a PencilC136041PODCI2-Write With a PencilPediatric Outcomes Data Collection Instrument, Adolescent Parent-Reported - During the last week, was it easy or hard for your child to: Write with a pencil?PODCI Adolescent Parent-Reported Version - Write With a Pencil
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CL.C135698.PODCI3TCPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported Version Questionnaire Test Code
(PODCI3TC)
text
Extensible: No
C135698Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported Version Questionnaire Test CodePediatric Outcomes Data Collection Instrument, Adolescent Self-Reported Version test code.CDISC Questionnaire PODCI Adolescent Self-Reported Version Test Code Terminology
PODCI301C136126PODCI3-Lift Heavy BooksPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, was it easy or hard for you to: Lift heavy books?PODCI Adolescent Self-Reported Version - Lift Heavy Books
PODCI302C136127PODCI3-Pour a Half Gallon of MilkPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, was it easy or hard for you to: Pour a half gallon of milk?PODCI Adolescent Self-Reported Version - Pour a Half Gallon of Milk
PODCI303C136128PODCI3-Open a Jar Been Opened BeforePediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, was it easy or hard for you to: Open a jar that has been opened before?PODCI Adolescent Self-Reported Version - Open a Jar Been Opened Before
PODCI304C136129PODCI3-Use a Fork and SpoonPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, was it easy or hard for you to: Use a fork and spoon?PODCI Adolescent Self-Reported Version - Use a Fork and Spoon
PODCI305C136130PODCI3-Comb Your HairPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, was it easy or hard for you to: Comb your hair?PODCI Adolescent Self-Reported Version - Comb Your Hair
PODCI306C136131PODCI3-Button ButtonsPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, was it easy or hard for you to: Button buttons?PODCI Adolescent Self-Reported Version - Button Buttons
PODCI307C136132PODCI3-Put on Your CoatPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, was it easy or hard for you to: Put on your coat?PODCI Adolescent Self-Reported Version - Put on Your Coat
PODCI308C136133PODCI3-Write With a PencilPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, was it easy or hard for you to: Write with a pencil?PODCI Adolescent Self-Reported Version - Write With a Pencil
PODCI309C136134PODCI3-Miss School Because of HealthPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - On average, over the last 12 months, how often did you miss school (camp, etc.) because of your health?PODCI Adolescent Self-Reported Version - Miss School Because of Health
PODCI310C136135PODCI3-How You LookPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, how happy have you been with: How you look?PODCI Adolescent Self-Reported Version - How You Look
PODCI311C136136PODCI3-Your BodyPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, how happy have you been with: Your body?PODCI Adolescent Self-Reported Version - Your Body
PODCI312C136137PODCI3-What Clothes/Shoes You Can WearPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, how happy have you been with: What clothes or shoes you can wear?PODCI Adolescent Self-Reported Version - What Clothes or Shoes You Can Wear
PODCI313C136138PODCI3-Ability Do Same Things Friends DoPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, how happy have you been with: Your ability to do the same things your friends do?PODCI Adolescent Self-Reported Version - Ability Do Same Things Friends Do
PODCI314C136139PODCI3-Your Health in GeneralPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, how happy have you been with: Your health in general?PODCI Adolescent Self-Reported Version - Your Health in General
PODCI315C136140PODCI3-Feel Sick and TiredPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, how much of the time: Did you feel sick and tired?PODCI Adolescent Self-Reported Version - Feel Sick and Tired
PODCI316C136141PODCI3-Full of Pep and EnergyPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, how much of the time: Were you full of pep and energy?PODCI Adolescent Self-Reported Version - Full of Pep and Energy
PODCI317C136142PODCI3-Pain/Discom Inter With ActivitiesPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, how much of the time: Did pain or discomfort interfere with your activities?PODCI Adolescent Self-Reported Version - Pain or Discomfort Interfere With Activities
PODCI318C136143PODCI3-Run Short DistancesPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Run short distances?PODCI Adolescent Self-Reported Version - Run Short Distances
PODCI319C136144PODCI3-Bicycle or TricyclePediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Bicycle or tricycle?PODCI Adolescent Self-Reported Version - Bicycle or Tricycle
PODCI320C136145PODCI3-Climb Three Flights of StairsPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Climb three flights of stairs?PODCI Adolescent Self-Reported Version - Climb Three Flights of Stairs
PODCI321C136146PODCI3-Climb One Flight of StairsPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Climb one flight of stairs?PODCI Adolescent Self-Reported Version - Climb One Flight of Stairs
PODCI322C136147PODCI3-Walk More Than a MilePediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Walk more than a mile?PODCI Adolescent Self-Reported Version - Walk More Than a Mile
PODCI323C136148PODCI3-Walk Three BlocksPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Walk three blocks?PODCI Adolescent Self-Reported Version - Walk Three Blocks
PODCI324C136149PODCI3-Walk One BlockPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Walk one block?PODCI Adolescent Self-Reported Version - Walk One Block
PODCI325C136150PODCI3-Get On and Off a BusPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Get on and off a bus?PODCI Adolescent Self-Reported Version - Get On and Off a Bus
PODCI326C136151PODCI3-Need Help Walking and ClimbingPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - How often do you need help from another person for walking and climbing?PODCI Adolescent Self-Reported Version - Need Help Walking and Climbing
PODCI327C136152PODCI3-Use Assistive Devices for WalkingPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - How often do you use assistive devices (such as braces, crutches, or wheelchair) for walking and climbing?PODCI Adolescent Self-Reported Version - Use Assistive Devices for Walking
PODCI328C136153PODCI3-Stand Washing Hands at a SinkPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Stand while washing your hands and face at a sink?PODCI Adolescent Self-Reported Version - Stand Washing Hands at a Sink
PODCI329C136154PODCI3-Sit in Chair Without Holding OnPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Sit in a regular chair without holding on?PODCI Adolescent Self-Reported Version - Sit in Chair Without Holding On
PODCI330C136155PODCI3-Get On and Off a Toilet or ChairPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Get on and off a toilet or chair?PODCI Adolescent Self-Reported Version - Get On and Off a Toilet or Chair
PODCI331C136156PODCI3-Get In and Out of BedPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Get in and out of bed?PODCI Adolescent Self-Reported Version - Get In and Out of Bed
PODCI332C136157PODCI3-Turn Door KnobsPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Turn door knobs?PODCI Adolescent Self-Reported Version - Turn Door Knobs
PODCI333C136158PODCI3-Bend Over and Pick Up SomethingPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Bend over from a standing position and pick up something off the floor?PODCI Adolescent Self-Reported Version - Bend Over and Pick Up Something
PODCI334C136159PODCI3-Need Help Sitting and StandingPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - How often do you need help from another person for sitting and standing?PODCI Adolescent Self-Reported Version - Need Help Sitting and Standing
PODCI335C136160PODCI3-Use Assistive Devices for SittingPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - How often do you use assistive devices (such as braces, crutches, or wheelchair) for sitting and standing?PODCI Adolescent Self-Reported Version - Use Assistive Devices for Sitting
PODCI336C136161PODCI3-Participate in Outdoor ActivitiesPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - Can you participate in recreational outdoor activities with other kids the same age (For example: bicycling, skating, hiking, jogging)?PODCI Adolescent Self-Reported Version - Participate in Outdoor Activities
PODCI337C136162PODCI3-Outdoor Limited by: PainPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 36 above, was your activity limited by: Pain?PODCI Adolescent Self-Reported Version - Outdoor Limited by: Pain
PODCI338C136163PODCI3-Outdoor Limited by: HealthPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 36 above, was your activity limited by: General health?PODCI Adolescent Self-Reported Version - Outdoor Limited by: Health
PODCI339C136164PODCI3-Outdoor Limited by: InstructionsPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 36 above, was your activity limited by: Doctor or parent instructions?PODCI Adolescent Self-Reported Version - Outdoor Limited by: Instructions
PODCI340C136165PODCI3-Outdoor Limited by: FearPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 36 above, was your activity limited by: Fear the other kids won't like you?PODCI Adolescent Self-Reported Version - Outdoor Limited by: Fear
PODCI341C136166PODCI3-Outdoor Limited by: DislikePediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 36 above, was your activity limited by: Dislike of recreational outdoor activities?PODCI Adolescent Self-Reported Version - Outdoor Limited by: Dislike
PODCI342C136167PODCI3-Outdoor Limited by: SeasonPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 36 above, was your activity limited by: Activity not in season?PODCI Adolescent Self-Reported Version - Outdoor Limited by: Season
PODCI343C136168PODCI3-Participate in Pickup GamesPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - Can you participate in pickup games or sports with other kids the same age (For example: tag, dodge ball, basketball, softball, soccer, catch, jump rope, touch football, hop scotch)?PODCI Adolescent Self-Reported Version - Participate in Pickup Games
PODCI344C136169PODCI3-Games Limited by: PainPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 43 above, was your activity limited by: Pain?PODCI Adolescent Self-Reported Version - Games Limited by: Pain
PODCI345C136170PODCI3-Games Limited by: HealthPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 43 above, was your activity limited by: General health?PODCI Adolescent Self-Reported Version - Games Limited by: Health
PODCI346C136171PODCI3-Games Limited by: InstructionsPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 43 above, was your activity limited by: Doctor or parent instructions?PODCI Adolescent Self-Reported Version - Games Limited by: Instructions
PODCI347C136172PODCI3-Games Limited by: FearPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 43 above, was your activity limited by: Fear the other kids won't like you?PODCI Adolescent Self-Reported Version - Games Limited by: Fear
PODCI348C136173PODCI3-Games Limited by: DislikePediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 43 above, was your activity limited by: Dislike of pickup games or sports?PODCI Adolescent Self-Reported Version - Games Limited by: Dislike
PODCI349C136174PODCI3-Games Limited by: SeasonPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 43 above, was your activity limited by: Activity not in season?PODCI Adolescent Self-Reported Version - Games Limited by: Season
PODCI350C136175PODCI3-Participate in Competitive SportsPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - Can you participate in competitive level sports with other kids the same age (For example: hockey, basketball, soccer, football, baseball, swimming, running [track or cross country], gymnastics, or dance)?PODCI Adolescent Self-Reported Version - Participate in Competitive Sports
PODCI351C136176PODCI3-Comp Sports Limited by: PainPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 50 above, was your activity limited by: Pain?PODCI Adolescent Self-Reported Version - Competitive Sports Limited by: Pain
PODCI352C136177PODCI3-Comp Sports Limited by: HealthPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 50 above, was your activity limited by: General health?PODCI Adolescent Self-Reported Version - Competitive Sports Limited by: Health
PODCI353C136178PODCI3-Comp Sports Limited by: InstructPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 50 above, was your activity limited by: Doctor or parent instructions?PODCI Adolescent Self-Reported Version - Competitive Sports Limited by: Instructions
PODCI354C136179PODCI3-Comp Sports Limited by: FearPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 50 above, was your activity limited by: Fear the other kids won't like you?PODCI Adolescent Self-Reported Version - Competitive Sports Limited by: Fear
PODCI355C136180PODCI3-Comp Sports Limited by: DislikePediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 50 above, was your activity limited by: Dislike of pickup games or sports?PODCI Adolescent Self-Reported Version - Competitive Sports Limited by: Dislike
PODCI356C136181PODCI3-Comp Sports Limited by: SeasonPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 50 above, was your activity limited by: Activity not in season?PODCI Adolescent Self-Reported Version - Competitive Sports Limited by: Season
PODCI357C136182PODCI3-Get Together With FriendsPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - How often in the last week did you get together and do things with friends?PODCI Adolescent Self-Reported Version - Get Together With Friends
PODCI358C136183PODCI3-Friends Limited by: PainPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "sometimes" or "never or rarely" to Question 57 above, was your activity limited by: Pain?PODCI Adolescent Self-Reported Version - Friends Limited by: Pain
PODCI359C136184PODCI3-Friends Limited by: HealthPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "sometimes" or "never or rarely" to Question 57 above, was your activity limited by: General health?PODCI Adolescent Self-Reported Version - Friends Limited by: Health
PODCI360C136185PODCI3-Friends Limited by: InstructionsPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "sometimes" or "never or rarely" to Question 57 above, was your activity limited by: Doctor or parent instructions?PODCI Adolescent Self-Reported Version - Friends Limited by: Instructions
PODCI361C136186PODCI3-Friends Limited by: FearPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "sometimes" or "never or rarely" to Question 57 above, was your activity limited by: Fear the other kids won't like you?PODCI Adolescent Self-Reported Version - Friends Limited by: Fear
PODCI362C136187PODCI3-Friends Limited by: Not AroundPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "sometimes" or "never or rarely" to Question 57 above, was your activity limited by: Friends not around?PODCI Adolescent Self-Reported Version - Friends Limited by: Not Around
PODCI363C136188PODCI3-Participate in Gym/RecessPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - How often in the last week did you participate in gym/recess?PODCI Adolescent Self-Reported Version - Participate in Gym or Recess
PODCI364C136189PODCI3-Gym Limited by: PainPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "sometimes" or "never or rarely" to Question 63 above, was your activity limited by: Pain?PODCI Adolescent Self-Reported Version - Gym Limited by: Pain
PODCI365C136190PODCI3-Gym Limited by: HealthPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "sometimes" or "never or rarely" to Question 63 above, was your activity limited by: General health?PODCI Adolescent Self-Reported Version - Gym Limited by: Health
PODCI366C136191PODCI3-Gym Limited by: InstructionsPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "sometimes" or "never or rarely" to Question 63 above, was your activity limited by: Doctor or parent instructions?PODCI Adolescent Self-Reported Version - Gym Limited by: Instructions
PODCI367C136192PODCI3-Gym Limited by: FearPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "sometimes" or "never or rarely" to Question 63 above, was your activity limited by: Fear the other kids won't like you?PODCI Adolescent Self-Reported Version - Gym Limited by: Fear
PODCI368C136193PODCI3-Gym Limited by: DislikePediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "sometimes" or "never or rarely" to Question 63 above, was your activity limited by: Dislike of gym/recess?PODCI Adolescent Self-Reported Version - Gym Limited by: Dislike
PODCI369C136194PODCI3-Gym Limited by: Not in SessionPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "sometimes" or "never or rarely" to Question 63 above, was your activity limited by: School not in session?PODCI Adolescent Self-Reported Version - Gym Limited by: Not in Session
PODCI370C136195PODCI3-Gym Limited by: Not Attend SchoolPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "sometimes" or "never or rarely" to Question 63 above, was your activity limited by: I don't attend school?PODCI Adolescent Self-Reported Version - Gym Limited by: Not Attend School
PODCI371C136196PODCI3-Easy to Make FriendsPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - Is it easy or hard for you to make friends with kids your own age?PODCI Adolescent Self-Reported Version - Easy to Make Friends
PODCI372C136197PODCI3-Pain During the Last WeekPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - How much pain have you had during the last week?PODCI Adolescent Self-Reported Version - Pain During the Last Week
PODCI373C136198PODCI3-Pain Interfere With ActivitiesPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, how much did pain interfere with your normal activities (including at home, outside of the home, and at school)?PODCI Adolescent Self-Reported Version - Pain Interfere With Activities
PODCI374C136199PODCI3-Have Pain ReliefPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - As a result of my treatment, I expect: To have pain relief.PODCI Adolescent Self-Reported Version - Have Pain Relief
PODCI375C136200PODCI3-Look BetterPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - As a result of my treatment, I expect: To look better.PODCI Adolescent Self-Reported Version - Look Better
PODCI376C136201PODCI3-Feel BetterPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - As a result of my treatment, I expect: To feel better about myself.PODCI Adolescent Self-Reported Version - Feel Better
PODCI377C136202PODCI3-Sleep More ComfortablyPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - As a result of my treatment, I expect: To sleep more comfortably.PODCI Adolescent Self-Reported Version - Sleep More Comfortably
PODCI378C136203PODCI3-Able to Do Activities at HomePediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - As a result of my treatment, I expect: To be able to do activities at home.PODCI Adolescent Self-Reported Version - Able to Do Activities at Home
PODCI379C136204PODCI3-Able to Do More at SchoolPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - As a result of my treatment, I expect: To be able to do more at school.PODCI Adolescent Self-Reported Version - Able to Do More at School
PODCI380C136205PODCI3-Able to Do More PlayPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - As a result of my treatment, I expect: To be able to do more play or recreational activities.PODCI Adolescent Self-Reported Version - Able to Do More Play
PODCI381C136206PODCI3-Able to Do More SportsPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - As a result of my treatment, I expect: To be able to do more sports.PODCI Adolescent Self-Reported Version - Able to Do More Sports
PODCI382C136207PODCI3-Free From Pain as AdultPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - As a result of my treatment, I expect: To be free from pain or disability as an adult.PODCI Adolescent Self-Reported Version - Free From Pain as Adult
PODCI383C136208PODCI3-Spend Rest of Life With ConditionPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you had to spend the rest of your life with your bone and muscle condition as it is right now, how would you feel about it?PODCI Adolescent Self-Reported Version - Spend Rest of Life With Condition
PODCI384C136209PODCI3-Up Extremity/Phys Function ScalePediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - Upper extremity and physical function core scale.PODCI Adolescent Self-Reported Version - Upper Extremity and Physical Function Scale
PODCI385C136210PODCI3-Transfer/Basic Mobility ScalePediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - Transfer and basic mobility core scale.PODCI Adolescent Self-Reported Version - Transfer and Basic Mobility Scale
PODCI386C136211PODCI3-Sports/Phys Function ScalePediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - Sports and physical functioning core scale.PODCI Adolescent Self-Reported Version - Sports and Physical Function Scale
PODCI387C136212PODCI3-Pain/Comfort ScalePediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - Pain/comfort core scale.PODCI Adolescent Self-Reported Version - Pain or Comfort Scale
PODCI388C136213PODCI3-Happiness ScalePediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - Happiness core scale.PODCI Adolescent Self-Reported Version - Happiness Scale
PODCI389C136214PODCI3-Global Functioning ScalePediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - Global functioning scale.PODCI Adolescent Self-Reported Version - Global Functioning Scale
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CL.C135697.PODCI3TNPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported Version Questionnaire Test Name
(PODCI3TN)
text
Extensible: No
C135697Pediatric Outcomes Data Collection Instrument, Adolescent Self-Reported Version Questionnaire Test NamePediatric Outcomes Data Collection Instrument, Adolescent Self-Reported Version test name.CDISC Questionnaire PODCI Adolescent Self-Reported Version Test Name Terminology
PODCI3-Ability Do Same Things Friends DoC136138PODCI3-Ability Do Same Things Friends DoPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, how happy have you been with: Your ability to do the same things your friends do?PODCI Adolescent Self-Reported Version - Ability Do Same Things Friends Do
PODCI3-Able to Do Activities at HomeC136203PODCI3-Able to Do Activities at HomePediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - As a result of my treatment, I expect: To be able to do activities at home.PODCI Adolescent Self-Reported Version - Able to Do Activities at Home
PODCI3-Able to Do More at SchoolC136204PODCI3-Able to Do More at SchoolPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - As a result of my treatment, I expect: To be able to do more at school.PODCI Adolescent Self-Reported Version - Able to Do More at School
PODCI3-Able to Do More PlayC136205PODCI3-Able to Do More PlayPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - As a result of my treatment, I expect: To be able to do more play or recreational activities.PODCI Adolescent Self-Reported Version - Able to Do More Play
PODCI3-Able to Do More SportsC136206PODCI3-Able to Do More SportsPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - As a result of my treatment, I expect: To be able to do more sports.PODCI Adolescent Self-Reported Version - Able to Do More Sports
PODCI3-Bend Over and Pick Up SomethingC136158PODCI3-Bend Over and Pick Up SomethingPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Bend over from a standing position and pick up something off the floor?PODCI Adolescent Self-Reported Version - Bend Over and Pick Up Something
PODCI3-Bicycle or TricycleC136144PODCI3-Bicycle or TricyclePediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Bicycle or tricycle?PODCI Adolescent Self-Reported Version - Bicycle or Tricycle
PODCI3-Button ButtonsC136131PODCI3-Button ButtonsPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, was it easy or hard for you to: Button buttons?PODCI Adolescent Self-Reported Version - Button Buttons
PODCI3-Climb One Flight of StairsC136146PODCI3-Climb One Flight of StairsPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Climb one flight of stairs?PODCI Adolescent Self-Reported Version - Climb One Flight of Stairs
PODCI3-Climb Three Flights of StairsC136145PODCI3-Climb Three Flights of StairsPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Climb three flights of stairs?PODCI Adolescent Self-Reported Version - Climb Three Flights of Stairs
PODCI3-Comb Your HairC136130PODCI3-Comb Your HairPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, was it easy or hard for you to: Comb your hair?PODCI Adolescent Self-Reported Version - Comb Your Hair
PODCI3-Comp Sports Limited by: DislikeC136180PODCI3-Comp Sports Limited by: DislikePediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 50 above, was your activity limited by: Dislike of pickup games or sports?PODCI Adolescent Self-Reported Version - Competitive Sports Limited by: Dislike
PODCI3-Comp Sports Limited by: FearC136179PODCI3-Comp Sports Limited by: FearPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 50 above, was your activity limited by: Fear the other kids won't like you?PODCI Adolescent Self-Reported Version - Competitive Sports Limited by: Fear
PODCI3-Comp Sports Limited by: HealthC136177PODCI3-Comp Sports Limited by: HealthPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 50 above, was your activity limited by: General health?PODCI Adolescent Self-Reported Version - Competitive Sports Limited by: Health
PODCI3-Comp Sports Limited by: InstructC136178PODCI3-Comp Sports Limited by: InstructPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 50 above, was your activity limited by: Doctor or parent instructions?PODCI Adolescent Self-Reported Version - Competitive Sports Limited by: Instructions
PODCI3-Comp Sports Limited by: PainC136176PODCI3-Comp Sports Limited by: PainPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 50 above, was your activity limited by: Pain?PODCI Adolescent Self-Reported Version - Competitive Sports Limited by: Pain
PODCI3-Comp Sports Limited by: SeasonC136181PODCI3-Comp Sports Limited by: SeasonPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 50 above, was your activity limited by: Activity not in season?PODCI Adolescent Self-Reported Version - Competitive Sports Limited by: Season
PODCI3-Easy to Make FriendsC136196PODCI3-Easy to Make FriendsPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - Is it easy or hard for you to make friends with kids your own age?PODCI Adolescent Self-Reported Version - Easy to Make Friends
PODCI3-Feel BetterC136201PODCI3-Feel BetterPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - As a result of my treatment, I expect: To feel better about myself.PODCI Adolescent Self-Reported Version - Feel Better
PODCI3-Feel Sick and TiredC136140PODCI3-Feel Sick and TiredPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, how much of the time: Did you feel sick and tired?PODCI Adolescent Self-Reported Version - Feel Sick and Tired
PODCI3-Free From Pain as AdultC136207PODCI3-Free From Pain as AdultPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - As a result of my treatment, I expect: To be free from pain or disability as an adult.PODCI Adolescent Self-Reported Version - Free From Pain as Adult
PODCI3-Friends Limited by: FearC136186PODCI3-Friends Limited by: FearPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "sometimes" or "never or rarely" to Question 57 above, was your activity limited by: Fear the other kids won't like you?PODCI Adolescent Self-Reported Version - Friends Limited by: Fear
PODCI3-Friends Limited by: HealthC136184PODCI3-Friends Limited by: HealthPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "sometimes" or "never or rarely" to Question 57 above, was your activity limited by: General health?PODCI Adolescent Self-Reported Version - Friends Limited by: Health
PODCI3-Friends Limited by: InstructionsC136185PODCI3-Friends Limited by: InstructionsPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "sometimes" or "never or rarely" to Question 57 above, was your activity limited by: Doctor or parent instructions?PODCI Adolescent Self-Reported Version - Friends Limited by: Instructions
PODCI3-Friends Limited by: Not AroundC136187PODCI3-Friends Limited by: Not AroundPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "sometimes" or "never or rarely" to Question 57 above, was your activity limited by: Friends not around?PODCI Adolescent Self-Reported Version - Friends Limited by: Not Around
PODCI3-Friends Limited by: PainC136183PODCI3-Friends Limited by: PainPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "sometimes" or "never or rarely" to Question 57 above, was your activity limited by: Pain?PODCI Adolescent Self-Reported Version - Friends Limited by: Pain
PODCI3-Full of Pep and EnergyC136141PODCI3-Full of Pep and EnergyPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, how much of the time: Were you full of pep and energy?PODCI Adolescent Self-Reported Version - Full of Pep and Energy
PODCI3-Games Limited by: DislikeC136173PODCI3-Games Limited by: DislikePediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 43 above, was your activity limited by: Dislike of pickup games or sports?PODCI Adolescent Self-Reported Version - Games Limited by: Dislike
PODCI3-Games Limited by: FearC136172PODCI3-Games Limited by: FearPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 43 above, was your activity limited by: Fear the other kids won't like you?PODCI Adolescent Self-Reported Version - Games Limited by: Fear
PODCI3-Games Limited by: HealthC136170PODCI3-Games Limited by: HealthPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 43 above, was your activity limited by: General health?PODCI Adolescent Self-Reported Version - Games Limited by: Health
PODCI3-Games Limited by: InstructionsC136171PODCI3-Games Limited by: InstructionsPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 43 above, was your activity limited by: Doctor or parent instructions?PODCI Adolescent Self-Reported Version - Games Limited by: Instructions
PODCI3-Games Limited by: PainC136169PODCI3-Games Limited by: PainPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 43 above, was your activity limited by: Pain?PODCI Adolescent Self-Reported Version - Games Limited by: Pain
PODCI3-Games Limited by: SeasonC136174PODCI3-Games Limited by: SeasonPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 43 above, was your activity limited by: Activity not in season?PODCI Adolescent Self-Reported Version - Games Limited by: Season
PODCI3-Get In and Out of BedC136156PODCI3-Get In and Out of BedPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Get in and out of bed?PODCI Adolescent Self-Reported Version - Get In and Out of Bed
PODCI3-Get On and Off a BusC136150PODCI3-Get On and Off a BusPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Get on and off a bus?PODCI Adolescent Self-Reported Version - Get On and Off a Bus
PODCI3-Get On and Off a Toilet or ChairC136155PODCI3-Get On and Off a Toilet or ChairPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Get on and off a toilet or chair?PODCI Adolescent Self-Reported Version - Get On and Off a Toilet or Chair
PODCI3-Get Together With FriendsC136182PODCI3-Get Together With FriendsPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - How often in the last week did you get together and do things with friends?PODCI Adolescent Self-Reported Version - Get Together With Friends
PODCI3-Global Functioning ScaleC136214PODCI3-Global Functioning ScalePediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - Global functioning scale.PODCI Adolescent Self-Reported Version - Global Functioning Scale
PODCI3-Gym Limited by: DislikeC136193PODCI3-Gym Limited by: DislikePediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "sometimes" or "never or rarely" to Question 63 above, was your activity limited by: Dislike of gym/recess?PODCI Adolescent Self-Reported Version - Gym Limited by: Dislike
PODCI3-Gym Limited by: FearC136192PODCI3-Gym Limited by: FearPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "sometimes" or "never or rarely" to Question 63 above, was your activity limited by: Fear the other kids won't like you?PODCI Adolescent Self-Reported Version - Gym Limited by: Fear
PODCI3-Gym Limited by: HealthC136190PODCI3-Gym Limited by: HealthPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "sometimes" or "never or rarely" to Question 63 above, was your activity limited by: General health?PODCI Adolescent Self-Reported Version - Gym Limited by: Health
PODCI3-Gym Limited by: InstructionsC136191PODCI3-Gym Limited by: InstructionsPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "sometimes" or "never or rarely" to Question 63 above, was your activity limited by: Doctor or parent instructions?PODCI Adolescent Self-Reported Version - Gym Limited by: Instructions
PODCI3-Gym Limited by: Not Attend SchoolC136195PODCI3-Gym Limited by: Not Attend SchoolPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "sometimes" or "never or rarely" to Question 63 above, was your activity limited by: I don't attend school?PODCI Adolescent Self-Reported Version - Gym Limited by: Not Attend School
PODCI3-Gym Limited by: Not in SessionC136194PODCI3-Gym Limited by: Not in SessionPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "sometimes" or "never or rarely" to Question 63 above, was your activity limited by: School not in session?PODCI Adolescent Self-Reported Version - Gym Limited by: Not in Session
PODCI3-Gym Limited by: PainC136189PODCI3-Gym Limited by: PainPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "sometimes" or "never or rarely" to Question 63 above, was your activity limited by: Pain?PODCI Adolescent Self-Reported Version - Gym Limited by: Pain
PODCI3-Happiness ScaleC136213PODCI3-Happiness ScalePediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - Happiness core scale.PODCI Adolescent Self-Reported Version - Happiness Scale
PODCI3-Have Pain ReliefC136199PODCI3-Have Pain ReliefPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - As a result of my treatment, I expect: To have pain relief.PODCI Adolescent Self-Reported Version - Have Pain Relief
PODCI3-How You LookC136135PODCI3-How You LookPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, how happy have you been with: How you look?PODCI Adolescent Self-Reported Version - How You Look
PODCI3-Lift Heavy BooksC136126PODCI3-Lift Heavy BooksPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, was it easy or hard for you to: Lift heavy books?PODCI Adolescent Self-Reported Version - Lift Heavy Books
PODCI3-Look BetterC136200PODCI3-Look BetterPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - As a result of my treatment, I expect: To look better.PODCI Adolescent Self-Reported Version - Look Better
PODCI3-Miss School Because of HealthC136134PODCI3-Miss School Because of HealthPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - On average, over the last 12 months, how often did you miss school (camp, etc.) because of your health?PODCI Adolescent Self-Reported Version - Miss School Because of Health
PODCI3-Need Help Sitting and StandingC136159PODCI3-Need Help Sitting and StandingPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - How often do you need help from another person for sitting and standing?PODCI Adolescent Self-Reported Version - Need Help Sitting and Standing
PODCI3-Need Help Walking and ClimbingC136151PODCI3-Need Help Walking and ClimbingPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - How often do you need help from another person for walking and climbing?PODCI Adolescent Self-Reported Version - Need Help Walking and Climbing
PODCI3-Open a Jar Been Opened BeforeC136128PODCI3-Open a Jar Been Opened BeforePediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, was it easy or hard for you to: Open a jar that has been opened before?PODCI Adolescent Self-Reported Version - Open a Jar Been Opened Before
PODCI3-Outdoor Limited by: DislikeC136166PODCI3-Outdoor Limited by: DislikePediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 36 above, was your activity limited by: Dislike of recreational outdoor activities?PODCI Adolescent Self-Reported Version - Outdoor Limited by: Dislike
PODCI3-Outdoor Limited by: FearC136165PODCI3-Outdoor Limited by: FearPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 36 above, was your activity limited by: Fear the other kids won't like you?PODCI Adolescent Self-Reported Version - Outdoor Limited by: Fear
PODCI3-Outdoor Limited by: HealthC136163PODCI3-Outdoor Limited by: HealthPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 36 above, was your activity limited by: General health?PODCI Adolescent Self-Reported Version - Outdoor Limited by: Health
PODCI3-Outdoor Limited by: InstructionsC136164PODCI3-Outdoor Limited by: InstructionsPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 36 above, was your activity limited by: Doctor or parent instructions?PODCI Adolescent Self-Reported Version - Outdoor Limited by: Instructions
PODCI3-Outdoor Limited by: PainC136162PODCI3-Outdoor Limited by: PainPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 36 above, was your activity limited by: Pain?PODCI Adolescent Self-Reported Version - Outdoor Limited by: Pain
PODCI3-Outdoor Limited by: SeasonC136167PODCI3-Outdoor Limited by: SeasonPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you answered "no" to Question 36 above, was your activity limited by: Activity not in season?PODCI Adolescent Self-Reported Version - Outdoor Limited by: Season
PODCI3-Pain During the Last WeekC136197PODCI3-Pain During the Last WeekPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - How much pain have you had during the last week?PODCI Adolescent Self-Reported Version - Pain During the Last Week
PODCI3-Pain Interfere With ActivitiesC136198PODCI3-Pain Interfere With ActivitiesPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, how much did pain interfere with your normal activities (including at home, outside of the home, and at school)?PODCI Adolescent Self-Reported Version - Pain Interfere With Activities
PODCI3-Pain/Comfort ScaleC136212PODCI3-Pain/Comfort ScalePediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - Pain/comfort core scale.PODCI Adolescent Self-Reported Version - Pain or Comfort Scale
PODCI3-Pain/Discom Inter With ActivitiesC136142PODCI3-Pain/Discom Inter With ActivitiesPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, how much of the time: Did pain or discomfort interfere with your activities?PODCI Adolescent Self-Reported Version - Pain or Discomfort Interfere With Activities
PODCI3-Participate in Competitive SportsC136175PODCI3-Participate in Competitive SportsPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - Can you participate in competitive level sports with other kids the same age (For example: hockey, basketball, soccer, football, baseball, swimming, running [track or cross country], gymnastics, or dance)?PODCI Adolescent Self-Reported Version - Participate in Competitive Sports
PODCI3-Participate in Gym/RecessC136188PODCI3-Participate in Gym/RecessPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - How often in the last week did you participate in gym/recess?PODCI Adolescent Self-Reported Version - Participate in Gym or Recess
PODCI3-Participate in Outdoor ActivitiesC136161PODCI3-Participate in Outdoor ActivitiesPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - Can you participate in recreational outdoor activities with other kids the same age (For example: bicycling, skating, hiking, jogging)?PODCI Adolescent Self-Reported Version - Participate in Outdoor Activities
PODCI3-Participate in Pickup GamesC136168PODCI3-Participate in Pickup GamesPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - Can you participate in pickup games or sports with other kids the same age (For example: tag, dodge ball, basketball, softball, soccer, catch, jump rope, touch football, hop scotch)?PODCI Adolescent Self-Reported Version - Participate in Pickup Games
PODCI3-Pour a Half Gallon of MilkC136127PODCI3-Pour a Half Gallon of MilkPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, was it easy or hard for you to: Pour a half gallon of milk?PODCI Adolescent Self-Reported Version - Pour a Half Gallon of Milk
PODCI3-Put on Your CoatC136132PODCI3-Put on Your CoatPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, was it easy or hard for you to: Put on your coat?PODCI Adolescent Self-Reported Version - Put on Your Coat
PODCI3-Run Short DistancesC136143PODCI3-Run Short DistancesPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Run short distances?PODCI Adolescent Self-Reported Version - Run Short Distances
PODCI3-Sit in Chair Without Holding OnC136154PODCI3-Sit in Chair Without Holding OnPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Sit in a regular chair without holding on?PODCI Adolescent Self-Reported Version - Sit in Chair Without Holding On
PODCI3-Sleep More ComfortablyC136202PODCI3-Sleep More ComfortablyPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - As a result of my treatment, I expect: To sleep more comfortably.PODCI Adolescent Self-Reported Version - Sleep More Comfortably
PODCI3-Spend Rest of Life With ConditionC136208PODCI3-Spend Rest of Life With ConditionPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - If you had to spend the rest of your life with your bone and muscle condition as it is right now, how would you feel about it?PODCI Adolescent Self-Reported Version - Spend Rest of Life With Condition
PODCI3-Sports/Phys Function ScaleC136211PODCI3-Sports/Phys Function ScalePediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - Sports and physical functioning core scale.PODCI Adolescent Self-Reported Version - Sports and Physical Function Scale
PODCI3-Stand Washing Hands at a SinkC136153PODCI3-Stand Washing Hands at a SinkPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Stand while washing your hands and face at a sink?PODCI Adolescent Self-Reported Version - Stand Washing Hands at a Sink
PODCI3-Transfer/Basic Mobility ScaleC136210PODCI3-Transfer/Basic Mobility ScalePediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - Transfer and basic mobility core scale.PODCI Adolescent Self-Reported Version - Transfer and Basic Mobility Scale
PODCI3-Turn Door KnobsC136157PODCI3-Turn Door KnobsPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Turn door knobs?PODCI Adolescent Self-Reported Version - Turn Door Knobs
PODCI3-Up Extremity/Phys Function ScaleC136209PODCI3-Up Extremity/Phys Function ScalePediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - Upper extremity and physical function core scale.PODCI Adolescent Self-Reported Version - Upper Extremity and Physical Function Scale
PODCI3-Use a Fork and SpoonC136129PODCI3-Use a Fork and SpoonPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, was it easy or hard for you to: Use a fork and spoon?PODCI Adolescent Self-Reported Version - Use a Fork and Spoon
PODCI3-Use Assistive Devices for SittingC136160PODCI3-Use Assistive Devices for SittingPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - How often do you use assistive devices (such as braces, crutches, or wheelchair) for sitting and standing?PODCI Adolescent Self-Reported Version - Use Assistive Devices for Sitting
PODCI3-Use Assistive Devices for WalkingC136152PODCI3-Use Assistive Devices for WalkingPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - How often do you use assistive devices (such as braces, crutches, or wheelchair) for walking and climbing?PODCI Adolescent Self-Reported Version - Use Assistive Devices for Walking
PODCI3-Walk More Than a MileC136147PODCI3-Walk More Than a MilePediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Walk more than a mile?PODCI Adolescent Self-Reported Version - Walk More Than a Mile
PODCI3-Walk One BlockC136149PODCI3-Walk One BlockPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Walk one block?PODCI Adolescent Self-Reported Version - Walk One Block
PODCI3-Walk Three BlocksC136148PODCI3-Walk Three BlocksPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, has it been easy or hard for you to: Walk three blocks?PODCI Adolescent Self-Reported Version - Walk Three Blocks
PODCI3-What Clothes/Shoes You Can WearC136137PODCI3-What Clothes/Shoes You Can WearPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, how happy have you been with: What clothes or shoes you can wear?PODCI Adolescent Self-Reported Version - What Clothes or Shoes You Can Wear
PODCI3-Write With a PencilC136133PODCI3-Write With a PencilPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, was it easy or hard for you to: Write with a pencil?PODCI Adolescent Self-Reported Version - Write With a Pencil
PODCI3-Your BodyC136136PODCI3-Your BodyPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, how happy have you been with: Your body?PODCI Adolescent Self-Reported Version - Your Body
PODCI3-Your Health in GeneralC136139PODCI3-Your Health in GeneralPediatric Outcomes Data Collection Instrument, Adolescent Self-Reported - During the last week, how happy have you been with: Your health in general?PODCI Adolescent Self-Reported Version - Your Health in General
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CL.C135694.PODCI1TCPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported Version Questionnaire Test Code
(PODCI1TC)
text
Extensible: No
C135694Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported Version Questionnaire Test CodePediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported Version test code.CDISC Questionnaire PODCI Pediatric Parent-Reported Version Test Code Terminology
PODCI101C135942PODCI1-Lift Heavy BooksPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, was it easy or hard for your child to: Lift heavy books?PODCI Pediatric Parent-Reported Version - Lift Heavy Books
PODCI102C135943PODCI1-Pour a Half Gallon of MilkPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, was it easy or hard for your child to: Pour a half gallon of milk?PODCI Pediatric Parent-Reported Version - Pour a Half Gallon of Milk
PODCI103C135944PODCI1-Open a Jar Been Opened BeforePediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, was it easy or hard for your child to: Open a jar that has been opened before?PODCI Pediatric Parent-Reported Version - Open a Jar Been Opened Before
PODCI104C135945PODCI1-Use a Fork and SpoonPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, was it easy or hard for your child to: Use a fork and spoon?PODCI Pediatric Parent-Reported Version - Use a Fork and Spoon
PODCI105C135946PODCI1-Comb His/Her HairPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, was it easy or hard for your child to: Comb his/her hair?PODCI Pediatric Parent-Reported Version - Comb His or Her Hair
PODCI106C135947PODCI1-Button ButtonsPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, was it easy or hard for your child to: Button buttons?PODCI Pediatric Parent-Reported Version - Button Buttons
PODCI107C135948PODCI1-Put on His/Her CoatPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, was it easy or hard for your child to: Put on his/her coat?PODCI Pediatric Parent-Reported Version - Put on His or Her Coat
PODCI108C135949PODCI1-Write With a PencilPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, was it easy or hard for your child to: Write with a pencil?PODCI Pediatric Parent-Reported Version - Write With a Pencil
PODCI109C135950PODCI1-Miss School Because of HealthPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - On average, over the last 12 months, how often did your child miss school (preschool, day care, camp, etc.) because of his/her health?PODCI Pediatric Parent-Reported Version - Miss School Because of Health
PODCI110C135951PODCI1-How He/She LooksPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, how happy has your child been with: How he/she looks?PODCI Pediatric Parent-Reported Version - How He or She Looks
PODCI111C135952PODCI1-His/Her BodyPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, how happy has your child been with: His/her body?PODCI Pediatric Parent-Reported Version - His or Her Body
PODCI112C135953PODCI1-What Clothes/Shoes He/She WearPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, how happy has your child been with: What clothes or shoes he/she can wear?PODCI Pediatric Parent-Reported Version - What Clothes or Shoes He or She Wear
PODCI113C135954PODCI1-Ability Do Same Things Friends DoPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, how happy has your child been with: His/her ability to do the same things his/her friends do?PODCI Pediatric Parent-Reported Version - Ability Do Same Things Friends Do
PODCI114C135955PODCI1-His/Her Health in GeneralPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, how happy has your child been with: His/her health in general?PODCI Pediatric Parent-Reported Version - His or Her Health in General
PODCI115C135956PODCI1-Feel Sick and TiredPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, how much of the time: Did your child feel sick and tired?PODCI Pediatric Parent-Reported Version - Feel Sick and Tired
PODCI116C135957PODCI1-Full of Pep and EnergyPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, how much of the time: Were your child full of pep and energy?PODCI Pediatric Parent-Reported Version - Full of Pep and Energy
PODCI117C135958PODCI1-Pain/Discom Inter With ActivitiesPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, how much of the time: Did pain or discomfort interfere with your child's activities?PODCI Pediatric Parent-Reported Version - Pain or Discomfort Interfere With Activities
PODCI118C135959PODCI1-Run Short DistancesPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Run short distances?PODCI Pediatric Parent-Reported Version - Run Short Distances
PODCI119C135960PODCI1-Bicycle or TricyclePediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Bicycle or tricycle?PODCI Pediatric Parent-Reported Version - Bicycle or Tricycle
PODCI120C135961PODCI1-Climb Three Flights of StairsPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Climb three flights of stairs?PODCI Pediatric Parent-Reported Version - Climb Three Flights of Stairs
PODCI121C135962PODCI1-Climb One Flight of StairsPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Climb one flight of stairs?PODCI Pediatric Parent-Reported Version - Climb One Flight of Stairs
PODCI122C135963PODCI1-Walk More Than a MilePediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Walk more than a mile?PODCI Pediatric Parent-Reported Version - Walk More Than a Mile
PODCI123C135964PODCI1-Walk Three BlocksPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Walk three blocks?PODCI Pediatric Parent-Reported Version - Walk Three Blocks
PODCI124C135965PODCI1-Walk One BlockPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Walk one block?PODCI Pediatric Parent-Reported Version - Walk One Block
PODCI125C135966PODCI1-Get On and Off a BusPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Get on and off a bus?PODCI Pediatric Parent-Reported Version - Get On and Off a Bus
PODCI126C135967PODCI1-Need Help Walking and ClimbingPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - How often does your child need help from another person for walking and climbing?PODCI Pediatric Parent-Reported Version - Need Help Walking and Climbing
PODCI127C135968PODCI1-Use Assistive Devices for WalkingPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - How often does your child use assistive devices (such as braces, crutches, or wheelchair) for walking and climbing?PODCI Pediatric Parent-Reported Version - Use Assistive Devices for Walking
PODCI128C135969PODCI1-Stand Washing Hands at a SinkPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Stand while washing his/her hands and face at a sink?PODCI Pediatric Parent-Reported Version - Stand Washing Hands at a Sink
PODCI129C135970PODCI1-Sit in Chair Without Holding OnPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Sit in a regular chair without holding on?PODCI Pediatric Parent-Reported Version - Sit in Chair Without Holding On
PODCI130C135971PODCI1-Get On and Off a Toilet or ChairPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Get on and off a toilet or chair?PODCI Pediatric Parent-Reported Version - Get On and Off a Toilet or Chair
PODCI131C135972PODCI1-Get In and Out of BedPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Get in and out of bed?PODCI Pediatric Parent-Reported Version - Get In and Out of Bed
PODCI132C135973PODCI1-Turn Door KnobsPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Turn door knobs?PODCI Pediatric Parent-Reported Version - Turn Door Knobs
PODCI133C135974PODCI1-Bend Over and Pick Up SomethingPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Bend over from a standing position and pick up something off the floor?PODCI Pediatric Parent-Reported Version - Bend Over and Pick Up Something
PODCI134C135975PODCI1-Need Help Sitting and StandingPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - How often does your child need help from another person for sitting and standing?PODCI Pediatric Parent-Reported Version - Need Help Sitting and Standing
PODCI135C135976PODCI1-Use Assistive Devices for SittingPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - How often does your child use assistive devices (such as braces, crutches, or wheelchair) for sitting and standing?PODCI Pediatric Parent-Reported Version - Use Assistive Devices for Sitting
PODCI136C135977PODCI1-Participate in Outdoor ActivitiesPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - Can your child participate in recreational outdoor activities with other children the same age (For example: bicycling, tricycling, skating, hiking, jogging)?PODCI Pediatric Parent-Reported Version - Participate in Outdoor Activities
PODCI137C135978PODCI1-Outdoor Limited by: PainPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: Pain?PODCI Pediatric Parent-Reported Version - Outdoor Limited by: Pain
PODCI138C135979PODCI1-Outdoor Limited by: HealthPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: General health?PODCI Pediatric Parent-Reported Version - Outdoor Limited by: Health
PODCI139C135980PODCI1-Outdoor Limited by: InstructionsPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: Doctor or parent instructions?PODCI Pediatric Parent-Reported Version - Outdoor Limited by: Instructions
PODCI140C135981PODCI1-Outdoor Limited by: FearPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: Fear the other kids won't like him/her?PODCI Pediatric Parent-Reported Version - Outdoor Limited by: Fear
PODCI141C135982PODCI1-Outdoor Limited by: DislikePediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: Dislike of recreational outdoor activities?PODCI Pediatric Parent-Reported Version - Outdoor Limited by: Dislike
PODCI142C135983PODCI1-Outdoor Limited by: Too YoungPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: Too young?PODCI Pediatric Parent-Reported Version - Outdoor Limited by: Too Young
PODCI143C135984PODCI1-Outdoor Limited by: SeasonPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: Activity not in season?PODCI Pediatric Parent-Reported Version - Outdoor Limited by: Season
PODCI144C135985PODCI1-Participate in Pickup GamesPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - Can your child participate in pickup games or sports with other children the same age (For example: tag, dodge ball, basketball, soccer, catch, jump rope, touch football, hop scotch)?PODCI Pediatric Parent-Reported Version - Participate in Pickup Games
PODCI145C135986PODCI1-Games Limited by: PainPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: Pain?PODCI Pediatric Parent-Reported Version - Games Limited by: Pain
PODCI146C135987PODCI1-Games Limited by: HealthPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: General health?PODCI Pediatric Parent-Reported Version - Games Limited by: Health
PODCI147C135988PODCI1-Games Limited by: InstructionsPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: Doctor or parent instructions?PODCI Pediatric Parent-Reported Version - Games Limited by: Instructions
PODCI148C135989PODCI1-Games Limited by: FearPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: Fear the other kids won't like him/her?PODCI Pediatric Parent-Reported Version - Games Limited by: Fear
PODCI149C135990PODCI1-Games Limited by: DislikePediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: Dislike of pickup games or sports?PODCI Pediatric Parent-Reported Version - Games Limited by: Dislike
PODCI150C135991PODCI1-Games Limited by: Too YoungPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: Too young?PODCI Pediatric Parent-Reported Version - Games Limited by: Too Young
PODCI151C135992PODCI1-Games Limited by: SeasonPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: Activity not in season?PODCI Pediatric Parent-Reported Version - Games Limited by: Season
PODCI152C135993PODCI1-Participate in Competitive SportsPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - Can your child participate in competitive level sports with other children the same age (For example: hockey, basketball, soccer, football, baseball, swimming, running [track or cross country], gymnastics, or dance)?PODCI Pediatric Parent-Reported Version - Participate in Competitive Sports
PODCI153C135994PODCI1-Comp Sports Limited by: PainPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: Pain?PODCI Pediatric Parent-Reported Version - Competitive Sports Limited by: Pain
PODCI154C135995PODCI1-Comp Sports Limited by: HealthPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: General health?PODCI Pediatric Parent-Reported Version - Competitive Sports Limited by: Health
PODCI155C135996PODCI1-Comp Sports Limited by: InstructPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: Doctor or parent instructions?PODCI Pediatric Parent-Reported Version - Competitive Sports Limited by: Instruction
PODCI156C135997PODCI1-Comp Sports Limited by: FearPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: Fear the other kids won't like him/her?PODCI Pediatric Parent-Reported Version - Competitive Sports Limited by: Fear
PODCI157C135998PODCI1-Comp Sports Limited by: DislikePediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: Dislike of pickup games or sports?PODCI Pediatric Parent-Reported Version - Competitive Sports Limited by: Dislike
PODCI158C135999PODCI1-Comp Sports Limited by: Too YoungPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: Too young?PODCI Pediatric Parent-Reported Version - Competitive Sports Limited by: Too Young
PODCI159C136000PODCI1-Comp Sports Limited by: SeasonPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: Activity not in season?PODCI Pediatric Parent-Reported Version - Competitive Sports Limited by: Season
PODCI160C136001PODCI1-Get Together With FriendsPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - How often in the last week did your child get together and do things with friends?PODCI Pediatric Parent-Reported Version - Get Together With Friends
PODCI161C136002PODCI1-Friends Limited by: PainPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 60 above, was your child's activity limited by: Pain?PODCI Pediatric Parent-Reported Version - Friends Limited by: Pain
PODCI162C136003PODCI1-Friends Limited by: HealthPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 60 above, was your child's activity limited by: General health?PODCI Pediatric Parent-Reported Version - Friends Limited by: Health
PODCI163C136004PODCI1-Friends Limited by: InstructionsPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 60 above, was your child's activity limited by: Doctor or parent instructions?PODCI Pediatric Parent-Reported Version - Friends Limited by: Instructions
PODCI164C136005PODCI1-Friends Limited by: FearPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 60 above, was your child's activity limited by: Fear the other kids won't like him/her?PODCI Pediatric Parent-Reported Version - Friends Limited by: Fear
PODCI165C136006PODCI1-Friends Limited by: Not AroundPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 60 above, was your child's activity limited by: Friends not around?PODCI Pediatric Parent-Reported Version - Friends Limited by: Not Around
PODCI166C136007PODCI1-Participate in Gym/RecessPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - How often in the last week did your child participate in gym/recess?PODCI Pediatric Parent-Reported Version - Participate in Gym or Recess
PODCI167C136008PODCI1-Gym Limited by: PainPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: Pain?PODCI Pediatric Parent-Reported Version - Gym Limited by: Pain
PODCI168C136009PODCI1-Gym Limited by: HealthPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: General health?PODCI Pediatric Parent-Reported Version - Gym Limited by: Health
PODCI169C136010PODCI1-Gym Limited by: InstructionsPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: Doctor or parent instructions?PODCI Pediatric Parent-Reported Version - Gym Limited by: Instructions
PODCI170C136011PODCI1-Gym Limited by: FearPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: Fear the other kids won't like him/her?PODCI Pediatric Parent-Reported Version - Gym Limited by: Fear
PODCI171C136012PODCI1-Gym Limited by: DislikePediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: Dislike of gym/recess?PODCI Pediatric Parent-Reported Version - Gym Limited by: Dislike
PODCI172C136013PODCI1-Gym Limited by: Not in SessionPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: School not in session?PODCI Pediatric Parent-Reported Version - Gym Limited by: Not in Session
PODCI173C136014PODCI1-Gym Limited by: Not Attend SchoolPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: Does not attend school?PODCI Pediatric Parent-Reported Version - Gym Limited by: Not Attend School
PODCI174C136015PODCI1-Easy to Make FriendsPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - Is it easy or hard for your child to make friends with children his/her own age?PODCI Pediatric Parent-Reported Version - Easy to Make Friends
PODCI175C136016PODCI1-Pain During the Last WeekPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - How much pain has your child had during the last week?PODCI Pediatric Parent-Reported Version - Pain During the Last Week
PODCI176C136017PODCI1-Pain Interfere With ActivitiesPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, how much did pain interfere with your child's normal activities (including at home, outside of the home, and at school)?PODCI Pediatric Parent-Reported Version - Pain Interfere With Activities
PODCI177C136018PODCI1-Have Pain ReliefPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - As a result of my child's treatment, I expect my child: To have pain relief.PODCI Pediatric Parent-Reported Version - Have Pain Relief
PODCI178C136019PODCI1-Look BetterPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - As a result of my child's treatment, I expect my child: To look better.PODCI Pediatric Parent-Reported Version - Look Better
PODCI179C136020PODCI1-Feel BetterPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - As a result of my child's treatment, I expect my child: To feel better about himself/herself.PODCI Pediatric Parent-Reported Version - Feel Better
PODCI180C136021PODCI1-Sleep More ComfortablyPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - As a result of my child's treatment, I expect my child: To sleep more comfortably.PODCI Pediatric Parent-Reported Version - Sleep More Comfortably
PODCI181C136022PODCI1-Able to Do Activities at HomePediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - As a result of my child's treatment, I expect my child: To be able to do activities at home.PODCI Pediatric Parent-Reported Version - Able to Do Activities at Home
PODCI182C136023PODCI1-Able to Do More at SchoolPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - As a result of my child's treatment, I expect my child: To be able to do more at school.PODCI Pediatric Parent-Reported Version - Able to Do More at School
PODCI183C136024PODCI1-Able to Do More PlayPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - As a result of my child's treatment, I expect my child: To be able to do more play or recreational activities (biking, walking, doing things with friends).PODCI Pediatric Parent-Reported Version - Able to Do More Play
PODCI184C136025PODCI1-Able to Do More SportsPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - As a result of my child's treatment, I expect my child: To be able to do more sports.PODCI Pediatric Parent-Reported Version - Able to Do More Sports
PODCI185C136026PODCI1-Free From Pain as AdultPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - As a result of my child's treatment, I expect my child: To be free from pain or disability as an adult.PODCI Pediatric Parent-Reported Version - Free From Pain as Adult
PODCI186C136027PODCI1-Spend Rest of Life With ConditionPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If your child had to spend the rest of his/her life with his/her bone and muscle condition as it is right now, how would you feel about it?PODCI Pediatric Parent-Reported Version - Spend Rest of Life With Condition
PODCI187C136028PODCI1-Up Extremity/Phys Function ScalePediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - Upper extremity and physical function core scale.PODCI Pediatric Parent-Reported Version - Upper Extremity and Physical Function Scale
PODCI188C136029PODCI1-Transfer/Basic Mobility ScalePediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - Transfer and basic mobility core scale.PODCI Pediatric Parent-Reported Version - Transfer and Basic Mobility Scale
PODCI189C136030PODCI1-Sports/Phys Function ScalePediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - Sports and physical functioning core scale.PODCI Pediatric Parent-Reported Version - Sports and Physical Function Scale
PODCI190C136031PODCI1-Pain/Comfort ScalePediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - Pain/comfort core scale.PODCI Pediatric Parent-Reported Version - Pain or Comfort Scale
PODCI191C136032PODCI1-Happiness ScalePediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - Happiness core scale.PODCI Pediatric Parent-Reported Version - Happiness Scale
PODCI192C136033PODCI1-Global Functioning ScalePediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - Global functioning scale.PODCI Pediatric Parent-Reported Version - Global Functioning Scale
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CL.C135693.PODCI1TNPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported Version Questionnaire Test Name
(PODCI1TN)
text
Extensible: No
C135693Pediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported Version Questionnaire Test NamePediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported Version test name.CDISC Questionnaire PODCI Pediatric Parent-Reported Version Test Name Terminology
PODCI1-Ability Do Same Things Friends DoC135954PODCI1-Ability Do Same Things Friends DoPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, how happy has your child been with: His/her ability to do the same things his/her friends do?PODCI Pediatric Parent-Reported Version - Ability Do Same Things Friends Do
PODCI1-Able to Do Activities at HomeC136022PODCI1-Able to Do Activities at HomePediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - As a result of my child's treatment, I expect my child: To be able to do activities at home.PODCI Pediatric Parent-Reported Version - Able to Do Activities at Home
PODCI1-Able to Do More at SchoolC136023PODCI1-Able to Do More at SchoolPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - As a result of my child's treatment, I expect my child: To be able to do more at school.PODCI Pediatric Parent-Reported Version - Able to Do More at School
PODCI1-Able to Do More PlayC136024PODCI1-Able to Do More PlayPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - As a result of my child's treatment, I expect my child: To be able to do more play or recreational activities (biking, walking, doing things with friends).PODCI Pediatric Parent-Reported Version - Able to Do More Play
PODCI1-Able to Do More SportsC136025PODCI1-Able to Do More SportsPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - As a result of my child's treatment, I expect my child: To be able to do more sports.PODCI Pediatric Parent-Reported Version - Able to Do More Sports
PODCI1-Bend Over and Pick Up SomethingC135974PODCI1-Bend Over and Pick Up SomethingPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Bend over from a standing position and pick up something off the floor?PODCI Pediatric Parent-Reported Version - Bend Over and Pick Up Something
PODCI1-Bicycle or TricycleC135960PODCI1-Bicycle or TricyclePediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Bicycle or tricycle?PODCI Pediatric Parent-Reported Version - Bicycle or Tricycle
PODCI1-Button ButtonsC135947PODCI1-Button ButtonsPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, was it easy or hard for your child to: Button buttons?PODCI Pediatric Parent-Reported Version - Button Buttons
PODCI1-Climb One Flight of StairsC135962PODCI1-Climb One Flight of StairsPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Climb one flight of stairs?PODCI Pediatric Parent-Reported Version - Climb One Flight of Stairs
PODCI1-Climb Three Flights of StairsC135961PODCI1-Climb Three Flights of StairsPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Climb three flights of stairs?PODCI Pediatric Parent-Reported Version - Climb Three Flights of Stairs
PODCI1-Comb His/Her HairC135946PODCI1-Comb His/Her HairPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, was it easy or hard for your child to: Comb his/her hair?PODCI Pediatric Parent-Reported Version - Comb His or Her Hair
PODCI1-Comp Sports Limited by: DislikeC135998PODCI1-Comp Sports Limited by: DislikePediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: Dislike of pickup games or sports?PODCI Pediatric Parent-Reported Version - Competitive Sports Limited by: Dislike
PODCI1-Comp Sports Limited by: FearC135997PODCI1-Comp Sports Limited by: FearPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: Fear the other kids won't like him/her?PODCI Pediatric Parent-Reported Version - Competitive Sports Limited by: Fear
PODCI1-Comp Sports Limited by: HealthC135995PODCI1-Comp Sports Limited by: HealthPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: General health?PODCI Pediatric Parent-Reported Version - Competitive Sports Limited by: Health
PODCI1-Comp Sports Limited by: InstructC135996PODCI1-Comp Sports Limited by: InstructPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: Doctor or parent instructions?PODCI Pediatric Parent-Reported Version - Competitive Sports Limited by: Instruction
PODCI1-Comp Sports Limited by: PainC135994PODCI1-Comp Sports Limited by: PainPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: Pain?PODCI Pediatric Parent-Reported Version - Competitive Sports Limited by: Pain
PODCI1-Comp Sports Limited by: SeasonC136000PODCI1-Comp Sports Limited by: SeasonPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: Activity not in season?PODCI Pediatric Parent-Reported Version - Competitive Sports Limited by: Season
PODCI1-Comp Sports Limited by: Too YoungC135999PODCI1-Comp Sports Limited by: Too YoungPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 52 above, was your child's activity limited by: Too young?PODCI Pediatric Parent-Reported Version - Competitive Sports Limited by: Too Young
PODCI1-Easy to Make FriendsC136015PODCI1-Easy to Make FriendsPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - Is it easy or hard for your child to make friends with children his/her own age?PODCI Pediatric Parent-Reported Version - Easy to Make Friends
PODCI1-Feel BetterC136020PODCI1-Feel BetterPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - As a result of my child's treatment, I expect my child: To feel better about himself/herself.PODCI Pediatric Parent-Reported Version - Feel Better
PODCI1-Feel Sick and TiredC135956PODCI1-Feel Sick and TiredPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, how much of the time: Did your child feel sick and tired?PODCI Pediatric Parent-Reported Version - Feel Sick and Tired
PODCI1-Free From Pain as AdultC136026PODCI1-Free From Pain as AdultPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - As a result of my child's treatment, I expect my child: To be free from pain or disability as an adult.PODCI Pediatric Parent-Reported Version - Free From Pain as Adult
PODCI1-Friends Limited by: FearC136005PODCI1-Friends Limited by: FearPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 60 above, was your child's activity limited by: Fear the other kids won't like him/her?PODCI Pediatric Parent-Reported Version - Friends Limited by: Fear
PODCI1-Friends Limited by: HealthC136003PODCI1-Friends Limited by: HealthPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 60 above, was your child's activity limited by: General health?PODCI Pediatric Parent-Reported Version - Friends Limited by: Health
PODCI1-Friends Limited by: InstructionsC136004PODCI1-Friends Limited by: InstructionsPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 60 above, was your child's activity limited by: Doctor or parent instructions?PODCI Pediatric Parent-Reported Version - Friends Limited by: Instructions
PODCI1-Friends Limited by: Not AroundC136006PODCI1-Friends Limited by: Not AroundPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 60 above, was your child's activity limited by: Friends not around?PODCI Pediatric Parent-Reported Version - Friends Limited by: Not Around
PODCI1-Friends Limited by: PainC136002PODCI1-Friends Limited by: PainPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 60 above, was your child's activity limited by: Pain?PODCI Pediatric Parent-Reported Version - Friends Limited by: Pain
PODCI1-Full of Pep and EnergyC135957PODCI1-Full of Pep and EnergyPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, how much of the time: Were your child full of pep and energy?PODCI Pediatric Parent-Reported Version - Full of Pep and Energy
PODCI1-Games Limited by: DislikeC135990PODCI1-Games Limited by: DislikePediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: Dislike of pickup games or sports?PODCI Pediatric Parent-Reported Version - Games Limited by: Dislike
PODCI1-Games Limited by: FearC135989PODCI1-Games Limited by: FearPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: Fear the other kids won't like him/her?PODCI Pediatric Parent-Reported Version - Games Limited by: Fear
PODCI1-Games Limited by: HealthC135987PODCI1-Games Limited by: HealthPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: General health?PODCI Pediatric Parent-Reported Version - Games Limited by: Health
PODCI1-Games Limited by: InstructionsC135988PODCI1-Games Limited by: InstructionsPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: Doctor or parent instructions?PODCI Pediatric Parent-Reported Version - Games Limited by: Instructions
PODCI1-Games Limited by: PainC135986PODCI1-Games Limited by: PainPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: Pain?PODCI Pediatric Parent-Reported Version - Games Limited by: Pain
PODCI1-Games Limited by: SeasonC135992PODCI1-Games Limited by: SeasonPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: Activity not in season?PODCI Pediatric Parent-Reported Version - Games Limited by: Season
PODCI1-Games Limited by: Too YoungC135991PODCI1-Games Limited by: Too YoungPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 44 above, was your child's activity limited by: Too young?PODCI Pediatric Parent-Reported Version - Games Limited by: Too Young
PODCI1-Get In and Out of BedC135972PODCI1-Get In and Out of BedPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Get in and out of bed?PODCI Pediatric Parent-Reported Version - Get In and Out of Bed
PODCI1-Get On and Off a BusC135966PODCI1-Get On and Off a BusPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Get on and off a bus?PODCI Pediatric Parent-Reported Version - Get On and Off a Bus
PODCI1-Get On and Off a Toilet or ChairC135971PODCI1-Get On and Off a Toilet or ChairPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Get on and off a toilet or chair?PODCI Pediatric Parent-Reported Version - Get On and Off a Toilet or Chair
PODCI1-Get Together With FriendsC136001PODCI1-Get Together With FriendsPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - How often in the last week did your child get together and do things with friends?PODCI Pediatric Parent-Reported Version - Get Together With Friends
PODCI1-Global Functioning ScaleC136033PODCI1-Global Functioning ScalePediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - Global functioning scale.PODCI Pediatric Parent-Reported Version - Global Functioning Scale
PODCI1-Gym Limited by: DislikeC136012PODCI1-Gym Limited by: DislikePediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: Dislike of gym/recess?PODCI Pediatric Parent-Reported Version - Gym Limited by: Dislike
PODCI1-Gym Limited by: FearC136011PODCI1-Gym Limited by: FearPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: Fear the other kids won't like him/her?PODCI Pediatric Parent-Reported Version - Gym Limited by: Fear
PODCI1-Gym Limited by: HealthC136009PODCI1-Gym Limited by: HealthPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: General health?PODCI Pediatric Parent-Reported Version - Gym Limited by: Health
PODCI1-Gym Limited by: InstructionsC136010PODCI1-Gym Limited by: InstructionsPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: Doctor or parent instructions?PODCI Pediatric Parent-Reported Version - Gym Limited by: Instructions
PODCI1-Gym Limited by: Not Attend SchoolC136014PODCI1-Gym Limited by: Not Attend SchoolPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: Does not attend school?PODCI Pediatric Parent-Reported Version - Gym Limited by: Not Attend School
PODCI1-Gym Limited by: Not in SessionC136013PODCI1-Gym Limited by: Not in SessionPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: School not in session?PODCI Pediatric Parent-Reported Version - Gym Limited by: Not in Session
PODCI1-Gym Limited by: PainC136008PODCI1-Gym Limited by: PainPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "sometimes" or "never or rarely" to Question 66 above, was your child's activity limited by: Pain?PODCI Pediatric Parent-Reported Version - Gym Limited by: Pain
PODCI1-Happiness ScaleC136032PODCI1-Happiness ScalePediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - Happiness core scale.PODCI Pediatric Parent-Reported Version - Happiness Scale
PODCI1-Have Pain ReliefC136018PODCI1-Have Pain ReliefPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - As a result of my child's treatment, I expect my child: To have pain relief.PODCI Pediatric Parent-Reported Version - Have Pain Relief
PODCI1-His/Her BodyC135952PODCI1-His/Her BodyPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, how happy has your child been with: His/her body?PODCI Pediatric Parent-Reported Version - His or Her Body
PODCI1-His/Her Health in GeneralC135955PODCI1-His/Her Health in GeneralPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, how happy has your child been with: His/her health in general?PODCI Pediatric Parent-Reported Version - His or Her Health in General
PODCI1-How He/She LooksC135951PODCI1-How He/She LooksPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, how happy has your child been with: How he/she looks?PODCI Pediatric Parent-Reported Version - How He or She Looks
PODCI1-Lift Heavy BooksC135942PODCI1-Lift Heavy BooksPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, was it easy or hard for your child to: Lift heavy books?PODCI Pediatric Parent-Reported Version - Lift Heavy Books
PODCI1-Look BetterC136019PODCI1-Look BetterPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - As a result of my child's treatment, I expect my child: To look better.PODCI Pediatric Parent-Reported Version - Look Better
PODCI1-Miss School Because of HealthC135950PODCI1-Miss School Because of HealthPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - On average, over the last 12 months, how often did your child miss school (preschool, day care, camp, etc.) because of his/her health?PODCI Pediatric Parent-Reported Version - Miss School Because of Health
PODCI1-Need Help Sitting and StandingC135975PODCI1-Need Help Sitting and StandingPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - How often does your child need help from another person for sitting and standing?PODCI Pediatric Parent-Reported Version - Need Help Sitting and Standing
PODCI1-Need Help Walking and ClimbingC135967PODCI1-Need Help Walking and ClimbingPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - How often does your child need help from another person for walking and climbing?PODCI Pediatric Parent-Reported Version - Need Help Walking and Climbing
PODCI1-Open a Jar Been Opened BeforeC135944PODCI1-Open a Jar Been Opened BeforePediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, was it easy or hard for your child to: Open a jar that has been opened before?PODCI Pediatric Parent-Reported Version - Open a Jar Been Opened Before
PODCI1-Outdoor Limited by: DislikeC135982PODCI1-Outdoor Limited by: DislikePediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: Dislike of recreational outdoor activities?PODCI Pediatric Parent-Reported Version - Outdoor Limited by: Dislike
PODCI1-Outdoor Limited by: FearC135981PODCI1-Outdoor Limited by: FearPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: Fear the other kids won't like him/her?PODCI Pediatric Parent-Reported Version - Outdoor Limited by: Fear
PODCI1-Outdoor Limited by: HealthC135979PODCI1-Outdoor Limited by: HealthPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: General health?PODCI Pediatric Parent-Reported Version - Outdoor Limited by: Health
PODCI1-Outdoor Limited by: InstructionsC135980PODCI1-Outdoor Limited by: InstructionsPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: Doctor or parent instructions?PODCI Pediatric Parent-Reported Version - Outdoor Limited by: Instructions
PODCI1-Outdoor Limited by: PainC135978PODCI1-Outdoor Limited by: PainPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: Pain?PODCI Pediatric Parent-Reported Version - Outdoor Limited by: Pain
PODCI1-Outdoor Limited by: SeasonC135984PODCI1-Outdoor Limited by: SeasonPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: Activity not in season?PODCI Pediatric Parent-Reported Version - Outdoor Limited by: Season
PODCI1-Outdoor Limited by: Too YoungC135983PODCI1-Outdoor Limited by: Too YoungPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If you answered "no" to Question 36 above, was your child's activity limited by: Too young?PODCI Pediatric Parent-Reported Version - Outdoor Limited by: Too Young
PODCI1-Pain During the Last WeekC136016PODCI1-Pain During the Last WeekPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - How much pain has your child had during the last week?PODCI Pediatric Parent-Reported Version - Pain During the Last Week
PODCI1-Pain Interfere With ActivitiesC136017PODCI1-Pain Interfere With ActivitiesPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, how much did pain interfere with your child's normal activities (including at home, outside of the home, and at school)?PODCI Pediatric Parent-Reported Version - Pain Interfere With Activities
PODCI1-Pain/Comfort ScaleC136031PODCI1-Pain/Comfort ScalePediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - Pain/comfort core scale.PODCI Pediatric Parent-Reported Version - Pain or Comfort Scale
PODCI1-Pain/Discom Inter With ActivitiesC135958PODCI1-Pain/Discom Inter With ActivitiesPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, how much of the time: Did pain or discomfort interfere with your child's activities?PODCI Pediatric Parent-Reported Version - Pain or Discomfort Interfere With Activities
PODCI1-Participate in Competitive SportsC135993PODCI1-Participate in Competitive SportsPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - Can your child participate in competitive level sports with other children the same age (For example: hockey, basketball, soccer, football, baseball, swimming, running [track or cross country], gymnastics, or dance)?PODCI Pediatric Parent-Reported Version - Participate in Competitive Sports
PODCI1-Participate in Gym/RecessC136007PODCI1-Participate in Gym/RecessPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - How often in the last week did your child participate in gym/recess?PODCI Pediatric Parent-Reported Version - Participate in Gym or Recess
PODCI1-Participate in Outdoor ActivitiesC135977PODCI1-Participate in Outdoor ActivitiesPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - Can your child participate in recreational outdoor activities with other children the same age (For example: bicycling, tricycling, skating, hiking, jogging)?PODCI Pediatric Parent-Reported Version - Participate in Outdoor Activities
PODCI1-Participate in Pickup GamesC135985PODCI1-Participate in Pickup GamesPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - Can your child participate in pickup games or sports with other children the same age (For example: tag, dodge ball, basketball, soccer, catch, jump rope, touch football, hop scotch)?PODCI Pediatric Parent-Reported Version - Participate in Pickup Games
PODCI1-Pour a Half Gallon of MilkC135943PODCI1-Pour a Half Gallon of MilkPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, was it easy or hard for your child to: Pour a half gallon of milk?PODCI Pediatric Parent-Reported Version - Pour a Half Gallon of Milk
PODCI1-Put on His/Her CoatC135948PODCI1-Put on His/Her CoatPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, was it easy or hard for your child to: Put on his/her coat?PODCI Pediatric Parent-Reported Version - Put on His or Her Coat
PODCI1-Run Short DistancesC135959PODCI1-Run Short DistancesPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Run short distances?PODCI Pediatric Parent-Reported Version - Run Short Distances
PODCI1-Sit in Chair Without Holding OnC135970PODCI1-Sit in Chair Without Holding OnPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Sit in a regular chair without holding on?PODCI Pediatric Parent-Reported Version - Sit in Chair Without Holding On
PODCI1-Sleep More ComfortablyC136021PODCI1-Sleep More ComfortablyPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - As a result of my child's treatment, I expect my child: To sleep more comfortably.PODCI Pediatric Parent-Reported Version - Sleep More Comfortably
PODCI1-Spend Rest of Life With ConditionC136027PODCI1-Spend Rest of Life With ConditionPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - If your child had to spend the rest of his/her life with his/her bone and muscle condition as it is right now, how would you feel about it?PODCI Pediatric Parent-Reported Version - Spend Rest of Life With Condition
PODCI1-Sports/Phys Function ScaleC136030PODCI1-Sports/Phys Function ScalePediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - Sports and physical functioning core scale.PODCI Pediatric Parent-Reported Version - Sports and Physical Function Scale
PODCI1-Stand Washing Hands at a SinkC135969PODCI1-Stand Washing Hands at a SinkPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Stand while washing his/her hands and face at a sink?PODCI Pediatric Parent-Reported Version - Stand Washing Hands at a Sink
PODCI1-Transfer/Basic Mobility ScaleC136029PODCI1-Transfer/Basic Mobility ScalePediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - Transfer and basic mobility core scale.PODCI Pediatric Parent-Reported Version - Transfer and Basic Mobility Scale
PODCI1-Turn Door KnobsC135973PODCI1-Turn Door KnobsPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Turn door knobs?PODCI Pediatric Parent-Reported Version - Turn Door Knobs
PODCI1-Up Extremity/Phys Function ScaleC136028PODCI1-Up Extremity/Phys Function ScalePediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - Upper extremity and physical function core scale.PODCI Pediatric Parent-Reported Version - Upper Extremity and Physical Function Scale
PODCI1-Use a Fork and SpoonC135945PODCI1-Use a Fork and SpoonPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, was it easy or hard for your child to: Use a fork and spoon?PODCI Pediatric Parent-Reported Version - Use a Fork and Spoon
PODCI1-Use Assistive Devices for SittingC135976PODCI1-Use Assistive Devices for SittingPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - How often does your child use assistive devices (such as braces, crutches, or wheelchair) for sitting and standing?PODCI Pediatric Parent-Reported Version - Use Assistive Devices for Sitting
PODCI1-Use Assistive Devices for WalkingC135968PODCI1-Use Assistive Devices for WalkingPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - How often does your child use assistive devices (such as braces, crutches, or wheelchair) for walking and climbing?PODCI Pediatric Parent-Reported Version - Use Assistive Devices for Walking
PODCI1-Walk More Than a MileC135963PODCI1-Walk More Than a MilePediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Walk more than a mile?PODCI Pediatric Parent-Reported Version - Walk More Than a Mile
PODCI1-Walk One BlockC135965PODCI1-Walk One BlockPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Walk one block?PODCI Pediatric Parent-Reported Version - Walk One Block
PODCI1-Walk Three BlocksC135964PODCI1-Walk Three BlocksPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, has it been easy or hard for your child to: Walk three blocks?PODCI Pediatric Parent-Reported Version - Walk Three Blocks
PODCI1-What Clothes/Shoes He/She WearC135953PODCI1-What Clothes/Shoes He/She WearPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, how happy has your child been with: What clothes or shoes he/she can wear?PODCI Pediatric Parent-Reported Version - What Clothes or Shoes He or She Wear
PODCI1-Write With a PencilC135949PODCI1-Write With a PencilPediatric Outcomes Data Collection Instrument, Pediatric Parent-Reported - During the last week, was it easy or hard for your child to: Write with a pencil?PODCI Pediatric Parent-Reported Version - Write With a Pencil
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CL.C138231.PQL15TCPediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report Questionnaire Test Code
(PQL15TC)
text
Extensible: No
C138231Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report Questionnaire Test CodePediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report test code.CDISC Questionnaire PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child Test Code Terminology
PQL1501C138515PQL15-Hard to BreathePediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to breathe.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hard to Breathe
PQL1502C138516PQL15-Get Sick EasilyPediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child gets sick easily.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Get Sick Easily
PQL1503C138517PQL15-Get Sores and/or RashesPediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child gets sores and/or rashes.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Get Sores and/or Rashes
PQL1504C138518PQL15-Legs HurtPediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child's legs hurt.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Legs Hurt
PQL1505C138519PQL15-Feel TiredPediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child feels tired.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Feel Tired
PQL1506C138520PQL15-Back Feels StiffPediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child's back feels stiff.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Back Feels Stiff
PQL1507C138521PQL15-Wake Up TiredPediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child wakes up tired.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Wake Up Tired
PQL1508C138522PQL15-Hands Are WeakPediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child's hands are weak.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hands Are Weak
PQL1509C138523PQL15-Hard to Use BathroomPediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to use the bathroom.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hard to Use Bathroom
PQL1510C138524PQL15-Hard to Gain/Lose WeightPediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to gain or lose weight when he or she wants to.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hard to Gain or Lose Weight
PQL1511C138525PQL15-Hard to Use HandsPediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to use his or her hands.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hard to Use Hands
PQL1512C138526PQL15-Hard to Swallow FoodPediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to swallow food.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hard to Swallow Food
PQL1513C138527PQL15-Long Time to Bathe/ShowerPediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It takes my child a long time to bathe or shower.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Long Time to Bathe or Shower
PQL1514C138528PQL15-Get Hurt AccidentallyPediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child gets hurt accidentally.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Get Hurt Accidentally
PQL1515C138529PQL15-Take Long Time to EatPediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child takes a long time to eat.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Take Long Time to Eat
PQL1516C138530PQL15-Hard to Turn During NightPediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to turn him or herself during the night.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hard to Turn During Night
PQL1517C138531PQL15-Hard to Go Places With EquipmentPediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to go places with his or her equipment.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hard to Go Places With Equipment
PQL1518C138532PQL15-Hard Tell Doctors/Nurses How FeelPediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to tell the doctors and nurses how he or she feels.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hard Tell Doctors and Nurses How Feel
PQL1519C138533PQL15-Hard Ask Doctors/Nurses QuestionsPediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to ask the doctors and nurses questions.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hard Ask Doctors and Nurses Questions
PQL1520C138534PQL15-Hard Explain Illness to PeoplePediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to explain his or her illness to other people.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hard Explain Illness to People
PQL1521C138535PQL15-Hard for Family to Plan ActivitiesPediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for our family to plan activities like vacations.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hard for Family to Plan Activities
PQL1522C138536PQL15-Hard for Family to RestPediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for our family to get enough rest.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hard for Family to Rest
PQL1523C138537PQL15-Money Problem in Our FamilyPediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: I think money is a problem in our family.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Money Problem in Our Family
PQL1524C138538PQL15-Family Has Lot of ProblemsPediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: I think our family has a lot of problems.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Family Has Lot of Problems
PQL1525C138539PQL15-Do Not Have Equipment NeedPediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child does not have the equipment he or she needs.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Do Not Have Equipment Need
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CL.C138230.PQL15TNPediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report Questionnaire Test Name
(PQL15TN)
text
Extensible: No
C138230Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report Questionnaire Test NamePediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report test name.CDISC Questionnaire PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child Test Name Terminology
PQL15-Back Feels StiffC138520PQL15-Back Feels StiffPediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child's back feels stiff.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Back Feels Stiff
PQL15-Do Not Have Equipment NeedC138539PQL15-Do Not Have Equipment NeedPediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child does not have the equipment he or she needs.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Do Not Have Equipment Need
PQL15-Family Has Lot of ProblemsC138538PQL15-Family Has Lot of ProblemsPediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: I think our family has a lot of problems.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Family Has Lot of Problems
PQL15-Feel TiredC138519PQL15-Feel TiredPediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child feels tired.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Feel Tired
PQL15-Get Hurt AccidentallyC138528PQL15-Get Hurt AccidentallyPediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child gets hurt accidentally.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Get Hurt Accidentally
PQL15-Get Sick EasilyC138516PQL15-Get Sick EasilyPediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child gets sick easily.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Get Sick Easily
PQL15-Get Sores and/or RashesC138517PQL15-Get Sores and/or RashesPediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child gets sores and/or rashes.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Get Sores and/or Rashes
PQL15-Hands Are WeakC138522PQL15-Hands Are WeakPediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child's hands are weak.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hands Are Weak
PQL15-Hard Ask Doctors/Nurses QuestionsC138533PQL15-Hard Ask Doctors/Nurses QuestionsPediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to ask the doctors and nurses questions.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hard Ask Doctors and Nurses Questions
PQL15-Hard Explain Illness to PeopleC138534PQL15-Hard Explain Illness to PeoplePediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to explain his or her illness to other people.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hard Explain Illness to People
PQL15-Hard for Family to Plan ActivitiesC138535PQL15-Hard for Family to Plan ActivitiesPediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for our family to plan activities like vacations.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hard for Family to Plan Activities
PQL15-Hard for Family to RestC138536PQL15-Hard for Family to RestPediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for our family to get enough rest.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hard for Family to Rest
PQL15-Hard Tell Doctors/Nurses How FeelC138532PQL15-Hard Tell Doctors/Nurses How FeelPediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to tell the doctors and nurses how he or she feels.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hard Tell Doctors and Nurses How Feel
PQL15-Hard to BreatheC138515PQL15-Hard to BreathePediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to breathe.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hard to Breathe
PQL15-Hard to Gain/Lose WeightC138524PQL15-Hard to Gain/Lose WeightPediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to gain or lose weight when he or she wants to.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hard to Gain or Lose Weight
PQL15-Hard to Go Places With EquipmentC138531PQL15-Hard to Go Places With EquipmentPediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to go places with his or her equipment.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hard to Go Places With Equipment
PQL15-Hard to Swallow FoodC138526PQL15-Hard to Swallow FoodPediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to swallow food.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hard to Swallow Food
PQL15-Hard to Turn During NightC138530PQL15-Hard to Turn During NightPediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to turn him or herself during the night.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hard to Turn During Night
PQL15-Hard to Use BathroomC138523PQL15-Hard to Use BathroomPediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to use the bathroom.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hard to Use Bathroom
PQL15-Hard to Use HandsC138525PQL15-Hard to Use HandsPediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to use his or her hands.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Hard to Use Hands
PQL15-Legs HurtC138518PQL15-Legs HurtPediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child's legs hurt.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Legs Hurt
PQL15-Long Time to Bathe/ShowerC138527PQL15-Long Time to Bathe/ShowerPediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It takes my child a long time to bathe or shower.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Long Time to Bathe or Shower
PQL15-Money Problem in Our FamilyC138537PQL15-Money Problem in Our FamilyPediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: I think money is a problem in our family.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Money Problem in Our Family
PQL15-Take Long Time to EatC138529PQL15-Take Long Time to EatPediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child takes a long time to eat.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Take Long Time to Eat
PQL15-Wake Up TiredC138521PQL15-Wake Up TiredPediatric Quality of Life Neuromuscular Module Acute Version 3 Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child wakes up tired.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Child - Wake Up Tired
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CL.C138227.PQL14TCPediatric Quality of Life Neuromuscular Module Acute Version 3 Child Questionnaire Test Code
(PQL14TC)
text
Extensible: No
C138227Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Questionnaire Test CodePediatric Quality of Life Neuromuscular Module Acute Version 3 Child test code.CDISC Questionnaire PedsQL Neuromuscular Module Acute Version 3.0 Child Report Test Code Terminology
PQL1401C138465PQL14-Hard to BreathePediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It is hard to breathe.PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hard to Breathe
PQL1402C138466PQL14-Get Sick EasilyPediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: I get sick easily.PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Get Sick Easily
PQL1403C138467PQL14-Get Sores and/or RashesPediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: I get sores and/or rashes.PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Get Sores and/or Rashes
PQL1404C138468PQL14-Legs HurtPediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: My legs hurt.PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Legs Hurt
PQL1405C138469PQL14-Feel TiredPediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: I feel tired.PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Feel Tired
PQL1406C138470PQL14-Back Feels StiffPediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: My back feels stiff.PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Back Feels Stiff
PQL1407C138471PQL14-Wake Up TiredPediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: I wake up tired.PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Wake Up Tired
PQL1408C138472PQL14-Hands Are WeakPediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: My hands are weak.PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hands Are Weak
PQL1409C138473PQL14-Hard to Use BathroomPediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It is hard to use the bathroom.PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hard to Use Bathroom
PQL1410C138474PQL14-Hard to Gain/Lose WeightPediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It is hard to gain or lose weight when I want to.PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hard to Gain or Lose Weight
PQL1411C138475PQL14-Hard to Use HandsPediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It is hard to use my hands.PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hard to Use Hands
PQL1412C138476PQL14-Hard to Swallow FoodPediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It is hard to swallow food.PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hard to Swallow Food
PQL1413C138477PQL14-Long Time to Bathe/ShowerPediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It takes me a long time to bathe or shower.PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Long Time to Bathe or Shower
PQL1414C138478PQL14-Get Hurt AccidentallyPediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: I get hurt accidentally.PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Get Hurt Accidentally
PQL1415C138479PQL14-Take Long Time to EatPediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: I take a long time to eat.PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Take Long Time to Eat
PQL1416C138480PQL14-Hard to Turn During NightPediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It is hard to turn myself during the night.PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hard to Turn During Night
PQL1417C138481PQL14-Hard to Go Places With EquipmentPediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It is hard for me to go places with my equipment.PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hard to Go Places With Equipment
PQL1418C138482PQL14-Hard Tell Doctors/Nurses How FeelPediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It is hard for me to tell the doctors and nurses how I feel.PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hard Tell Doctors and Nurses How Feel
PQL1419C138483PQL14-Hard Ask Doctors/Nurses QuestionsPediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It is hard for me to ask the doctors and nurses questions.PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hard Ask Doctors and Nurses Questions
PQL1420C138484PQL14-Hard Explain Illness to PeoplePediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It is hard for me to explain my illness to other people.PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hard Explain Illness to People
PQL1421C138485PQL14-Hard for Family to Plan ActivitiesPediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It is hard for my family to plan activities like vacations.PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hard for Family to Plan Activities
PQL1422C138486PQL14-Hard for Family to RestPediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It is hard for my family to get enough rest.PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hard for Family to Rest
PQL1423C138487PQL14-Money Problem in Our FamilyPediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: I think money is a problem in our family.PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Money Problem in Our Family
PQL1424C138488PQL14-Family Has Lot of ProblemsPediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: I think my family has a lot of problems.PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Family Has Lot of Problems
PQL1425C138489PQL14-Do Not Have Equipment NeedPediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: I do not have the equipment I need.PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Do Not Have Equipment Need
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CL.C138226.PQL14TNPediatric Quality of Life Neuromuscular Module Acute Version 3 Child Questionnaire Test Name
(PQL14TN)
text
Extensible: No
C138226Pediatric Quality of Life Neuromuscular Module Acute Version 3 Child Questionnaire Test NamePediatric Quality of Life Neuromuscular Module Acute Version 3 Child test name.CDISC Questionnaire PedsQL Neuromuscular Module Acute Version 3.0 Child Report Test Name Terminology
PQL14-Back Feels StiffC138470PQL14-Back Feels StiffPediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: My back feels stiff.PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Back Feels Stiff
PQL14-Do Not Have Equipment NeedC138489PQL14-Do Not Have Equipment NeedPediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: I do not have the equipment I need.PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Do Not Have Equipment Need
PQL14-Family Has Lot of ProblemsC138488PQL14-Family Has Lot of ProblemsPediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: I think my family has a lot of problems.PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Family Has Lot of Problems
PQL14-Feel TiredC138469PQL14-Feel TiredPediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: I feel tired.PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Feel Tired
PQL14-Get Hurt AccidentallyC138478PQL14-Get Hurt AccidentallyPediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: I get hurt accidentally.PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Get Hurt Accidentally
PQL14-Get Sick EasilyC138466PQL14-Get Sick EasilyPediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: I get sick easily.PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Get Sick Easily
PQL14-Get Sores and/or RashesC138467PQL14-Get Sores and/or RashesPediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: I get sores and/or rashes.PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Get Sores and/or Rashes
PQL14-Hands Are WeakC138472PQL14-Hands Are WeakPediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: My hands are weak.PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hands Are Weak
PQL14-Hard Ask Doctors/Nurses QuestionsC138483PQL14-Hard Ask Doctors/Nurses QuestionsPediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It is hard for me to ask the doctors and nurses questions.PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hard Ask Doctors and Nurses Questions
PQL14-Hard Explain Illness to PeopleC138484PQL14-Hard Explain Illness to PeoplePediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It is hard for me to explain my illness to other people.PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hard Explain Illness to People
PQL14-Hard for Family to Plan ActivitiesC138485PQL14-Hard for Family to Plan ActivitiesPediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It is hard for my family to plan activities like vacations.PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hard for Family to Plan Activities
PQL14-Hard for Family to RestC138486PQL14-Hard for Family to RestPediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It is hard for my family to get enough rest.PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hard for Family to Rest
PQL14-Hard Tell Doctors/Nurses How FeelC138482PQL14-Hard Tell Doctors/Nurses How FeelPediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It is hard for me to tell the doctors and nurses how I feel.PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hard Tell Doctors and Nurses How Feel
PQL14-Hard to BreatheC138465PQL14-Hard to BreathePediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It is hard to breathe.PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hard to Breathe
PQL14-Hard to Gain/Lose WeightC138474PQL14-Hard to Gain/Lose WeightPediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It is hard to gain or lose weight when I want to.PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hard to Gain or Lose Weight
PQL14-Hard to Go Places With EquipmentC138481PQL14-Hard to Go Places With EquipmentPediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It is hard for me to go places with my equipment.PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hard to Go Places With Equipment
PQL14-Hard to Swallow FoodC138476PQL14-Hard to Swallow FoodPediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It is hard to swallow food.PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hard to Swallow Food
PQL14-Hard to Turn During NightC138480PQL14-Hard to Turn During NightPediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It is hard to turn myself during the night.PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hard to Turn During Night
PQL14-Hard to Use BathroomC138473PQL14-Hard to Use BathroomPediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It is hard to use the bathroom.PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hard to Use Bathroom
PQL14-Hard to Use HandsC138475PQL14-Hard to Use HandsPediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It is hard to use my hands.PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Hard to Use Hands
PQL14-Legs HurtC138468PQL14-Legs HurtPediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: My legs hurt.PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Legs Hurt
PQL14-Long Time to Bathe/ShowerC138477PQL14-Long Time to Bathe/ShowerPediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: It takes me a long time to bathe or shower.PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Long Time to Bathe or Shower
PQL14-Money Problem in Our FamilyC138487PQL14-Money Problem in Our FamilyPediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: I think money is a problem in our family.PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Money Problem in Our Family
PQL14-Take Long Time to EatC138479PQL14-Take Long Time to EatPediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: I take a long time to eat.PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Take Long Time to Eat
PQL14-Wake Up TiredC138471PQL14-Wake Up TiredPediatric Quality of Life Neuromuscular Module Acute Version 3 Child - In the past 7 days, how much of a problem has this been for you: I wake up tired.PedsQL Neuromuscular Module Acute Version 3.0 Child Report - Wake Up Tired
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CL.C138233.PQL13TCPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report Questionnaire Test Code
(PQL13TC)
text
Extensible: No
C138233Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report Questionnaire Test CodePediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report test code.CDISC Questionnaire PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen Test Code Terminology
PQL1301C138540PQL13-Hard to BreathePediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It is hard for my child to breathe.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hard to Breathe
PQL1302C138541PQL13-Get Sick EasilyPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: My child gets sick easily.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Get Sick Easily
PQL1303C138542PQL13-Get Sores and/or RashesPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: My child gets sores and/or rashes.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Get Sores and/or Rashes
PQL1304C138543PQL13-Legs HurtPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: My child's legs hurt.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Legs Hurt
PQL1305C138544PQL13-Feel TiredPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: My child feels tired.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Feel Tired
PQL1306C138545PQL13-Back Feels StiffPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: My child's back feels stiff.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Back Feels Stiff
PQL1307C138546PQL13-Wake Up TiredPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: My child wakes up tired.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Wake Up Tired
PQL1308C138547PQL13-Hands Are WeakPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: My child's hands are weak.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hands Are Weak
PQL1309C138548PQL13-Hard to Use BathroomPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It is hard for my child to use the bathroom.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hard to Use Bathroom
PQL1310C138549PQL13-Hard to Gain/Lose WeightPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It is hard for my child to gain or lose weight when he or she wants to.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hard to Gain or Lose Weight
PQL1311C138550PQL13-Hard to Use HandsPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It is hard for my child to use his or her hands.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hard to Use Hands
PQL1312C138551PQL13-Hard to Swallow FoodPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It is hard for my child to swallow food.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hard to Swallow Food
PQL1313C138552PQL13-Long Time to Bathe/ShowerPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It takes my child a long time to bathe or shower.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Long Time to Bathe or Shower
PQL1314C138553PQL13-Get Hurt AccidentallyPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: My child gets hurt accidentally.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Get Hurt Accidentally
PQL1315C138554PQL13-Take Long Time to EatPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: My child takes a long time to eat.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Take Long Time to Eat
PQL1316C138555PQL13-Hard to Turn During NightPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It is hard for my child to turn him or herself during the night.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hard to Turn During Night
PQL1317C138556PQL13-Hard to Go Places With EquipmentPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It is hard for my child to go places with his or her equipment.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hard to Go Places With Equipment
PQL1318C138557PQL13-Hard Tell Doctors/Nurses How FeelPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It is hard for my child to tell the doctors and nurses how he or she feels.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hard Tell Doctors and Nurses How Feel
PQL1319C138558PQL13-Hard Ask Doctors/Nurses QuestionsPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It is hard for my child to ask the doctors and nurses questions.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hard Ask Doctors and Nurses Questions
PQL1320C138559PQL13-Hard Explain Illness to PeoplePediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It is hard for my child to explain his or her illness to other people.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hard Explain Illness to People
PQL1321C138560PQL13-Hard for Family to Plan ActivitiesPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It is hard for our family to plan activities like vacations.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hard for Family to Plan Activities
PQL1322C138561PQL13-Hard for Family to RestPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It is hard for our family to get enough rest.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hard for Family to Rest
PQL1323C138562PQL13-Money Problem in Our FamilyPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: I think money is a problem in our family.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Money Problem in Our Family
PQL1324C138563PQL13-Family Has Lot of ProblemsPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: I think our family has a lot of problems.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Family Has Lot of Problems
PQL1325C138564PQL13-Do Not Have Equipment NeedPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: My child does not have the equipment he or she needs.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Do Not Have Equipment Need
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CL.C138232.PQL13TNPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report Questionnaire Test Name
(PQL13TN)
text
Extensible: No
C138232Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report Questionnaire Test NamePediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report test name.CDISC Questionnaire PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen Test Name Terminology
PQL13-Back Feels StiffC138545PQL13-Back Feels StiffPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: My child's back feels stiff.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Back Feels Stiff
PQL13-Do Not Have Equipment NeedC138564PQL13-Do Not Have Equipment NeedPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: My child does not have the equipment he or she needs.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Do Not Have Equipment Need
PQL13-Family Has Lot of ProblemsC138563PQL13-Family Has Lot of ProblemsPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: I think our family has a lot of problems.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Family Has Lot of Problems
PQL13-Feel TiredC138544PQL13-Feel TiredPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: My child feels tired.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Feel Tired
PQL13-Get Hurt AccidentallyC138553PQL13-Get Hurt AccidentallyPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: My child gets hurt accidentally.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Get Hurt Accidentally
PQL13-Get Sick EasilyC138541PQL13-Get Sick EasilyPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: My child gets sick easily.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Get Sick Easily
PQL13-Get Sores and/or RashesC138542PQL13-Get Sores and/or RashesPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: My child gets sores and/or rashes.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Get Sores and/or Rashes
PQL13-Hands Are WeakC138547PQL13-Hands Are WeakPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: My child's hands are weak.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hands Are Weak
PQL13-Hard Ask Doctors/Nurses QuestionsC138558PQL13-Hard Ask Doctors/Nurses QuestionsPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It is hard for my child to ask the doctors and nurses questions.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hard Ask Doctors and Nurses Questions
PQL13-Hard Explain Illness to PeopleC138559PQL13-Hard Explain Illness to PeoplePediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It is hard for my child to explain his or her illness to other people.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hard Explain Illness to People
PQL13-Hard for Family to Plan ActivitiesC138560PQL13-Hard for Family to Plan ActivitiesPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It is hard for our family to plan activities like vacations.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hard for Family to Plan Activities
PQL13-Hard for Family to RestC138561PQL13-Hard for Family to RestPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It is hard for our family to get enough rest.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hard for Family to Rest
PQL13-Hard Tell Doctors/Nurses How FeelC138557PQL13-Hard Tell Doctors/Nurses How FeelPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It is hard for my child to tell the doctors and nurses how he or she feels.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hard Tell Doctors and Nurses How Feel
PQL13-Hard to BreatheC138540PQL13-Hard to BreathePediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It is hard for my child to breathe.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hard to Breathe
PQL13-Hard to Gain/Lose WeightC138549PQL13-Hard to Gain/Lose WeightPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It is hard for my child to gain or lose weight when he or she wants to.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hard to Gain or Lose Weight
PQL13-Hard to Go Places With EquipmentC138556PQL13-Hard to Go Places With EquipmentPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It is hard for my child to go places with his or her equipment.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hard to Go Places With Equipment
PQL13-Hard to Swallow FoodC138551PQL13-Hard to Swallow FoodPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It is hard for my child to swallow food.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hard to Swallow Food
PQL13-Hard to Turn During NightC138555PQL13-Hard to Turn During NightPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It is hard for my child to turn him or herself during the night.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hard to Turn During Night
PQL13-Hard to Use BathroomC138548PQL13-Hard to Use BathroomPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It is hard for my child to use the bathroom.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hard to Use Bathroom
PQL13-Hard to Use HandsC138550PQL13-Hard to Use HandsPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It is hard for my child to use his or her hands.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Hard to Use Hands
PQL13-Legs HurtC138543PQL13-Legs HurtPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: My child's legs hurt.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Legs Hurt
PQL13-Long Time to Bathe/ShowerC138552PQL13-Long Time to Bathe/ShowerPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: It takes my child a long time to bathe or shower.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Long Time to Bathe or Shower
PQL13-Money Problem in Our FamilyC138562PQL13-Money Problem in Our FamilyPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: I think money is a problem in our family.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Money Problem in Our Family
PQL13-Take Long Time to EatC138554PQL13-Take Long Time to EatPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: My child takes a long time to eat.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Take Long Time to Eat
PQL13-Wake Up TiredC138546PQL13-Wake Up TiredPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Parent Report - In the past 7 days, how much of a problem has this been for your teen: My child wakes up tired.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Teen - Wake Up Tired
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CL.C138239.PQL12TCPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Questionnaire Test Code
(PQL12TC)
text
Extensible: No
C138239Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Questionnaire Test CodePediatric Quality of Life Neuromuscular Module Acute Version 3 Teen test code.CDISC Questionnaire PedsQL Neuromuscular Module Acute Version 3.0 Teen Report Test Code Terminology
PQL1201C138615PQL12-Hard to BreathePediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It is hard to breathe.PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hard to Breathe
PQL1202C138616PQL12-Get Sick EasilyPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: I get sick easily.PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Get Sick Easily
PQL1203C138617PQL12-Get Sores and/or RashesPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: I get sores and/or rashes.PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Get Sores and/or Rashes
PQL1204C138618PQL12-Legs HurtPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: My legs hurt.PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Legs Hurt
PQL1205C138619PQL12-Feel TiredPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: I feel tired.PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Feel Tired
PQL1206C138620PQL12-Back Feels StiffPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: My back feels stiff.PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Back Feels Stiff
PQL1207C138621PQL12-Wake Up TiredPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: I wake up tired.PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Wake Up Tired
PQL1208C138622PQL12-Hands Are WeakPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: My hands are weak.PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hands Are Weak
PQL1209C138623PQL12-Hard to Use BathroomPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It is hard to use the bathroom.PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hard to Use Bathroom
PQL1210C138624PQL12-Hard to Gain/Lose WeightPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It is hard to gain or lose weight when I want to.PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hard to Gain or Lose Weight
PQL1211C138625PQL12-Hard to Use HandsPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It is hard to use my hands.PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hard to Use Hands
PQL1212C138626PQL12-Hard to Swallow FoodPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It is hard to swallow food.PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hard to Swallow Food
PQL1213C138627PQL12-Long Time to Bathe/ShowerPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It takes me a long time to bathe or shower.PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Long Time to Bathe or Shower
PQL1214C138628PQL12-Get Hurt AccidentallyPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: I get hurt accidentally.PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Get Hurt Accidentally
PQL1215C138629PQL12-Take Long Time to EatPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: I take a long time to eat.PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Take Long Time to Eat
PQL1216C138630PQL12-Hard to Turn During NightPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It is hard to turn myself during the night.PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hard to Turn During Night
PQL1217C138631PQL12-Hard to Go Places With EquipmentPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It is hard for me to go places with my equipment.PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hard to Go Places With Equipment
PQL1218C138632PQL12-Hard Tell Doctors/Nurses How FeelPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It is hard for me to tell the doctors and nurses how I feel.PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hard Tell Doctors and Nurses How Feel
PQL1219C138633PQL12-Hard Ask Doctors/Nurses QuestionsPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It is hard for me to ask the doctors and nurses questions.PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hard Ask Doctors and Nurses Questions
PQL1220C138634PQL12-Hard Explain Illness to PeoplePediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It is hard for me to explain my illness to other people.PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hard Explain Illness to People
PQL1221C138635PQL12-Hard for Family to Plan ActivitiesPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It is hard for my family to plan activities like vacations.PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hard for Family to Plan Activities
PQL1222C138636PQL12-Hard for Family to RestPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It is hard for my family to get enough rest.PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hard for Family to Rest
PQL1223C138637PQL12-Money Problem in Our FamilyPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: I think money is a problem in our family.PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Money Problem in Our Family
PQL1224C138638PQL12-Family Has Lot of ProblemsPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: I think my family has a lot of problems.PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Family Has Lot of Problems
PQL1225C138639PQL12-Do Not Have Equipment NeedPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: I do not have the equipment I need.PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Do Not Have Equipment Need
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CL.C138238.PQL12TNPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Questionnaire Test Name
(PQL12TN)
text
Extensible: No
C138238Pediatric Quality of Life Neuromuscular Module Acute Version 3 Teen Questionnaire Test NamePediatric Quality of Life Neuromuscular Module Acute Version 3 Teen test name.CDISC Questionnaire PedsQL Neuromuscular Module Acute Version 3.0 Teen Report Test Name Terminology
PQL12-Back Feels StiffC138620PQL12-Back Feels StiffPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: My back feels stiff.PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Back Feels Stiff
PQL12-Do Not Have Equipment NeedC138639PQL12-Do Not Have Equipment NeedPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: I do not have the equipment I need.PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Do Not Have Equipment Need
PQL12-Family Has Lot of ProblemsC138638PQL12-Family Has Lot of ProblemsPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: I think my family has a lot of problems.PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Family Has Lot of Problems
PQL12-Feel TiredC138619PQL12-Feel TiredPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: I feel tired.PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Feel Tired
PQL12-Get Hurt AccidentallyC138628PQL12-Get Hurt AccidentallyPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: I get hurt accidentally.PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Get Hurt Accidentally
PQL12-Get Sick EasilyC138616PQL12-Get Sick EasilyPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: I get sick easily.PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Get Sick Easily
PQL12-Get Sores and/or RashesC138617PQL12-Get Sores and/or RashesPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: I get sores and/or rashes.PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Get Sores and/or Rashes
PQL12-Hands Are WeakC138622PQL12-Hands Are WeakPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: My hands are weak.PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hands Are Weak
PQL12-Hard Ask Doctors/Nurses QuestionsC138633PQL12-Hard Ask Doctors/Nurses QuestionsPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It is hard for me to ask the doctors and nurses questions.PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hard Ask Doctors and Nurses Questions
PQL12-Hard Explain Illness to PeopleC138634PQL12-Hard Explain Illness to PeoplePediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It is hard for me to explain my illness to other people.PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hard Explain Illness to People
PQL12-Hard for Family to Plan ActivitiesC138635PQL12-Hard for Family to Plan ActivitiesPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It is hard for my family to plan activities like vacations.PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hard for Family to Plan Activities
PQL12-Hard for Family to RestC138636PQL12-Hard for Family to RestPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It is hard for my family to get enough rest.PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hard for Family to Rest
PQL12-Hard Tell Doctors/Nurses How FeelC138632PQL12-Hard Tell Doctors/Nurses How FeelPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It is hard for me to tell the doctors and nurses how I feel.PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hard Tell Doctors and Nurses How Feel
PQL12-Hard to BreatheC138615PQL12-Hard to BreathePediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It is hard to breathe.PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hard to Breathe
PQL12-Hard to Gain/Lose WeightC138624PQL12-Hard to Gain/Lose WeightPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It is hard to gain or lose weight when I want to.PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hard to Gain or Lose Weight
PQL12-Hard to Go Places With EquipmentC138631PQL12-Hard to Go Places With EquipmentPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It is hard for me to go places with my equipment.PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hard to Go Places With Equipment
PQL12-Hard to Swallow FoodC138626PQL12-Hard to Swallow FoodPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It is hard to swallow food.PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hard to Swallow Food
PQL12-Hard to Turn During NightC138630PQL12-Hard to Turn During NightPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It is hard to turn myself during the night.PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hard to Turn During Night
PQL12-Hard to Use BathroomC138623PQL12-Hard to Use BathroomPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It is hard to use the bathroom.PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hard to Use Bathroom
PQL12-Hard to Use HandsC138625PQL12-Hard to Use HandsPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It is hard to use my hands.PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Hard to Use Hands
PQL12-Legs HurtC138618PQL12-Legs HurtPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: My legs hurt.PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Legs Hurt
PQL12-Long Time to Bathe/ShowerC138627PQL12-Long Time to Bathe/ShowerPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: It takes me a long time to bathe or shower.PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Long Time to Bathe or Shower
PQL12-Money Problem in Our FamilyC138637PQL12-Money Problem in Our FamilyPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: I think money is a problem in our family.PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Money Problem in Our Family
PQL12-Take Long Time to EatC138629PQL12-Take Long Time to EatPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: I take a long time to eat.PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Take Long Time to Eat
PQL12-Wake Up TiredC138621PQL12-Wake Up TiredPediatric Quality of Life Neuromuscular Module Acute Version 3 Teen - In the past 7 days, how much of a problem has this been for you: I wake up tired.PedsQL Neuromuscular Module Acute Version 3.0 Teen Report - Wake Up Tired
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CL.C138229.PQL18TCPediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report Questionnaire Test Code
(PQL18TC)
text
Extensible: No
C138229Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report Questionnaire Test CodePediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report test code.CDISC Questionnaire PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler Test Code Terminology
PQL1801C138490PQL18-Hard to BreathePediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to breathe.PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hard to Breathe
PQL1802C138491PQL18-Get Sick EasilyPediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: My child gets sick easily.PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Get Sick Easily
PQL1803C138492PQL18-Get Sores and/or RashesPediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: My child gets sores and/or rashes.PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Get Sores and/or Rashes
PQL1804C138493PQL18-Legs HurtPediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: My child's legs hurt.PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Legs Hurt
PQL1805C138494PQL18-Feel TiredPediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: My child feels tired.PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Feel Tired
PQL1806C138495PQL18-Back Feels StiffPediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: My child's back feels stiff.PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Back Feels Stiff
PQL1807C138496PQL18-Wake Up TiredPediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: My child wakes up tired.PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Wake Up Tired
PQL1808C138497PQL18-Hands Are WeakPediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: My child's hands are weak.PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hands Are Weak
PQL1809C138498PQL18-Hard to Use BathroomPediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to use the bathroom.PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hard to Use Bathroom
PQL1810C138499PQL18-Hard to Gain/Lose WeightPediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to gain or lose weight when he or she wants to.PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hard to Gain or Lose Weight
PQL1811C138500PQL18-Hard to Use HandsPediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to use his or her hands.PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hard to Use Hands
PQL1812C138501PQL18-Hard to Swallow FoodPediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to swallow food.PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hard to Swallow Food
PQL1813C138502PQL18-Long Time to Bathe/ShowerPediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It takes my child a long time to bathe or shower.PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Long Time to Bathe or Shower
PQL1814C138503PQL18-Get Hurt AccidentallyPediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: My child gets hurt accidentally.PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Get Hurt Accidentally
PQL1815C138504PQL18-Take Long Time to EatPediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: My child takes a long time to eat.PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Take Long Time to Eat
PQL1816C138505PQL18-Hard to Turn During NightPediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to turn him or herself during the night.PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hard to Turn During Night
PQL1817C138506PQL18-Hard to Go Places With EquipmentPediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to go places with his or her equipment.PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hard to Go Places With Equipment
PQL1818C138507PQL18-Hard Tell Doctors/Nurses How FeelPediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to tell the doctors and nurses how he or she feels.PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hard Tell Doctors and Nurses How Feel
PQL1819C138508PQL18-Hard Ask Doctors/Nurses QuestionsPediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to ask the doctors and nurses questions.PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hard Ask Doctors and Nurses Questions
PQL1820C138509PQL18-Hard Explain Illness to PeoplePediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to explain his or her illness to other people.PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hard Explain Illness to People
PQL1821C138510PQL18-Hard for Family to Plan ActivitiesPediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for our family to plan activities like vacations.PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hard for Family to Plan Activities
PQL1822C138511PQL18-Hard for Family to RestPediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for our family to get enough rest.PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hard for Family to Rest
PQL1823C138512PQL18-Money Problem in Our FamilyPediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: I think money is a problem in our family.PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Money Problem in Our Family
PQL1824C138513PQL18-Family Has Lot of ProblemsPediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: I think our family has a lot of problems.PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Family Has Lot of Problems
PQL1825C138514PQL18-Do Not Have Equipment NeedPediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: My child does not have the equipment he or she needs.PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Do Not Have Equipment Need
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CL.C138228.PQL18TNPediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report Questionnaire Test Name
(PQL18TN)
text
Extensible: No
C138228Pediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report Questionnaire Test NamePediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report test name.CDISC Questionnaire PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler Test Name Terminology
PQL18-Back Feels StiffC138495PQL18-Back Feels StiffPediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: My child's back feels stiff.PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Back Feels Stiff
PQL18-Do Not Have Equipment NeedC138514PQL18-Do Not Have Equipment NeedPediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: My child does not have the equipment he or she needs.PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Do Not Have Equipment Need
PQL18-Family Has Lot of ProblemsC138513PQL18-Family Has Lot of ProblemsPediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: I think our family has a lot of problems.PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Family Has Lot of Problems
PQL18-Feel TiredC138494PQL18-Feel TiredPediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: My child feels tired.PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Feel Tired
PQL18-Get Hurt AccidentallyC138503PQL18-Get Hurt AccidentallyPediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: My child gets hurt accidentally.PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Get Hurt Accidentally
PQL18-Get Sick EasilyC138491PQL18-Get Sick EasilyPediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: My child gets sick easily.PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Get Sick Easily
PQL18-Get Sores and/or RashesC138492PQL18-Get Sores and/or RashesPediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: My child gets sores and/or rashes.PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Get Sores and/or Rashes
PQL18-Hands Are WeakC138497PQL18-Hands Are WeakPediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: My child's hands are weak.PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hands Are Weak
PQL18-Hard Ask Doctors/Nurses QuestionsC138508PQL18-Hard Ask Doctors/Nurses QuestionsPediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to ask the doctors and nurses questions.PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hard Ask Doctors and Nurses Questions
PQL18-Hard Explain Illness to PeopleC138509PQL18-Hard Explain Illness to PeoplePediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to explain his or her illness to other people.PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hard Explain Illness to People
PQL18-Hard for Family to Plan ActivitiesC138510PQL18-Hard for Family to Plan ActivitiesPediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for our family to plan activities like vacations.PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hard for Family to Plan Activities
PQL18-Hard for Family to RestC138511PQL18-Hard for Family to RestPediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for our family to get enough rest.PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hard for Family to Rest
PQL18-Hard Tell Doctors/Nurses How FeelC138507PQL18-Hard Tell Doctors/Nurses How FeelPediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to tell the doctors and nurses how he or she feels.PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hard Tell Doctors and Nurses How Feel
PQL18-Hard to BreatheC138490PQL18-Hard to BreathePediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to breathe.PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hard to Breathe
PQL18-Hard to Gain/Lose WeightC138499PQL18-Hard to Gain/Lose WeightPediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to gain or lose weight when he or she wants to.PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hard to Gain or Lose Weight
PQL18-Hard to Go Places With EquipmentC138506PQL18-Hard to Go Places With EquipmentPediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to go places with his or her equipment.PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hard to Go Places With Equipment
PQL18-Hard to Swallow FoodC138501PQL18-Hard to Swallow FoodPediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to swallow food.PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hard to Swallow Food
PQL18-Hard to Turn During NightC138505PQL18-Hard to Turn During NightPediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to turn him or herself during the night.PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hard to Turn During Night
PQL18-Hard to Use BathroomC138498PQL18-Hard to Use BathroomPediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to use the bathroom.PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hard to Use Bathroom
PQL18-Hard to Use HandsC138500PQL18-Hard to Use HandsPediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to use his or her hands.PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Hard to Use Hands
PQL18-Legs HurtC138493PQL18-Legs HurtPediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: My child's legs hurt.PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Legs Hurt
PQL18-Long Time to Bathe/ShowerC138502PQL18-Long Time to Bathe/ShowerPediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: It takes my child a long time to bathe or shower.PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Long Time to Bathe or Shower
PQL18-Money Problem in Our FamilyC138512PQL18-Money Problem in Our FamilyPediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: I think money is a problem in our family.PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Money Problem in Our Family
PQL18-Take Long Time to EatC138504PQL18-Take Long Time to EatPediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: My child takes a long time to eat.PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Take Long Time to Eat
PQL18-Wake Up TiredC138496PQL18-Wake Up TiredPediatric Quality of Life Neuromuscular Module Acute Version 3 Toddler Parent Report - In the past 7 days, how much of a problem has this been for your child: My child wakes up tired.PedsQL Neuromuscular Module Acute Version 3.0 Parent of Toddler - Wake Up Tired
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CL.C138235.PQL11TCPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report Questionnaire Test Code
(PQL11TC)
text
Extensible: No
C138235Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report Questionnaire Test CodePediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report test code.CDISC Questionnaire PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults Test Code Terminology
PQL1101C138565PQL11-Hard to BreathePediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to breathe.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hard to Breathe
PQL1102C138566PQL11-Get Sick EasilyPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: My child gets sick easily.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Get Sick Easily
PQL1103C138567PQL11-Get Sores and/or RashesPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: My child gets sores and/or rashes.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Get Sores and/or Rashes
PQL1104C138568PQL11-Legs HurtPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: My child's legs hurt.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Legs Hurt
PQL1105C138569PQL11-Feel TiredPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: My child feels tired.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Feel Tired
PQL1106C138570PQL11-Back Feels StiffPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: My child's back feels stiff.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Back Feels Stiff
PQL1107C138571PQL11-Wake Up TiredPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: My child wakes up tired.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Wake Up Tired
PQL1108C138572PQL11-Hands Are WeakPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: My child's hands are weak.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hands Are Weak
PQL1109C138573PQL11-Hard to Use BathroomPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to use the bathroom.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hard to Use Bathroom
PQL1110C138574PQL11-Hard to Gain/Lose WeightPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to gain or lose weight when he or she wants to.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hard to Gain or Lose Weight
PQL1111C138575PQL11-Hard to Use HandsPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to use his or her hands.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hard to Use Hands
PQL1112C138576PQL11-Hard to Swallow FoodPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to swallow food.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hard to Swallow Food
PQL1113C138577PQL11-Long Time to Bathe/ShowerPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It takes my child a long time to bathe or shower.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Long Time to Bathe or Shower
PQL1114C138578PQL11-Get Hurt AccidentallyPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: My child gets hurt accidentally.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Get Hurt Accidentally
PQL1115C138579PQL11-Take Long Time to EatPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: My child takes a long time to eat.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Take Long Time to Eat
PQL1116C138580PQL11-Hard to Turn During NightPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to turn him or herself during the night.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hard to Turn During Night
PQL1117C138581PQL11-Hard to Go Places With EquipmentPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to go places with his or her equipment.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hard to Go Places With Equipment
PQL1118C138582PQL11-Hard Tell Doctors/Nurses How FeelPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to tell the doctors and nurses how he or she feels.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hard Tell Doctors and Nurses How Feel
PQL1119C138583PQL11-Hard Ask Doctors/Nurses QuestionsPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to ask the doctors and nurses questions.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hard Ask Doctors and Nurses Questions
PQL1120C138584PQL11-Hard Explain Illness to PeoplePediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to explain his or her illness to other people.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hard Explain Illness to People
PQL1121C138585PQL11-Hard for Family to Plan ActivitiesPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for our family to plan activities like vacations.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hard for Family to Plan Activities
PQL1122C138586PQL11-Hard for Family to RestPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for our family to get enough rest.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hard for Family to Rest
PQL1123C138587PQL11-Money Problem in Our FamilyPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: I think money is a problem in our family.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Money Problem in Our Family
PQL1124C138588PQL11-Family Has Lot of ProblemsPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: I think our family has a lot of problems.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Family Has Lot of Problems
PQL1125C138589PQL11-Do Not Have Equipment NeedPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: My child does not have the equipment he or she needs.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Do Not Have Equipment Need
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CL.C138234.PQL11TNPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report Questionnaire Test Name
(PQL11TN)
text
Extensible: No
C138234Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report Questionnaire Test NamePediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report test name.CDISC Questionnaire PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults Test Name Terminology
PQL11-Back Feels StiffC138570PQL11-Back Feels StiffPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: My child's back feels stiff.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Back Feels Stiff
PQL11-Do Not Have Equipment NeedC138589PQL11-Do Not Have Equipment NeedPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: My child does not have the equipment he or she needs.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Do Not Have Equipment Need
PQL11-Family Has Lot of ProblemsC138588PQL11-Family Has Lot of ProblemsPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: I think our family has a lot of problems.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Family Has Lot of Problems
PQL11-Feel TiredC138569PQL11-Feel TiredPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: My child feels tired.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Feel Tired
PQL11-Get Hurt AccidentallyC138578PQL11-Get Hurt AccidentallyPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: My child gets hurt accidentally.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Get Hurt Accidentally
PQL11-Get Sick EasilyC138566PQL11-Get Sick EasilyPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: My child gets sick easily.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Get Sick Easily
PQL11-Get Sores and/or RashesC138567PQL11-Get Sores and/or RashesPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: My child gets sores and/or rashes.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Get Sores and/or Rashes
PQL11-Hands Are WeakC138572PQL11-Hands Are WeakPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: My child's hands are weak.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hands Are Weak
PQL11-Hard Ask Doctors/Nurses QuestionsC138583PQL11-Hard Ask Doctors/Nurses QuestionsPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to ask the doctors and nurses questions.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hard Ask Doctors and Nurses Questions
PQL11-Hard Explain Illness to PeopleC138584PQL11-Hard Explain Illness to PeoplePediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to explain his or her illness to other people.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hard Explain Illness to People
PQL11-Hard for Family to Plan ActivitiesC138585PQL11-Hard for Family to Plan ActivitiesPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for our family to plan activities like vacations.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hard for Family to Plan Activities
PQL11-Hard for Family to RestC138586PQL11-Hard for Family to RestPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for our family to get enough rest.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hard for Family to Rest
PQL11-Hard Tell Doctors/Nurses How FeelC138582PQL11-Hard Tell Doctors/Nurses How FeelPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to tell the doctors and nurses how he or she feels.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hard Tell Doctors and Nurses How Feel
PQL11-Hard to BreatheC138565PQL11-Hard to BreathePediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to breathe.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hard to Breathe
PQL11-Hard to Gain/Lose WeightC138574PQL11-Hard to Gain/Lose WeightPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to gain or lose weight when he or she wants to.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hard to Gain or Lose Weight
PQL11-Hard to Go Places With EquipmentC138581PQL11-Hard to Go Places With EquipmentPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to go places with his or her equipment.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hard to Go Places With Equipment
PQL11-Hard to Swallow FoodC138576PQL11-Hard to Swallow FoodPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to swallow food.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hard to Swallow Food
PQL11-Hard to Turn During NightC138580PQL11-Hard to Turn During NightPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to turn him or herself during the night.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hard to Turn During Night
PQL11-Hard to Use BathroomC138573PQL11-Hard to Use BathroomPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to use the bathroom.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hard to Use Bathroom
PQL11-Hard to Use HandsC138575PQL11-Hard to Use HandsPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to use his or her hands.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Hard to Use Hands
PQL11-Legs HurtC138568PQL11-Legs HurtPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: My child's legs hurt.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Legs Hurt
PQL11-Long Time to Bathe/ShowerC138577PQL11-Long Time to Bathe/ShowerPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: It takes my child a long time to bathe or shower.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Long Time to Bathe or Shower
PQL11-Money Problem in Our FamilyC138587PQL11-Money Problem in Our FamilyPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: I think money is a problem in our family.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Money Problem in Our Family
PQL11-Take Long Time to EatC138579PQL11-Take Long Time to EatPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: My child takes a long time to eat.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Take Long Time to Eat
PQL11-Wake Up TiredC138571PQL11-Wake Up TiredPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Parent Report - In the past 7 days, how much of a problem has this been for your child: My child wakes up tired.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Adults - Wake Up Tired
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CL.C138241.PQL10TCPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Questionnaire Test Code
(PQL10TC)
text
Extensible: No
C138241Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Questionnaire Test CodePediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult test code.CDISC Questionnaire PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report Test Code Terminology
PQL1001C138640PQL10-Hard to BreathePediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It is hard to breathe.PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hard to Breathe
PQL1002C138641PQL10-Get Sick EasilyPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: I get sick easily.PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Get Sick Easily
PQL1003C138642PQL10-Get Sores and/or RashesPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: I get sores and/or rashes.PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Get Sores and/or Rashes
PQL1004C138643PQL10-Legs HurtPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: My legs hurt.PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Legs Hurt
PQL1005C138644PQL10-Feel TiredPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: I feel tired.PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Feel Tired
PQL1006C138645PQL10-Back Feels StiffPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: My back feels stiff.PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Back Feels Stiff
PQL1007C138646PQL10-Wake Up TiredPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: I wake up tired.PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Wake Up Tired
PQL1008C138647PQL10-Hands Are WeakPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: My hands are weak.PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hands Are Weak
PQL1009C138648PQL10-Hard to Use BathroomPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It is hard to use the bathroom.PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hard to Use Bathroom
PQL1010C138649PQL10-Hard to Gain/Lose WeightPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It is hard to gain or lose weight when I want to.PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hard to Gain or Lose Weight
PQL1011C138650PQL10-Hard to Use HandsPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It is hard to use my hands.PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hard to Use Hands
PQL1012C138651PQL10-Hard to Swallow FoodPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It is hard to swallow food.PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hard to Swallow Food
PQL1013C138652PQL10-Long Time to Bathe/ShowerPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It takes me a long time to bathe or shower.PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Long Time to Bathe or Shower
PQL1014C138653PQL10-Get Hurt AccidentallyPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: I get hurt accidentally.PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Get Hurt Accidentally
PQL1015C138654PQL10-Take Long Time to EatPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: I take a long time to eat.PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Take Long Time to Eat
PQL1016C138655PQL10-Hard to Turn During NightPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It is hard to turn myself during the night.PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hard to Turn During Night
PQL1017C138656PQL10-Hard to Go Places With EquipmentPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It is hard for me to go places with my equipment.PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hard to Go Places With Equipment
PQL1018C138657PQL10-Hard Tell Doctors/Nurses How FeelPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It is hard for me to tell the doctors and nurses how I feel.PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hard Tell Doctors and Nurses How Feel
PQL1019C138658PQL10-Hard Ask Doctors/Nurses QuestionsPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It is hard for me to ask the doctors and nurses questions.PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hard Ask Doctors and Nurses Questions
PQL1020C138659PQL10-Hard Explain Illness to PeoplePediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It is hard for me to explain my illness to other people.PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hard Explain Illness to People
PQL1021C138660PQL10-Hard for Family to Plan ActivitiesPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It is hard for my family to plan activities like vacations.PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hard for Family to Plan Activities
PQL1022C138661PQL10-Hard for Family to RestPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It is hard for my family to get enough rest.PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hard for Family to Rest
PQL1023C138662PQL10-Money Problem in Our FamilyPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: I think money is a problem in our family.PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Money Problem in Our Family
PQL1024C138663PQL10-Family Has Lot of ProblemsPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: I think my family has a lot of problems.PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Family Has Lot of Problems
PQL1025C138664PQL10-Do Not Have Equipment NeedPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: I do not have the equipment I need.PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Do Not Have Equipment Need
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CL.C138240.PQL10TNPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Questionnaire Test Name
(PQL10TN)
text
Extensible: No
C138240Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult Questionnaire Test NamePediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult test name.CDISC Questionnaire PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report Test Name Terminology
PQL10-Back Feels StiffC138645PQL10-Back Feels StiffPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: My back feels stiff.PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Back Feels Stiff
PQL10-Do Not Have Equipment NeedC138664PQL10-Do Not Have Equipment NeedPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: I do not have the equipment I need.PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Do Not Have Equipment Need
PQL10-Family Has Lot of ProblemsC138663PQL10-Family Has Lot of ProblemsPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: I think my family has a lot of problems.PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Family Has Lot of Problems
PQL10-Feel TiredC138644PQL10-Feel TiredPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: I feel tired.PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Feel Tired
PQL10-Get Hurt AccidentallyC138653PQL10-Get Hurt AccidentallyPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: I get hurt accidentally.PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Get Hurt Accidentally
PQL10-Get Sick EasilyC138641PQL10-Get Sick EasilyPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: I get sick easily.PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Get Sick Easily
PQL10-Get Sores and/or RashesC138642PQL10-Get Sores and/or RashesPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: I get sores and/or rashes.PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Get Sores and/or Rashes
PQL10-Hands Are WeakC138647PQL10-Hands Are WeakPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: My hands are weak.PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hands Are Weak
PQL10-Hard Ask Doctors/Nurses QuestionsC138658PQL10-Hard Ask Doctors/Nurses QuestionsPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It is hard for me to ask the doctors and nurses questions.PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hard Ask Doctors and Nurses Questions
PQL10-Hard Explain Illness to PeopleC138659PQL10-Hard Explain Illness to PeoplePediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It is hard for me to explain my illness to other people.PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hard Explain Illness to People
PQL10-Hard for Family to Plan ActivitiesC138660PQL10-Hard for Family to Plan ActivitiesPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It is hard for my family to plan activities like vacations.PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hard for Family to Plan Activities
PQL10-Hard for Family to RestC138661PQL10-Hard for Family to RestPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It is hard for my family to get enough rest.PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hard for Family to Rest
PQL10-Hard Tell Doctors/Nurses How FeelC138657PQL10-Hard Tell Doctors/Nurses How FeelPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It is hard for me to tell the doctors and nurses how I feel.PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hard Tell Doctors and Nurses How Feel
PQL10-Hard to BreatheC138640PQL10-Hard to BreathePediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It is hard to breathe.PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hard to Breathe
PQL10-Hard to Gain/Lose WeightC138649PQL10-Hard to Gain/Lose WeightPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It is hard to gain or lose weight when I want to.PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hard to Gain or Lose Weight
PQL10-Hard to Go Places With EquipmentC138656PQL10-Hard to Go Places With EquipmentPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It is hard for me to go places with my equipment.PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hard to Go Places With Equipment
PQL10-Hard to Swallow FoodC138651PQL10-Hard to Swallow FoodPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It is hard to swallow food.PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hard to Swallow Food
PQL10-Hard to Turn During NightC138655PQL10-Hard to Turn During NightPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It is hard to turn myself during the night.PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hard to Turn During Night
PQL10-Hard to Use BathroomC138648PQL10-Hard to Use BathroomPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It is hard to use the bathroom.PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hard to Use Bathroom
PQL10-Hard to Use HandsC138650PQL10-Hard to Use HandsPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It is hard to use my hands.PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Hard to Use Hands
PQL10-Legs HurtC138643PQL10-Legs HurtPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: My legs hurt.PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Legs Hurt
PQL10-Long Time to Bathe/ShowerC138652PQL10-Long Time to Bathe/ShowerPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: It takes me a long time to bathe or shower.PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Long Time to Bathe or Shower
PQL10-Money Problem in Our FamilyC138662PQL10-Money Problem in Our FamilyPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: I think money is a problem in our family.PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Money Problem in Our Family
PQL10-Take Long Time to EatC138654PQL10-Take Long Time to EatPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: I take a long time to eat.PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Take Long Time to Eat
PQL10-Wake Up TiredC138646PQL10-Wake Up TiredPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Adult - In the past 7 days, how much of a problem has this been for you: I wake up tired.PedsQL Neuromuscular Module Acute Version 3.0 Young Adult Report - Wake Up Tired
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CL.C138237.PQL17TCPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report Questionnaire Test Code
(PQL17TC)
text
Extensible: No
C138237Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report Questionnaire Test CodePediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report test code.CDISC Questionnaire PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child Test Code Terminology
PQL1701C138590PQL17-Hard to BreathePediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to breathe.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hard to Breathe
PQL1702C138591PQL17-Get Sick EasilyPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child gets sick easily.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Get Sick Easily
PQL1703C138592PQL17-Get Sores and/or RashesPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child gets sores and/or rashes.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Get Sores and/or Rashes
PQL1704C138593PQL17-Legs HurtPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child's legs hurt.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Legs Hurt
PQL1705C138594PQL17-Feel TiredPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child feels tired.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Feel Tired
PQL1706C138595PQL17-Back Feels StiffPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child's back feels stiff.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Back Feels Stiff
PQL1707C138596PQL17-Wake Up TiredPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child wakes up tired.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Wake Up Tired
PQL1708C138597PQL17-Hands Are WeakPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child's hands are weak.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hands Are Weak
PQL1709C138598PQL17-Hard to Use BathroomPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to use the bathroom.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hard to Use Bathroom
PQL1710C138599PQL17-Hard to Gain/Lose WeightPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to gain or lose weight when he or she wants to.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hard to Gain or Lose Weight
PQL1711C138600PQL17-Hard to Use HandsPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to use his or her hands.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hard to Use Hands
PQL1712C138601PQL17-Hard to Swallow FoodPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to swallow food.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hard to Swallow Food
PQL1713C138602PQL17-Long Time to Bathe/ShowerPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It takes my child a long time to bathe or shower.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Long Time to Bathe or Shower
PQL1714C138603PQL17-Get Hurt AccidentallyPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child gets hurt accidentally.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Get Hurt Accidentally
PQL1715C138604PQL17-Take Long Time to EatPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child takes a long time to eat.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Take Long Time to Eat
PQL1716C138605PQL17-Hard to Turn During NightPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to turn him or herself during the night.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hard to Turn During Night
PQL1717C138606PQL17-Hard to Go Places With EquipmentPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to go places with his or her equipment.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hard to Go Places With Equipment
PQL1718C138607PQL17-Hard Tell Doctors/Nurses How FeelPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to tell the doctors and nurses how he or she feels.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hard Tell Doctors and Nurses How Feel
PQL1719C138608PQL17-Hard Ask Doctors/Nurses QuestionsPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to ask the doctors and nurses questions.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hard Ask Doctors and Nurses Questions
PQL1720C138609PQL17-Hard Explain Illness to PeoplePediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to explain his or her illness to other people.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hard Explain Illness to People
PQL1721C138610PQL17-Hard for Family to Plan ActivitiesPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for our family to plan activities like vacations.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hard for Family to Plan Activities
PQL1722C138611PQL17-Hard for Family to RestPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for our family to get enough rest.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hard for Family to Rest
PQL1723C138612PQL17-Money Problem in Our FamilyPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: I think money is a problem in our family.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Money Problem in Our Family
PQL1724C138613PQL17-Family Has Lot of ProblemsPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: I think our family has a lot of problems.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Family Has Lot of Problems
PQL1725C138614PQL17-Do Not Have Equipment NeedPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child does not have the equipment he or she needs.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Do Not Have Equipment Need
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CL.C138236.PQL17TNPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report Questionnaire Test Name
(PQL17TN)
text
Extensible: No
C138236Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report Questionnaire Test NamePediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report test name.CDISC Questionnaire PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child Test Name Terminology
PQL17-Back Feels StiffC138595PQL17-Back Feels StiffPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child's back feels stiff.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Back Feels Stiff
PQL17-Do Not Have Equipment NeedC138614PQL17-Do Not Have Equipment NeedPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child does not have the equipment he or she needs.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Do Not Have Equipment Need
PQL17-Family Has Lot of ProblemsC138613PQL17-Family Has Lot of ProblemsPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: I think our family has a lot of problems.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Family Has Lot of Problems
PQL17-Feel TiredC138594PQL17-Feel TiredPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child feels tired.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Feel Tired
PQL17-Get Hurt AccidentallyC138603PQL17-Get Hurt AccidentallyPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child gets hurt accidentally.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Get Hurt Accidentally
PQL17-Get Sick EasilyC138591PQL17-Get Sick EasilyPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child gets sick easily.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Get Sick Easily
PQL17-Get Sores and/or RashesC138592PQL17-Get Sores and/or RashesPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child gets sores and/or rashes.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Get Sores and/or Rashes
PQL17-Hands Are WeakC138597PQL17-Hands Are WeakPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child's hands are weak.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hands Are Weak
PQL17-Hard Ask Doctors/Nurses QuestionsC138608PQL17-Hard Ask Doctors/Nurses QuestionsPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to ask the doctors and nurses questions.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hard Ask Doctors and Nurses Questions
PQL17-Hard Explain Illness to PeopleC138609PQL17-Hard Explain Illness to PeoplePediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to explain his or her illness to other people.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hard Explain Illness to People
PQL17-Hard for Family to Plan ActivitiesC138610PQL17-Hard for Family to Plan ActivitiesPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for our family to plan activities like vacations.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hard for Family to Plan Activities
PQL17-Hard for Family to RestC138611PQL17-Hard for Family to RestPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for our family to get enough rest.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hard for Family to Rest
PQL17-Hard Tell Doctors/Nurses How FeelC138607PQL17-Hard Tell Doctors/Nurses How FeelPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to tell the doctors and nurses how he or she feels.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hard Tell Doctors and Nurses How Feel
PQL17-Hard to BreatheC138590PQL17-Hard to BreathePediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to breathe.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hard to Breathe
PQL17-Hard to Gain/Lose WeightC138599PQL17-Hard to Gain/Lose WeightPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to gain or lose weight when he or she wants to.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hard to Gain or Lose Weight
PQL17-Hard to Go Places With EquipmentC138606PQL17-Hard to Go Places With EquipmentPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to go places with his or her equipment.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hard to Go Places With Equipment
PQL17-Hard to Swallow FoodC138601PQL17-Hard to Swallow FoodPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to swallow food.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hard to Swallow Food
PQL17-Hard to Turn During NightC138605PQL17-Hard to Turn During NightPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to turn him or herself during the night.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hard to Turn During Night
PQL17-Hard to Use BathroomC138598PQL17-Hard to Use BathroomPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to use the bathroom.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hard to Use Bathroom
PQL17-Hard to Use HandsC138600PQL17-Hard to Use HandsPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It is hard for my child to use his or her hands.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Hard to Use Hands
PQL17-Legs HurtC138593PQL17-Legs HurtPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child's legs hurt.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Legs Hurt
PQL17-Long Time to Bathe/ShowerC138602PQL17-Long Time to Bathe/ShowerPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: It takes my child a long time to bathe or shower.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Long Time to Bathe or Shower
PQL17-Money Problem in Our FamilyC138612PQL17-Money Problem in Our FamilyPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: I think money is a problem in our family.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Money Problem in Our Family
PQL17-Take Long Time to EatC138604PQL17-Take Long Time to EatPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child takes a long time to eat.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Take Long Time to Eat
PQL17-Wake Up TiredC138596PQL17-Wake Up TiredPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Parent Report - In the past 7 days, how much of a problem has this been for your child: My child wakes up tired.PedsQL Neuromuscular Module Acute Version 3.0 Parent Report for Young Child - Wake Up Tired
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CL.C138243.PQL16TCPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Questionnaire Test Code
(PQL16TC)
text
Extensible: No
C138243Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Questionnaire Test CodePediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child test code.CDISC Questionnaire PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report Test Code Terminology
PQL1601C138665PQL16-Hard to BreathePediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard to breathe.PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Hard to Breathe
PQL1602C138666PQL16-Get Sick EasilyPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: I get sick easily.PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Get Sick Easily
PQL1603C138667PQL16-Get Sores and/or RashesPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: I get sores and/or rashes.PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Get Sores and/or Rashes
PQL1604C138668PQL16-Legs HurtPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: My legs hurt.PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Legs Hurt
PQL1605C138669PQL16-Feel TiredPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: I feel tired.PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Feel Tired
PQL1606C138670PQL16-Back Feels StiffPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: My back feels stiff.PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Back Feels Stiff
PQL1607C138671PQL16-Wake Up TiredPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: I wake up tired.PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Wake Up Tired
PQL1608C138672PQL16-Hands Are WeakPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: My hands are weak.PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Hands Are Weak
PQL1609C138673PQL16-Hard to Use BathroomPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard to use the bathroom.PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Hard to Use Bathroom
PQL1610C138674PQL16-Hard to Gain/Lose WeightPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard to gain or lose weight when I want to.PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Hard to Gain or Lose Weight
PQL1611C138675PQL16-Hard to Use HandsPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard to use my hands.PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Hard to Use Hands
PQL1612C138676PQL16-Hard to Swallow FoodPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard to swallow food.PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Hard to Swallow Food
PQL1613C138677PQL16-Long Time to Bathe/ShowerPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: It takes me a long time to bathe or shower.PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Long Time to Bathe or Shower
PQL1614C138678PQL16-Get Hurt AccidentallyPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: I get hurt accidentally.PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Get Hurt Accidentally
PQL1615C138679PQL16-Take Long Time to EatPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: I take a long time to eat.PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Take Long Time to Eat
PQL1616C138680PQL16-Hard to Turn During NightPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard to turn myself during the night.PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Hard to Turn During Night
PQL1617C138681PQL16-Hard to Go Places With EquipmentPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard for me to go places with my equipment.PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Hard to Go Places With Equipment
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CL.C138242.PQL16TNPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Questionnaire Test Name
(PQL16TN)
text
Extensible: No
C138242Pediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child Questionnaire Test NamePediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child test name.CDISC Questionnaire PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report Test Name Terminology
PQL16-Back Feels StiffC138670PQL16-Back Feels StiffPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: My back feels stiff.PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Back Feels Stiff
PQL16-Feel TiredC138669PQL16-Feel TiredPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: I feel tired.PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Feel Tired
PQL16-Get Hurt AccidentallyC138678PQL16-Get Hurt AccidentallyPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: I get hurt accidentally.PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Get Hurt Accidentally
PQL16-Get Sick EasilyC138666PQL16-Get Sick EasilyPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: I get sick easily.PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Get Sick Easily
PQL16-Get Sores and/or RashesC138667PQL16-Get Sores and/or RashesPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: I get sores and/or rashes.PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Get Sores and/or Rashes
PQL16-Hands Are WeakC138672PQL16-Hands Are WeakPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: My hands are weak.PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Hands Are Weak
PQL16-Hard to BreatheC138665PQL16-Hard to BreathePediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard to breathe.PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Hard to Breathe
PQL16-Hard to Gain/Lose WeightC138674PQL16-Hard to Gain/Lose WeightPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard to gain or lose weight when I want to.PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Hard to Gain or Lose Weight
PQL16-Hard to Go Places With EquipmentC138681PQL16-Hard to Go Places With EquipmentPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard for me to go places with my equipment.PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Hard to Go Places With Equipment
PQL16-Hard to Swallow FoodC138676PQL16-Hard to Swallow FoodPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard to swallow food.PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Hard to Swallow Food
PQL16-Hard to Turn During NightC138680PQL16-Hard to Turn During NightPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard to turn myself during the night.PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Hard to Turn During Night
PQL16-Hard to Use BathroomC138673PQL16-Hard to Use BathroomPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard to use the bathroom.PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Hard to Use Bathroom
PQL16-Hard to Use HandsC138675PQL16-Hard to Use HandsPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard to use my hands.PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Hard to Use Hands
PQL16-Legs HurtC138668PQL16-Legs HurtPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: My legs hurt.PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Legs Hurt
PQL16-Long Time to Bathe/ShowerC138677PQL16-Long Time to Bathe/ShowerPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: It takes me a long time to bathe or shower.PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Long Time to Bathe or Shower
PQL16-Take Long Time to EatC138679PQL16-Take Long Time to EatPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: I take a long time to eat.PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Take Long Time to Eat
PQL16-Wake Up TiredC138671PQL16-Wake Up TiredPediatric Quality of Life Neuromuscular Module Acute Version 3 Young Child - Think about how you have been doing for the past 7 days. Please listen carefully to each sentence and tell me how much of a problem this is for you: I wake up tired.PedsQL Neuromuscular Module Acute Version 3.0 Young Child Report - Wake Up Tired
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CL.C138249.PQL06TCPediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report Questionnaire Test Code
(PQL06TC)
text
Extensible: No
C138249Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report Questionnaire Test CodePediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report test code.CDISC Questionnaire PedsQL Neuromuscular Module Version 3.0 Parent Report for Child Test Code Terminology
PQL0601C138732PQL06-Hard to BreathePediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to breathe.PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hard to Breathe
PQL0602C138733PQL06-Get Sick EasilyPediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: My child gets sick easily.PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Get Sick Easily
PQL0603C138734PQL06-Get Sores and/or RashesPediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: My child gets sores and/or rashes.PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Get Sores and/or Rashes
PQL0604C138735PQL06-Legs HurtPediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: My child's legs hurt.PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Legs Hurt
PQL0605C138736PQL06-Feel TiredPediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: My child feels tired.PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Feel Tired
PQL0606C138737PQL06-Back Feels StiffPediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: My child's back feels stiff.PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Back Feels Stiff
PQL0607C138738PQL06-Wake Up TiredPediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: My child wakes up tired.PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Wake Up Tired
PQL0608C138739PQL06-Hands Are WeakPediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: My child's hands are weak.PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hands Are Weak
PQL0609C138740PQL06-Hard to Use BathroomPediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to use the bathroom.PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hard to Use Bathroom
PQL0610C138741PQL06-Hard to Gain/Lose WeightPediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to gain or lose weight when he or she wants to.PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hard to Gain or Lose Weight
PQL0611C138742PQL06-Hard to Use HandsPediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to use his or her hands.PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hard to Use Hands
PQL0612C138743PQL06-Hard to Swallow FoodPediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to swallow food.PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hard to Swallow Food
PQL0613C138744PQL06-Long Time to Bathe/ShowerPediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It takes my child a long time to bathe or shower.PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Long Time to Bathe or Shower
PQL0614C138745PQL06-Get Hurt AccidentallyPediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: My child gets hurt accidentally.PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Get Hurt Accidentally
PQL0615C138746PQL06-Take Long Time to EatPediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: My child takes a long time to eat.PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Take Long Time to Eat
PQL0616C138747PQL06-Hard to Turn During NightPediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to turn him or herself during the night.PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hard to Turn During Night
PQL0617C138748PQL06-Hard to Go Places With EquipmentPediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to go places with his or her equipment.PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hard to Go Places With Equipment
PQL0618C138749PQL06-Hard Tell Doctors/Nurses How FeelPediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to tell the doctors and nurses how he or she feels.PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hard Tell Doctors and Nurses How Feel
PQL0619C138750PQL06-Hard Ask Doctors/Nurses QuestionsPediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to ask the doctors and nurses questions.PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hard Ask Doctors and Nurses Questions
PQL0620C138751PQL06-Hard Explain Illness to PeoplePediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to explain his or her illness to other people.PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hard Explain Illness to People
PQL0621C138752PQL06-Hard for Family to Plan ActivitiesPediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for our family to plan activities like vacations.PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hard for Family to Plan Activities
PQL0622C138753PQL06-Hard for Family to RestPediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for our family to get enough rest.PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hard for Family to Rest
PQL0623C138754PQL06-Money Problem in Our FamilyPediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: I think money is a problem in our family.PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Money Problem in Our Family
PQL0624C138755PQL06-Family Has Lot of ProblemsPediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: I think our family has a lot of problems.PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Family Has Lot of Problems
PQL0625C138756PQL06-Do Not Have Equipment NeedPediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: My child does not have the equipment he or she needs.PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Do Not Have Equipment Need
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CL.C138248.PQL06TNPediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report Questionnaire Test Name
(PQL06TN)
text
Extensible: No
C138248Pediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report Questionnaire Test NamePediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report test name.CDISC Questionnaire PedsQL Neuromuscular Module Version 3.0 Parent Report for Child Test Name Terminology
PQL06-Back Feels StiffC138737PQL06-Back Feels StiffPediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: My child's back feels stiff.PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Back Feels Stiff
PQL06-Do Not Have Equipment NeedC138756PQL06-Do Not Have Equipment NeedPediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: My child does not have the equipment he or she needs.PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Do Not Have Equipment Need
PQL06-Family Has Lot of ProblemsC138755PQL06-Family Has Lot of ProblemsPediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: I think our family has a lot of problems.PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Family Has Lot of Problems
PQL06-Feel TiredC138736PQL06-Feel TiredPediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: My child feels tired.PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Feel Tired
PQL06-Get Hurt AccidentallyC138745PQL06-Get Hurt AccidentallyPediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: My child gets hurt accidentally.PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Get Hurt Accidentally
PQL06-Get Sick EasilyC138733PQL06-Get Sick EasilyPediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: My child gets sick easily.PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Get Sick Easily
PQL06-Get Sores and/or RashesC138734PQL06-Get Sores and/or RashesPediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: My child gets sores and/or rashes.PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Get Sores and/or Rashes
PQL06-Hands Are WeakC138739PQL06-Hands Are WeakPediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: My child's hands are weak.PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hands Are Weak
PQL06-Hard Ask Doctors/Nurses QuestionsC138750PQL06-Hard Ask Doctors/Nurses QuestionsPediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to ask the doctors and nurses questions.PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hard Ask Doctors and Nurses Questions
PQL06-Hard Explain Illness to PeopleC138751PQL06-Hard Explain Illness to PeoplePediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to explain his or her illness to other people.PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hard Explain Illness to People
PQL06-Hard for Family to Plan ActivitiesC138752PQL06-Hard for Family to Plan ActivitiesPediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for our family to plan activities like vacations.PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hard for Family to Plan Activities
PQL06-Hard for Family to RestC138753PQL06-Hard for Family to RestPediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for our family to get enough rest.PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hard for Family to Rest
PQL06-Hard Tell Doctors/Nurses How FeelC138749PQL06-Hard Tell Doctors/Nurses How FeelPediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to tell the doctors and nurses how he or she feels.PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hard Tell Doctors and Nurses How Feel
PQL06-Hard to BreatheC138732PQL06-Hard to BreathePediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to breathe.PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hard to Breathe
PQL06-Hard to Gain/Lose WeightC138741PQL06-Hard to Gain/Lose WeightPediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to gain or lose weight when he or she wants to.PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hard to Gain or Lose Weight
PQL06-Hard to Go Places With EquipmentC138748PQL06-Hard to Go Places With EquipmentPediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to go places with his or her equipment.PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hard to Go Places With Equipment
PQL06-Hard to Swallow FoodC138743PQL06-Hard to Swallow FoodPediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to swallow food.PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hard to Swallow Food
PQL06-Hard to Turn During NightC138747PQL06-Hard to Turn During NightPediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to turn him or herself during the night.PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hard to Turn During Night
PQL06-Hard to Use BathroomC138740PQL06-Hard to Use BathroomPediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to use the bathroom.PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hard to Use Bathroom
PQL06-Hard to Use HandsC138742PQL06-Hard to Use HandsPediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to use his or her hands.PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Hard to Use Hands
PQL06-Legs HurtC138735PQL06-Legs HurtPediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: My child's legs hurt.PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Legs Hurt
PQL06-Long Time to Bathe/ShowerC138744PQL06-Long Time to Bathe/ShowerPediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: It takes my child a long time to bathe or shower.PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Long Time to Bathe or Shower
PQL06-Money Problem in Our FamilyC138754PQL06-Money Problem in Our FamilyPediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: I think money is a problem in our family.PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Money Problem in Our Family
PQL06-Take Long Time to EatC138746PQL06-Take Long Time to EatPediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: My child takes a long time to eat.PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Take Long Time to Eat
PQL06-Wake Up TiredC138738PQL06-Wake Up TiredPediatric Quality of Life Neuromuscular Module Version 3 Child Parent Report - In the past one month, how much of a problem has this been for your child: My child wakes up tired.PedsQL Neuromuscular Module Version 3.0 Parent Report for Child - Wake Up Tired
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CL.C138245.PQL05TCPediatric Quality of Life Neuromuscular Module Version 3 Child Questionnaire Test Code
(PQL05TC)
text
Extensible: No
C138245Pediatric Quality of Life Neuromuscular Module Version 3 Child Questionnaire Test CodePediatric Quality of Life Neuromuscular Module Version 3 Child test code.CDISC Questionnaire PedsQL Neuromuscular Module Version 3.0 Child Report Test Code Terminology
PQL0501C138682PQL05-Hard to BreathePediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It is hard to breathe.PedsQL Neuromuscular Module Version 3.0 Child Report - Hard to Breathe
PQL0502C138683PQL05-Get Sick EasilyPediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: I get sick easily.PedsQL Neuromuscular Module Version 3.0 Child Report - Get Sick Easily
PQL0503C138684PQL05-Get Sores and/or RashesPediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: I get sores and/or rashes.PedsQL Neuromuscular Module Version 3.0 Child Report - Get Sores and/or Rashes
PQL0504C138685PQL05-Legs HurtPediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: My legs hurt.PedsQL Neuromuscular Module Version 3.0 Child Report - Legs Hurt
PQL0505C138686PQL05-Feel TiredPediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: I feel tired.PedsQL Neuromuscular Module Version 3.0 Child Report - Feel Tired
PQL0506C138687PQL05-Back Feels StiffPediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: My back feels stiff.PedsQL Neuromuscular Module Version 3.0 Child Report - Back Feels Stiff
PQL0507C138688PQL05-Wake Up TiredPediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: I wake up tired.PedsQL Neuromuscular Module Version 3.0 Child Report - Wake Up Tired
PQL0508C138689PQL05-Hands Are WeakPediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: My hands are weak.PedsQL Neuromuscular Module Version 3.0 Child Report - Hands Are Weak
PQL0509C138690PQL05-Hard to Use BathroomPediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It is hard to use the bathroom.PedsQL Neuromuscular Module Version 3.0 Child Report - Hard to Use Bathroom
PQL0510C138691PQL05-Hard to Gain/Lose WeightPediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It is hard to gain or lose weight when I want to.PedsQL Neuromuscular Module Version 3.0 Child Report - Hard to Gain or Lose Weight
PQL0511C138692PQL05-Hard to Use HandsPediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It is hard to use my hands.PedsQL Neuromuscular Module Version 3.0 Child Report - Hard to Use Hands
PQL0512C138693PQL05-Hard to Swallow FoodPediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It is hard to swallow food.PedsQL Neuromuscular Module Version 3.0 Child Report - Hard to Swallow Food
PQL0513C138694PQL05-Long Time to Bathe/ShowerPediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It takes me a long time to bathe or shower.PedsQL Neuromuscular Module Version 3.0 Child Report - Long Time to Bathe or Shower
PQL0514C138695PQL05-Get Hurt AccidentallyPediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: I get hurt accidentally.PedsQL Neuromuscular Module Version 3.0 Child Report - Get Hurt Accidentally
PQL0515C138696PQL05-Take Long Time to EatPediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: I take a long time to eat.PedsQL Neuromuscular Module Version 3.0 Child Report - Take Long Time to Eat
PQL0516C138697PQL05-Hard to Turn During NightPediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It is hard to turn myself during the night.PedsQL Neuromuscular Module Version 3.0 Child Report - Hard to Turn During Night
PQL0517C138698PQL05-Hard to Go Places With EquipmentPediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It is hard for me to go places with my equipment.PedsQL Neuromuscular Module Version 3.0 Child Report - Hard to Go Places With Equipment
PQL0518C138699PQL05-Hard Tell Doctors/Nurses How FeelPediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It is hard for me to tell the doctors and nurses how I feel.PedsQL Neuromuscular Module Version 3.0 Child Report - Hard Tell Doctors and Nurses How Feel
PQL0519C138700PQL05-Hard Ask Doctors/Nurses QuestionsPediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It is hard for me to ask the doctors and nurses questions.PedsQL Neuromuscular Module Version 3.0 Child Report - Hard Ask Doctors and Nurses Questions
PQL0520C138701PQL05-Hard Explain Illness to PeoplePediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It is hard for me to explain my illness to other people.PedsQL Neuromuscular Module Version 3.0 Child Report - Hard Explain Illness to People
PQL0521C138702PQL05-Hard for Family to Plan ActivitiesPediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It is hard for my family to plan activities like vacations.PedsQL Neuromuscular Module Version 3.0 Child Report - Hard for Family to Plan Activities
PQL0522C138703PQL05-Hard for Family to RestPediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It is hard for my family to get enough rest.PedsQL Neuromuscular Module Version 3.0 Child Report - Hard for Family to Rest
PQL0523C138704PQL05-Money Problem in Our FamilyPediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: I think money is a problem in our family.PedsQL Neuromuscular Module Version 3.0 Child Report - Money Problem in Our Family
PQL0524C138705PQL05-Family Has Lot of ProblemsPediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: I think my family has a lot of problems.PedsQL Neuromuscular Module Version 3.0 Child Report - Family Has Lot of Problems
PQL0525C138706PQL05-Do Not Have Equipment NeedPediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: I do not have the equipment I need.PedsQL Neuromuscular Module Version 3.0 Child Report - Do Not Have Equipment Need
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CL.C138244.PQL05TNPediatric Quality of Life Neuromuscular Module Version 3 Child Questionnaire Test Name
(PQL05TN)
text
Extensible: No
C138244Pediatric Quality of Life Neuromuscular Module Version 3 Child Questionnaire Test NamePediatric Quality of Life Neuromuscular Module Version 3 Child test name.CDISC Questionnaire PedsQL Neuromuscular Module Version 3.0 Child Report Test Name Terminology
PQL05-Back Feels StiffC138687PQL05-Back Feels StiffPediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: My back feels stiff.PedsQL Neuromuscular Module Version 3.0 Child Report - Back Feels Stiff
PQL05-Do Not Have Equipment NeedC138706PQL05-Do Not Have Equipment NeedPediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: I do not have the equipment I need.PedsQL Neuromuscular Module Version 3.0 Child Report - Do Not Have Equipment Need
PQL05-Family Has Lot of ProblemsC138705PQL05-Family Has Lot of ProblemsPediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: I think my family has a lot of problems.PedsQL Neuromuscular Module Version 3.0 Child Report - Family Has Lot of Problems
PQL05-Feel TiredC138686PQL05-Feel TiredPediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: I feel tired.PedsQL Neuromuscular Module Version 3.0 Child Report - Feel Tired
PQL05-Get Hurt AccidentallyC138695PQL05-Get Hurt AccidentallyPediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: I get hurt accidentally.PedsQL Neuromuscular Module Version 3.0 Child Report - Get Hurt Accidentally
PQL05-Get Sick EasilyC138683PQL05-Get Sick EasilyPediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: I get sick easily.PedsQL Neuromuscular Module Version 3.0 Child Report - Get Sick Easily
PQL05-Get Sores and/or RashesC138684PQL05-Get Sores and/or RashesPediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: I get sores and/or rashes.PedsQL Neuromuscular Module Version 3.0 Child Report - Get Sores and/or Rashes
PQL05-Hands Are WeakC138689PQL05-Hands Are WeakPediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: My hands are weak.PedsQL Neuromuscular Module Version 3.0 Child Report - Hands Are Weak
PQL05-Hard Ask Doctors/Nurses QuestionsC138700PQL05-Hard Ask Doctors/Nurses QuestionsPediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It is hard for me to ask the doctors and nurses questions.PedsQL Neuromuscular Module Version 3.0 Child Report - Hard Ask Doctors and Nurses Questions
PQL05-Hard Explain Illness to PeopleC138701PQL05-Hard Explain Illness to PeoplePediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It is hard for me to explain my illness to other people.PedsQL Neuromuscular Module Version 3.0 Child Report - Hard Explain Illness to People
PQL05-Hard for Family to Plan ActivitiesC138702PQL05-Hard for Family to Plan ActivitiesPediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It is hard for my family to plan activities like vacations.PedsQL Neuromuscular Module Version 3.0 Child Report - Hard for Family to Plan Activities
PQL05-Hard for Family to RestC138703PQL05-Hard for Family to RestPediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It is hard for my family to get enough rest.PedsQL Neuromuscular Module Version 3.0 Child Report - Hard for Family to Rest
PQL05-Hard Tell Doctors/Nurses How FeelC138699PQL05-Hard Tell Doctors/Nurses How FeelPediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It is hard for me to tell the doctors and nurses how I feel.PedsQL Neuromuscular Module Version 3.0 Child Report - Hard Tell Doctors and Nurses How Feel
PQL05-Hard to BreatheC138682PQL05-Hard to BreathePediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It is hard to breathe.PedsQL Neuromuscular Module Version 3.0 Child Report - Hard to Breathe
PQL05-Hard to Gain/Lose WeightC138691PQL05-Hard to Gain/Lose WeightPediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It is hard to gain or lose weight when I want to.PedsQL Neuromuscular Module Version 3.0 Child Report - Hard to Gain or Lose Weight
PQL05-Hard to Go Places With EquipmentC138698PQL05-Hard to Go Places With EquipmentPediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It is hard for me to go places with my equipment.PedsQL Neuromuscular Module Version 3.0 Child Report - Hard to Go Places With Equipment
PQL05-Hard to Swallow FoodC138693PQL05-Hard to Swallow FoodPediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It is hard to swallow food.PedsQL Neuromuscular Module Version 3.0 Child Report - Hard to Swallow Food
PQL05-Hard to Turn During NightC138697PQL05-Hard to Turn During NightPediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It is hard to turn myself during the night.PedsQL Neuromuscular Module Version 3.0 Child Report - Hard to Turn During Night
PQL05-Hard to Use BathroomC138690PQL05-Hard to Use BathroomPediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It is hard to use the bathroom.PedsQL Neuromuscular Module Version 3.0 Child Report - Hard to Use Bathroom
PQL05-Hard to Use HandsC138692PQL05-Hard to Use HandsPediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It is hard to use my hands.PedsQL Neuromuscular Module Version 3.0 Child Report - Hard to Use Hands
PQL05-Legs HurtC138685PQL05-Legs HurtPediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: My legs hurt.PedsQL Neuromuscular Module Version 3.0 Child Report - Legs Hurt
PQL05-Long Time to Bathe/ShowerC138694PQL05-Long Time to Bathe/ShowerPediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: It takes me a long time to bathe or shower.PedsQL Neuromuscular Module Version 3.0 Child Report - Long Time to Bathe or Shower
PQL05-Money Problem in Our FamilyC138704PQL05-Money Problem in Our FamilyPediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: I think money is a problem in our family.PedsQL Neuromuscular Module Version 3.0 Child Report - Money Problem in Our Family
PQL05-Take Long Time to EatC138696PQL05-Take Long Time to EatPediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: I take a long time to eat.PedsQL Neuromuscular Module Version 3.0 Child Report - Take Long Time to Eat
PQL05-Wake Up TiredC138688PQL05-Wake Up TiredPediatric Quality of Life Neuromuscular Module Version 3 Child - In the past one month, how much of a problem has this been for you: I wake up tired.PedsQL Neuromuscular Module Version 3.0 Child Report - Wake Up Tired
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CL.C138251.PQL04TCPediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report Questionnaire Test Code
(PQL04TC)
text
Extensible: No
C138251Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report Questionnaire Test CodePediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report test code.CDISC Questionnaire PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen Test Code Terminology
PQL0401C138757PQL04-Hard to BreathePediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It is hard for my child to breathe.PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hard to Breathe
PQL0402C138758PQL04-Get Sick EasilyPediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: My child gets sick easily.PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Get Sick Easily
PQL0403C138759PQL04-Get Sores and/or RashesPediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: My child gets sores and/or rashes.PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Get Sores and/or Rashes
PQL0404C138760PQL04-Legs HurtPediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: My child's legs hurt.PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Legs Hurt
PQL0405C138761PQL04-Feel TiredPediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: My child feels tired.PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Feel Tired
PQL0406C138762PQL04-Back Feels StiffPediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: My child's back feels stiff.PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Back Feels Stiff
PQL0407C138763PQL04-Wake Up TiredPediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: My child wakes up tired.PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Wake Up Tired
PQL0408C138764PQL04-Hands Are WeakPediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: My child's hands are weak.PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hands Are Weak
PQL0409C138765PQL04-Hard to Use BathroomPediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It is hard for my child to use the bathroom.PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hard to Use Bathroom
PQL0410C138766PQL04-Hard to Gain/Lose WeightPediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It is hard for my child to gain or lose weight when he or she wants to.PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hard to Gain or Lose Weight
PQL0411C138767PQL04-Hard to Use HandsPediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It is hard for my child to use his or her hands.PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hard to Use Hands
PQL0412C138768PQL04-Hard to Swallow FoodPediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It is hard for my child to swallow food.PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hard to Swallow Food
PQL0413C138769PQL04-Long Time to Bathe/ShowerPediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It takes my child a long time to bathe or shower.PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Long Time to Bathe or Shower
PQL0414C138770PQL04-Get Hurt AccidentallyPediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: My child gets hurt accidentally.PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Get Hurt Accidentally
PQL0415C138771PQL04-Take Long Time to EatPediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: My child takes a long time to eat.PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Take Long Time to Eat
PQL0416C138772PQL04-Hard to Turn During NightPediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It is hard for my child to turn him or herself during the night.PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hard to Turn During Night
PQL0417C138773PQL04-Hard to Go Places With EquipmentPediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It is hard for my child to go places with his or her equipment.PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hard to Go Places With Equipment
PQL0418C138774PQL04-Hard Tell Doctors/Nurses How FeelPediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It is hard for my child to tell the doctors and nurses how he or she feels.PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hard Tell Doctors and Nurses How Feel
PQL0419C138775PQL04-Hard Ask Doctors/Nurses QuestionsPediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It is hard for my child to ask the doctors and nurses questions.PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hard Ask Doctors and Nurses Questions
PQL0420C138776PQL04-Hard Explain Illness to PeoplePediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It is hard for my child to explain his or her illness to other people.PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hard Explain Illness to People
PQL0421C138777PQL04-Hard for Family to Plan ActivitiesPediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It is hard for our family to plan activities like vacations.PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hard for Family to Plan Activities
PQL0422C138778PQL04-Hard for Family to RestPediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It is hard for our family to get enough rest.PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hard for Family to Rest
PQL0423C138779PQL04-Money Problem in Our FamilyPediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: I think money is a problem in our family.PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Money Problem in Our Family
PQL0424C138780PQL04-Family Has Lot of ProblemsPediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: I think our family has a lot of problems.PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Family Has Lot of Problems
PQL0425C138781PQL04-Do Not Have Equipment NeedPediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: My child does not have the equipment he or she needs.PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Do Not Have Equipment Need
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CL.C138250.PQL04TNPediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report Questionnaire Test Name
(PQL04TN)
text
Extensible: No
C138250Pediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report Questionnaire Test NamePediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report test name.CDISC Questionnaire PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen Test Name Terminology
PQL04-Back Feels StiffC138762PQL04-Back Feels StiffPediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: My child's back feels stiff.PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Back Feels Stiff
PQL04-Do Not Have Equipment NeedC138781PQL04-Do Not Have Equipment NeedPediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: My child does not have the equipment he or she needs.PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Do Not Have Equipment Need
PQL04-Family Has Lot of ProblemsC138780PQL04-Family Has Lot of ProblemsPediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: I think our family has a lot of problems.PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Family Has Lot of Problems
PQL04-Feel TiredC138761PQL04-Feel TiredPediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: My child feels tired.PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Feel Tired
PQL04-Get Hurt AccidentallyC138770PQL04-Get Hurt AccidentallyPediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: My child gets hurt accidentally.PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Get Hurt Accidentally
PQL04-Get Sick EasilyC138758PQL04-Get Sick EasilyPediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: My child gets sick easily.PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Get Sick Easily
PQL04-Get Sores and/or RashesC138759PQL04-Get Sores and/or RashesPediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: My child gets sores and/or rashes.PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Get Sores and/or Rashes
PQL04-Hands Are WeakC138764PQL04-Hands Are WeakPediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: My child's hands are weak.PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hands Are Weak
PQL04-Hard Ask Doctors/Nurses QuestionsC138775PQL04-Hard Ask Doctors/Nurses QuestionsPediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It is hard for my child to ask the doctors and nurses questions.PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hard Ask Doctors and Nurses Questions
PQL04-Hard Explain Illness to PeopleC138776PQL04-Hard Explain Illness to PeoplePediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It is hard for my child to explain his or her illness to other people.PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hard Explain Illness to People
PQL04-Hard for Family to Plan ActivitiesC138777PQL04-Hard for Family to Plan ActivitiesPediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It is hard for our family to plan activities like vacations.PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hard for Family to Plan Activities
PQL04-Hard for Family to RestC138778PQL04-Hard for Family to RestPediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It is hard for our family to get enough rest.PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hard for Family to Rest
PQL04-Hard Tell Doctors/Nurses How FeelC138774PQL04-Hard Tell Doctors/Nurses How FeelPediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It is hard for my child to tell the doctors and nurses how he or she feels.PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hard Tell Doctors and Nurses How Feel
PQL04-Hard to BreatheC138757PQL04-Hard to BreathePediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It is hard for my child to breathe.PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hard to Breathe
PQL04-Hard to Gain/Lose WeightC138766PQL04-Hard to Gain/Lose WeightPediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It is hard for my child to gain or lose weight when he or she wants to.PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hard to Gain or Lose Weight
PQL04-Hard to Go Places With EquipmentC138773PQL04-Hard to Go Places With EquipmentPediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It is hard for my child to go places with his or her equipment.PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hard to Go Places With Equipment
PQL04-Hard to Swallow FoodC138768PQL04-Hard to Swallow FoodPediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It is hard for my child to swallow food.PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hard to Swallow Food
PQL04-Hard to Turn During NightC138772PQL04-Hard to Turn During NightPediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It is hard for my child to turn him or herself during the night.PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hard to Turn During Night
PQL04-Hard to Use BathroomC138765PQL04-Hard to Use BathroomPediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It is hard for my child to use the bathroom.PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hard to Use Bathroom
PQL04-Hard to Use HandsC138767PQL04-Hard to Use HandsPediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It is hard for my child to use his or her hands.PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Hard to Use Hands
PQL04-Legs HurtC138760PQL04-Legs HurtPediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: My child's legs hurt.PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Legs Hurt
PQL04-Long Time to Bathe/ShowerC138769PQL04-Long Time to Bathe/ShowerPediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: It takes my child a long time to bathe or shower.PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Long Time to Bathe or Shower
PQL04-Money Problem in Our FamilyC138779PQL04-Money Problem in Our FamilyPediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: I think money is a problem in our family.PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Money Problem in Our Family
PQL04-Take Long Time to EatC138771PQL04-Take Long Time to EatPediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: My child takes a long time to eat.PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Take Long Time to Eat
PQL04-Wake Up TiredC138763PQL04-Wake Up TiredPediatric Quality of Life Neuromuscular Module Version 3 Teen Parent Report - In the past one month, how much of a problem has this been for your teen: My child wakes up tired.PedsQL Neuromuscular Module Version 3.0 Parent Report for Teen - Wake Up Tired
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CL.C138257.PQL03TCPediatric Quality of Life Neuromuscular Module Version 3 Teen Questionnaire Test Code
(PQL03TC)
text
Extensible: No
C138257Pediatric Quality of Life Neuromuscular Module Version 3 Teen Questionnaire Test CodePediatric Quality of Life Neuromuscular Module Version 3 Teen test code.CDISC Questionnaire PedsQL Neuromuscular Module Version 3.0 Teen Report Test Code Terminology
PQL0301C138832PQL03-Hard to BreathePediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It is hard to breathe.PedsQL Neuromuscular Module Version 3.0 Teen Report - Hard to Breathe
PQL0302C138833PQL03-Get Sick EasilyPediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: I get sick easily.PedsQL Neuromuscular Module Version 3.0 Teen Report - Get Sick Easily
PQL0303C138834PQL03-Get Sores and/or RashesPediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: I get sores and/or rashes.PedsQL Neuromuscular Module Version 3.0 Teen Report - Get Sores and/or Rashes
PQL0304C138835PQL03-Legs HurtPediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: My legs hurt.PedsQL Neuromuscular Module Version 3.0 Teen Report - Legs Hurt
PQL0305C138836PQL03-Feel TiredPediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: I feel tired.PedsQL Neuromuscular Module Version 3.0 Teen Report - Feel Tired
PQL0306C138837PQL03-Back Feels StiffPediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: My back feels stiff.PedsQL Neuromuscular Module Version 3.0 Teen Report - Back Feels Stiff
PQL0307C138838PQL03-Wake Up TiredPediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: I wake up tired.PedsQL Neuromuscular Module Version 3.0 Teen Report - Wake Up Tired
PQL0308C138839PQL03-Hands Are WeakPediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: My hands are weak.PedsQL Neuromuscular Module Version 3.0 Teen Report - Hands Are Weak
PQL0309C138840PQL03-Hard to Use BathroomPediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It is hard to use the bathroom.PedsQL Neuromuscular Module Version 3.0 Teen Report - Hard to Use Bathroom
PQL0310C138841PQL03-Hard to Gain/Lose WeightPediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It is hard to gain or lose weight when I want to.PedsQL Neuromuscular Module Version 3.0 Teen Report - Hard to Gain or Lose Weight
PQL0311C138842PQL03-Hard to Use HandsPediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It is hard to use my hands.PedsQL Neuromuscular Module Version 3.0 Teen Report - Hard to Use Hands
PQL0312C138843PQL03-Hard to Swallow FoodPediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It is hard to swallow food.PedsQL Neuromuscular Module Version 3.0 Teen Report - Hard to Swallow Food
PQL0313C138844PQL03-Long Time to Bathe/ShowerPediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It takes me a long time to bathe or shower.PedsQL Neuromuscular Module Version 3.0 Teen Report - Long Time to Bathe or Shower
PQL0314C138845PQL03-Get Hurt AccidentallyPediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: I get hurt accidentally.PedsQL Neuromuscular Module Version 3.0 Teen Report - Get Hurt Accidentally
PQL0315C138846PQL03-Take Long Time to EatPediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: I take a long time to eat.PedsQL Neuromuscular Module Version 3.0 Teen Report - Take Long Time to Eat
PQL0316C138847PQL03-Hard to Turn During NightPediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It is hard to turn myself during the night.PedsQL Neuromuscular Module Version 3.0 Teen Report - Hard to Turn During Night
PQL0317C138848PQL03-Hard to Go Places With EquipmentPediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It is hard for me to go places with my equipment.PedsQL Neuromuscular Module Version 3.0 Teen Report - Hard to Go Places With Equipment
PQL0318C138849PQL03-Hard Tell Doctors/Nurses How FeelPediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It is hard for me to tell the doctors and nurses how I feel.PedsQL Neuromuscular Module Version 3.0 Teen Report - Hard Tell Doctors and Nurses How Feel
PQL0319C138850PQL03-Hard Ask Doctors/Nurses QuestionsPediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It is hard for me to ask the doctors and nurses questions.PedsQL Neuromuscular Module Version 3.0 Teen Report - Hard Ask Doctors and Nurses Questions
PQL0320C138851PQL03-Hard Explain Illness to PeoplePediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It is hard for me to explain my illness to other people.PedsQL Neuromuscular Module Version 3.0 Teen Report - Hard Explain Illness to People
PQL0321C138852PQL03-Hard for Family to Plan ActivitiesPediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It is hard for my family to plan activities like vacations.PedsQL Neuromuscular Module Version 3.0 Teen Report - Hard for Family to Plan Activities
PQL0322C138853PQL03-Hard for Family to RestPediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It is hard for my family to get enough rest.PedsQL Neuromuscular Module Version 3.0 Teen Report - Hard for Family to Rest
PQL0323C138854PQL03-Money Problem in Our FamilyPediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: I think money is a problem in our family.PedsQL Neuromuscular Module Version 3.0 Teen Report - Money Problem in Our Family
PQL0324C138855PQL03-Family Has Lot of ProblemsPediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: I think my family has a lot of problems.PedsQL Neuromuscular Module Version 3.0 Teen Report - Family Has Lot of Problems
PQL0325C138856PQL03-Do Not Have Equipment NeedPediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: I do not have the equipment I need.PedsQL Neuromuscular Module Version 3.0 Teen Report - Do Not Have Equipment Need
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CL.C138256.PQL03TNPediatric Quality of Life Neuromuscular Module Version 3 Teen Questionnaire Test Name
(PQL03TN)
text
Extensible: No
C138256Pediatric Quality of Life Neuromuscular Module Version 3 Teen Questionnaire Test NamePediatric Quality of Life Neuromuscular Module Version 3 Teen test name.CDISC Questionnaire PedsQL Neuromuscular Module Version 3.0 Teen Report Test Name Terminology
PQL03-Back Feels StiffC138837PQL03-Back Feels StiffPediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: My back feels stiff.PedsQL Neuromuscular Module Version 3.0 Teen Report - Back Feels Stiff
PQL03-Do Not Have Equipment NeedC138856PQL03-Do Not Have Equipment NeedPediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: I do not have the equipment I need.PedsQL Neuromuscular Module Version 3.0 Teen Report - Do Not Have Equipment Need
PQL03-Family Has Lot of ProblemsC138855PQL03-Family Has Lot of ProblemsPediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: I think my family has a lot of problems.PedsQL Neuromuscular Module Version 3.0 Teen Report - Family Has Lot of Problems
PQL03-Feel TiredC138836PQL03-Feel TiredPediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: I feel tired.PedsQL Neuromuscular Module Version 3.0 Teen Report - Feel Tired
PQL03-Get Hurt AccidentallyC138845PQL03-Get Hurt AccidentallyPediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: I get hurt accidentally.PedsQL Neuromuscular Module Version 3.0 Teen Report - Get Hurt Accidentally
PQL03-Get Sick EasilyC138833PQL03-Get Sick EasilyPediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: I get sick easily.PedsQL Neuromuscular Module Version 3.0 Teen Report - Get Sick Easily
PQL03-Get Sores and/or RashesC138834PQL03-Get Sores and/or RashesPediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: I get sores and/or rashes.PedsQL Neuromuscular Module Version 3.0 Teen Report - Get Sores and/or Rashes
PQL03-Hands Are WeakC138839PQL03-Hands Are WeakPediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: My hands are weak.PedsQL Neuromuscular Module Version 3.0 Teen Report - Hands Are Weak
PQL03-Hard Ask Doctors/Nurses QuestionsC138850PQL03-Hard Ask Doctors/Nurses QuestionsPediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It is hard for me to ask the doctors and nurses questions.PedsQL Neuromuscular Module Version 3.0 Teen Report - Hard Ask Doctors and Nurses Questions
PQL03-Hard Explain Illness to PeopleC138851PQL03-Hard Explain Illness to PeoplePediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It is hard for me to explain my illness to other people.PedsQL Neuromuscular Module Version 3.0 Teen Report - Hard Explain Illness to People
PQL03-Hard for Family to Plan ActivitiesC138852PQL03-Hard for Family to Plan ActivitiesPediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It is hard for my family to plan activities like vacations.PedsQL Neuromuscular Module Version 3.0 Teen Report - Hard for Family to Plan Activities
PQL03-Hard for Family to RestC138853PQL03-Hard for Family to RestPediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It is hard for my family to get enough rest.PedsQL Neuromuscular Module Version 3.0 Teen Report - Hard for Family to Rest
PQL03-Hard Tell Doctors/Nurses How FeelC138849PQL03-Hard Tell Doctors/Nurses How FeelPediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It is hard for me to tell the doctors and nurses how I feel.PedsQL Neuromuscular Module Version 3.0 Teen Report - Hard Tell Doctors and Nurses How Feel
PQL03-Hard to BreatheC138832PQL03-Hard to BreathePediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It is hard to breathe.PedsQL Neuromuscular Module Version 3.0 Teen Report - Hard to Breathe
PQL03-Hard to Gain/Lose WeightC138841PQL03-Hard to Gain/Lose WeightPediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It is hard to gain or lose weight when I want to.PedsQL Neuromuscular Module Version 3.0 Teen Report - Hard to Gain or Lose Weight
PQL03-Hard to Go Places With EquipmentC138848PQL03-Hard to Go Places With EquipmentPediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It is hard for me to go places with my equipment.PedsQL Neuromuscular Module Version 3.0 Teen Report - Hard to Go Places With Equipment
PQL03-Hard to Swallow FoodC138843PQL03-Hard to Swallow FoodPediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It is hard to swallow food.PedsQL Neuromuscular Module Version 3.0 Teen Report - Hard to Swallow Food
PQL03-Hard to Turn During NightC138847PQL03-Hard to Turn During NightPediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It is hard to turn myself during the night.PedsQL Neuromuscular Module Version 3.0 Teen Report - Hard to Turn During Night
PQL03-Hard to Use BathroomC138840PQL03-Hard to Use BathroomPediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It is hard to use the bathroom.PedsQL Neuromuscular Module Version 3.0 Teen Report - Hard to Use Bathroom
PQL03-Hard to Use HandsC138842PQL03-Hard to Use HandsPediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It is hard to use my hands.PedsQL Neuromuscular Module Version 3.0 Teen Report - Hard to Use Hands
PQL03-Legs HurtC138835PQL03-Legs HurtPediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: My legs hurt.PedsQL Neuromuscular Module Version 3.0 Teen Report - Legs Hurt
PQL03-Long Time to Bathe/ShowerC138844PQL03-Long Time to Bathe/ShowerPediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: It takes me a long time to bathe or shower.PedsQL Neuromuscular Module Version 3.0 Teen Report - Long Time to Bathe or Shower
PQL03-Money Problem in Our FamilyC138854PQL03-Money Problem in Our FamilyPediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: I think money is a problem in our family.PedsQL Neuromuscular Module Version 3.0 Teen Report - Money Problem in Our Family
PQL03-Take Long Time to EatC138846PQL03-Take Long Time to EatPediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: I take a long time to eat.PedsQL Neuromuscular Module Version 3.0 Teen Report - Take Long Time to Eat
PQL03-Wake Up TiredC138838PQL03-Wake Up TiredPediatric Quality of Life Neuromuscular Module Version 3 Teen - In the past one month, how much of a problem has this been for you: I wake up tired.PedsQL Neuromuscular Module Version 3.0 Teen Report - Wake Up Tired
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CL.C138247.PQL09TCPediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report Questionnaire Test Code
(PQL09TC)
text
Extensible: No
C138247Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report Questionnaire Test CodePediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report test code.CDISC Questionnaire PedsQL Neuromuscular Module Version 3.0 Parent of Toddler Test Code Terminology
PQL0901C138707PQL09-Hard to BreathePediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to breathe.PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hard to Breathe
PQL0902C138708PQL09-Get Sick EasilyPediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: My child gets sick easily.PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Get Sick Easily
PQL0903C138709PQL09-Get Sores and/or RashesPediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: My child gets sores and/or rashes.PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Get Sores and/or Rashes
PQL0904C138710PQL09-Legs HurtPediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: My child's legs hurt.PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Legs Hurt
PQL0905C138711PQL09-Feel TiredPediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: My child feels tired.PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Feel Tired
PQL0906C138712PQL09-Back Feels StiffPediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: My child's back feels stiff.PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Back Feels Stiff
PQL0907C138713PQL09-Wake Up TiredPediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: My child wakes up tired.PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Wake Up Tired
PQL0908C138714PQL09-Hands Are WeakPediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: My child's hands are weak.PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hands Are Weak
PQL0909C138715PQL09-Hard to Use BathroomPediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to use the bathroom.PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hard to Use Bathroom
PQL0910C138716PQL09-Hard to Gain/Lose WeightPediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to gain or lose weight when he or she wants to.PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hard to Gain or Lose Weight
PQL0911C138717PQL09-Hard to Use HandsPediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to use his or her hands.PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hard to Use Hands
PQL0912C138718PQL09-Hard to Swallow FoodPediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to swallow food.PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hard to Swallow Food
PQL0913C138719PQL09-Long Time to Bathe/ShowerPediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It takes my child a long time to bathe or shower.PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Long Time to Bathe or Shower
PQL0914C138720PQL09-Get Hurt AccidentallyPediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: My child gets hurt accidentally.PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Get Hurt Accidentally
PQL0915C138721PQL09-Take Long Time to EatPediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: My child takes a long time to eat.PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Take Long Time to Eat
PQL0916C138722PQL09-Hard to Turn During NightPediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to turn him or herself during the night.PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hard to Turn During Night
PQL0917C138723PQL09-Hard to Go Places With EquipmentPediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to go places with his or her equipment.PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hard to Go Places With Equipment
PQL0918C138724PQL09-Hard Tell Doctors/Nurses How FeelPediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to tell the doctors and nurses how he or she feels.PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hard Tell Doctors and Nurses How Feel
PQL0919C138725PQL09-Hard Ask Doctors/Nurses QuestionsPediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to ask the doctors and nurses questions.PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hard Ask Doctors and Nurses Questions
PQL0920C138726PQL09-Hard Explain Illness to PeoplePediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to explain his or her illness to other people.PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hard Explain Illness to People
PQL0921C138727PQL09-Hard for Family to Plan ActivitiesPediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for our family to plan activities like vacations.PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hard for Family to Plan Activities
PQL0922C138728PQL09-Hard for Family to RestPediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for our family to get enough rest.PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hard for Family to Rest
PQL0923C138729PQL09-Money Problem in Our FamilyPediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: I think money is a problem in our family.PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Money Problem in Our Family
PQL0924C138730PQL09-Family Has Lot of ProblemsPediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: I think our family has a lot of problems.PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Family Has Lot of Problems
PQL0925C138731PQL09-Do Not Have Equipment NeedPediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: My child does not have the equipment he or she needs.PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Do Not Have Equipment Need
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CL.C138246.PQL09TNPediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report Questionnaire Test Name
(PQL09TN)
text
Extensible: No
C138246Pediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report Questionnaire Test NamePediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report test name.CDISC Questionnaire PedsQL Neuromuscular Module Version 3.0 Parent of Toddler Test Name Terminology
PQL09-Back Feels StiffC138712PQL09-Back Feels StiffPediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: My child's back feels stiff.PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Back Feels Stiff
PQL09-Do Not Have Equipment NeedC138731PQL09-Do Not Have Equipment NeedPediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: My child does not have the equipment he or she needs.PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Do Not Have Equipment Need
PQL09-Family Has Lot of ProblemsC138730PQL09-Family Has Lot of ProblemsPediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: I think our family has a lot of problems.PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Family Has Lot of Problems
PQL09-Feel TiredC138711PQL09-Feel TiredPediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: My child feels tired.PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Feel Tired
PQL09-Get Hurt AccidentallyC138720PQL09-Get Hurt AccidentallyPediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: My child gets hurt accidentally.PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Get Hurt Accidentally
PQL09-Get Sick EasilyC138708PQL09-Get Sick EasilyPediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: My child gets sick easily.PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Get Sick Easily
PQL09-Get Sores and/or RashesC138709PQL09-Get Sores and/or RashesPediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: My child gets sores and/or rashes.PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Get Sores and/or Rashes
PQL09-Hands Are WeakC138714PQL09-Hands Are WeakPediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: My child's hands are weak.PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hands Are Weak
PQL09-Hard Ask Doctors/Nurses QuestionsC138725PQL09-Hard Ask Doctors/Nurses QuestionsPediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to ask the doctors and nurses questions.PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hard Ask Doctors and Nurses Questions
PQL09-Hard Explain Illness to PeopleC138726PQL09-Hard Explain Illness to PeoplePediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to explain his or her illness to other people.PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hard Explain Illness to People
PQL09-Hard for Family to Plan ActivitiesC138727PQL09-Hard for Family to Plan ActivitiesPediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for our family to plan activities like vacations.PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hard for Family to Plan Activities
PQL09-Hard for Family to RestC138728PQL09-Hard for Family to RestPediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for our family to get enough rest.PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hard for Family to Rest
PQL09-Hard Tell Doctors/Nurses How FeelC138724PQL09-Hard Tell Doctors/Nurses How FeelPediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to tell the doctors and nurses how he or she feels.PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hard Tell Doctors and Nurses How Feel
PQL09-Hard to BreatheC138707PQL09-Hard to BreathePediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to breathe.PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hard to Breathe
PQL09-Hard to Gain/Lose WeightC138716PQL09-Hard to Gain/Lose WeightPediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to gain or lose weight when he or she wants to.PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hard to Gain or Lose Weight
PQL09-Hard to Go Places With EquipmentC138723PQL09-Hard to Go Places With EquipmentPediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to go places with his or her equipment.PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hard to Go Places With Equipment
PQL09-Hard to Swallow FoodC138718PQL09-Hard to Swallow FoodPediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to swallow food.PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hard to Swallow Food
PQL09-Hard to Turn During NightC138722PQL09-Hard to Turn During NightPediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to turn him or herself during the night.PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hard to Turn During Night
PQL09-Hard to Use BathroomC138715PQL09-Hard to Use BathroomPediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to use the bathroom.PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hard to Use Bathroom
PQL09-Hard to Use HandsC138717PQL09-Hard to Use HandsPediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to use his or her hands.PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Hard to Use Hands
PQL09-Legs HurtC138710PQL09-Legs HurtPediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: My child's legs hurt.PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Legs Hurt
PQL09-Long Time to Bathe/ShowerC138719PQL09-Long Time to Bathe/ShowerPediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: It takes my child a long time to bathe or shower.PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Long Time to Bathe or Shower
PQL09-Money Problem in Our FamilyC138729PQL09-Money Problem in Our FamilyPediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: I think money is a problem in our family.PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Money Problem in Our Family
PQL09-Take Long Time to EatC138721PQL09-Take Long Time to EatPediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: My child takes a long time to eat.PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Take Long Time to Eat
PQL09-Wake Up TiredC138713PQL09-Wake Up TiredPediatric Quality of Life Neuromuscular Module Version 3 Toddler Parent Report - In the past one month, how much of a problem has this been for your child: My child wakes up tired.PedsQL Neuromuscular Module Version 3.0 Parent of Toddler - Wake Up Tired
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CL.C138253.PQL02TCPediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report Questionnaire Test Code
(PQL02TC)
text
Extensible: No
C138253Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report Questionnaire Test CodePediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report test code.CDISC Questionnaire PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report Test Code Terminology
PQL0201C138782PQL02-Hard to BreathePediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to breathe.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hard to Breathe
PQL0202C138783PQL02-Get Sick EasilyPediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: My child gets sick easily.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Get Sick Easily
PQL0203C138784PQL02-Get Sores and/or RashesPediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: My child gets sores and/or rashes.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Get Sores and/or Rashes
PQL0204C138785PQL02-Legs HurtPediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: My child's legs hurt.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Legs Hurt
PQL0205C138786PQL02-Feel TiredPediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: My child feels tired.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Feel Tired
PQL0206C138787PQL02-Back Feels StiffPediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: My child's back feels stiff.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Back Feels Stiff
PQL0207C138788PQL02-Wake Up TiredPediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: My child wakes up tired.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Wake Up Tired
PQL0208C138789PQL02-Hands Are WeakPediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: My child's hands are weak.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hands Are Weak
PQL0209C138790PQL02-Hard to Use BathroomPediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to use the bathroom.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hard to Use Bathroom
PQL0210C138791PQL02-Hard to Gain/Lose WeightPediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to gain or lose weight when he or she wants to.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hard to Gain or Lose Weight
PQL0211C138792PQL02-Hard to Use HandsPediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to use his or her hands.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hard to Use Hands
PQL0212C138793PQL02-Hard to Swallow FoodPediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to swallow food.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hard to Swallow Food
PQL0213C138794PQL02-Long Time to Bathe/ShowerPediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It takes my child a long time to bathe or shower.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Long Time to Bathe or Shower
PQL0214C138795PQL02-Get Hurt AccidentallyPediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: My child gets hurt accidentally.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Get Hurt Accidentally
PQL0215C138796PQL02-Take Long Time to EatPediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: My child takes a long time to eat.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Take Long Time to Eat
PQL0216C138797PQL02-Hard to Turn During NightPediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to turn him or herself during the night.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hard to Turn During Night
PQL0217C138798PQL02-Hard to Go Places With EquipmentPediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to go places with his or her equipment.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hard to Go Places With Equipment
PQL0218C138799PQL02-Hard Tell Doctors/Nurses How FeelPediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to tell the doctors and nurses how he or she feels.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hard Tell Doctors and Nurses How Feel
PQL0219C138800PQL02-Hard Ask Doctors/Nurses QuestionsPediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to ask the doctors and nurses questions.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hard Ask Doctors and Nurses Questions
PQL0220C138801PQL02-Hard Explain Illness to PeoplePediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to explain his or her illness to other people.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hard Explain Illness to People
PQL0221C138802PQL02-Hard for Family to Plan ActivitiesPediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for our family to plan activities like vacations.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hard for Family to Plan Activities
PQL0222C138803PQL02-Hard for Family to RestPediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for our family to get enough rest.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hard for Family to Rest
PQL0223C138804PQL02-Money Problem in Our FamilyPediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: I think money is a problem in our family.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Money Problem in Our Family
PQL0224C138805PQL02-Family Has Lot of ProblemsPediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: I think our family has a lot of problems.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Family Has Lot of Problems
PQL0225C138806PQL02-Do Not Have Equipment NeedPediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: My child does not have the equipment he or she needs.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Do Not Have Equipment Need
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CL.C138252.PQL02TNPediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report Questionnaire Test Name
(PQL02TN)
text
Extensible: No
C138252Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report Questionnaire Test NamePediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report test name.CDISC Questionnaire PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report Test Name Terminology
PQL02-Back Feels StiffC138787PQL02-Back Feels StiffPediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: My child's back feels stiff.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Back Feels Stiff
PQL02-Do Not Have Equipment NeedC138806PQL02-Do Not Have Equipment NeedPediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: My child does not have the equipment he or she needs.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Do Not Have Equipment Need
PQL02-Family Has Lot of ProblemsC138805PQL02-Family Has Lot of ProblemsPediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: I think our family has a lot of problems.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Family Has Lot of Problems
PQL02-Feel TiredC138786PQL02-Feel TiredPediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: My child feels tired.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Feel Tired
PQL02-Get Hurt AccidentallyC138795PQL02-Get Hurt AccidentallyPediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: My child gets hurt accidentally.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Get Hurt Accidentally
PQL02-Get Sick EasilyC138783PQL02-Get Sick EasilyPediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: My child gets sick easily.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Get Sick Easily
PQL02-Get Sores and/or RashesC138784PQL02-Get Sores and/or RashesPediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: My child gets sores and/or rashes.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Get Sores and/or Rashes
PQL02-Hands Are WeakC138789PQL02-Hands Are WeakPediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: My child's hands are weak.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hands Are Weak
PQL02-Hard Ask Doctors/Nurses QuestionsC138800PQL02-Hard Ask Doctors/Nurses QuestionsPediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to ask the doctors and nurses questions.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hard Ask Doctors and Nurses Questions
PQL02-Hard Explain Illness to PeopleC138801PQL02-Hard Explain Illness to PeoplePediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to explain his or her illness to other people.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hard Explain Illness to People
PQL02-Hard for Family to Plan ActivitiesC138802PQL02-Hard for Family to Plan ActivitiesPediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for our family to plan activities like vacations.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hard for Family to Plan Activities
PQL02-Hard for Family to RestC138803PQL02-Hard for Family to RestPediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for our family to get enough rest.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hard for Family to Rest
PQL02-Hard Tell Doctors/Nurses How FeelC138799PQL02-Hard Tell Doctors/Nurses How FeelPediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to tell the doctors and nurses how he or she feels.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hard Tell Doctors and Nurses How Feel
PQL02-Hard to BreatheC138782PQL02-Hard to BreathePediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to breathe.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hard to Breathe
PQL02-Hard to Gain/Lose WeightC138791PQL02-Hard to Gain/Lose WeightPediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to gain or lose weight when he or she wants to.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hard to Gain or Lose Weight
PQL02-Hard to Go Places With EquipmentC138798PQL02-Hard to Go Places With EquipmentPediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to go places with his or her equipment.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hard to Go Places With Equipment
PQL02-Hard to Swallow FoodC138793PQL02-Hard to Swallow FoodPediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to swallow food.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hard to Swallow Food
PQL02-Hard to Turn During NightC138797PQL02-Hard to Turn During NightPediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to turn him or herself during the night.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hard to Turn During Night
PQL02-Hard to Use BathroomC138790PQL02-Hard to Use BathroomPediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to use the bathroom.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hard to Use Bathroom
PQL02-Hard to Use HandsC138792PQL02-Hard to Use HandsPediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to use his or her hands.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Hard to Use Hands
PQL02-Legs HurtC138785PQL02-Legs HurtPediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: My child's legs hurt.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Legs Hurt
PQL02-Long Time to Bathe/ShowerC138794PQL02-Long Time to Bathe/ShowerPediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: It takes my child a long time to bathe or shower.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Long Time to Bathe or Shower
PQL02-Money Problem in Our FamilyC138804PQL02-Money Problem in Our FamilyPediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: I think money is a problem in our family.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Money Problem in Our Family
PQL02-Take Long Time to EatC138796PQL02-Take Long Time to EatPediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: My child takes a long time to eat.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Take Long Time to Eat
PQL02-Wake Up TiredC138788PQL02-Wake Up TiredPediatric Quality of Life Neuromuscular Module Version 3 Young Adult Parent Report - In the past one month, how much of a problem has this been for your child: My child wakes up tired.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Adults Report - Wake Up Tired
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CL.C138259.PQL01TCPediatric Quality of Life Neuromuscular Module Version 3 Young Adult Questionnaire Test Code
(PQL01TC)
text
Extensible: No
C138259Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Questionnaire Test CodePediatric Quality of Life Neuromuscular Module Version 3 Young Adult test code.CDISC Questionnaire PedsQL Neuromuscular Module Version 3.0 Young Adult Report Test Code Terminology
PQL0101C138857PQL01-Hard to BreathePediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It is hard to breathe.PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hard to Breathe
PQL0102C138858PQL01-Get Sick EasilyPediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: I get sick easily.PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Get Sick Easily
PQL0103C138859PQL01-Get Sores and/or RashesPediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: I get sores and/or rashes.PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Get Sores and/or Rashes
PQL0104C138860PQL01-Legs HurtPediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: My legs hurt.PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Legs Hurt
PQL0105C138861PQL01-Feel TiredPediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: I feel tired.PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Feel Tired
PQL0106C138862PQL01-Back Feels StiffPediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: My back feels stiff.PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Back Feels Stiff
PQL0107C138863PQL01-Wake Up TiredPediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: I wake up tired.PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Wake Up Tired
PQL0108C138864PQL01-Hands Are WeakPediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: My hands are weak.PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hands Are Weak
PQL0109C138865PQL01-Hard to Use BathroomPediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It is hard to use the bathroom.PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hard to Use Bathroom
PQL0110C138866PQL01-Hard to Gain/Lose WeightPediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It is hard to gain or lose weight when I want to.PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hard to Gain or Lose Weight
PQL0111C138867PQL01-Hard to Use HandsPediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It is hard to use my hands.PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hard to Use Hands
PQL0112C138868PQL01-Hard to Swallow FoodPediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It is hard to swallow food.PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hard to Swallow Food
PQL0113C138869PQL01-Long Time to Bathe/ShowerPediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It takes me a long time to bathe or shower.PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Long Time to Bathe or Shower
PQL0114C138870PQL01-Get Hurt AccidentallyPediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: I get hurt accidentally.PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Get Hurt Accidentally
PQL0115C138871PQL01-Take Long Time to EatPediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: I take a long time to eat.PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Take Long Time to Eat
PQL0116C138872PQL01-Hard to Turn During NightPediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It is hard to turn myself during the night.PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hard to Turn During Night
PQL0117C138873PQL01-Hard to Go Places With EquipmentPediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It is hard for me to go places with my equipment.PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hard to Go Places With Equipment
PQL0118C138874PQL01-Hard Tell Doctors/Nurses How FeelPediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It is hard for me to tell the doctors and nurses how I feel.PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hard Tell Doctors and Nurses How Feel
PQL0119C138875PQL01-Hard Ask Doctors/Nurses QuestionsPediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It is hard for me to ask the doctors and nurses questions.PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hard Ask Doctors and Nurses Questions
PQL0120C138876PQL01-Hard Explain Illness to PeoplePediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It is hard for me to explain my illness to other people.PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hard Explain Illness to People
PQL0121C138877PQL01-Hard for Family to Plan ActivitiesPediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It is hard for my family to plan activities like vacations.PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hard for Family to Plan Activities
PQL0122C138878PQL01-Hard for Family to RestPediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It is hard for my family to get enough rest.PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hard for Family to Rest
PQL0123C138879PQL01-Money Problem in Our FamilyPediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: I think money is a problem in our family.PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Money Problem in Our Family
PQL0124C138880PQL01-Family Has Lot of ProblemsPediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: I think my family has a lot of problems.PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Family Has Lot of Problems
PQL0125C138881PQL01-Do Not Have Equipment NeedPediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: I do not have the equipment I need.PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Do Not Have Equipment Need
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CL.C138258.PQL01TNPediatric Quality of Life Neuromuscular Module Version 3 Young Adult Questionnaire Test Name
(PQL01TN)
text
Extensible: No
C138258Pediatric Quality of Life Neuromuscular Module Version 3 Young Adult Questionnaire Test NamePediatric Quality of Life Neuromuscular Module Version 3 Young Adult test name.CDISC Questionnaire PedsQL Neuromuscular Module Version 3.0 Young Adult Report Test Name Terminology
PQL01-Back Feels StiffC138862PQL01-Back Feels StiffPediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: My back feels stiff.PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Back Feels Stiff
PQL01-Do Not Have Equipment NeedC138881PQL01-Do Not Have Equipment NeedPediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: I do not have the equipment I need.PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Do Not Have Equipment Need
PQL01-Family Has Lot of ProblemsC138880PQL01-Family Has Lot of ProblemsPediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: I think my family has a lot of problems.PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Family Has Lot of Problems
PQL01-Feel TiredC138861PQL01-Feel TiredPediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: I feel tired.PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Feel Tired
PQL01-Get Hurt AccidentallyC138870PQL01-Get Hurt AccidentallyPediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: I get hurt accidentally.PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Get Hurt Accidentally
PQL01-Get Sick EasilyC138858PQL01-Get Sick EasilyPediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: I get sick easily.PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Get Sick Easily
PQL01-Get Sores and/or RashesC138859PQL01-Get Sores and/or RashesPediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: I get sores and/or rashes.PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Get Sores and/or Rashes
PQL01-Hands Are WeakC138864PQL01-Hands Are WeakPediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: My hands are weak.PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hands Are Weak
PQL01-Hard Ask Doctors/Nurses QuestionsC138875PQL01-Hard Ask Doctors/Nurses QuestionsPediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It is hard for me to ask the doctors and nurses questions.PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hard Ask Doctors and Nurses Questions
PQL01-Hard Explain Illness to PeopleC138876PQL01-Hard Explain Illness to PeoplePediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It is hard for me to explain my illness to other people.PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hard Explain Illness to People
PQL01-Hard for Family to Plan ActivitiesC138877PQL01-Hard for Family to Plan ActivitiesPediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It is hard for my family to plan activities like vacations.PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hard for Family to Plan Activities
PQL01-Hard for Family to RestC138878PQL01-Hard for Family to RestPediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It is hard for my family to get enough rest.PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hard for Family to Rest
PQL01-Hard Tell Doctors/Nurses How FeelC138874PQL01-Hard Tell Doctors/Nurses How FeelPediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It is hard for me to tell the doctors and nurses how I feel.PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hard Tell Doctors and Nurses How Feel
PQL01-Hard to BreatheC138857PQL01-Hard to BreathePediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It is hard to breathe.PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hard to Breathe
PQL01-Hard to Gain/Lose WeightC138866PQL01-Hard to Gain/Lose WeightPediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It is hard to gain or lose weight when I want to.PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hard to Gain or Lose Weight
PQL01-Hard to Go Places With EquipmentC138873PQL01-Hard to Go Places With EquipmentPediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It is hard for me to go places with my equipment.PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hard to Go Places With Equipment
PQL01-Hard to Swallow FoodC138868PQL01-Hard to Swallow FoodPediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It is hard to swallow food.PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hard to Swallow Food
PQL01-Hard to Turn During NightC138872PQL01-Hard to Turn During NightPediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It is hard to turn myself during the night.PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hard to Turn During Night
PQL01-Hard to Use BathroomC138865PQL01-Hard to Use BathroomPediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It is hard to use the bathroom.PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hard to Use Bathroom
PQL01-Hard to Use HandsC138867PQL01-Hard to Use HandsPediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It is hard to use my hands.PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Hard to Use Hands
PQL01-Legs HurtC138860PQL01-Legs HurtPediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: My legs hurt.PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Legs Hurt
PQL01-Long Time to Bathe/ShowerC138869PQL01-Long Time to Bathe/ShowerPediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: It takes me a long time to bathe or shower.PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Long Time to Bathe or Shower
PQL01-Money Problem in Our FamilyC138879PQL01-Money Problem in Our FamilyPediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: I think money is a problem in our family.PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Money Problem in Our Family
PQL01-Take Long Time to EatC138871PQL01-Take Long Time to EatPediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: I take a long time to eat.PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Take Long Time to Eat
PQL01-Wake Up TiredC138863PQL01-Wake Up TiredPediatric Quality of Life Neuromuscular Module Version 3 Young Adult - In the past one month, how much of a problem has this been for you: I wake up tired.PedsQL Neuromuscular Module Version 3.0 Young Adult Report - Wake Up Tired
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CL.C138255.PQL08TCPediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report Questionnaire Test Code
(PQL08TC)
text
Extensible: No
C138255Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report Questionnaire Test CodePediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report test code.CDISC Questionnaire PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child Test Code Terminology
PQL0801C138807PQL08-Hard to BreathePediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to breathe.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hard to Breathe
PQL0802C138808PQL08-Get Sick EasilyPediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: My child gets sick easily.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Get Sick Easily
PQL0803C138809PQL08-Get Sores and/or RashesPediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: My child gets sores and/or rashes.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Get Sores and/or Rashes
PQL0804C138810PQL08-Legs HurtPediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: My child's legs hurt.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Legs Hurt
PQL0805C138811PQL08-Feel TiredPediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: My child feels tired.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Feel Tired
PQL0806C138812PQL08-Back Feels StiffPediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: My child's back feels stiff.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Back Feels Stiff
PQL0807C138813PQL08-Wake Up TiredPediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: My child wakes up tired.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Wake Up Tired
PQL0808C138814PQL08-Hands Are WeakPediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: My child's hands are weak.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hands Are Weak
PQL0809C138815PQL08-Hard to Use BathroomPediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to use the bathroom.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hard to Use Bathroom
PQL0810C138816PQL08-Hard to Gain/Lose WeightPediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to gain or lose weight when he or she wants to.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hard to Gain or Lose Weight
PQL0811C138817PQL08-Hard to Use HandsPediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to use his or her hands.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hard to Use Hands
PQL0812C138818PQL08-Hard to Swallow FoodPediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to swallow food.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hard to Swallow Food
PQL0813C138819PQL08-Long Time to Bathe/ShowerPediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It takes my child a long time to bathe or shower.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Long Time to Bathe or Shower
PQL0814C138820PQL08-Get Hurt AccidentallyPediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: My child gets hurt accidentally.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Get Hurt Accidentally
PQL0815C138821PQL08-Take Long Time to EatPediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: My child takes a long time to eat.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Take Long Time to Eat
PQL0816C138822PQL08-Hard to Turn During NightPediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to turn him or herself during the night.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hard to Turn During Night
PQL0817C138823PQL08-Hard to Go Places With EquipmentPediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to go places with his or her equipment.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hard to Go Places With Equipment
PQL0818C138824PQL08-Hard Tell Doctors/Nurses How FeelPediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to tell the doctors and nurses how he or she feels.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hard Tell Doctors and Nurses How Feel
PQL0819C138825PQL08-Hard Ask Doctors/Nurses QuestionsPediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to ask the doctors and nurses questions.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hard Ask Doctors and Nurses Questions
PQL0820C138826PQL08-Hard Explain Illness to PeoplePediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to explain his or her illness to other people.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hard Explain Illness to People
PQL0821C138827PQL08-Hard for Family to Plan ActivitiesPediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for our family to plan activities like vacations.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hard for Family to Plan Activities
PQL0822C138828PQL08-Hard for Family to RestPediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for our family to get enough rest.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hard for Family to Rest
PQL0823C138829PQL08-Money Problem in Our FamilyPediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: I think money is a problem in our family.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Money Problem in Our Family
PQL0824C138830PQL08-Family Has Lot of ProblemsPediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: I think our family has a lot of problems.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Family Has Lot of Problems
PQL0825C138831PQL08-Do Not Have Equipment NeedPediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: My child does not have the equipment he or she needs.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Do Not Have Equipment Need
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CL.C138254.PQL08TNPediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report Questionnaire Test Name
(PQL08TN)
text
Extensible: No
C138254Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report Questionnaire Test NamePediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report test name.CDISC Questionnaire PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child Test Name Terminology
PQL08-Back Feels StiffC138812PQL08-Back Feels StiffPediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: My child's back feels stiff.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Back Feels Stiff
PQL08-Do Not Have Equipment NeedC138831PQL08-Do Not Have Equipment NeedPediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: My child does not have the equipment he or she needs.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Do Not Have Equipment Need
PQL08-Family Has Lot of ProblemsC138830PQL08-Family Has Lot of ProblemsPediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: I think our family has a lot of problems.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Family Has Lot of Problems
PQL08-Feel TiredC138811PQL08-Feel TiredPediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: My child feels tired.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Feel Tired
PQL08-Get Hurt AccidentallyC138820PQL08-Get Hurt AccidentallyPediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: My child gets hurt accidentally.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Get Hurt Accidentally
PQL08-Get Sick EasilyC138808PQL08-Get Sick EasilyPediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: My child gets sick easily.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Get Sick Easily
PQL08-Get Sores and/or RashesC138809PQL08-Get Sores and/or RashesPediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: My child gets sores and/or rashes.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Get Sores and/or Rashes
PQL08-Hands Are WeakC138814PQL08-Hands Are WeakPediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: My child's hands are weak.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hands Are Weak
PQL08-Hard Ask Doctors/Nurses QuestionsC138825PQL08-Hard Ask Doctors/Nurses QuestionsPediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to ask the doctors and nurses questions.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hard Ask Doctors and Nurses Questions
PQL08-Hard Explain Illness to PeopleC138826PQL08-Hard Explain Illness to PeoplePediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to explain his or her illness to other people.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hard Explain Illness to People
PQL08-Hard for Family to Plan ActivitiesC138827PQL08-Hard for Family to Plan ActivitiesPediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for our family to plan activities like vacations.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hard for Family to Plan Activities
PQL08-Hard for Family to RestC138828PQL08-Hard for Family to RestPediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for our family to get enough rest.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hard for Family to Rest
PQL08-Hard Tell Doctors/Nurses How FeelC138824PQL08-Hard Tell Doctors/Nurses How FeelPediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to tell the doctors and nurses how he or she feels.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hard Tell Doctors and Nurses How Feel
PQL08-Hard to BreatheC138807PQL08-Hard to BreathePediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to breathe.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hard to Breathe
PQL08-Hard to Gain/Lose WeightC138816PQL08-Hard to Gain/Lose WeightPediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to gain or lose weight when he or she wants to.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hard to Gain or Lose Weight
PQL08-Hard to Go Places With EquipmentC138823PQL08-Hard to Go Places With EquipmentPediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to go places with his or her equipment.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hard to Go Places With Equipment
PQL08-Hard to Swallow FoodC138818PQL08-Hard to Swallow FoodPediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to swallow food.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hard to Swallow Food
PQL08-Hard to Turn During NightC138822PQL08-Hard to Turn During NightPediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to turn him or herself during the night.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hard to Turn During Night
PQL08-Hard to Use BathroomC138815PQL08-Hard to Use BathroomPediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to use the bathroom.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hard to Use Bathroom
PQL08-Hard to Use HandsC138817PQL08-Hard to Use HandsPediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It is hard for my child to use his or her hands.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Hard to Use Hands
PQL08-Legs HurtC138810PQL08-Legs HurtPediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: My child's legs hurt.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Legs Hurt
PQL08-Long Time to Bathe/ShowerC138819PQL08-Long Time to Bathe/ShowerPediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: It takes my child a long time to bathe or shower.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Long Time to Bathe or Shower
PQL08-Money Problem in Our FamilyC138829PQL08-Money Problem in Our FamilyPediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: I think money is a problem in our family.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Money Problem in Our Family
PQL08-Take Long Time to EatC138821PQL08-Take Long Time to EatPediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: My child takes a long time to eat.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Take Long Time to Eat
PQL08-Wake Up TiredC138813PQL08-Wake Up TiredPediatric Quality of Life Neuromuscular Module Version 3 Young Child Parent Report - In the past one month, how much of a problem has this been for your child: My child wakes up tired.PedsQL Neuromuscular Module Version 3.0 Parent Report for Young Child - Wake Up Tired
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CL.C138261.PQL07TCPediatric Quality of Life Neuromuscular Module Version 3 Young Child Questionnaire Test Code
(PQL07TC)
text
Extensible: No
C138261Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Questionnaire Test CodePediatric Quality of Life Neuromuscular Module Version 3 Young Child test code.CDISC Questionnaire PedsQL Neuromuscular Module Version 3.0 Young Child Report Test Code Terminology
PQL0701C138882PQL07-Hard to BreathePediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard to breathe.PedsQL Neuromuscular Module Version 3.0 Young Child Report - Hard to Breathe
PQL0702C138883PQL07-Get Sick EasilyPediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: I get sick easily.PedsQL Neuromuscular Module Version 3.0 Young Child Report - Get Sick Easily
PQL0703C138884PQL07-Get Sores and/or RashesPediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: I get sores and/or rashes.PedsQL Neuromuscular Module Version 3.0 Young Child Report - Get Sores and/or Rashes
PQL0704C138885PQL07-Legs HurtPediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: My legs hurt.PedsQL Neuromuscular Module Version 3.0 Young Child Report - Legs Hurt
PQL0705C138886PQL07-Feel TiredPediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: I feel tired.PedsQL Neuromuscular Module Version 3.0 Young Child Report - Feel Tired
PQL0706C138887PQL07-Back Feels StiffPediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: My back feels stiff.PedsQL Neuromuscular Module Version 3.0 Young Child Report - Back Feels Stiff
PQL0707C138888PQL07-Wake Up TiredPediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: I wake up tired.PedsQL Neuromuscular Module Version 3.0 Young Child Report - Wake Up Tired
PQL0708C138889PQL07-Hands Are WeakPediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: My hands are weak.PedsQL Neuromuscular Module Version 3.0 Young Child Report - Hands Are Weak
PQL0709C138890PQL07-Hard to Use BathroomPediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard to use the bathroom.PedsQL Neuromuscular Module Version 3.0 Young Child Report - Hard to Use Bathroom
PQL0710C138891PQL07-Hard to Gain/Lose WeightPediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard to gain or lose weight when I want to.PedsQL Neuromuscular Module Version 3.0 Young Child Report - Hard to Gain or Lose Weight
PQL0711C138892PQL07-Hard to Use HandsPediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard to use my hands.PedsQL Neuromuscular Module Version 3.0 Young Child Report - Hard to Use Hands
PQL0712C138893PQL07-Hard to Swallow FoodPediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard to swallow food.PedsQL Neuromuscular Module Version 3.0 Young Child Report - Hard to Swallow Food
PQL0713C138894PQL07-Long Time to Bathe/ShowerPediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: It takes me a long time to bathe or shower.PedsQL Neuromuscular Module Version 3.0 Young Child Report - Long Time to Bathe or Shower
PQL0714C138895PQL07-Get Hurt AccidentallyPediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: I get hurt accidentally.PedsQL Neuromuscular Module Version 3.0 Young Child Report - Get Hurt Accidentally
PQL0715C138896PQL07-Take Long Time to EatPediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: I take a long time to eat.PedsQL Neuromuscular Module Version 3.0 Young Child Report - Take Long Time to Eat
PQL0716C138897PQL07-Hard to Turn During NightPediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard to turn myself during the night.PedsQL Neuromuscular Module Version 3.0 Young Child Report - Hard to Turn During Night
PQL0717C138898PQL07-Hard to Go Places With EquipmentPediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard for me to go places with my equipment.PedsQL Neuromuscular Module Version 3.0 Young Child Report - Hard to Go Places With Equipment
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CL.C138260.PQL07TNPediatric Quality of Life Neuromuscular Module Version 3 Young Child Questionnaire Test Name
(PQL07TN)
text
Extensible: No
C138260Pediatric Quality of Life Neuromuscular Module Version 3 Young Child Questionnaire Test NamePediatric Quality of Life Neuromuscular Module Version 3 Young Child test name.CDISC Questionnaire PedsQL Neuromuscular Module Version 3.0 Young Child Report Test Name Terminology
PQL07-Back Feels StiffC138887PQL07-Back Feels StiffPediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: My back feels stiff.PedsQL Neuromuscular Module Version 3.0 Young Child Report - Back Feels Stiff
PQL07-Feel TiredC138886PQL07-Feel TiredPediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: I feel tired.PedsQL Neuromuscular Module Version 3.0 Young Child Report - Feel Tired
PQL07-Get Hurt AccidentallyC138895PQL07-Get Hurt AccidentallyPediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: I get hurt accidentally.PedsQL Neuromuscular Module Version 3.0 Young Child Report - Get Hurt Accidentally
PQL07-Get Sick EasilyC138883PQL07-Get Sick EasilyPediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: I get sick easily.PedsQL Neuromuscular Module Version 3.0 Young Child Report - Get Sick Easily
PQL07-Get Sores and/or RashesC138884PQL07-Get Sores and/or RashesPediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: I get sores and/or rashes.PedsQL Neuromuscular Module Version 3.0 Young Child Report - Get Sores and/or Rashes
PQL07-Hands Are WeakC138889PQL07-Hands Are WeakPediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: My hands are weak.PedsQL Neuromuscular Module Version 3.0 Young Child Report - Hands Are Weak
PQL07-Hard to BreatheC138882PQL07-Hard to BreathePediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard to breathe.PedsQL Neuromuscular Module Version 3.0 Young Child Report - Hard to Breathe
PQL07-Hard to Gain/Lose WeightC138891PQL07-Hard to Gain/Lose WeightPediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard to gain or lose weight when I want to.PedsQL Neuromuscular Module Version 3.0 Young Child Report - Hard to Gain or Lose Weight
PQL07-Hard to Go Places With EquipmentC138898PQL07-Hard to Go Places With EquipmentPediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard for me to go places with my equipment.PedsQL Neuromuscular Module Version 3.0 Young Child Report - Hard to Go Places With Equipment
PQL07-Hard to Swallow FoodC138893PQL07-Hard to Swallow FoodPediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard to swallow food.PedsQL Neuromuscular Module Version 3.0 Young Child Report - Hard to Swallow Food
PQL07-Hard to Turn During NightC138897PQL07-Hard to Turn During NightPediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard to turn myself during the night.PedsQL Neuromuscular Module Version 3.0 Young Child Report - Hard to Turn During Night
PQL07-Hard to Use BathroomC138890PQL07-Hard to Use BathroomPediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard to use the bathroom.PedsQL Neuromuscular Module Version 3.0 Young Child Report - Hard to Use Bathroom
PQL07-Hard to Use HandsC138892PQL07-Hard to Use HandsPediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: It is hard to use my hands.PedsQL Neuromuscular Module Version 3.0 Young Child Report - Hard to Use Hands
PQL07-Legs HurtC138885PQL07-Legs HurtPediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: My legs hurt.PedsQL Neuromuscular Module Version 3.0 Young Child Report - Legs Hurt
PQL07-Long Time to Bathe/ShowerC138894PQL07-Long Time to Bathe/ShowerPediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: It takes me a long time to bathe or shower.PedsQL Neuromuscular Module Version 3.0 Young Child Report - Long Time to Bathe or Shower
PQL07-Take Long Time to EatC138896PQL07-Take Long Time to EatPediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: I take a long time to eat.PedsQL Neuromuscular Module Version 3.0 Young Child Report - Take Long Time to Eat
PQL07-Wake Up TiredC138888PQL07-Wake Up TiredPediatric Quality of Life Neuromuscular Module Version 3 Young Child - Think about how you have been doing for the last few weeks. Please listen carefully to each sentence and tell me how much of a problem this is for you: I wake up tired.PedsQL Neuromuscular Module Version 3.0 Young Child Report - Wake Up Tired
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CL.C138217.PUL01TCPerformance of the Upper Limb Module for DMD Version 1.2 Functional Test Test Code
(PUL01TC)
text
Extensible: No
C138217Performance of the Upper Limb Module for DMD Version 1.2 Functional Test Test CodePerformance of the Upper Limb Module for DMD Version 1.2 test code.CDISC Functional Test PUL 1.2 Test Code Terminology
PUL0101C138365PUL01-Preferred ArmPerformance of the Upper Limb Module for DMD Version 1.2 - Preferred arm.PUL 1.2 - Preferred Arm
PUL0102C138366PUL01-Elbow ContracturesPerformance of the Upper Limb Module for DMD Version 1.2 - Elbow contractures of the preferred arm.PUL 1.2 - Elbow Contractures
PUL0103C138393PUL01-High Level Shoulder DimensionPerformance of the Upper Limb Module for DMD Version 1.2 - High level shoulder dimension score.PUL 1.2 - High Level Shoulder Dimension
PUL0104C138394PUL01-Mid Level Elbow DimensionPerformance of the Upper Limb Module for DMD Version 1.2 - Mid level elbow dimension score.PUL 1.2 - Mid Level Elbow Dimension
PUL0105C138395PUL01-Distal Wrist/Hand DimensionPerformance of the Upper Limb Module for DMD Version 1.2 - Distal wrist and hand dimension score.PUL 1.2 - Distal Wrist or Hand Dimension
PUL0106C138396PUL01-Total ScorePerformance of the Upper Limb Module for DMD Version 1.2 - Total Score.PUL 1.2 - Total Score
PUL01AC138367PUL01-Entry ItemPerformance of the Upper Limb Module for DMD Version 1.2 - Entry item.PUL 1.2 - Entry Item
PUL01BC138368PUL01-Shoulder Abduction to Shldr HgtPerformance of the Upper Limb Module for DMD Version 1.2 - Shoulder abduction to shoulder height.PUL 1.2 - Shoulder Abduction to Height
PUL01CC138369PUL01-Shoulder Abduction Above Shldr HgtPerformance of the Upper Limb Module for DMD Version 1.2 - Shoulder abduction above shoulder height.PUL 1.2 - Shoulder Abduction Above Height
PUL01DC138370PUL01-Shoulder Flexion to Shldr HeightPerformance of the Upper Limb Module for DMD Version 1.2 - Shoulder flexion to shoulder height.PUL 1.2 - Shoulder Flexion to Height
PUL01EC138371PUL01-Shoulder Flexion Above Shldr HgtPerformance of the Upper Limb Module for DMD Version 1.2 - Shoulder flexion above shoulder height.PUL 1.2 - Shoulder Flexion Above Height
PUL01FC138372PUL01-Hand(s) to MouthPerformance of the Upper Limb Module for DMD Version 1.2 - Hand(s) to mouth.PUL 1.2 - Hand(s) to Mouth
PUL01GC138373PUL01-Hand(s) to Table From LapPerformance of the Upper Limb Module for DMD Version 1.2 - Hand(s) to table from lap.PUL 1.2 - Hand(s) to Table From Lap
PUL01HC138374PUL01-Move Weight on TablePerformance of the Upper Limb Module for DMD Version 1.2 - Move weight on table.PUL 1.2 - Move Weight on Table
PUL01IC138375PUL01-Lifting Light CansPerformance of the Upper Limb Module for DMD Version 1.2 - Lifting light cans.PUL 1.2 - Lifting Light Cans
PUL01I1C138376PUL01-Lifting Light Cans TimePerformance of the Upper Limb Module for DMD Version 1.2 - Lifting light cans, time.PUL 1.2 - Lifting Light Cans Time
PUL01JC138377PUL01-Lifting Heavy CansPerformance of the Upper Limb Module for DMD Version 1.2 - Lifting heavy cans.PUL 1.2 - Lifting Heavy Cans
PUL01J1C138378PUL01-Lifting Heavy Cans TimePerformance of the Upper Limb Module for DMD Version 1.2 - Lifting heavy cans, time.PUL 1.2 - Lifting Heavy Cans Time
PUL01KC138379PUL01-Stacking Light CansPerformance of the Upper Limb Module for DMD Version 1.2 - Stacking light cans.PUL 1.2 - Stacking Light Cans
PUL01K1C138380PUL01-Stacking Light Cans TimePerformance of the Upper Limb Module for DMD Version 1.2 - Stacking light cans, time.PUL 1.2 - Stacking Light Cans Time
PUL01LC138381PUL01-Stacking Heavy CansPerformance of the Upper Limb Module for DMD Version 1.2 - Stacking heavy cans.PUL 1.2 - Stacking Heavy Cans
PUL01L1C138382PUL01-Stacking Heavy Cans TimePerformance of the Upper Limb Module for DMD Version 1.2 - Stacking heavy cans, time.PUL 1.2 - Stacking Heavy Cans Time
PUL01MC138383PUL01-Remove Lid From ContainerPerformance of the Upper Limb Module for DMD Version 1.2 - Remove lid from container.PUL 1.2 - Remove Lid From Container
PUL01NC138384PUL01-Tearing PaperPerformance of the Upper Limb Module for DMD Version 1.2 - Tearing paper.PUL 1.2 - Tearing Paper
PUL01OC138385PUL01-Tracing PathPerformance of the Upper Limb Module for DMD Version 1.2 - Tracing path.PUL 1.2 - Tracing Path
PUL01PC138386PUL01-Push on The LightPerformance of the Upper Limb Module for DMD Version 1.2 - Push on the light.PUL 1.2 - Push on The Light
PUL01QC138387PUL01-SupinationPerformance of the Upper Limb Module for DMD Version 1.2 - Supination.PUL 1.2 - Supination
PUL01RC138388PUL01-Picking Up CoinsPerformance of the Upper Limb Module for DMD Version 1.2 - Picking up coins.PUL 1.2 - Picking Up Coins
PUL01SC138389PUL01-Placing Finger on Number DiagramPerformance of the Upper Limb Module for DMD Version 1.2 - Placing finger on number diagram.PUL 1.2 - Placing Finger on Number Diagram
PUL01TC138390PUL01-Finger Pinch GripPerformance of the Upper Limb Module for DMD Version 1.2 - Finger pinch grip.PUL 1.2 - Finger Pinch Grip
PUL01UC138391PUL01-3 Point GripPerformance of the Upper Limb Module for DMD Version 1.2 - 3 point grip.PUL 1.2 - 3 Point Grip
PUL01VC138392PUL01-Thumb (Key) GripPerformance of the Upper Limb Module for DMD Version 1.2 - Thumb (key) grip.PUL 1.2 - Thumb (Key) Grip
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CL.C138216.PUL01TNPerformance of the Upper Limb Module for DMD Version 1.2 Functional Test Test Name
(PUL01TN)
text
Extensible: No
C138216Performance of the Upper Limb Module for DMD Version 1.2 Functional Test Test NamePerformance of the Upper Limb Module for DMD Version 1.2 test name.CDISC Functional Test PUL 1.2 Test Name Terminology
PUL01-3 Point GripC138391PUL01-3 Point GripPerformance of the Upper Limb Module for DMD Version 1.2 - 3 point grip.PUL 1.2 - 3 Point Grip
PUL01-Distal Wrist/Hand DimensionC138395PUL01-Distal Wrist/Hand DimensionPerformance of the Upper Limb Module for DMD Version 1.2 - Distal wrist and hand dimension score.PUL 1.2 - Distal Wrist or Hand Dimension
PUL01-Elbow ContracturesC138366PUL01-Elbow ContracturesPerformance of the Upper Limb Module for DMD Version 1.2 - Elbow contractures of the preferred arm.PUL 1.2 - Elbow Contractures
PUL01-Entry ItemC138367PUL01-Entry ItemPerformance of the Upper Limb Module for DMD Version 1.2 - Entry item.PUL 1.2 - Entry Item
PUL01-Finger Pinch GripC138390PUL01-Finger Pinch GripPerformance of the Upper Limb Module for DMD Version 1.2 - Finger pinch grip.PUL 1.2 - Finger Pinch Grip
PUL01-Hand(s) to MouthC138372PUL01-Hand(s) to MouthPerformance of the Upper Limb Module for DMD Version 1.2 - Hand(s) to mouth.PUL 1.2 - Hand(s) to Mouth
PUL01-Hand(s) to Table From LapC138373PUL01-Hand(s) to Table From LapPerformance of the Upper Limb Module for DMD Version 1.2 - Hand(s) to table from lap.PUL 1.2 - Hand(s) to Table From Lap
PUL01-High Level Shoulder DimensionC138393PUL01-High Level Shoulder DimensionPerformance of the Upper Limb Module for DMD Version 1.2 - High level shoulder dimension score.PUL 1.2 - High Level Shoulder Dimension
PUL01-Lifting Heavy Cans TimeC138378PUL01-Lifting Heavy Cans TimePerformance of the Upper Limb Module for DMD Version 1.2 - Lifting heavy cans, time.PUL 1.2 - Lifting Heavy Cans Time
PUL01-Lifting Heavy CansC138377PUL01-Lifting Heavy CansPerformance of the Upper Limb Module for DMD Version 1.2 - Lifting heavy cans.PUL 1.2 - Lifting Heavy Cans
PUL01-Lifting Light Cans TimeC138376PUL01-Lifting Light Cans TimePerformance of the Upper Limb Module for DMD Version 1.2 - Lifting light cans, time.PUL 1.2 - Lifting Light Cans Time
PUL01-Lifting Light CansC138375PUL01-Lifting Light CansPerformance of the Upper Limb Module for DMD Version 1.2 - Lifting light cans.PUL 1.2 - Lifting Light Cans
PUL01-Mid Level Elbow DimensionC138394PUL01-Mid Level Elbow DimensionPerformance of the Upper Limb Module for DMD Version 1.2 - Mid level elbow dimension score.PUL 1.2 - Mid Level Elbow Dimension
PUL01-Move Weight on TableC138374PUL01-Move Weight on TablePerformance of the Upper Limb Module for DMD Version 1.2 - Move weight on table.PUL 1.2 - Move Weight on Table
PUL01-Picking Up CoinsC138388PUL01-Picking Up CoinsPerformance of the Upper Limb Module for DMD Version 1.2 - Picking up coins.PUL 1.2 - Picking Up Coins
PUL01-Placing Finger on Number DiagramC138389PUL01-Placing Finger on Number DiagramPerformance of the Upper Limb Module for DMD Version 1.2 - Placing finger on number diagram.PUL 1.2 - Placing Finger on Number Diagram
PUL01-Preferred ArmC138365PUL01-Preferred ArmPerformance of the Upper Limb Module for DMD Version 1.2 - Preferred arm.PUL 1.2 - Preferred Arm
PUL01-Push on The LightC138386PUL01-Push on The LightPerformance of the Upper Limb Module for DMD Version 1.2 - Push on the light.PUL 1.2 - Push on The Light
PUL01-Remove Lid From ContainerC138383PUL01-Remove Lid From ContainerPerformance of the Upper Limb Module for DMD Version 1.2 - Remove lid from container.PUL 1.2 - Remove Lid From Container
PUL01-Shoulder Abduction Above Shldr HgtC138369PUL01-Shoulder Abduction Above Shldr HgtPerformance of the Upper Limb Module for DMD Version 1.2 - Shoulder abduction above shoulder height.PUL 1.2 - Shoulder Abduction Above Height
PUL01-Shoulder Abduction to Shldr HgtC138368PUL01-Shoulder Abduction to Shldr HgtPerformance of the Upper Limb Module for DMD Version 1.2 - Shoulder abduction to shoulder height.PUL 1.2 - Shoulder Abduction to Height
PUL01-Shoulder Flexion Above Shldr HgtC138371PUL01-Shoulder Flexion Above Shldr HgtPerformance of the Upper Limb Module for DMD Version 1.2 - Shoulder flexion above shoulder height.PUL 1.2 - Shoulder Flexion Above Height
PUL01-Shoulder Flexion to Shldr HeightC138370PUL01-Shoulder Flexion to Shldr HeightPerformance of the Upper Limb Module for DMD Version 1.2 - Shoulder flexion to shoulder height.PUL 1.2 - Shoulder Flexion to Height
PUL01-Stacking Heavy Cans TimeC138382PUL01-Stacking Heavy Cans TimePerformance of the Upper Limb Module for DMD Version 1.2 - Stacking heavy cans, time.PUL 1.2 - Stacking Heavy Cans Time
PUL01-Stacking Heavy CansC138381PUL01-Stacking Heavy CansPerformance of the Upper Limb Module for DMD Version 1.2 - Stacking heavy cans.PUL 1.2 - Stacking Heavy Cans
PUL01-Stacking Light Cans TimeC138380PUL01-Stacking Light Cans TimePerformance of the Upper Limb Module for DMD Version 1.2 - Stacking light cans, time.PUL 1.2 - Stacking Light Cans Time
PUL01-Stacking Light CansC138379PUL01-Stacking Light CansPerformance of the Upper Limb Module for DMD Version 1.2 - Stacking light cans.PUL 1.2 - Stacking Light Cans
PUL01-SupinationC138387PUL01-SupinationPerformance of the Upper Limb Module for DMD Version 1.2 - Supination.PUL 1.2 - Supination
PUL01-Tearing PaperC138384PUL01-Tearing PaperPerformance of the Upper Limb Module for DMD Version 1.2 - Tearing paper.PUL 1.2 - Tearing Paper
PUL01-Thumb (Key) GripC138392PUL01-Thumb (Key) GripPerformance of the Upper Limb Module for DMD Version 1.2 - Thumb (key) grip.PUL 1.2 - Thumb (Key) Grip
PUL01-Total ScoreC138396PUL01-Total ScorePerformance of the Upper Limb Module for DMD Version 1.2 - Total Score.PUL 1.2 - Total Score
PUL01-Tracing PathC138385PUL01-Tracing PathPerformance of the Upper Limb Module for DMD Version 1.2 - Tracing path.PUL 1.2 - Tracing Path
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CL.C138219.PUL02TCPerformance of the Upper Limb Module for DMD Version 2.0 Functional Test Test Code
(PUL02TC)
text
Extensible: No
C138219Performance of the Upper Limb Module for DMD Version 2.0 Functional Test Test CodePerformance of the Upper Limb Module for DMD Version 2.0 test code.CDISC Functional Test PUL 2.0 Test Code Terminology
PUL0201C138398PUL02-Shoulder Abduction Arms Above HeadPerformance of the Upper Limb Module for DMD Version 2.0 - Shoulder abduction both arms above head.PUL 2.0 - Shoulder Abduction Arms Above Head
PUL0202C138399PUL02-Raise Both Arms to Shoulder HeightPerformance of the Upper Limb Module for DMD Version 2.0 - Raise both arms to shoulder height (elbows at shoulder height).PUL 2.0 - Raise Both Arms to Shoulder Height
PUL0203C138400PUL02-Flexion Shoulder Height No WeightsPerformance of the Upper Limb Module for DMD Version 2.0 - Shoulder flexion to shoulder height (no weights).PUL 2.0 - Flexion Shoulder Height No Weights
PUL0204C138401PUL02-Flexion to Shoulder Height 500gPerformance of the Upper Limb Module for DMD Version 2.0 - Shoulder flexion to shoulder height with 500g weight.PUL 2.0 - Flexion to Shoulder Height 500g
PUL0205C138402PUL02-Flexion Above Shoulder Height 500gPerformance of the Upper Limb Module for DMD Version 2.0 - Shoulder flexion above shoulder height with 500g weight.PUL 2.0 - Flexion Above Shoulder Height 500g
PUL0206C138403PUL02-Flexion Above Shoulder Height 1kgPerformance of the Upper Limb Module for DMD Version 2.0 - Shoulder flexion above shoulder with 1 kg weight.PUL 2.0 - Flexion Above Shoulder Height 1kg
PUL0207C138404PUL02-Hand(s) to MouthPerformance of the Upper Limb Module for DMD Version 2.0 - Hand(s) to mouth.PUL 2.0 - Hand(s) to Mouth
PUL0208C138405PUL02-Hands to Table From LapPerformance of the Upper Limb Module for DMD Version 2.0 - Hands to table from lap.PUL 2.0 - Hands to Table From Lap
PUL0209C138406PUL02-Move Weight on Table 100gPerformance of the Upper Limb Module for DMD Version 2.0 - Move weight on table 100g.PUL 2.0 - Move Weight On Table 100g
PUL0210C138407PUL02-Move Weight on Table 500gPerformance of the Upper Limb Module for DMD Version 2.0 - Move weight on table 500g.PUL 2.0 - Move Weight On Table 500g
PUL0211C138408PUL02-Move Weight on Table 1kgPerformance of the Upper Limb Module for DMD Version 2.0 - Move weight on table 1kg.PUL 2.0 - Move Weight On Table 1kg
PUL0212C138409PUL02-Lift Heavy Can DiagonallyPerformance of the Upper Limb Module for DMD Version 2.0 - Lift heavy can diagonally.PUL 2.0 - Lift Heavy Can Diagonally
PUL0213C138410PUL02-Stack of Three CansPerformance of the Upper Limb Module for DMD Version 2.0 - Stack of three cans.PUL 2.0 - Stack of Three Cans
PUL0214C138411PUL02-Stack of Five CansPerformance of the Upper Limb Module for DMD Version 2.0 - Stack of five cans.PUL 2.0 - Stack of Five Cans
PUL0215C138412PUL02-Remove Lid From ContainerPerformance of the Upper Limb Module for DMD Version 2.0 - Remove lid from container.PUL 2.0 - Remove Lid From Container
PUL0216C138413PUL02-Tearing PaperPerformance of the Upper Limb Module for DMD Version 2.0 - Tearing paper.PUL 2.0 - Tearing Paper
PUL0217C138414PUL02-Tracing PathPerformance of the Upper Limb Module for DMD Version 2.0 - Tracing path.PUL 2.0 - Tracing Path
PUL0218C138415PUL02-Push on LightPerformance of the Upper Limb Module for DMD Version 2.0 - Push on light.PUL 2.0 - Push on Light
PUL0219C138416PUL02-SupinationPerformance of the Upper Limb Module for DMD Version 2.0 - Supination.PUL 2.0 - Supination
PUL0220C138417PUL02-Picking Up CoinsPerformance of the Upper Limb Module for DMD Version 2.0 - Picking up coins.PUL 2.0 - Picking Up Coins
PUL0221C138418PUL02-Placing Finger on Number DiagramPerformance of the Upper Limb Module for DMD Version 2.0 - Placing finger on number diagram.PUL 2.0 - Placing Finger on Number Diagram
PUL0222C138419PUL02-Pick Up 10g Weight Finger PinchPerformance of the Upper Limb Module for DMD Version 2.0 - Pick up 10g weight finger pinch.PUL 2.0 - Pick Up 10g Weight Finger Pinch
PUL0223C138420PUL02-Preferred ArmPerformance of the Upper Limb Module for DMD Version 2.0 - Preferred arm.PUL 2.0 - Preferred Arm
PUL0224C138421PUL02-Right Elbow Extension ROMPerformance of the Upper Limb Module for DMD Version 2.0 - Right elbow extension ROM.PUL 2.0 - Right Elbow Extension ROM
PUL0225C138422PUL02-Left Elbow Extension ROMPerformance of the Upper Limb Module for DMD Version 2.0 - Left elbow extension ROM.PUL 2.0 - Left Elbow Extension ROM
PUL0226C138423PUL02-Right Available Supination ROMPerformance of the Upper Limb Module for DMD Version 2.0 - Right available supination ROM.PUL 2.0 - Right Available Supination ROM
PUL0227C138424PUL02-Left Available Supination ROMPerformance of the Upper Limb Module for DMD Version 2.0 - Left available supination ROM.PUL 2.0 - Left Available Supination ROM
PUL0228C138425PUL02-High Level Shoulder DimensionPerformance of the Upper Limb Module for DMD Version 2.0 - High level shoulder dimension score.PUL 2.0 - High Level Shoulder Dimension
PUL0229C138426PUL02-Mid Level Elbow DimensionPerformance of the Upper Limb Module for DMD Version 2.0 - Mid level elbow dimension score.PUL 2.0 - Mid Level Elbow Dimension
PUL0230C138427PUL02-Distal Wrist/Hand DimensionPerformance of the Upper Limb Module for DMD Version 2.0 - Distal wrist and hand dimension score.PUL 2.0 - Distal Wrist or Hand Dimension
PUL0231C138428PUL02-Total ScorePerformance of the Upper Limb Module for DMD Version 2.0 - Total score.PUL 2.0 - Total Score
PUL02AC138397PUL02-Entry ItemPerformance of the Upper Limb Module for DMD Version 2.0 - Entry item.PUL 2.0 - Entry Item
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CL.C138218.PUL02TNPerformance of the Upper Limb Module for DMD Version 2.0 Functional Test Test Name
(PUL02TN)
text
Extensible: No
C138218Performance of the Upper Limb Module for DMD Version 2.0 Functional Test Test NamePerformance of the Upper Limb Module for DMD Version 2.0 test name.CDISC Functional Test PUL 2.0 Test Name Terminology
PUL02-Distal Wrist/Hand DimensionC138427PUL02-Distal Wrist/Hand DimensionPerformance of the Upper Limb Module for DMD Version 2.0 - Distal wrist and hand dimension score.PUL 2.0 - Distal Wrist or Hand Dimension
PUL02-Entry ItemC138397PUL02-Entry ItemPerformance of the Upper Limb Module for DMD Version 2.0 - Entry item.PUL 2.0 - Entry Item
PUL02-Flexion Above Shoulder Height 1kgC138403PUL02-Flexion Above Shoulder Height 1kgPerformance of the Upper Limb Module for DMD Version 2.0 - Shoulder flexion above shoulder with 1 kg weight.PUL 2.0 - Flexion Above Shoulder Height 1kg
PUL02-Flexion Above Shoulder Height 500gC138402PUL02-Flexion Above Shoulder Height 500gPerformance of the Upper Limb Module for DMD Version 2.0 - Shoulder flexion above shoulder height with 500g weight.PUL 2.0 - Flexion Above Shoulder Height 500g
PUL02-Flexion Shoulder Height No WeightsC138400PUL02-Flexion Shoulder Height No WeightsPerformance of the Upper Limb Module for DMD Version 2.0 - Shoulder flexion to shoulder height (no weights).PUL 2.0 - Flexion Shoulder Height No Weights
PUL02-Flexion to Shoulder Height 500gC138401PUL02-Flexion to Shoulder Height 500gPerformance of the Upper Limb Module for DMD Version 2.0 - Shoulder flexion to shoulder height with 500g weight.PUL 2.0 - Flexion to Shoulder Height 500g
PUL02-Hand(s) to MouthC138404PUL02-Hand(s) to MouthPerformance of the Upper Limb Module for DMD Version 2.0 - Hand(s) to mouth.PUL 2.0 - Hand(s) to Mouth
PUL02-Hands to Table From LapC138405PUL02-Hands to Table From LapPerformance of the Upper Limb Module for DMD Version 2.0 - Hands to table from lap.PUL 2.0 - Hands to Table From Lap
PUL02-High Level Shoulder DimensionC138425PUL02-High Level Shoulder DimensionPerformance of the Upper Limb Module for DMD Version 2.0 - High level shoulder dimension score.PUL 2.0 - High Level Shoulder Dimension
PUL02-Left Available Supination ROMC138424PUL02-Left Available Supination ROMPerformance of the Upper Limb Module for DMD Version 2.0 - Left available supination ROM.PUL 2.0 - Left Available Supination ROM
PUL02-Left Elbow Extension ROMC138422PUL02-Left Elbow Extension ROMPerformance of the Upper Limb Module for DMD Version 2.0 - Left elbow extension ROM.PUL 2.0 - Left Elbow Extension ROM
PUL02-Lift Heavy Can DiagonallyC138409PUL02-Lift Heavy Can DiagonallyPerformance of the Upper Limb Module for DMD Version 2.0 - Lift heavy can diagonally.PUL 2.0 - Lift Heavy Can Diagonally
PUL02-Mid Level Elbow DimensionC138426PUL02-Mid Level Elbow DimensionPerformance of the Upper Limb Module for DMD Version 2.0 - Mid level elbow dimension score.PUL 2.0 - Mid Level Elbow Dimension
PUL02-Move Weight on Table 100gC138406PUL02-Move Weight on Table 100gPerformance of the Upper Limb Module for DMD Version 2.0 - Move weight on table 100g.PUL 2.0 - Move Weight On Table 100g
PUL02-Move Weight on Table 1kgC138408PUL02-Move Weight on Table 1kgPerformance of the Upper Limb Module for DMD Version 2.0 - Move weight on table 1kg.PUL 2.0 - Move Weight On Table 1kg
PUL02-Move Weight on Table 500gC138407PUL02-Move Weight on Table 500gPerformance of the Upper Limb Module for DMD Version 2.0 - Move weight on table 500g.PUL 2.0 - Move Weight On Table 500g
PUL02-Pick Up 10g Weight Finger PinchC138419PUL02-Pick Up 10g Weight Finger PinchPerformance of the Upper Limb Module for DMD Version 2.0 - Pick up 10g weight finger pinch.PUL 2.0 - Pick Up 10g Weight Finger Pinch
PUL02-Picking Up CoinsC138417PUL02-Picking Up CoinsPerformance of the Upper Limb Module for DMD Version 2.0 - Picking up coins.PUL 2.0 - Picking Up Coins
PUL02-Placing Finger on Number DiagramC138418PUL02-Placing Finger on Number DiagramPerformance of the Upper Limb Module for DMD Version 2.0 - Placing finger on number diagram.PUL 2.0 - Placing Finger on Number Diagram
PUL02-Preferred ArmC138420PUL02-Preferred ArmPerformance of the Upper Limb Module for DMD Version 2.0 - Preferred arm.PUL 2.0 - Preferred Arm
PUL02-Push on LightC138415PUL02-Push on LightPerformance of the Upper Limb Module for DMD Version 2.0 - Push on light.PUL 2.0 - Push on Light
PUL02-Raise Both Arms to Shoulder HeightC138399PUL02-Raise Both Arms to Shoulder HeightPerformance of the Upper Limb Module for DMD Version 2.0 - Raise both arms to shoulder height (elbows at shoulder height).PUL 2.0 - Raise Both Arms to Shoulder Height
PUL02-Remove Lid From ContainerC138412PUL02-Remove Lid From ContainerPerformance of the Upper Limb Module for DMD Version 2.0 - Remove lid from container.PUL 2.0 - Remove Lid From Container
PUL02-Right Available Supination ROMC138423PUL02-Right Available Supination ROMPerformance of the Upper Limb Module for DMD Version 2.0 - Right available supination ROM.PUL 2.0 - Right Available Supination ROM
PUL02-Right Elbow Extension ROMC138421PUL02-Right Elbow Extension ROMPerformance of the Upper Limb Module for DMD Version 2.0 - Right elbow extension ROM.PUL 2.0 - Right Elbow Extension ROM
PUL02-Shoulder Abduction Arms Above HeadC138398PUL02-Shoulder Abduction Arms Above HeadPerformance of the Upper Limb Module for DMD Version 2.0 - Shoulder abduction both arms above head.PUL 2.0 - Shoulder Abduction Arms Above Head
PUL02-Stack of Five CansC138411PUL02-Stack of Five CansPerformance of the Upper Limb Module for DMD Version 2.0 - Stack of five cans.PUL 2.0 - Stack of Five Cans
PUL02-Stack of Three CansC138410PUL02-Stack of Three CansPerformance of the Upper Limb Module for DMD Version 2.0 - Stack of three cans.PUL 2.0 - Stack of Three Cans
PUL02-SupinationC138416PUL02-SupinationPerformance of the Upper Limb Module for DMD Version 2.0 - Supination.PUL 2.0 - Supination
PUL02-Tearing PaperC138413PUL02-Tearing PaperPerformance of the Upper Limb Module for DMD Version 2.0 - Tearing paper.PUL 2.0 - Tearing Paper
PUL02-Total ScoreC138428PUL02-Total ScorePerformance of the Upper Limb Module for DMD Version 2.0 - Total score.PUL 2.0 - Total Score
PUL02-Tracing PathC138414PUL02-Tracing PathPerformance of the Upper Limb Module for DMD Version 2.0 - Tracing path.PUL 2.0 - Tracing Path
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CL.C124686.PANSS1TCPositive and Negative Syndrome Scale Clinical Classification Test Code
(PANSS1TC)
text
Extensible: No
C124686Positive and Negative Syndrome Scale Clinical Classification Test CodePositive and Negative Syndrome Scale test code.CDISC Clinical Classification PANSS Test Code Terminology
PANSS101C124747PANSS1-DelusionsPositive and Negative Syndrome Scale - Delusions.PANSS - Delusions
PANSS102C124748PANSS1-Conceptual DisorganizationPositive and Negative Syndrome Scale - Conceptual disorganization.PANSS - Conceptual Disorganization
PANSS103C124749PANSS1-Hallucinatory BehaviorPositive and Negative Syndrome Scale - Hallucinatory behavior.PANSS - Hallucinatory Behavior
PANSS104C124750PANSS1-ExcitementPositive and Negative Syndrome Scale - Excitement.PANSS - Excitement
PANSS105C124751PANSS1-GrandiosityPositive and Negative Syndrome Scale - Grandiosity.PANSS - Grandiosity
PANSS106C124752PANSS1-Suspiciousness/PersecutionPositive and Negative Syndrome Scale - Suspiciousness/persecution.PANSS - Suspiciousness or Persecution
PANSS107C124753PANSS1-HostilityPositive and Negative Syndrome Scale - Hostility.PANSS - Hostility
PANSS108C124754PANSS1-Blunted AffectPositive and Negative Syndrome Scale - Blunted affect.PANSS - Blunted Affect
PANSS109C124755PANSS1-Emotional WithdrawalPositive and Negative Syndrome Scale - Emotional withdrawal.PANSS - Emotional Withdrawal
PANSS110C124756PANSS1-Poor RapportPositive and Negative Syndrome Scale - Poor rapport.PANSS - Poor Rapport
PANSS111C124757PANSS1-Passive/Apathetic Social WithdrawPositive and Negative Syndrome Scale - Passive/apathetic social withdrawal.PANSS - Passive or Apathetic Social Withdrawal
PANSS112C124758PANSS1-Difficulty in Abstract ThinkingPositive and Negative Syndrome Scale - Difficulty in abstract thinking.PANSS - Difficulty in Abstract Thinking
PANSS113C124759PANSS1-Lack of SpontaneityPositive and Negative Syndrome Scale - Lack of spontaneity and flow of conversation.PANSS - Lack of Spontaneity
PANSS114C124760PANSS1-Stereotyped ThinkingPositive and Negative Syndrome Scale - Stereotyped thinking.PANSS - Stereotyped Thinking
PANSS115C124761PANSS1-Somatic ConcernPositive and Negative Syndrome Scale - Somatic concern.PANSS - Somatic Concern
PANSS116C124762PANSS1-AnxietyPositive and Negative Syndrome Scale - Anxiety.PANSS - Anxiety
PANSS117C124763PANSS1-Guilt FeelingsPositive and Negative Syndrome Scale - Guilt feelings.PANSS - Guilt Feelings
PANSS118C124764PANSS1-TensionPositive and Negative Syndrome Scale - Tension.PANSS - Tension
PANSS119C124765PANSS1-Mannerisms and PosturingPositive and Negative Syndrome Scale - Mannerisms and posturing.PANSS - Mannerisms and Posturing
PANSS120C124766PANSS1-DepressionPositive and Negative Syndrome Scale - Depression.PANSS - Depression
PANSS121C124767PANSS1-Motor RetardationPositive and Negative Syndrome Scale - Motor retardation.PANSS - Motor Retardation
PANSS122C124768PANSS1-UncooperativenessPositive and Negative Syndrome Scale - Uncooperativeness.PANSS - Uncooperativeness
PANSS123C124769PANSS1-Unusual Thought ContentPositive and Negative Syndrome Scale - Unusual thought content.PANSS - Unusual Thought Content
PANSS124C124770PANSS1-DisorientationPositive and Negative Syndrome Scale - Disorientation.PANSS - Disorientation
PANSS125C124771PANSS1-Poor AttentionPositive and Negative Syndrome Scale - Poor attention.PANSS - Poor Attention
PANSS126C124772PANSS1-Lack of Judgment and InsightPositive and Negative Syndrome Scale - Lack of judgment and insight.PANSS - Lack of Judgement
PANSS127C124773PANSS1-Disturbance of VolitionPositive and Negative Syndrome Scale - Disturbance of volition.PANSS - Disturbance of Volition
PANSS128C124774PANSS1-Poor Impulse ControlPositive and Negative Syndrome Scale - Poor impulse control.PANSS - Poor Impulse Control
PANSS129C124775PANSS1-PreoccupationPositive and Negative Syndrome Scale - Preoccupation.PANSS - Preoccupation
PANSS130C124776PANSS1-Active Social AvoidancePositive and Negative Syndrome Scale - Active social avoidance.PANSS - Active Social Avoidance
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CL.C124685.PANSS1TNPositive and Negative Syndrome Scale Clinical Classification Test Name
(PANSS1TN)
text
Extensible: No
C124685Positive and Negative Syndrome Scale Clinical Classification Test NamePositive and Negative Syndrome Scale test name.CDISC Clinical Classification PANSS Test Name Terminology
PANSS1-Active Social AvoidanceC124776PANSS1-Active Social AvoidancePositive and Negative Syndrome Scale - Active social avoidance.PANSS - Active Social Avoidance
PANSS1-AnxietyC124762PANSS1-AnxietyPositive and Negative Syndrome Scale - Anxiety.PANSS - Anxiety
PANSS1-Blunted AffectC124754PANSS1-Blunted AffectPositive and Negative Syndrome Scale - Blunted affect.PANSS - Blunted Affect
PANSS1-Conceptual DisorganizationC124748PANSS1-Conceptual DisorganizationPositive and Negative Syndrome Scale - Conceptual disorganization.PANSS - Conceptual Disorganization
PANSS1-DelusionsC124747PANSS1-DelusionsPositive and Negative Syndrome Scale - Delusions.PANSS - Delusions
PANSS1-DepressionC124766PANSS1-DepressionPositive and Negative Syndrome Scale - Depression.PANSS - Depression
PANSS1-Difficulty in Abstract ThinkingC124758PANSS1-Difficulty in Abstract ThinkingPositive and Negative Syndrome Scale - Difficulty in abstract thinking.PANSS - Difficulty in Abstract Thinking
PANSS1-DisorientationC124770PANSS1-DisorientationPositive and Negative Syndrome Scale - Disorientation.PANSS - Disorientation
PANSS1-Disturbance of VolitionC124773PANSS1-Disturbance of VolitionPositive and Negative Syndrome Scale - Disturbance of volition.PANSS - Disturbance of Volition
PANSS1-Emotional WithdrawalC124755PANSS1-Emotional WithdrawalPositive and Negative Syndrome Scale - Emotional withdrawal.PANSS - Emotional Withdrawal
PANSS1-ExcitementC124750PANSS1-ExcitementPositive and Negative Syndrome Scale - Excitement.PANSS - Excitement
PANSS1-GrandiosityC124751PANSS1-GrandiosityPositive and Negative Syndrome Scale - Grandiosity.PANSS - Grandiosity
PANSS1-Guilt FeelingsC124763PANSS1-Guilt FeelingsPositive and Negative Syndrome Scale - Guilt feelings.PANSS - Guilt Feelings
PANSS1-Hallucinatory BehaviorC124749PANSS1-Hallucinatory BehaviorPositive and Negative Syndrome Scale - Hallucinatory behavior.PANSS - Hallucinatory Behavior
PANSS1-HostilityC124753PANSS1-HostilityPositive and Negative Syndrome Scale - Hostility.PANSS - Hostility
PANSS1-Lack of Judgment and InsightC124772PANSS1-Lack of Judgment and InsightPositive and Negative Syndrome Scale - Lack of judgment and insight.PANSS - Lack of Judgement
PANSS1-Lack of SpontaneityC124759PANSS1-Lack of SpontaneityPositive and Negative Syndrome Scale - Lack of spontaneity and flow of conversation.PANSS - Lack of Spontaneity
PANSS1-Mannerisms and PosturingC124765PANSS1-Mannerisms and PosturingPositive and Negative Syndrome Scale - Mannerisms and posturing.PANSS - Mannerisms and Posturing
PANSS1-Motor RetardationC124767PANSS1-Motor RetardationPositive and Negative Syndrome Scale - Motor retardation.PANSS - Motor Retardation
PANSS1-Passive/Apathetic Social WithdrawC124757PANSS1-Passive/Apathetic Social WithdrawPositive and Negative Syndrome Scale - Passive/apathetic social withdrawal.PANSS - Passive or Apathetic Social Withdrawal
PANSS1-Poor AttentionC124771PANSS1-Poor AttentionPositive and Negative Syndrome Scale - Poor attention.PANSS - Poor Attention
PANSS1-Poor Impulse ControlC124774PANSS1-Poor Impulse ControlPositive and Negative Syndrome Scale - Poor impulse control.PANSS - Poor Impulse Control
PANSS1-Poor RapportC124756PANSS1-Poor RapportPositive and Negative Syndrome Scale - Poor rapport.PANSS - Poor Rapport
PANSS1-PreoccupationC124775PANSS1-PreoccupationPositive and Negative Syndrome Scale - Preoccupation.PANSS - Preoccupation
PANSS1-Somatic ConcernC124761PANSS1-Somatic ConcernPositive and Negative Syndrome Scale - Somatic concern.PANSS - Somatic Concern
PANSS1-Stereotyped ThinkingC124760PANSS1-Stereotyped ThinkingPositive and Negative Syndrome Scale - Stereotyped thinking.PANSS - Stereotyped Thinking
PANSS1-Suspiciousness/PersecutionC124752PANSS1-Suspiciousness/PersecutionPositive and Negative Syndrome Scale - Suspiciousness/persecution.PANSS - Suspiciousness or Persecution
PANSS1-TensionC124764PANSS1-TensionPositive and Negative Syndrome Scale - Tension.PANSS - Tension
PANSS1-UncooperativenessC124768PANSS1-UncooperativenessPositive and Negative Syndrome Scale - Uncooperativeness.PANSS - Uncooperativeness
PANSS1-Unusual Thought ContentC124769PANSS1-Unusual Thought ContentPositive and Negative Syndrome Scale - Unusual thought content.PANSS - Unusual Thought Content
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CL.C135678.PASI01TCPsoriasis Area and Severity Index Clinical Classification Test Code
(PASI01TC)
text
Extensible: No
C135678Psoriasis Area and Severity Index Clinical Classification Test CodePsoriasis Area and Severity Index test code.CDISC Clinical Classification PASI Test Code Terminology
PASI0101C135746PASI01-Head (H): Erythema (E)Psoriasis Area and Severity Index - Head (H): Erythema (E).PASI - Head (H): Erythema (E)
PASI0102C135747PASI01-Head (H): Infiltration (I)Psoriasis Area and Severity Index - Head (H): Infiltration (I).PASI - Head (H): Infiltration (I)
PASI0103C135748PASI01-Head (H): Desquamation (D)Psoriasis Area and Severity Index - Head (H): Desquamation (D).PASI - Head (H): Desquamation (D)
PASI0104C135749PASI01-Head (H): Sum = E+I+DPsoriasis Area and Severity Index - Head (H): Sum = E + I + D.PASI - Head (H): Sum = E+I+D
PASI0105C135750PASI01-Head (H): Area ScorePsoriasis Area and Severity Index - Head (H): Area score.PASI - Head (H): Area Score
PASI0106C135751PASI01-Head (H): Sum X AreaPsoriasis Area and Severity Index - Head (H): Sum x area.PASI - Head (H): Sum X Area
PASI0107C135752PASI01-Head (H): Sum X Area X 0.1Psoriasis Area and Severity Index - Head (H): Sum x area x 0.1.PASI - Head (H): Sum X Area X 0.1
PASI0108C135753PASI01-Trunk (T): Erythema (E)Psoriasis Area and Severity Index - Trunk (T): Erythema (E).PASI - Trunk (T): Erythema (E)
PASI0109C135754PASI01-Trunk (T): Infiltration (I)Psoriasis Area and Severity Index - Trunk (T): Infiltration (I).PASI - Trunk (T): Infiltration (I)
PASI0110C135755PASI01-Trunk (T): Desquamation (D)Psoriasis Area and Severity Index - Trunk (T): Desquamation (D).PASI - Trunk (T): Desquamation (D)
PASI0111C135756PASI01-Trunk (T): Sum = E+I+DPsoriasis Area and Severity Index - Trunk (T): Sum = E + I + D.PASI - Trunk (T): Sum = E+I+D
PASI0112C135757PASI01-Trunk (T): Area ScorePsoriasis Area and Severity Index - Trunk (T): Area score.PASI - Trunk (T): Area Score
PASI0113C135758PASI01-Trunk (T): Sum X AreaPsoriasis Area and Severity Index - Trunk (T): Sum x area.PASI - Trunk (T): Sum X Area
PASI0114C135759PASI01-Trunk (T): Sum X Area X 0.3Psoriasis Area and Severity Index - Trunk (T): Sum x area x 0.3.PASI - Trunk (T): Sum X Area X 0.3
PASI0115C135760PASI01-Up Extrem (U): Erythema (E)Psoriasis Area and Severity Index - Upper Extremities (U): Erythema (E).PASI - Upper Extremities (U): Erythema (E)
PASI0116C135761PASI01-Up Extrem (U): Infiltration (I)Psoriasis Area and Severity Index - Upper Extremities (U): Infiltration (I).PASI - Upper Extremities (U): Infiltration (I)
PASI0117C135762PASI01-Up Extrem (U): Desquamation (D)Psoriasis Area and Severity Index - Upper Extremities (U): Desquamation (D).PASI - Upper Extremities (U): Desquamation (D)
PASI0118C135763PASI01-Up Extrem (U): Sum = E+I+DPsoriasis Area and Severity Index - Upper Extremities (U): Sum = E + I + D.PASI - Upper Extremities (U): Sum = E+I+D
PASI0119C135764PASI01-Up Extrem (U): Area ScorePsoriasis Area and Severity Index - Upper Extremities (U): Area score.PASI - Upper Extremities (U): Area Score
PASI0120C135765PASI01-Up Extrem (U): Sum X AreaPsoriasis Area and Severity Index - Upper Extremities (U): Sum x area.PASI - Upper Extremities (U): Sum X Area
PASI0121C135766PASI01-Up Extrem (U): Sum X Area X 0.2Psoriasis Area and Severity Index - Upper Extremities (U): Sum x area x 0.2.PASI - Upper Extremities (U): Sum X Area X 0.2
PASI0122C135767PASI01-Low Extrem (L): Erythema (E)Psoriasis Area and Severity Index - Lower Extremities (L): Erythema (E).PASI - Lower Extremities (L): Erythema (E)
PASI0123C135768PASI01-Low Extrem (L): Infiltration (I)Psoriasis Area and Severity Index - Lower Extremities (L): Infiltration (I).PASI - Lower Extremities (L): Infiltration (I)
PASI0124C135769PASI01-Low Extrem (L): Desquamation (D)Psoriasis Area and Severity Index - Lower Extremities (L): Desquamation (D).PASI - Lower Extremities (L): Desquamation (D)
PASI0125C135770PASI01-Low Extrem (L): Sum = E+I+DPsoriasis Area and Severity Index - Lower Extremities (L): Sum = E + I + D.PASI - Lower Extremities (L): Sum = E+I+D
PASI0126C135771PASI01-Low Extrem (L): Area ScorePsoriasis Area and Severity Index - Lower Extremities (L): Area score.PASI - Lower Extremities (L): Area Score
PASI0127C135772PASI01-Low Extrem (L): Sum X AreaPsoriasis Area and Severity Index - Lower Extremities (L): Sum x area.PASI - Lower Extremities (L): Sum X Area
PASI0128C135773PASI01-Low Extrem (L): Sum X Area X 0.4Psoriasis Area and Severity Index - Lower Extremities (L): Sum x area x 0.4.PASI - Lower Extremities (L): Sum X Area X 0.4
PASI0129C135774PASI01-Total SumPsoriasis Area and Severity Index - Total sum.PASI - Total Sum
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CL.C135677.PASI01TNPsoriasis Area and Severity Index Clinical Classification Test Name
(PASI01TN)
text
Extensible: No
C135677Psoriasis Area and Severity Index Clinical Classification Test NamePsoriasis Area and Severity Index test name.CDISC Clinical Classification PASI Test Name Terminology
PASI01-Head (H): Area ScoreC135750PASI01-Head (H): Area ScorePsoriasis Area and Severity Index - Head (H): Area score.PASI - Head (H): Area Score
PASI01-Head (H): Desquamation (D)C135748PASI01-Head (H): Desquamation (D)Psoriasis Area and Severity Index - Head (H): Desquamation (D).PASI - Head (H): Desquamation (D)
PASI01-Head (H): Erythema (E)C135746PASI01-Head (H): Erythema (E)Psoriasis Area and Severity Index - Head (H): Erythema (E).PASI - Head (H): Erythema (E)
PASI01-Head (H): Infiltration (I)C135747PASI01-Head (H): Infiltration (I)Psoriasis Area and Severity Index - Head (H): Infiltration (I).PASI - Head (H): Infiltration (I)
PASI01-Head (H): Sum = E+I+DC135749PASI01-Head (H): Sum = E+I+DPsoriasis Area and Severity Index - Head (H): Sum = E + I + D.PASI - Head (H): Sum = E+I+D
PASI01-Head (H): Sum X Area X 0.1C135752PASI01-Head (H): Sum X Area X 0.1Psoriasis Area and Severity Index - Head (H): Sum x area x 0.1.PASI - Head (H): Sum X Area X 0.1
PASI01-Head (H): Sum X AreaC135751PASI01-Head (H): Sum X AreaPsoriasis Area and Severity Index - Head (H): Sum x area.PASI - Head (H): Sum X Area
PASI01-Low Extrem (L): Area ScoreC135771PASI01-Low Extrem (L): Area ScorePsoriasis Area and Severity Index - Lower Extremities (L): Area score.PASI - Lower Extremities (L): Area Score
PASI01-Low Extrem (L): Desquamation (D)C135769PASI01-Low Extrem (L): Desquamation (D)Psoriasis Area and Severity Index - Lower Extremities (L): Desquamation (D).PASI - Lower Extremities (L): Desquamation (D)
PASI01-Low Extrem (L): Erythema (E)C135767PASI01-Low Extrem (L): Erythema (E)Psoriasis Area and Severity Index - Lower Extremities (L): Erythema (E).PASI - Lower Extremities (L): Erythema (E)
PASI01-Low Extrem (L): Infiltration (I)C135768PASI01-Low Extrem (L): Infiltration (I)Psoriasis Area and Severity Index - Lower Extremities (L): Infiltration (I).PASI - Lower Extremities (L): Infiltration (I)
PASI01-Low Extrem (L): Sum = E+I+DC135770PASI01-Low Extrem (L): Sum = E+I+DPsoriasis Area and Severity Index - Lower Extremities (L): Sum = E + I + D.PASI - Lower Extremities (L): Sum = E+I+D
PASI01-Low Extrem (L): Sum X Area X 0.4C135773PASI01-Low Extrem (L): Sum X Area X 0.4Psoriasis Area and Severity Index - Lower Extremities (L): Sum x area x 0.4.PASI - Lower Extremities (L): Sum X Area X 0.4
PASI01-Low Extrem (L): Sum X AreaC135772PASI01-Low Extrem (L): Sum X AreaPsoriasis Area and Severity Index - Lower Extremities (L): Sum x area.PASI - Lower Extremities (L): Sum X Area
PASI01-Total SumC135774PASI01-Total SumPsoriasis Area and Severity Index - Total sum.PASI - Total Sum
PASI01-Trunk (T): Area ScoreC135757PASI01-Trunk (T): Area ScorePsoriasis Area and Severity Index - Trunk (T): Area score.PASI - Trunk (T): Area Score
PASI01-Trunk (T): Desquamation (D)C135755PASI01-Trunk (T): Desquamation (D)Psoriasis Area and Severity Index - Trunk (T): Desquamation (D).PASI - Trunk (T): Desquamation (D)
PASI01-Trunk (T): Erythema (E)C135753PASI01-Trunk (T): Erythema (E)Psoriasis Area and Severity Index - Trunk (T): Erythema (E).PASI - Trunk (T): Erythema (E)
PASI01-Trunk (T): Infiltration (I)C135754PASI01-Trunk (T): Infiltration (I)Psoriasis Area and Severity Index - Trunk (T): Infiltration (I).PASI - Trunk (T): Infiltration (I)
PASI01-Trunk (T): Sum = E+I+DC135756PASI01-Trunk (T): Sum = E+I+DPsoriasis Area and Severity Index - Trunk (T): Sum = E + I + D.PASI - Trunk (T): Sum = E+I+D
PASI01-Trunk (T): Sum X Area X 0.3C135759PASI01-Trunk (T): Sum X Area X 0.3Psoriasis Area and Severity Index - Trunk (T): Sum x area x 0.3.PASI - Trunk (T): Sum X Area X 0.3
PASI01-Trunk (T): Sum X AreaC135758PASI01-Trunk (T): Sum X AreaPsoriasis Area and Severity Index - Trunk (T): Sum x area.PASI - Trunk (T): Sum X Area
PASI01-Up Extrem (U): Area ScoreC135764PASI01-Up Extrem (U): Area ScorePsoriasis Area and Severity Index - Upper Extremities (U): Area score.PASI - Upper Extremities (U): Area Score
PASI01-Up Extrem (U): Desquamation (D)C135762PASI01-Up Extrem (U): Desquamation (D)Psoriasis Area and Severity Index - Upper Extremities (U): Desquamation (D).PASI - Upper Extremities (U): Desquamation (D)
PASI01-Up Extrem (U): Erythema (E)C135760PASI01-Up Extrem (U): Erythema (E)Psoriasis Area and Severity Index - Upper Extremities (U): Erythema (E).PASI - Upper Extremities (U): Erythema (E)
PASI01-Up Extrem (U): Infiltration (I)C135761PASI01-Up Extrem (U): Infiltration (I)Psoriasis Area and Severity Index - Upper Extremities (U): Infiltration (I).PASI - Upper Extremities (U): Infiltration (I)
PASI01-Up Extrem (U): Sum = E+I+DC135763PASI01-Up Extrem (U): Sum = E+I+DPsoriasis Area and Severity Index - Upper Extremities (U): Sum = E + I + D.PASI - Upper Extremities (U): Sum = E+I+D
PASI01-Up Extrem (U): Sum X Area X 0.2C135766PASI01-Up Extrem (U): Sum X Area X 0.2Psoriasis Area and Severity Index - Upper Extremities (U): Sum x area x 0.2.PASI - Upper Extremities (U): Sum X Area X 0.2
PASI01-Up Extrem (U): Sum X AreaC135765PASI01-Up Extrem (U): Sum X AreaPsoriasis Area and Severity Index - Upper Extremities (U): Sum x area.PASI - Upper Extremities (U): Sum X Area
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CL.C179936.PASI02TCPsoriasis Area and Severity Index Version 2 Clinical Classification Test Code
(PASI02TC)
text
Extensible: No
C179936Psoriasis Area and Severity Index Version 2 Clinical Classification Test CodePsoriasis Area and Severity Index Version 2 test code.CDISC Clinical Classification PASI Version 2 Test Code Terminology
PASI0201C180218PASI02-Head: Erythema/RednessPsoriasis Area and Severity Index Version 2 - Head: Erythema/Redness symptom score.PASI Version 2 - Head: Erythema/Redness
PASI0202C180219PASI02-Head: Thickness/IndurationPsoriasis Area and Severity Index Version 2 - Head: Thickness/Induration symptom score.PASI Version 2 - Head: Thickness/Induration
PASI0203C180220PASI02-Head: Desquamation/ScalingPsoriasis Area and Severity Index Version 2 - Head: Desquamation/Scaling symptom score.PASI Version 2 - Head: Desquamation/Scaling
PASI0204C180221PASI02-Head: Area ScorePsoriasis Area and Severity Index Version 2 - Head: Area score.PASI Version 2 - Head: Area Score
PASI0205C180222PASI02-Up Extrem: Erythema/RednessPsoriasis Area and Severity Index Version 2 - Upper Extremities: Erythema/Redness symptom score.PASI Version 2 - Upper Extremities: Erythema/Redness
PASI0206C180223PASI02-Up Extrem: Thickness/IndurationPsoriasis Area and Severity Index Version 2 - Upper Extremities: Thickness/Induration symptom score.PASI Version 2 - Upper Extremities: Thickness/Induration
PASI0207C180224PASI02-Up Extrem: Desquamation/ScalingPsoriasis Area and Severity Index Version 2 - Upper Extremities: Desquamation/Scaling symptom score.PASI Version 2 - Upper Extremities: Desquamation/Scaling
PASI0208C180225PASI02-Up Extrem: Area ScorePsoriasis Area and Severity Index Version 2 - Upper Extremities: Area score.PASI Version 2 - Upper Extremities: Area Score
PASI0209C180226PASI02-Trunk: Erythema/RednessPsoriasis Area and Severity Index Version 2 - Trunk: Erythema/Redness symptom score.PASI Version 2 - Trunk: Erythema/Redness
PASI0210C180227PASI02-Trunk: Thickness/IndurationPsoriasis Area and Severity Index Version 2 - Trunk: Thickness/Induration symptom score.PASI Version 2 - Trunk: Thickness/Induration
PASI0211C180228PASI02-Trunk: Desquamation/ScalingPsoriasis Area and Severity Index Version 2 - Trunk: Desquamation/Scaling symptom score.PASI Version 2 - Trunk: Desquamation/Scaling
PASI0212C180229PASI02-Trunk: Area ScorePsoriasis Area and Severity Index Version 2 - Trunk: Area score.PASI Version 2 - Trunk: Area Score
PASI0213C180230PASI02-Low Extrem: Erythema/RednessPsoriasis Area and Severity Index Version 2 - Lower Extremities: Erythema/Redness symptom score.PASI Version 2 - Lower Extremities: Erythema/Redness
PASI0214C180231PASI02-Low Extrem: Thickness/IndurationPsoriasis Area and Severity Index Version 2 - Lower Extremities: Thickness/Induration symptom score.PASI Version 2 - Lower Extremities: Thickness/Induration
PASI0215C180232PASI02-Low Extrem: Desquamation/ScalingPsoriasis Area and Severity Index Version 2 - Lower Extremities: Desquamation/Scaling symptom score.PASI Version 2 - Lower Extremities: Desquamation/Scaling
PASI0216C180233PASI02-Low Extrem: Area ScorePsoriasis Area and Severity Index Version 2 - Lower Extremities: Area score.PASI Version 2 - Lower Extremities: Area Score
PASI0217C180234PASI02-Head: Sum of Symptom ScoresPsoriasis Area and Severity Index Version 2 - Head: Sum of symptoms scores.PASI Version 2 - Head: Sum of Symptom Scores
PASI0218C180235PASI02-Head: Sum X AreaPsoriasis Area and Severity Index Version 2 - Head: Sum of symptom scores x area score.PASI Version 2 - Head: Sum X Area
PASI0219C180236PASI02-Head: Sum X Area X 0.1Psoriasis Area and Severity Index Version 2 - Head: Sum x area x 0.1.PASI Version 2 - Head: Sum X Area X 0.1
PASI0220C180237PASI02-Up Extrem: Sum of Symptom ScoresPsoriasis Area and Severity Index Version 2 - Upper Extremities: Sum of symptoms scores.PASI Version 2 - Upper Extremities: Sum of Symptom Scores
PASI0221C180238PASI02-Up Extrem: Sum X AreaPsoriasis Area and Severity Index Version 2 - Upper Extremities: Sum of symptom scores x area score.PASI Version 2 - Upper Extremities: Sum X Area
PASI0222C180239PASI02-Up Extrem: Sum X Area X 0.2Psoriasis Area and Severity Index Version 2 - Upper Extremities: Sum x area x 0.2.PASI Version 2 - Upper Extremities: Sum X Area X 0.2
PASI0223C180240PASI02-Trunk: Sum of Symptom ScoresPsoriasis Area and Severity Index Version 2 - Trunk: Sum of symptoms scores.PASI Version 2 - Trunk: Sum of Symptom Scores
PASI0224C180241PASI02-Trunk: Sum X AreaPsoriasis Area and Severity Index Version 2 - Trunk: Sum of symptom scores x area score.PASI Version 2 - Trunk: Sum X Area
PASI0225C180242PASI02-Trunk: Sum X Area X 0.3Psoriasis Area and Severity Index Version 2 - Trunk: Sum x area x 0.3.PASI Version 2 - Trunk: Sum X Area X 0.3
PASI0226C180243PASI02-Low Extrem: Sum of Symptom ScoresPsoriasis Area and Severity Index Version 2 - Lower Extremities: Sum of symptoms scores.PASI Version 2 - Lower Extremities: Sum of Symptom Scores
PASI0227C180244PASI02-Low Extrem: Sum X AreaPsoriasis Area and Severity Index Version 2 - Lower Extremities: Sum of symptom scores x area score.PASI Version 2 - Lower Extremities: Sum X Area
PASI0228C180245PASI02-Low Extrem: Sum X Area X 0.4Psoriasis Area and Severity Index Version 2 - Lower Extremities: Sum x area x 0.4.PASI Version 2 - Lower Extremities: Sum X Area X 0.4
PASI0229C180246PASI02-Total SumPsoriasis Area and Severity Index Version 2 - Total sum.PASI Version 2 - Total Sum
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CL.C179935.PASI02TNPsoriasis Area and Severity Index Version 2 Clinical Classification Test Name
(PASI02TN)
text
Extensible: No
C179935Psoriasis Area and Severity Index Version 2 Clinical Classification Test NamePsoriasis Area and Severity Index Version 2 test name.CDISC Clinical Classification PASI Version 2 Test Name Terminology
PASI02-Head: Area ScoreC180221PASI02-Head: Area ScorePsoriasis Area and Severity Index Version 2 - Head: Area score.PASI Version 2 - Head: Area Score
PASI02-Head: Desquamation/ScalingC180220PASI02-Head: Desquamation/ScalingPsoriasis Area and Severity Index Version 2 - Head: Desquamation/Scaling symptom score.PASI Version 2 - Head: Desquamation/Scaling
PASI02-Head: Erythema/RednessC180218PASI02-Head: Erythema/RednessPsoriasis Area and Severity Index Version 2 - Head: Erythema/Redness symptom score.PASI Version 2 - Head: Erythema/Redness
PASI02-Head: Sum of Symptom ScoresC180234PASI02-Head: Sum of Symptom ScoresPsoriasis Area and Severity Index Version 2 - Head: Sum of symptoms scores.PASI Version 2 - Head: Sum of Symptom Scores
PASI02-Head: Sum X Area X 0.1C180236PASI02-Head: Sum X Area X 0.1Psoriasis Area and Severity Index Version 2 - Head: Sum x area x 0.1.PASI Version 2 - Head: Sum X Area X 0.1
PASI02-Head: Sum X AreaC180235PASI02-Head: Sum X AreaPsoriasis Area and Severity Index Version 2 - Head: Sum of symptom scores x area score.PASI Version 2 - Head: Sum X Area
PASI02-Head: Thickness/IndurationC180219PASI02-Head: Thickness/IndurationPsoriasis Area and Severity Index Version 2 - Head: Thickness/Induration symptom score.PASI Version 2 - Head: Thickness/Induration
PASI02-Low Extrem: Area ScoreC180233PASI02-Low Extrem: Area ScorePsoriasis Area and Severity Index Version 2 - Lower Extremities: Area score.PASI Version 2 - Lower Extremities: Area Score
PASI02-Low Extrem: Desquamation/ScalingC180232PASI02-Low Extrem: Desquamation/ScalingPsoriasis Area and Severity Index Version 2 - Lower Extremities: Desquamation/Scaling symptom score.PASI Version 2 - Lower Extremities: Desquamation/Scaling
PASI02-Low Extrem: Erythema/RednessC180230PASI02-Low Extrem: Erythema/RednessPsoriasis Area and Severity Index Version 2 - Lower Extremities: Erythema/Redness symptom score.PASI Version 2 - Lower Extremities: Erythema/Redness
PASI02-Low Extrem: Sum of Symptom ScoresC180243PASI02-Low Extrem: Sum of Symptom ScoresPsoriasis Area and Severity Index Version 2 - Lower Extremities: Sum of symptoms scores.PASI Version 2 - Lower Extremities: Sum of Symptom Scores
PASI02-Low Extrem: Sum X Area X 0.4C180245PASI02-Low Extrem: Sum X Area X 0.4Psoriasis Area and Severity Index Version 2 - Lower Extremities: Sum x area x 0.4.PASI Version 2 - Lower Extremities: Sum X Area X 0.4
PASI02-Low Extrem: Sum X AreaC180244PASI02-Low Extrem: Sum X AreaPsoriasis Area and Severity Index Version 2 - Lower Extremities: Sum of symptom scores x area score.PASI Version 2 - Lower Extremities: Sum X Area
PASI02-Low Extrem: Thickness/IndurationC180231PASI02-Low Extrem: Thickness/IndurationPsoriasis Area and Severity Index Version 2 - Lower Extremities: Thickness/Induration symptom score.PASI Version 2 - Lower Extremities: Thickness/Induration
PASI02-Total SumC180246PASI02-Total SumPsoriasis Area and Severity Index Version 2 - Total sum.PASI Version 2 - Total Sum
PASI02-Trunk: Area ScoreC180229PASI02-Trunk: Area ScorePsoriasis Area and Severity Index Version 2 - Trunk: Area score.PASI Version 2 - Trunk: Area Score
PASI02-Trunk: Desquamation/ScalingC180228PASI02-Trunk: Desquamation/ScalingPsoriasis Area and Severity Index Version 2 - Trunk: Desquamation/Scaling symptom score.PASI Version 2 - Trunk: Desquamation/Scaling
PASI02-Trunk: Erythema/RednessC180226PASI02-Trunk: Erythema/RednessPsoriasis Area and Severity Index Version 2 - Trunk: Erythema/Redness symptom score.PASI Version 2 - Trunk: Erythema/Redness
PASI02-Trunk: Sum of Symptom ScoresC180240PASI02-Trunk: Sum of Symptom ScoresPsoriasis Area and Severity Index Version 2 - Trunk: Sum of symptoms scores.PASI Version 2 - Trunk: Sum of Symptom Scores
PASI02-Trunk: Sum X Area X 0.3C180242PASI02-Trunk: Sum X Area X 0.3Psoriasis Area and Severity Index Version 2 - Trunk: Sum x area x 0.3.PASI Version 2 - Trunk: Sum X Area X 0.3
PASI02-Trunk: Sum X AreaC180241PASI02-Trunk: Sum X AreaPsoriasis Area and Severity Index Version 2 - Trunk: Sum of symptom scores x area score.PASI Version 2 - Trunk: Sum X Area
PASI02-Trunk: Thickness/IndurationC180227PASI02-Trunk: Thickness/IndurationPsoriasis Area and Severity Index Version 2 - Trunk: Thickness/Induration symptom score.PASI Version 2 - Trunk: Thickness/Induration
PASI02-Up Extrem: Area ScoreC180225PASI02-Up Extrem: Area ScorePsoriasis Area and Severity Index Version 2 - Upper Extremities: Area score.PASI Version 2 - Upper Extremities: Area Score
PASI02-Up Extrem: Desquamation/ScalingC180224PASI02-Up Extrem: Desquamation/ScalingPsoriasis Area and Severity Index Version 2 - Upper Extremities: Desquamation/Scaling symptom score.PASI Version 2 - Upper Extremities: Desquamation/Scaling
PASI02-Up Extrem: Erythema/RednessC180222PASI02-Up Extrem: Erythema/RednessPsoriasis Area and Severity Index Version 2 - Upper Extremities: Erythema/Redness symptom score.PASI Version 2 - Upper Extremities: Erythema/Redness
PASI02-Up Extrem: Sum of Symptom ScoresC180237PASI02-Up Extrem: Sum of Symptom ScoresPsoriasis Area and Severity Index Version 2 - Upper Extremities: Sum of symptoms scores.PASI Version 2 - Upper Extremities: Sum of Symptom Scores
PASI02-Up Extrem: Sum X Area X 0.2C180239PASI02-Up Extrem: Sum X Area X 0.2Psoriasis Area and Severity Index Version 2 - Upper Extremities: Sum x area x 0.2.PASI Version 2 - Upper Extremities: Sum X Area X 0.2
PASI02-Up Extrem: Sum X AreaC180238PASI02-Up Extrem: Sum X AreaPsoriasis Area and Severity Index Version 2 - Upper Extremities: Sum of symptom scores x area score.PASI Version 2 - Upper Extremities: Sum X Area
PASI02-Up Extrem: Thickness/IndurationC180223PASI02-Up Extrem: Thickness/IndurationPsoriasis Area and Severity Index Version 2 - Upper Extremities: Thickness/Induration symptom score.PASI Version 2 - Upper Extremities: Thickness/Induration
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CL.C130267.QLES2TCQuality Of Life Enjoyment And Satisfaction Questionnaire - Short Form Test Code
(QLES2TC)
text
Extensible: No
C130267Quality Of Life Enjoyment And Satisfaction Questionnaire - Short Form Test CodeQuality Of Life Enjoyment And Satisfaction Questionnaire - Short Form test code.CDISC Questionnaire Q-LES-Q-SF Test Code Terminology
QLES201C130705QLES2-Physical HealthQuality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Physical health?Q-LES-Q-SF - Physical Health
QLES202C130706QLES2-MoodQuality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Mood?Q-LES-Q-SF - Mood
QLES203C130707QLES2-WorkQuality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Work?Q-LES-Q-SF - Work
QLES204C130708QLES2-Household ActivitiesQuality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Household activities?Q-LES-Q-SF - Household Activities
QLES205C130709QLES2-Social RelationshipsQuality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Social relationships?Q-LES-Q-SF - Social Relationships
QLES206C130710QLES2-Family RelationshipsQuality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Family relationships?Q-LES-Q-SF - Family Relationships
QLES207C130711QLES2-Leisure Time ActivitiesQuality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Leisure time activities?Q-LES-Q-SF - Leisure Time Activities
QLES208C130712QLES2-Ability to Function in Daily LifeQuality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Ability to function in daily life?Q-LES-Q-SF - Ability to Function in Daily Life
QLES209C130713QLES2-Sex Drive, Interest, PerformanceQuality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Sexual drive, interest and/or performance?Q-LES-Q-SF - Sex Drive, Interest, Performance
QLES210C130714QLES2-Economic StatusQuality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Economic status?Q-LES-Q-SF - Economic Status
QLES211C130715QLES2-Living/Housing SituationQuality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Living/housing situation?Q-LES-Q-SF - Living or Housing Situation
QLES212C130716QLES2-Ability to Get Around PhysicallyQuality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Ability to get around physically without feeling dizzy or unsteady or falling?Q-LES-Q-SF - Ability to Get Around Physically
QLES213C130717QLES2-Vision Ability to Do Work/HobbiesQuality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Your vision in terms of ability to do work or hobbies?Q-LES-Q-SF - Vision Ability to Do Work or Hobbies
QLES214C130718QLES2-Overall Sense of Well BeingQuality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Overall sense of well being?Q-LES-Q-SF - Overall Sense of Well Being
QLES215C130719QLES2-MedicationQuality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Medication?Q-LES-Q-SF - Medication
QLES216C130720QLES2-Rate Overall Life SatisfactionQuality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - How would you rate your overall life satisfaction and contentment during the past week?Q-LES-Q-SF - Rate Overall Life Satisfaction
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CL.C130266.QLES2TNQuality Of Life Enjoyment And Satisfaction Questionnaire - Short Form Test Name
(QLES2TN)
text
Extensible: No
C130266Quality Of Life Enjoyment And Satisfaction Questionnaire - Short Form Test NameQuality Of Life Enjoyment And Satisfaction Questionnaire - Short Form test name.CDISC Questionnaire Q-LES-Q-SF Test Name Terminology
QLES2-Ability to Function in Daily LifeC130712QLES2-Ability to Function in Daily LifeQuality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Ability to function in daily life?Q-LES-Q-SF - Ability to Function in Daily Life
QLES2-Ability to Get Around PhysicallyC130716QLES2-Ability to Get Around PhysicallyQuality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Ability to get around physically without feeling dizzy or unsteady or falling?Q-LES-Q-SF - Ability to Get Around Physically
QLES2-Economic StatusC130714QLES2-Economic StatusQuality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Economic status?Q-LES-Q-SF - Economic Status
QLES2-Family RelationshipsC130710QLES2-Family RelationshipsQuality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Family relationships?Q-LES-Q-SF - Family Relationships
QLES2-Household ActivitiesC130708QLES2-Household ActivitiesQuality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Household activities?Q-LES-Q-SF - Household Activities
QLES2-Leisure Time ActivitiesC130711QLES2-Leisure Time ActivitiesQuality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Leisure time activities?Q-LES-Q-SF - Leisure Time Activities
QLES2-Living/Housing SituationC130715QLES2-Living/Housing SituationQuality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Living/housing situation?Q-LES-Q-SF - Living or Housing Situation
QLES2-MedicationC130719QLES2-MedicationQuality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Medication?Q-LES-Q-SF - Medication
QLES2-MoodC130706QLES2-MoodQuality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Mood?Q-LES-Q-SF - Mood
QLES2-Overall Sense of Well BeingC130718QLES2-Overall Sense of Well BeingQuality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Overall sense of well being?Q-LES-Q-SF - Overall Sense of Well Being
QLES2-Physical HealthC130705QLES2-Physical HealthQuality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Physical health?Q-LES-Q-SF - Physical Health
QLES2-Rate Overall Life SatisfactionC130720QLES2-Rate Overall Life SatisfactionQuality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - How would you rate your overall life satisfaction and contentment during the past week?Q-LES-Q-SF - Rate Overall Life Satisfaction
QLES2-Sex Drive, Interest, PerformanceC130713QLES2-Sex Drive, Interest, PerformanceQuality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Sexual drive, interest and/or performance?Q-LES-Q-SF - Sex Drive, Interest, Performance
QLES2-Social RelationshipsC130709QLES2-Social RelationshipsQuality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Social relationships?Q-LES-Q-SF - Social Relationships
QLES2-Vision Ability to Do Work/HobbiesC130717QLES2-Vision Ability to Do Work/HobbiesQuality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Your vision in terms of ability to do work or hobbies?Q-LES-Q-SF - Vision Ability to Do Work or Hobbies
QLES2-WorkC130707QLES2-WorkQuality Of Life Enjoyment And Satisfaction Questionnaire - Short Form - Taking everything into consideration, during the past week how satisfied have you been with your: Work?Q-LES-Q-SF - Work
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CL.C130265.QLES1TCQuality Of Life Enjoyment And Satisfaction Questionnaire Test Code
(QLES1TC)
text
Extensible: No
C130265Quality Of Life Enjoyment And Satisfaction Questionnaire Test CodeQuality Of Life Enjoyment And Satisfaction Questionnaire test code.CDISC Questionnaire Q-LES-Q Test Code Terminology
QLES101C130604QLES1-Free of Aches, Pains, DiscomfortQuality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Been completely free of aches, pains, or discomfort?Q-LES-Q - Free of Aches, Pains, Discomfort
QLES102C130605QLES1-Felt RestedQuality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Felt rested?Q-LES-Q - Felt Rested
QLES103C130606QLES1-Felt EnergeticQuality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Felt energetic?Q-LES-Q - Felt Energetic
QLES104C130607QLES1-Felt in Excellent Physical HealthQuality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Felt in excellent physical health?Q-LES-Q - Felt in Excellent Physical Health
QLES105C130608QLES1-At Least Very Good Physical HealthQuality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Felt in at least very good physical health?Q-LES-Q - At Least Very Good Physical Health
QLES106C130609QLES1-Free of Worry of Physical HealthQuality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Been free of worry about your physical health?Q-LES-Q - Free of Worry of Physical Health
QLES107C130610QLES1-Felt You Got Enough SleepQuality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Felt you got enough sleep?Q-LES-Q - Felt You Got Enough Sleep
QLES108C130611QLES1-Be as Physically Active as NeededQuality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Felt able to be as physically active as needed?Q-LES-Q - Be as Physically Active as Needed
QLES109C130612QLES1-Felt Well CoordinatedQuality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Felt well coordinated?Q-LES-Q - Felt Well Coordinated
QLES110C130613QLES1-Felt Memory Was Functioning WellQuality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Felt your memory was functioning well?Q-LES-Q - Felt Memory Was Functioning Well
QLES111C130614QLES1-Felt Good PhysicallyQuality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Felt good physically?Q-LES-Q - Felt Good Physically
QLES112C130615QLES1-Felt Full of Pep and VitalityQuality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Felt full of pep and vitality?Q-LES-Q - Felt Full of Pep and Vitality
QLES113C130616QLES1-Free of Visual ProblemsQuality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Been free of visual problems?Q-LES-Q - Free of Visual Problems
QLES114C130617QLES1-Felt ClearheadedQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt clearheaded?Q-LES-Q - Felt Clearheaded
QLES115C130618QLES1-Felt Satisfied With Your LifeQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt satisfied with your life?Q-LES-Q - Felt Satisfied With Your Life
QLES116C130619QLES1-Felt Good About Your AppearanceQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt good about your appearance?Q-LES-Q - Felt Good About Your Appearance
QLES117C130620QLES1-Felt Happy or CheerfulQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt happy or cheerful?Q-LES-Q - Felt Happy or Cheerful
QLES118C130621QLES1-Felt IndependentQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt independent?Q-LES-Q - Felt Independent
QLES119C130622QLES1-Felt ContentQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt content?Q-LES-Q - Felt Content
QLES120C130623QLES1-Able to Communicate With OthersQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt able to communicate with others?Q-LES-Q - Able to Communicate With Others
QLES121C130624QLES1-Taking Care of Your AppearanceQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt interested in taking care of your appearance (hair, clothing) and personal hygiene (bathing, dressing)?Q-LES-Q - Taking Care of Your Appearance
QLES122C130625QLES1-Felt Able to Make DecisionsQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt able to make decisions?Q-LES-Q - Felt Able to Make Decisions
QLES123C130626QLES1-Felt RelaxedQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt relaxed?Q-LES-Q - Felt Relaxed
QLES124C130627QLES1-Felt Good About Your LifeQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt good about your life?Q-LES-Q - Felt Good About Your Life
QLES125C130628QLES1-Able to Travel About When NeededQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt able to travel about to get things done when needed (walk, use car, bus, train, or whatever is available as needed)?Q-LES-Q - Able to Travel About to Get Things Done When Needed
QLES126C130629QLES1-Able to Deal With Life's ProblemsQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt able to deal with life's problems?Q-LES-Q - Able to Deal With Life's Problems
QLES127C130630QLES1-Able to Take Care of YourselfQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt able to take care of yourself?Q-LES-Q - Able to Take Care of Yourself
QLES128AC130631QLES1-Have a JobQuality Of Life Enjoyment And Satisfaction Questionnaire - Do you have a job?Q-LES-Q - Have a Job
QLES128BC130632QLES1-Work for YourselfQuality Of Life Enjoyment And Satisfaction Questionnaire - Do you work for yourself?Q-LES-Q - Work for Yourself
QLES128CC130633QLES1-Do Volunteer WorkQuality Of Life Enjoyment And Satisfaction Questionnaire - Do you do volunteer work?Q-LES-Q - Do Volunteer Work
QLES128DC130634QLES1-Reason for Not WorkingQuality Of Life Enjoyment And Satisfaction Questionnaire - Reason not having a job, working for yourself, and not doing volunteer work?Q-LES-Q - Reason for Not Working
QLES129C130635QLES1-Enjoyed Your WorkQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Enjoyed your work?Q-LES-Q - Enjoyed Your Work
QLES130C130636QLES1-Solved Work Problem Without StressQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Solved work problems or dealt with them without undue stress?Q-LES-Q - Solved Work Problem Without Stress
QLES131C130637QLES1-Thought Clearly About WorkQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Thought clearly about work?Q-LES-Q - Thought Clearly About Work
QLES132C130638QLES1-Decisive About Work/Made DecisionsQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Been decisive about work, or made decisions when needed?Q-LES-Q - Decisive About Work or Made Decisions
QLES133C130639QLES1-Accomplished What You Wanted to DoQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Accomplished what you wanted to do?Q-LES-Q - Accomplished What You Wanted to Do
QLES134C130640QLES1-Pleased With Work AccomplishmentsQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Been pleased with your work accomplishments?Q-LES-Q - Pleased With Work Accomplishments
QLES135C130641QLES1-Worked WellQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Worked well?Q-LES-Q - Worked Well
QLES136C130642QLES1-Been Interested in Your WorkQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Been interested in your work?Q-LES-Q - Been Interested in Your Work
QLES137C130643QLES1-Concentrated on WorkQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Concentrated on work?Q-LES-Q - Concentrated on Work
QLES138C130644QLES1-Worked CarefullyQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Worked carefully?Q-LES-Q - Worked Carefully
QLES139C130645QLES1-Kept Up With Expected WorkQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Kept up with expected work?Q-LES-Q - Kept Up With Expected Work
QLES140C130646QLES1-Taken Care of Work by YourselfQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Taken care of work by yourself when it was necessary?Q-LES-Q - Taken Care of Work by Yourself
QLES141C130647QLES1-Communicated/Interacted With EaseQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Communicated and interacted with ease with others while working?Q-LES-Q - Communicated and Interacted With Ease
QLES142C130648QLES1-Responsible for HouseholdQuality Of Life Enjoyment And Satisfaction Questionnaire - Are you responsible for any household duties/housework/homemaker activities (e.g., cleaning, shopping, doing dishes, food shopping or preparation) for your-self or for other people?Q-LES-Q - Responsible for Household
QLES142AC130649QLES1-Reason for No Household ActivitiesQuality Of Life Enjoyment And Satisfaction Questionnaire - Reason for no household duties/housework/homemaker activities (e.g., cleaning, shopping doing dishes, food shopping or preparation) for your-self or for other people?Q-LES-Q - Reason for No Household Activities
QLES143C130650QLES1-Kept Room Clean to SatisfactionQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Kept your room/apartment/house cleaned to your satisfaction?Q-LES-Q - Kept Room Clean to Satisfaction
QLES144C130651QLES1-Paid Bills, Done BankingQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Paid the bills, done the banking to your satisfaction?Q-LES-Q - Paid Bills, Done Banking
QLES145C130652QLES1-Shopped for Food/Household ItemsQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Shopped for food or other household items to your satisfaction?Q-LES-Q - Shopped for Food or Household Items
QLES146C130653QLES1-Prepared Food or Obtained FoodQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Prepared food or obtained food to your satisfaction?Q-LES-Q - Prepared Food or Obtained Food
QLES147C130654QLES1-Taken Care of Laundry/CleaningQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Taken care of the laundry/cleaning to your satisfaction?Q-LES-Q - Taken Care of Laundry or Cleaning
QLES148C130655QLES1-Accomplish Household ActivitiesQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Had a feeling of accomplishment with regard to household activities?Q-LES-Q - Accomplish Household Activities
QLES149C130656QLES1-Thought Clearly Household ActivQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Concentrated and thought clearly about what household activities needed to be done?Q-LES-Q - Thought Clearly Household Activities to be Done
QLES150C130657QLES1-Solved House Problems w/o StressQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Solved household problems or dealt with them without undue stress?Q-LES-Q - Solved House Problems Without Stress
QLES151C130658QLES1-Decisive Household ActivitiesQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Been decisive or made decisions when needed with regard to household activities?Q-LES-Q - Decisive With Regard to Household Activities
QLES152C130659QLES1-Made Repairs Household MaintenanceQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Made repairs or taken care of household maintenance as needed?Q-LES-Q - Made Repairs or Household Maintenance
QLES153C130660QLES1-Taken Courses/Going to ClassQuality Of Life Enjoyment And Satisfaction Questionnaire - Have you been taking any courses, going to class, or been involved in any type of course work, school or college studies during the past week?Q-LES-Q - Taken Courses or Going to Class
QLES153AC130661QLES1-Reason for No CoursesQuality Of Life Enjoyment And Satisfaction Questionnaire - Reason not taking any courses, going to class, or been involved in any type of course work, school or college studies during the past week.Q-LES-Q - Reason for No Courses
QLES154C130662QLES1-Enjoyed Course/Class WorkQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Enjoyed the course/class work?Q-LES-Q - Enjoyed Course or Class Work
QLES155C130663QLES1-Looked Forward to Course WorkQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Looked forward to getting to work on the course/class work?Q-LES-Q - Looked Forward to Course Work
QLES156C130664QLES1-Course/Class Work Without StressQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Dealt with the course/class work without undue stress?Q-LES-Q - Dealt With Course or Class Work Without Stress
QLES157C130665QLES1-Thought Clearly About Course WorkQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Thought clearly about the course/class work?Q-LES-Q - Thought Clearly About Course Work
QLES158C130666QLES1-Decisive About Course WorkQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Been decisive about the course/class work when needed?Q-LES-Q - Decisive About Course Work
QLES159C130667QLES1-Pleased With Course AccomplishmentQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Been pleased with your course/class work accomplishments?Q-LES-Q - Pleased With Course Accomplishment
QLES160C130668QLES1-Interested in Your Course WorkQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Been interested in your course/class work?Q-LES-Q - Interested in Your Course Work
QLES161C130669QLES1-Concentrated on Course WorkQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Concentrated on the course/class work?Q-LES-Q - Concentrated on Course Work
QLES162C130670QLES1-Felt Good Doing Course WorkQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt good while doing your course/class work?Q-LES-Q - Felt Good Doing Course Work
QLES163C130671QLES1-Communicated With Ease at CourseQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Communicated and interacted with ease with others at your course/class?Q-LES-Q - Communicated With Ease at Course
QLES164C130672QLES1-Use Time for a Leisure ActivityQuality Of Life Enjoyment And Satisfaction Questionnaire - When you had time, how often did you use that time for a leisure time activity?Q-LES-Q - Use Time for a Leisure Activity
QLES165C130673QLES1-Enjoy the Leisure ActivitiesQuality Of Life Enjoyment And Satisfaction Questionnaire - How often did you enjoy the leisure activities?Q-LES-Q - Enjoy the Leisure Activities
QLES166C130674QLES1-Look Forward to Leisure ActivitiesQuality Of Life Enjoyment And Satisfaction Questionnaire - How often did you look forward to the leisure activities before spending time at them?Q-LES-Q - Look Forward to Leisure Activities
QLES167C130675QLES1-Concentrate on Leisure ActivitiesQuality Of Life Enjoyment And Satisfaction Questionnaire - How often did you concentrate on the leisure activities and pay attention to them?Q-LES-Q - Concentrate on Leisure Activities
QLES168C130676QLES1-Solve or Deal Without Undue StressQuality Of Life Enjoyment And Satisfaction Questionnaire - If a problem arose in your leisure activities, how often did you solve it or deal with it without undue stress?Q-LES-Q - Solve or Deal Without Undue Stress
QLES169C130677QLES1-Leisure Activity Sustain InterestQuality Of Life Enjoyment And Satisfaction Questionnaire - How often did the leisure activities sustain your interest?Q-LES-Q - Leisure Activity Sustain Interest
QLES170C130678QLES1-Enjoyed Being With FriendsQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how often have you: Enjoyed talking with or being with friends or relatives?Q-LES-Q - Enjoyed Being With Friends
QLES171C130679QLES1-Getting Together With FriendsQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how often have you: Looked forward to getting together with friends or relatives?Q-LES-Q - Getting Together With Friends
QLES172C130680QLES1-Made Social Plans With FriendsQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how often have you: Made social plans with friends or relatives for future activities?Q-LES-Q - Made Social Plans With Friends
QLES173C130681QLES1-Enjoyed Talking With Co-workersQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how often have you: Enjoyed talking with co-workers or neighbors?Q-LES-Q - Enjoyed Talking With Co-workers
QLES174C130682QLES1-Patient With OthersQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how often have you: Been patient with others when others were irritating in their actions or words?Q-LES-Q - Patient With Others
QLES175C130683QLES1-Interested in Problems of PeopleQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how often have you: Been interested in the problems of other people?Q-LES-Q - Interested in Problems of People
QLES176C130684QLES1-Felt Affection Toward PeopleQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how often have you: Felt affection toward one or more people?Q-LES-Q - Felt Affection Toward People
QLES177C130685QLES1-Gotten Along Well With PeopleQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how often have you: Gotten along well with other people?Q-LES-Q - Gotten Along Well With People
QLES178C130686QLES1-Joked or Laughed With Other PeopleQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how often have you: Joked or laughed with other people?Q-LES-Q - Joked or Laughed With Other People
QLES179C130687QLES1-Met Needs of Friends or RelativesQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how often have you: Felt you met the needs of friends or relatives?Q-LES-Q - Met Needs of Friends or Relatives
QLES180C130688QLES1-Relationships Without ProblemsQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how often have you: Felt your relationships with your friends or relatives were without major problems or conflicts?Q-LES-Q - Relationships Without Problems
QLES181C130689QLES1-Physical HealthQuality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Physical health?Q-LES-Q - Physical Health
QLES182C130690QLES1-MoodQuality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Mood?Q-LES-Q - Mood
QLES183C130691QLES1-WorkQuality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Work?Q-LES-Q - Work
QLES184C130692QLES1-Household ActivitiesQuality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Household activities?Q-LES-Q - Household Activities
QLES185C130693QLES1-Social RelationshipsQuality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Social relationships?Q-LES-Q - Social Relationships
QLES186C130694QLES1-Family RelationshipsQuality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Family relationships?Q-LES-Q - Family Relationships
QLES187C130695QLES1-Leisure Time ActivitiesQuality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Leisure time activities?Q-LES-Q - Leisure Time Activities
QLES188C130696QLES1-Ability to Function in Daily LifeQuality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Ability to function in daily life?Q-LES-Q - Ability to Function in Daily Life
QLES189C130697QLES1-Sex Drive, Interest, PerformanceQuality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Sexual drive, interest and/or performance?Q-LES-Q - Sex Drive, Interest, Performance
QLES190C130698QLES1-Economic StatusQuality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Economic status?Q-LES-Q - Economic Status
QLES191C130699QLES1-Living/Housing SituationQuality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Living/housing situation?Q-LES-Q - Living or Housing Situation
QLES192C130700QLES1-Ability to Get Around PhysicallyQuality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Ability to get around physically without feeling dizzy or unsteady or falling?Q-LES-Q - Ability to Get Around Physically
QLES193C130701QLES1-Vision Ability to Do Work/HobbiesQuality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: your vision in terms of ability to do work or hobbies?Q-LES-Q - Vision Ability to Do Work or Hobbies
QLES194C130702QLES1-Overall Sense of Well BeingQuality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Overall sense of well being?Q-LES-Q - Overall Sense of Well Being
QLES195C130703QLES1-MedicationQuality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Medication?Q-LES-Q - Medication
QLES196C130704QLES1-Rate Overall Life SatisfactionQuality Of Life Enjoyment And Satisfaction Questionnaire - How would you rate your overall life satisfaction and contentment during the past week?Q-LES-Q - Rate Overall Life Satisfaction
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CL.C130264.QLES1TNQuality Of Life Enjoyment And Satisfaction Questionnaire Test Name
(QLES1TN)
text
Extensible: No
C130264Quality Of Life Enjoyment And Satisfaction Questionnaire Test NameQuality Of Life Enjoyment And Satisfaction Questionnaire test name.CDISC Questionnaire Q-LES-Q Test Name Terminology
QLES1-Ability to Function in Daily LifeC130696QLES1-Ability to Function in Daily LifeQuality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Ability to function in daily life?Q-LES-Q - Ability to Function in Daily Life
QLES1-Ability to Get Around PhysicallyC130700QLES1-Ability to Get Around PhysicallyQuality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Ability to get around physically without feeling dizzy or unsteady or falling?Q-LES-Q - Ability to Get Around Physically
QLES1-Able to Communicate With OthersC130623QLES1-Able to Communicate With OthersQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt able to communicate with others?Q-LES-Q - Able to Communicate With Others
QLES1-Able to Deal With Life's ProblemsC130629QLES1-Able to Deal With Life's ProblemsQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt able to deal with life's problems?Q-LES-Q - Able to Deal With Life's Problems
QLES1-Able to Take Care of YourselfC130630QLES1-Able to Take Care of YourselfQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt able to take care of yourself?Q-LES-Q - Able to Take Care of Yourself
QLES1-Able to Travel About When NeededC130628QLES1-Able to Travel About When NeededQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt able to travel about to get things done when needed (walk, use car, bus, train, or whatever is available as needed)?Q-LES-Q - Able to Travel About to Get Things Done When Needed
QLES1-Accomplish Household ActivitiesC130655QLES1-Accomplish Household ActivitiesQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Had a feeling of accomplishment with regard to household activities?Q-LES-Q - Accomplish Household Activities
QLES1-Accomplished What You Wanted to DoC130639QLES1-Accomplished What You Wanted to DoQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Accomplished what you wanted to do?Q-LES-Q - Accomplished What You Wanted to Do
QLES1-At Least Very Good Physical HealthC130608QLES1-At Least Very Good Physical HealthQuality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Felt in at least very good physical health?Q-LES-Q - At Least Very Good Physical Health
QLES1-Be as Physically Active as NeededC130611QLES1-Be as Physically Active as NeededQuality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Felt able to be as physically active as needed?Q-LES-Q - Be as Physically Active as Needed
QLES1-Been Interested in Your WorkC130642QLES1-Been Interested in Your WorkQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Been interested in your work?Q-LES-Q - Been Interested in Your Work
QLES1-Communicated With Ease at CourseC130671QLES1-Communicated With Ease at CourseQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Communicated and interacted with ease with others at your course/class?Q-LES-Q - Communicated With Ease at Course
QLES1-Communicated/Interacted With EaseC130647QLES1-Communicated/Interacted With EaseQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Communicated and interacted with ease with others while working?Q-LES-Q - Communicated and Interacted With Ease
QLES1-Concentrate on Leisure ActivitiesC130675QLES1-Concentrate on Leisure ActivitiesQuality Of Life Enjoyment And Satisfaction Questionnaire - How often did you concentrate on the leisure activities and pay attention to them?Q-LES-Q - Concentrate on Leisure Activities
QLES1-Concentrated on Course WorkC130669QLES1-Concentrated on Course WorkQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Concentrated on the course/class work?Q-LES-Q - Concentrated on Course Work
QLES1-Concentrated on WorkC130643QLES1-Concentrated on WorkQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Concentrated on work?Q-LES-Q - Concentrated on Work
QLES1-Course/Class Work Without StressC130664QLES1-Course/Class Work Without StressQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Dealt with the course/class work without undue stress?Q-LES-Q - Dealt With Course or Class Work Without Stress
QLES1-Decisive About Course WorkC130666QLES1-Decisive About Course WorkQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Been decisive about the course/class work when needed?Q-LES-Q - Decisive About Course Work
QLES1-Decisive About Work/Made DecisionsC130638QLES1-Decisive About Work/Made DecisionsQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Been decisive about work, or made decisions when needed?Q-LES-Q - Decisive About Work or Made Decisions
QLES1-Decisive Household ActivitiesC130658QLES1-Decisive Household ActivitiesQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Been decisive or made decisions when needed with regard to household activities?Q-LES-Q - Decisive With Regard to Household Activities
QLES1-Do Volunteer WorkC130633QLES1-Do Volunteer WorkQuality Of Life Enjoyment And Satisfaction Questionnaire - Do you do volunteer work?Q-LES-Q - Do Volunteer Work
QLES1-Economic StatusC130698QLES1-Economic StatusQuality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Economic status?Q-LES-Q - Economic Status
QLES1-Enjoy the Leisure ActivitiesC130673QLES1-Enjoy the Leisure ActivitiesQuality Of Life Enjoyment And Satisfaction Questionnaire - How often did you enjoy the leisure activities?Q-LES-Q - Enjoy the Leisure Activities
QLES1-Enjoyed Being With FriendsC130678QLES1-Enjoyed Being With FriendsQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how often have you: Enjoyed talking with or being with friends or relatives?Q-LES-Q - Enjoyed Being With Friends
QLES1-Enjoyed Course/Class WorkC130662QLES1-Enjoyed Course/Class WorkQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Enjoyed the course/class work?Q-LES-Q - Enjoyed Course or Class Work
QLES1-Enjoyed Talking With Co-workersC130681QLES1-Enjoyed Talking With Co-workersQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how often have you: Enjoyed talking with co-workers or neighbors?Q-LES-Q - Enjoyed Talking With Co-workers
QLES1-Enjoyed Your WorkC130635QLES1-Enjoyed Your WorkQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Enjoyed your work?Q-LES-Q - Enjoyed Your Work
QLES1-Family RelationshipsC130694QLES1-Family RelationshipsQuality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Family relationships?Q-LES-Q - Family Relationships
QLES1-Felt Able to Make DecisionsC130625QLES1-Felt Able to Make DecisionsQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt able to make decisions?Q-LES-Q - Felt Able to Make Decisions
QLES1-Felt Affection Toward PeopleC130684QLES1-Felt Affection Toward PeopleQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how often have you: Felt affection toward one or more people?Q-LES-Q - Felt Affection Toward People
QLES1-Felt ClearheadedC130617QLES1-Felt ClearheadedQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt clearheaded?Q-LES-Q - Felt Clearheaded
QLES1-Felt ContentC130622QLES1-Felt ContentQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt content?Q-LES-Q - Felt Content
QLES1-Felt EnergeticC130606QLES1-Felt EnergeticQuality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Felt energetic?Q-LES-Q - Felt Energetic
QLES1-Felt Full of Pep and VitalityC130615QLES1-Felt Full of Pep and VitalityQuality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Felt full of pep and vitality?Q-LES-Q - Felt Full of Pep and Vitality
QLES1-Felt Good About Your AppearanceC130619QLES1-Felt Good About Your AppearanceQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt good about your appearance?Q-LES-Q - Felt Good About Your Appearance
QLES1-Felt Good About Your LifeC130627QLES1-Felt Good About Your LifeQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt good about your life?Q-LES-Q - Felt Good About Your Life
QLES1-Felt Good Doing Course WorkC130670QLES1-Felt Good Doing Course WorkQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt good while doing your course/class work?Q-LES-Q - Felt Good Doing Course Work
QLES1-Felt Good PhysicallyC130614QLES1-Felt Good PhysicallyQuality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Felt good physically?Q-LES-Q - Felt Good Physically
QLES1-Felt Happy or CheerfulC130620QLES1-Felt Happy or CheerfulQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt happy or cheerful?Q-LES-Q - Felt Happy or Cheerful
QLES1-Felt in Excellent Physical HealthC130607QLES1-Felt in Excellent Physical HealthQuality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Felt in excellent physical health?Q-LES-Q - Felt in Excellent Physical Health
QLES1-Felt IndependentC130621QLES1-Felt IndependentQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt independent?Q-LES-Q - Felt Independent
QLES1-Felt Memory Was Functioning WellC130613QLES1-Felt Memory Was Functioning WellQuality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Felt your memory was functioning well?Q-LES-Q - Felt Memory Was Functioning Well
QLES1-Felt RelaxedC130626QLES1-Felt RelaxedQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt relaxed?Q-LES-Q - Felt Relaxed
QLES1-Felt RestedC130605QLES1-Felt RestedQuality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Felt rested?Q-LES-Q - Felt Rested
QLES1-Felt Satisfied With Your LifeC130618QLES1-Felt Satisfied With Your LifeQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt satisfied with your life?Q-LES-Q - Felt Satisfied With Your Life
QLES1-Felt Well CoordinatedC130612QLES1-Felt Well CoordinatedQuality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Felt well coordinated?Q-LES-Q - Felt Well Coordinated
QLES1-Felt You Got Enough SleepC130610QLES1-Felt You Got Enough SleepQuality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Felt you got enough sleep?Q-LES-Q - Felt You Got Enough Sleep
QLES1-Free of Aches, Pains, DiscomfortC130604QLES1-Free of Aches, Pains, DiscomfortQuality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Been completely free of aches, pains, or discomfort?Q-LES-Q - Free of Aches, Pains, Discomfort
QLES1-Free of Visual ProblemsC130616QLES1-Free of Visual ProblemsQuality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Been free of visual problems?Q-LES-Q - Free of Visual Problems
QLES1-Free of Worry of Physical HealthC130609QLES1-Free of Worry of Physical HealthQuality Of Life Enjoyment And Satisfaction Questionnaire - With regard to your physical health, during the past week how much of the time have you: Been free of worry about your physical health?Q-LES-Q - Free of Worry of Physical Health
QLES1-Getting Together With FriendsC130679QLES1-Getting Together With FriendsQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how often have you: Looked forward to getting together with friends or relatives?Q-LES-Q - Getting Together With Friends
QLES1-Gotten Along Well With PeopleC130685QLES1-Gotten Along Well With PeopleQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how often have you: Gotten along well with other people?Q-LES-Q - Gotten Along Well With People
QLES1-Have a JobC130631QLES1-Have a JobQuality Of Life Enjoyment And Satisfaction Questionnaire - Do you have a job?Q-LES-Q - Have a Job
QLES1-Household ActivitiesC130692QLES1-Household ActivitiesQuality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Household activities?Q-LES-Q - Household Activities
QLES1-Interested in Problems of PeopleC130683QLES1-Interested in Problems of PeopleQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how often have you: Been interested in the problems of other people?Q-LES-Q - Interested in Problems of People
QLES1-Interested in Your Course WorkC130668QLES1-Interested in Your Course WorkQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Been interested in your course/class work?Q-LES-Q - Interested in Your Course Work
QLES1-Joked or Laughed With Other PeopleC130686QLES1-Joked or Laughed With Other PeopleQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how often have you: Joked or laughed with other people?Q-LES-Q - Joked or Laughed With Other People
QLES1-Kept Room Clean to SatisfactionC130650QLES1-Kept Room Clean to SatisfactionQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Kept your room/apartment/house cleaned to your satisfaction?Q-LES-Q - Kept Room Clean to Satisfaction
QLES1-Kept Up With Expected WorkC130645QLES1-Kept Up With Expected WorkQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Kept up with expected work?Q-LES-Q - Kept Up With Expected Work
QLES1-Leisure Activity Sustain InterestC130677QLES1-Leisure Activity Sustain InterestQuality Of Life Enjoyment And Satisfaction Questionnaire - How often did the leisure activities sustain your interest?Q-LES-Q - Leisure Activity Sustain Interest
QLES1-Leisure Time ActivitiesC130695QLES1-Leisure Time ActivitiesQuality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Leisure time activities?Q-LES-Q - Leisure Time Activities
QLES1-Living/Housing SituationC130699QLES1-Living/Housing SituationQuality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Living/housing situation?Q-LES-Q - Living or Housing Situation
QLES1-Look Forward to Leisure ActivitiesC130674QLES1-Look Forward to Leisure ActivitiesQuality Of Life Enjoyment And Satisfaction Questionnaire - How often did you look forward to the leisure activities before spending time at them?Q-LES-Q - Look Forward to Leisure Activities
QLES1-Looked Forward to Course WorkC130663QLES1-Looked Forward to Course WorkQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Looked forward to getting to work on the course/class work?Q-LES-Q - Looked Forward to Course Work
QLES1-Made Repairs Household MaintenanceC130659QLES1-Made Repairs Household MaintenanceQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Made repairs or taken care of household maintenance as needed?Q-LES-Q - Made Repairs or Household Maintenance
QLES1-Made Social Plans With FriendsC130680QLES1-Made Social Plans With FriendsQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how often have you: Made social plans with friends or relatives for future activities?Q-LES-Q - Made Social Plans With Friends
QLES1-MedicationC130703QLES1-MedicationQuality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Medication?Q-LES-Q - Medication
QLES1-Met Needs of Friends or RelativesC130687QLES1-Met Needs of Friends or RelativesQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how often have you: Felt you met the needs of friends or relatives?Q-LES-Q - Met Needs of Friends or Relatives
QLES1-MoodC130690QLES1-MoodQuality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Mood?Q-LES-Q - Mood
QLES1-Overall Sense of Well BeingC130702QLES1-Overall Sense of Well BeingQuality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Overall sense of well being?Q-LES-Q - Overall Sense of Well Being
QLES1-Paid Bills, Done BankingC130651QLES1-Paid Bills, Done BankingQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Paid the bills, done the banking to your satisfaction?Q-LES-Q - Paid Bills, Done Banking
QLES1-Patient With OthersC130682QLES1-Patient With OthersQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how often have you: Been patient with others when others were irritating in their actions or words?Q-LES-Q - Patient With Others
QLES1-Physical HealthC130689QLES1-Physical HealthQuality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Physical health?Q-LES-Q - Physical Health
QLES1-Pleased With Course AccomplishmentC130667QLES1-Pleased With Course AccomplishmentQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Been pleased with your course/class work accomplishments?Q-LES-Q - Pleased With Course Accomplishment
QLES1-Pleased With Work AccomplishmentsC130640QLES1-Pleased With Work AccomplishmentsQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Been pleased with your work accomplishments?Q-LES-Q - Pleased With Work Accomplishments
QLES1-Prepared Food or Obtained FoodC130653QLES1-Prepared Food or Obtained FoodQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Prepared food or obtained food to your satisfaction?Q-LES-Q - Prepared Food or Obtained Food
QLES1-Rate Overall Life SatisfactionC130704QLES1-Rate Overall Life SatisfactionQuality Of Life Enjoyment And Satisfaction Questionnaire - How would you rate your overall life satisfaction and contentment during the past week?Q-LES-Q - Rate Overall Life Satisfaction
QLES1-Reason for No CoursesC130661QLES1-Reason for No CoursesQuality Of Life Enjoyment And Satisfaction Questionnaire - Reason not taking any courses, going to class, or been involved in any type of course work, school or college studies during the past week.Q-LES-Q - Reason for No Courses
QLES1-Reason for No Household ActivitiesC130649QLES1-Reason for No Household ActivitiesQuality Of Life Enjoyment And Satisfaction Questionnaire - Reason for no household duties/housework/homemaker activities (e.g., cleaning, shopping doing dishes, food shopping or preparation) for your-self or for other people?Q-LES-Q - Reason for No Household Activities
QLES1-Reason for Not WorkingC130634QLES1-Reason for Not WorkingQuality Of Life Enjoyment And Satisfaction Questionnaire - Reason not having a job, working for yourself, and not doing volunteer work?Q-LES-Q - Reason for Not Working
QLES1-Relationships Without ProblemsC130688QLES1-Relationships Without ProblemsQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how often have you: Felt your relationships with your friends or relatives were without major problems or conflicts?Q-LES-Q - Relationships Without Problems
QLES1-Responsible for HouseholdC130648QLES1-Responsible for HouseholdQuality Of Life Enjoyment And Satisfaction Questionnaire - Are you responsible for any household duties/housework/homemaker activities (e.g., cleaning, shopping, doing dishes, food shopping or preparation) for your-self or for other people?Q-LES-Q - Responsible for Household
QLES1-Sex Drive, Interest, PerformanceC130697QLES1-Sex Drive, Interest, PerformanceQuality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Sexual drive, interest and/or performance?Q-LES-Q - Sex Drive, Interest, Performance
QLES1-Shopped for Food/Household ItemsC130652QLES1-Shopped for Food/Household ItemsQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Shopped for food or other household items to your satisfaction?Q-LES-Q - Shopped for Food or Household Items
QLES1-Social RelationshipsC130693QLES1-Social RelationshipsQuality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Social relationships?Q-LES-Q - Social Relationships
QLES1-Solve or Deal Without Undue StressC130676QLES1-Solve or Deal Without Undue StressQuality Of Life Enjoyment And Satisfaction Questionnaire - If a problem arose in your leisure activities, how often did you solve it or deal with it without undue stress?Q-LES-Q - Solve or Deal Without Undue Stress
QLES1-Solved House Problems w/o StressC130657QLES1-Solved House Problems w/o StressQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Solved household problems or dealt with them without undue stress?Q-LES-Q - Solved House Problems Without Stress
QLES1-Solved Work Problem Without StressC130636QLES1-Solved Work Problem Without StressQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Solved work problems or dealt with them without undue stress?Q-LES-Q - Solved Work Problem Without Stress
QLES1-Taken Care of Laundry/CleaningC130654QLES1-Taken Care of Laundry/CleaningQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Taken care of the laundry/cleaning to your satisfaction?Q-LES-Q - Taken Care of Laundry or Cleaning
QLES1-Taken Care of Work by YourselfC130646QLES1-Taken Care of Work by YourselfQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Taken care of work by yourself when it was necessary?Q-LES-Q - Taken Care of Work by Yourself
QLES1-Taken Courses/Going to ClassC130660QLES1-Taken Courses/Going to ClassQuality Of Life Enjoyment And Satisfaction Questionnaire - Have you been taking any courses, going to class, or been involved in any type of course work, school or college studies during the past week?Q-LES-Q - Taken Courses or Going to Class
QLES1-Taking Care of Your AppearanceC130624QLES1-Taking Care of Your AppearanceQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Felt interested in taking care of your appearance (hair, clothing) and personal hygiene (bathing, dressing)?Q-LES-Q - Taking Care of Your Appearance
QLES1-Thought Clearly About Course WorkC130665QLES1-Thought Clearly About Course WorkQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week how much of the time have you: Thought clearly about the course/class work?Q-LES-Q - Thought Clearly About Course Work
QLES1-Thought Clearly About WorkC130637QLES1-Thought Clearly About WorkQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Thought clearly about work?Q-LES-Q - Thought Clearly About Work
QLES1-Thought Clearly Household ActivC130656QLES1-Thought Clearly Household ActivQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Concentrated and thought clearly about what household activities needed to be done?Q-LES-Q - Thought Clearly Household Activities to be Done
QLES1-Use Time for a Leisure ActivityC130672QLES1-Use Time for a Leisure ActivityQuality Of Life Enjoyment And Satisfaction Questionnaire - When you had time, how often did you use that time for a leisure time activity?Q-LES-Q - Use Time for a Leisure Activity
QLES1-Vision Ability to Do Work/HobbiesC130701QLES1-Vision Ability to Do Work/HobbiesQuality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: your vision in terms of ability to do work or hobbies?Q-LES-Q - Vision Ability to Do Work or Hobbies
QLES1-Work for YourselfC130632QLES1-Work for YourselfQuality Of Life Enjoyment And Satisfaction Questionnaire - Do you work for yourself?Q-LES-Q - Work for Yourself
QLES1-WorkC130691QLES1-WorkQuality Of Life Enjoyment And Satisfaction Questionnaire - Taking everything into consideration, during the past week how satisfied have you been with your: Work?Q-LES-Q - Work
QLES1-Worked CarefullyC130644QLES1-Worked CarefullyQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Worked carefully?Q-LES-Q - Worked Carefully
QLES1-Worked WellC130641QLES1-Worked WellQuality Of Life Enjoyment And Satisfaction Questionnaire - During the past week, how often have you: Worked well?Q-LES-Q - Worked Well
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CL.C174052.IBDQ01TCQuality of Life in Inflammatory Bowel Disease Questionnaire Test Code
(IBDQ01TC)
text
Extensible: No
C174052Quality of Life in Inflammatory Bowel Disease Questionnaire Test CodeQuality of Life in Inflammatory Bowel Disease Questionnaire test code.CDISC Questionnaire IBDQ Test Code Terminology
IBDQ0101C174071IBDQ01-How Frequent Bowel MovementsQuality of Life in Inflammatory Bowel Disease Questionnaire - How frequent have your bowel movements been during the last two weeks?IBDQ - How Frequent Bowel Movements
IBDQ0102C174072IBDQ01-Fatigue Been a ProblemQuality of Life in Inflammatory Bowel Disease Questionnaire - How often has the feeling of fatigue or of being tired and worn out been a problem for you during the last 2 weeks?IBDQ - Fatigue Been a Problem
IBDQ0103C174073IBDQ01-Felt FrustratedQuality of Life in Inflammatory Bowel Disease Questionnaire - How often during the last 2 weeks have you felt frustrated, impatient or restless?IBDQ - Felt Frustrated
IBDQ0104C174074IBDQ01-Unable to Attend School or WorkQuality of Life in Inflammatory Bowel Disease Questionnaire - How often during the last 2 weeks have you been unable to attend school or do your work because of your bowel problem?IBDQ - Unable to Attend School or Work
IBDQ0105C174075IBDQ01-Bowel Movements Been LooseQuality of Life in Inflammatory Bowel Disease Questionnaire - How much of the time during the last 2 weeks have your bowel movements been loose?IBDQ - Bowel Movements Been Loose
IBDQ0106C174076IBDQ01-How Much Energy Have You HadQuality of Life in Inflammatory Bowel Disease Questionnaire - How much energy have you had during the last 2 weeks?IBDQ - How Much Energy Have You Had
IBDQ0107C174077IBDQ01-Feel Worried About SurgeryQuality of Life in Inflammatory Bowel Disease Questionnaire - How often during the last 2 weeks did you feel worried about the possibility of needing to have surgery because of your bowel problem?IBDQ - Feel Worried About Surgery
IBDQ0108C174078IBDQ01-Delay/Cancel Social EngagementQuality of Life in Inflammatory Bowel Disease Questionnaire - How often during the last 2 weeks have you had to delay or cancel a social engagement because of your bowel problem?IBDQ - Delay or Cancel Social Engagement
IBDQ0109C174079IBDQ01-Troubled by Cramps in AbdomenQuality of Life in Inflammatory Bowel Disease Questionnaire - How often during the last 2 weeks have you been troubled by cramps in your abdomen?IBDQ - Troubled by Cramps in Abdomen
IBDQ0110C174080IBDQ01-Felt Generally UnwellQuality of Life in Inflammatory Bowel Disease Questionnaire - How often during the last 2 weeks have you felt generally unwell?IBDQ - Felt Generally Unwell
IBDQ0111C174081IBDQ01-Fear of Not Finding a WashroomQuality of Life in Inflammatory Bowel Disease Questionnaire - How often during the last 2 weeks have you been troubled because of fear of not finding a washroom?IBDQ - Fear of Not Finding a Washroom
IBDQ0112C174082IBDQ01-Difficulty Doing Leisure/SportsQuality of Life in Inflammatory Bowel Disease Questionnaire - How much difficulty have you had, as a result of your bowel problems, doing leisure or sports activities you would have liked to have done during the last 2 weeks?IBDQ - Difficulty Doing Leisure or Sports
IBDQ0113C174083IBDQ01-Troubled by Pain in AbdomenQuality of Life in Inflammatory Bowel Disease Questionnaire - How often during the last 2 weeks have you been troubled by pain in the abdomen?IBDQ - Troubled by Pain in Abdomen
IBDQ0114C174084IBDQ01-Problems Getting Sleep/Waking UpQuality of Life in Inflammatory Bowel Disease Questionnaire - How often during the last 2 weeks have you had problems getting a good night's sleep, or been troubled by waking up during the night?IBDQ - Problems Getting Sleep or Waking Up
IBDQ0115C174085IBDQ01-Felt Depressed or DiscouragedQuality of Life in Inflammatory Bowel Disease Questionnaire - How often during the last 2 weeks have you felt depressed or discouraged?IBDQ - Felt Depressed or Discouraged
IBDQ0116C174086IBDQ01-Avoid Events Where No WashroomQuality of Life in Inflammatory Bowel Disease Questionnaire - How often during the last 2 weeks have you had to avoid attending events where there was no washroom close at hand?IBDQ - Avoid Events Where No Washroom
IBDQ0117C174087IBDQ01-Problem Passing Large Amounts GasQuality of Life in Inflammatory Bowel Disease Questionnaire - Overall, in the last 2 weeks, how much of a problem have you had with passing large amounts of gas?IBDQ - Problem Passing Large Amounts Gas
IBDQ0118C174088IBDQ01-Problem Maintaining WeightQuality of Life in Inflammatory Bowel Disease Questionnaire - Overall, in the last 2 weeks, how much of a problem have you had maintaining or getting to, the weight you would like to be at?IBDQ - Problem Maintaining Weight
IBDQ0119C174089IBDQ01-Felt Worried or AnxiousQuality of Life in Inflammatory Bowel Disease Questionnaire - In general, how often during the last 2 weeks have you felt worried or anxious?IBDQ - Felt Worried or Anxious
IBDQ0120C174090IBDQ01-Troubled by Abdominal BloatingQuality of Life in Inflammatory Bowel Disease Questionnaire - How much of the time during the last 2 week have you been troubled by a feeling of abdominal bloating?IBDQ - Troubled by Abdominal Bloating
IBDQ0121C174091IBDQ01-Felt Relaxed and Free of TensionQuality of Life in Inflammatory Bowel Disease Questionnaire - How often during the last 2 weeks have you felt relaxed and free of tension?IBDQ - Felt Relaxed and Free of Tension
IBDQ0122C174092IBDQ01-Problem With Rectal BleedingQuality of Life in Inflammatory Bowel Disease Questionnaire - How much of the time during the last 2 weeks have you had a problem with rectal bleeding with your bowel movements?IBDQ - Problem With Rectal Bleeding
IBDQ0123C174093IBDQ01-Felt Embarrassed Bowel ProblemQuality of Life in Inflammatory Bowel Disease Questionnaire - How much of the time during the last 2 weeks have you felt embarrassed as a result of your bowel problem?IBDQ - Felt Embarrassed Bowel Problem
IBDQ0124C174094IBDQ01-Go to Bathroom Bowels EmptyQuality of Life in Inflammatory Bowel Disease Questionnaire - How much of the time during the last 2 weeks have you been troubled by a feeling of having to go to the bathroom even though your bowels were empty?IBDQ - Go to Bathroom Bowels Empty
IBDQ0125C174095IBDQ01-Felt Tearful or UpsetQuality of Life in Inflammatory Bowel Disease Questionnaire - How much of the time during the last 2 weeks have you felt tearful or upset?IBDQ - Felt Tearful or Upset
IBDQ0126C174096IBDQ01-Accidental Soiling of UnderpantsQuality of Life in Inflammatory Bowel Disease Questionnaire - How much of the time during the last 2 weeks have you been troubled by accidental soiling of your underpants?IBDQ - Accidental Soiling of Underpants
IBDQ0127C174097IBDQ01-Felt Angry Bowel ProblemQuality of Life in Inflammatory Bowel Disease Questionnaire - How much of the time during the last 2 weeks have you felt angry as a result of your bowel problem?IBDQ - Felt Angry Bowel Problem
IBDQ0128C174098IBDQ01-Limited Sexual ActivityQuality of Life in Inflammatory Bowel Disease Questionnaire - To what extent has your bowel problem limited sexual activity during the last 2 weeks?IBDQ - Limited Sexual Activity
IBDQ0129C174099IBDQ01-Nausea or Sick to Your StomachQuality of Life in Inflammatory Bowel Disease Questionnaire - How much of the time during the last 2 weeks have you been troubled by nausea or feeling sick to your stomach?IBDQ - Nausea or Sick to Your Stomach
IBDQ0130C174100IBDQ01-Felt IrritableQuality of Life in Inflammatory Bowel Disease Questionnaire - How much of the time during the last 2 weeks have you felt irritable?IBDQ - Felt Irritable
IBDQ0131C174101IBDQ01-Lack of Understanding From OthersQuality of Life in Inflammatory Bowel Disease Questionnaire - How often during the past 2 weeks have you felt a lack of understanding from others?IBDQ - Lack of Understanding From Others
IBDQ0132C174102IBDQ01-Satisfied With Personal LifeQuality of Life in Inflammatory Bowel Disease Questionnaire - How satisfied, happy, or pleased have you been with your personal life during the past 2 weeks?IBDQ - Satisfied With Personal Life
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CL.C174051.IBDQ01TNQuality of Life in Inflammatory Bowel Disease Questionnaire Test Name
(IBDQ01TN)
text
Extensible: No
C174051Quality of Life in Inflammatory Bowel Disease Questionnaire Test NameQuality of Life in Inflammatory Bowel Disease Questionnaire test name.CDISC Questionnaire IBDQ Test Name Terminology
IBDQ01-Accidental Soiling of UnderpantsC174096IBDQ01-Accidental Soiling of UnderpantsQuality of Life in Inflammatory Bowel Disease Questionnaire - How much of the time during the last 2 weeks have you been troubled by accidental soiling of your underpants?IBDQ - Accidental Soiling of Underpants
IBDQ01-Avoid Events Where No WashroomC174086IBDQ01-Avoid Events Where No WashroomQuality of Life in Inflammatory Bowel Disease Questionnaire - How often during the last 2 weeks have you had to avoid attending events where there was no washroom close at hand?IBDQ - Avoid Events Where No Washroom
IBDQ01-Bowel Movements Been LooseC174075IBDQ01-Bowel Movements Been LooseQuality of Life in Inflammatory Bowel Disease Questionnaire - How much of the time during the last 2 weeks have your bowel movements been loose?IBDQ - Bowel Movements Been Loose
IBDQ01-Delay/Cancel Social EngagementC174078IBDQ01-Delay/Cancel Social EngagementQuality of Life in Inflammatory Bowel Disease Questionnaire - How often during the last 2 weeks have you had to delay or cancel a social engagement because of your bowel problem?IBDQ - Delay or Cancel Social Engagement
IBDQ01-Difficulty Doing Leisure/SportsC174082IBDQ01-Difficulty Doing Leisure/SportsQuality of Life in Inflammatory Bowel Disease Questionnaire - How much difficulty have you had, as a result of your bowel problems, doing leisure or sports activities you would have liked to have done during the last 2 weeks?IBDQ - Difficulty Doing Leisure or Sports
IBDQ01-Fatigue Been a ProblemC174072IBDQ01-Fatigue Been a ProblemQuality of Life in Inflammatory Bowel Disease Questionnaire - How often has the feeling of fatigue or of being tired and worn out been a problem for you during the last 2 weeks?IBDQ - Fatigue Been a Problem
IBDQ01-Fear of Not Finding a WashroomC174081IBDQ01-Fear of Not Finding a WashroomQuality of Life in Inflammatory Bowel Disease Questionnaire - How often during the last 2 weeks have you been troubled because of fear of not finding a washroom?IBDQ - Fear of Not Finding a Washroom
IBDQ01-Feel Worried About SurgeryC174077IBDQ01-Feel Worried About SurgeryQuality of Life in Inflammatory Bowel Disease Questionnaire - How often during the last 2 weeks did you feel worried about the possibility of needing to have surgery because of your bowel problem?IBDQ - Feel Worried About Surgery
IBDQ01-Felt Angry Bowel ProblemC174097IBDQ01-Felt Angry Bowel ProblemQuality of Life in Inflammatory Bowel Disease Questionnaire - How much of the time during the last 2 weeks have you felt angry as a result of your bowel problem?IBDQ - Felt Angry Bowel Problem
IBDQ01-Felt Depressed or DiscouragedC174085IBDQ01-Felt Depressed or DiscouragedQuality of Life in Inflammatory Bowel Disease Questionnaire - How often during the last 2 weeks have you felt depressed or discouraged?IBDQ - Felt Depressed or Discouraged
IBDQ01-Felt Embarrassed Bowel ProblemC174093IBDQ01-Felt Embarrassed Bowel ProblemQuality of Life in Inflammatory Bowel Disease Questionnaire - How much of the time during the last 2 weeks have you felt embarrassed as a result of your bowel problem?IBDQ - Felt Embarrassed Bowel Problem
IBDQ01-Felt FrustratedC174073IBDQ01-Felt FrustratedQuality of Life in Inflammatory Bowel Disease Questionnaire - How often during the last 2 weeks have you felt frustrated, impatient or restless?IBDQ - Felt Frustrated
IBDQ01-Felt Generally UnwellC174080IBDQ01-Felt Generally UnwellQuality of Life in Inflammatory Bowel Disease Questionnaire - How often during the last 2 weeks have you felt generally unwell?IBDQ - Felt Generally Unwell
IBDQ01-Felt IrritableC174100IBDQ01-Felt IrritableQuality of Life in Inflammatory Bowel Disease Questionnaire - How much of the time during the last 2 weeks have you felt irritable?IBDQ - Felt Irritable
IBDQ01-Felt Relaxed and Free of TensionC174091IBDQ01-Felt Relaxed and Free of TensionQuality of Life in Inflammatory Bowel Disease Questionnaire - How often during the last 2 weeks have you felt relaxed and free of tension?IBDQ - Felt Relaxed and Free of Tension
IBDQ01-Felt Tearful or UpsetC174095IBDQ01-Felt Tearful or UpsetQuality of Life in Inflammatory Bowel Disease Questionnaire - How much of the time during the last 2 weeks have you felt tearful or upset?IBDQ - Felt Tearful or Upset
IBDQ01-Felt Worried or AnxiousC174089IBDQ01-Felt Worried or AnxiousQuality of Life in Inflammatory Bowel Disease Questionnaire - In general, how often during the last 2 weeks have you felt worried or anxious?IBDQ - Felt Worried or Anxious
IBDQ01-Go to Bathroom Bowels EmptyC174094IBDQ01-Go to Bathroom Bowels EmptyQuality of Life in Inflammatory Bowel Disease Questionnaire - How much of the time during the last 2 weeks have you been troubled by a feeling of having to go to the bathroom even though your bowels were empty?IBDQ - Go to Bathroom Bowels Empty
IBDQ01-How Frequent Bowel MovementsC174071IBDQ01-How Frequent Bowel MovementsQuality of Life in Inflammatory Bowel Disease Questionnaire - How frequent have your bowel movements been during the last two weeks?IBDQ - How Frequent Bowel Movements
IBDQ01-How Much Energy Have You HadC174076IBDQ01-How Much Energy Have You HadQuality of Life in Inflammatory Bowel Disease Questionnaire - How much energy have you had during the last 2 weeks?IBDQ - How Much Energy Have You Had
IBDQ01-Lack of Understanding From OthersC174101IBDQ01-Lack of Understanding From OthersQuality of Life in Inflammatory Bowel Disease Questionnaire - How often during the past 2 weeks have you felt a lack of understanding from others?IBDQ - Lack of Understanding From Others
IBDQ01-Limited Sexual ActivityC174098IBDQ01-Limited Sexual ActivityQuality of Life in Inflammatory Bowel Disease Questionnaire - To what extent has your bowel problem limited sexual activity during the last 2 weeks?IBDQ - Limited Sexual Activity
IBDQ01-Nausea or Sick to Your StomachC174099IBDQ01-Nausea or Sick to Your StomachQuality of Life in Inflammatory Bowel Disease Questionnaire - How much of the time during the last 2 weeks have you been troubled by nausea or feeling sick to your stomach?IBDQ - Nausea or Sick to Your Stomach
IBDQ01-Problem Maintaining WeightC174088IBDQ01-Problem Maintaining WeightQuality of Life in Inflammatory Bowel Disease Questionnaire - Overall, in the last 2 weeks, how much of a problem have you had maintaining or getting to, the weight you would like to be at?IBDQ - Problem Maintaining Weight
IBDQ01-Problem Passing Large Amounts GasC174087IBDQ01-Problem Passing Large Amounts GasQuality of Life in Inflammatory Bowel Disease Questionnaire - Overall, in the last 2 weeks, how much of a problem have you had with passing large amounts of gas?IBDQ - Problem Passing Large Amounts Gas
IBDQ01-Problem With Rectal BleedingC174092IBDQ01-Problem With Rectal BleedingQuality of Life in Inflammatory Bowel Disease Questionnaire - How much of the time during the last 2 weeks have you had a problem with rectal bleeding with your bowel movements?IBDQ - Problem With Rectal Bleeding
IBDQ01-Problems Getting Sleep/Waking UpC174084IBDQ01-Problems Getting Sleep/Waking UpQuality of Life in Inflammatory Bowel Disease Questionnaire - How often during the last 2 weeks have you had problems getting a good night's sleep, or been troubled by waking up during the night?IBDQ - Problems Getting Sleep or Waking Up
IBDQ01-Satisfied With Personal LifeC174102IBDQ01-Satisfied With Personal LifeQuality of Life in Inflammatory Bowel Disease Questionnaire - How satisfied, happy, or pleased have you been with your personal life during the past 2 weeks?IBDQ - Satisfied With Personal Life
IBDQ01-Troubled by Abdominal BloatingC174090IBDQ01-Troubled by Abdominal BloatingQuality of Life in Inflammatory Bowel Disease Questionnaire - How much of the time during the last 2 week have you been troubled by a feeling of abdominal bloating?IBDQ - Troubled by Abdominal Bloating
IBDQ01-Troubled by Cramps in AbdomenC174079IBDQ01-Troubled by Cramps in AbdomenQuality of Life in Inflammatory Bowel Disease Questionnaire - How often during the last 2 weeks have you been troubled by cramps in your abdomen?IBDQ - Troubled by Cramps in Abdomen
IBDQ01-Troubled by Pain in AbdomenC174083IBDQ01-Troubled by Pain in AbdomenQuality of Life in Inflammatory Bowel Disease Questionnaire - How often during the last 2 weeks have you been troubled by pain in the abdomen?IBDQ - Troubled by Pain in Abdomen
IBDQ01-Unable to Attend School or WorkC174074IBDQ01-Unable to Attend School or WorkQuality of Life in Inflammatory Bowel Disease Questionnaire - How often during the last 2 weeks have you been unable to attend school or do your work because of your bowel problem?IBDQ - Unable to Attend School or Work
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CL.C130249.QIDSC1TCQuick Inventory of Depressive Symptomatology Clinician-Rated Version Clinical Classification Test Code
(QIDSC1TC)
text
Extensible: No
C130249Quick Inventory of Depressive Symptomatology Clinician-Rated Version Clinical Classification Test CodeQuick Inventory of Depressive Symptomatology Clinician-Rated Version test code.CDISC Clinical Classification QIDS-C Test Code Terminology
QIDSC101C130394QIDSC1-Sleep Onset InsomniaQuick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Sleep onset insomnia.QIDS-C - Sleep Onset Insomnia
QIDSC102C130395QIDSC1-Mid-Nocturnal InsomniaQuick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Mid-nocturnal insomnia.QIDS-C - Mid-Nocturnal Insomnia
QIDSC103C130396QIDSC1-Early Morning InsomniaQuick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Early morning insomnia.QIDS-C - Early Morning Insomnia
QIDSC104C130397QIDSC1-HypersomniaQuick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Hypersomnia.QIDS-C - Hypersomnia
QIDSC105C130398QIDSC1-Mood (Sad)Quick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Mood (sad).QIDS-C - Mood (Sad)
QIDSC106C130399QIDSC1-Appetite (Decreased)Quick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Appetite (decreased).QIDS-C - Appetite (Decreased)
QIDSC107C130400QIDSC1-Appetite (Increased)Quick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Appetite (increased).QIDS-C - Appetite (Increased)
QIDSC108C130401QIDSC1-Weight (Decrease)Quick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Weight (decrease) within the last two weeks.QIDS-C - Weight (Decrease)
QIDSC109C130402QIDSC1-Weight (Increase)Quick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Weight (increase) within the last two weeks.QIDS-C - Weight (Increase)
QIDSC110C130403QIDSC1-Concentration/Decision MakingQuick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Concentration/decision making.QIDS-C - Concentration or Decision Making
QIDSC111C130404QIDSC1-Outlook (Self)Quick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Outlook (self).QIDS-C - Outlook (Self)
QIDSC112C130405QIDSC1-Suicidal IdeationQuick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Suicidal ideation.QIDS-C - Suicidal Ideation
QIDSC113C130406QIDSC1-InvolvementQuick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Involvement.QIDS-C - Involvement
QIDSC114C130407QIDSC1-Energy/FatiguabilityQuick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Energy/fatiguability.QIDS-C - Energy or Fatiguability
QIDSC115C130408QIDSC1-Psychomotor SlowingQuick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Psychomotor slowing.QIDS-C - Psychomotor Slowing
QIDSC116C130409QIDSC1-Psychomotor AgitationQuick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Psychomotor agitation.QIDS-C - Psychomotor Agitation
QIDSC117C130410QIDSC1-Highest Score Sleep ItemsQuick Inventory of Depressive Symptomatology - Clinician-Rated - Enter the highest score on any 1 of the 4 sleep items.QIDS-C - Highest Score Sleep Items
QIDSC118C130411QIDSC1-High Score Appetite/Weight ItemsQuick Inventory of Depressive Symptomatology - Clinician-Rated - Enter the highest score on any 1 of the 4 appetite/weight change items.QIDS-C - High Score Appetite or Weight Items
QIDSC119C130412QIDSC1-Highest Score Psychomotor ItemsQuick Inventory of Depressive Symptomatology - Clinician-Rated - Enter the highest score on either of the 2 psychomotor items.QIDS-C - Highest Score Psychomotor Items
QIDSC120C130413QIDSC1-Total ScoreQuick Inventory of Depressive Symptomatology - Clinician-Rated - Total score.QIDS-C - Total Score
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CL.C130248.QIDSC1TNQuick Inventory of Depressive Symptomatology Clinician-Rated Version Clinical Classification Test Name
(QIDSC1TN)
text
Extensible: No
C130248Quick Inventory of Depressive Symptomatology Clinician-Rated Version Clinical Classification Test NameQuick Inventory of Depressive Symptomatology Clinician-Rated Version test name.CDISC Clinical Classification QIDS-C Test Name Terminology
QIDSC1-Appetite (Decreased)C130399QIDSC1-Appetite (Decreased)Quick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Appetite (decreased).QIDS-C - Appetite (Decreased)
QIDSC1-Appetite (Increased)C130400QIDSC1-Appetite (Increased)Quick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Appetite (increased).QIDS-C - Appetite (Increased)
QIDSC1-Concentration/Decision MakingC130403QIDSC1-Concentration/Decision MakingQuick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Concentration/decision making.QIDS-C - Concentration or Decision Making
QIDSC1-Early Morning InsomniaC130396QIDSC1-Early Morning InsomniaQuick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Early morning insomnia.QIDS-C - Early Morning Insomnia
QIDSC1-Energy/FatiguabilityC130407QIDSC1-Energy/FatiguabilityQuick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Energy/fatiguability.QIDS-C - Energy or Fatiguability
QIDSC1-High Score Appetite/Weight ItemsC130411QIDSC1-High Score Appetite/Weight ItemsQuick Inventory of Depressive Symptomatology - Clinician-Rated - Enter the highest score on any 1 of the 4 appetite/weight change items.QIDS-C - High Score Appetite or Weight Items
QIDSC1-Highest Score Psychomotor ItemsC130412QIDSC1-Highest Score Psychomotor ItemsQuick Inventory of Depressive Symptomatology - Clinician-Rated - Enter the highest score on either of the 2 psychomotor items.QIDS-C - Highest Score Psychomotor Items
QIDSC1-Highest Score Sleep ItemsC130410QIDSC1-Highest Score Sleep ItemsQuick Inventory of Depressive Symptomatology - Clinician-Rated - Enter the highest score on any 1 of the 4 sleep items.QIDS-C - Highest Score Sleep Items
QIDSC1-HypersomniaC130397QIDSC1-HypersomniaQuick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Hypersomnia.QIDS-C - Hypersomnia
QIDSC1-InvolvementC130406QIDSC1-InvolvementQuick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Involvement.QIDS-C - Involvement
QIDSC1-Mid-Nocturnal InsomniaC130395QIDSC1-Mid-Nocturnal InsomniaQuick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Mid-nocturnal insomnia.QIDS-C - Mid-Nocturnal Insomnia
QIDSC1-Mood (Sad)C130398QIDSC1-Mood (Sad)Quick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Mood (sad).QIDS-C - Mood (Sad)
QIDSC1-Outlook (Self)C130404QIDSC1-Outlook (Self)Quick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Outlook (self).QIDS-C - Outlook (Self)
QIDSC1-Psychomotor AgitationC130409QIDSC1-Psychomotor AgitationQuick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Psychomotor agitation.QIDS-C - Psychomotor Agitation
QIDSC1-Psychomotor SlowingC130408QIDSC1-Psychomotor SlowingQuick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Psychomotor slowing.QIDS-C - Psychomotor Slowing
QIDSC1-Sleep Onset InsomniaC130394QIDSC1-Sleep Onset InsomniaQuick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Sleep onset insomnia.QIDS-C - Sleep Onset Insomnia
QIDSC1-Suicidal IdeationC130405QIDSC1-Suicidal IdeationQuick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Suicidal ideation.QIDS-C - Suicidal Ideation
QIDSC1-Total ScoreC130413QIDSC1-Total ScoreQuick Inventory of Depressive Symptomatology - Clinician-Rated - Total score.QIDS-C - Total Score
QIDSC1-Weight (Decrease)C130401QIDSC1-Weight (Decrease)Quick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Weight (decrease) within the last two weeks.QIDS-C - Weight (Decrease)
QIDSC1-Weight (Increase)C130402QIDSC1-Weight (Increase)Quick Inventory of Depressive Symptomatology - Clinician-Rated - Please circle one response to each item that best describes the patient for the last seven days: Weight (increase) within the last two weeks.QIDS-C - Weight (Increase)
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CL.C130263.QIDSR1TCQuick Inventory of Depressive Symptomatology Self-Report Version Questionnaire Test Code
(QIDSR1TC)
text
Extensible: No
C130263Quick Inventory of Depressive Symptomatology Self-Report Version Questionnaire Test CodeQuick Inventory of Depressive Symptomatology Self-Report Version test code.CDISC Questionnaire QIDS-SR Test Code Terminology
QIDSR101C130584QIDSR1-Falling AsleepQuick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Falling asleep.QIDS-SR - Falling Asleep
QIDSR102C130585QIDSR1-Sleep During the NightQuick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Sleep during the night.QIDS-SR - Sleep During the Night
QIDSR103C130586QIDSR1-Waking Up Too EarlyQuick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Waking up too early.QIDS-SR - Waking Up Too Early
QIDSR104C130587QIDSR1-Sleeping Too MuchQuick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Sleeping too much.QIDS-SR - Sleeping Too Much
QIDSR105C130588QIDSR1-Feeling SadQuick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Feeling sad.QIDS-SR - Feeling Sad
QIDSR106C130589QIDSR1-Decreased AppetiteQuick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Decreased appetite.QIDS-SR - Decreased Appetite
QIDSR107C130590QIDSR1-Increased AppetiteQuick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Increased appetite.QIDS-SR - Increased Appetite
QIDSR108C130591QIDSR1-Decreased WeightQuick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: within the last two weeks: Decreased weight.QIDS-SR - Decreased Weight
QIDSR109C130592QIDSR1-Increased WeightQuick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: within the last two weeks: Increased weight.QIDS-SR - Increased Weight
QIDSR110C130593QIDSR1-Concentration/Decision MakingQuick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Concentration/decision making.QIDS-SR - Concentration or Decision Making
QIDSR111C130594QIDSR1-View of MyselfQuick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: View of myself.QIDS-SR - View of Myself
QIDSR112C130595QIDSR1-Thoughts of Death or SuicideQuick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Thoughts of death or suicide.QIDS-SR - Thoughts of Death or Suicide
QIDSR113C130596QIDSR1-General InterestQuick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: General interest.QIDS-SR - General Interest
QIDSR114C130597QIDSR1-Energy LevelQuick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Energy level.QIDS-SR - Energy Level
QIDSR115C130598QIDSR1-Feeling Slowed DownQuick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Feeling slowed down.QIDS-SR - Feeling Slowed Down
QIDSR116C130599QIDSR1-Feeling RestlessQuick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Feeling restless.QIDS-SR - Feeling Restless
QIDSR117C130600QIDSR1-Highest Score Sleep ItemsQuick Inventory of Depressive Symptomatology - Self-Report - Enter the highest score on any 1 of the 4 sleep items.QIDS-SR - Highest Score Sleep Items
QIDSR118C130601QIDSR1-High Score Appetite/Weight ItemsQuick Inventory of Depressive Symptomatology - Self-Report - Enter the highest score on any 1 of the 4 appetite/weight change items.QIDS-SR - High Score Appetite or Weight Items
QIDSR119C130602QIDSR1-Highest Score Psychomotor ItemsQuick Inventory of Depressive Symptomatology - Self-Report - Enter the highest score on either of the 2 psychomotor items.QIDS-SR - Highest Score Psychomotor Items
QIDSR120C130603QIDSR1-Total ScoreQuick Inventory of Depressive Symptomatology - Self-Report - Total score.QIDS-SR - Total Score
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CL.C130262.QIDSR1TNQuick Inventory of Depressive Symptomatology Self-Report Version Questionnaire Test Name
(QIDSR1TN)
text
Extensible: No
C130262Quick Inventory of Depressive Symptomatology Self-Report Version Questionnaire Test NameQuick Inventory of Depressive Symptomatology Self-Report Version test name.CDISC Questionnaire QIDS-SR Test Name Terminology
QIDSR1-Concentration/Decision MakingC130593QIDSR1-Concentration/Decision MakingQuick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Concentration/decision making.QIDS-SR - Concentration or Decision Making
QIDSR1-Decreased AppetiteC130589QIDSR1-Decreased AppetiteQuick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Decreased appetite.QIDS-SR - Decreased Appetite
QIDSR1-Decreased WeightC130591QIDSR1-Decreased WeightQuick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: within the last two weeks: Decreased weight.QIDS-SR - Decreased Weight
QIDSR1-Energy LevelC130597QIDSR1-Energy LevelQuick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Energy level.QIDS-SR - Energy Level
QIDSR1-Falling AsleepC130584QIDSR1-Falling AsleepQuick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Falling asleep.QIDS-SR - Falling Asleep
QIDSR1-Feeling RestlessC130599QIDSR1-Feeling RestlessQuick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Feeling restless.QIDS-SR - Feeling Restless
QIDSR1-Feeling SadC130588QIDSR1-Feeling SadQuick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Feeling sad.QIDS-SR - Feeling Sad
QIDSR1-Feeling Slowed DownC130598QIDSR1-Feeling Slowed DownQuick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Feeling slowed down.QIDS-SR - Feeling Slowed Down
QIDSR1-General InterestC130596QIDSR1-General InterestQuick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: General interest.QIDS-SR - General Interest
QIDSR1-High Score Appetite/Weight ItemsC130601QIDSR1-High Score Appetite/Weight ItemsQuick Inventory of Depressive Symptomatology - Self-Report - Enter the highest score on any 1 of the 4 appetite/weight change items.QIDS-SR - High Score Appetite or Weight Items
QIDSR1-Highest Score Psychomotor ItemsC130602QIDSR1-Highest Score Psychomotor ItemsQuick Inventory of Depressive Symptomatology - Self-Report - Enter the highest score on either of the 2 psychomotor items.QIDS-SR - Highest Score Psychomotor Items
QIDSR1-Highest Score Sleep ItemsC130600QIDSR1-Highest Score Sleep ItemsQuick Inventory of Depressive Symptomatology - Self-Report - Enter the highest score on any 1 of the 4 sleep items.QIDS-SR - Highest Score Sleep Items
QIDSR1-Increased AppetiteC130590QIDSR1-Increased AppetiteQuick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Increased appetite.QIDS-SR - Increased Appetite
QIDSR1-Increased WeightC130592QIDSR1-Increased WeightQuick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: within the last two weeks: Increased weight.QIDS-SR - Increased Weight
QIDSR1-Sleep During the NightC130585QIDSR1-Sleep During the NightQuick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Sleep during the night.QIDS-SR - Sleep During the Night
QIDSR1-Sleeping Too MuchC130587QIDSR1-Sleeping Too MuchQuick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Sleeping too much.QIDS-SR - Sleeping Too Much
QIDSR1-Thoughts of Death or SuicideC130595QIDSR1-Thoughts of Death or SuicideQuick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Thoughts of death or suicide.QIDS-SR - Thoughts of Death or Suicide
QIDSR1-Total ScoreC130603QIDSR1-Total ScoreQuick Inventory of Depressive Symptomatology - Self-Report - Total score.QIDS-SR - Total Score
QIDSR1-View of MyselfC130594QIDSR1-View of MyselfQuick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: View of myself.QIDS-SR - View of Myself
QIDSR1-Waking Up Too EarlyC130586QIDSR1-Waking Up Too EarlyQuick Inventory of Depressive Symptomatology - Self-Report - Please circle the one response to each item that best describes you for the past seven days: Waking up too early.QIDS-SR - Waking Up Too Early
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CL.C113862.R3601TCRAND 36-Item Health Survey 1.0 Questionnaire Test Code
(R3601TC)
text
Extensible: No
C113862RAND 36-Item Health Survey 1.0 Questionnaire Test CodeRAND 36-Item Health Survey 1.0 test code.CDISC Questionnaire RAND 36-Item Health Survey 1.0 Test Code Terminology
R360101C114043R3601-Would You Say Your Health IsRAND 36-Item Health Survey 1.0 - In general, would you say your health is:RAND-36 - Rate Your Health
R360102C114044R3601-Health Now Compared to 1 Year AgoRAND 36-Item Health Survey 1.0 - Compared to one year ago, how would you rate your health in general now?RAND-36 - Rate Your Health Compared to One Year Ago
R360103C114045R3601-Health Limit Vigorous ActivitiesRAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Vigorous activities, such as running, lifting heavy objects, participating in strenuous sports.RAND-36 - Health Limit Vigorous Activities
R360104C114046R3601-Health Limit Moderate ActivitiesRAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf.RAND-36 - Health Limit Moderate Activities
R360105C114047R3601-Health Limit Carrying GroceriesRAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Lifting or carrying groceries.RAND-36 - Health Limit Lifting Groceries
R360106C114048R3601-Health Limit Climb Several FlightsRAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Climbing several flights of stairs.RAND-36 - Health Limit Climbing Several Flights
R360107C114049R3601-Health Limit Climb One FlightRAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Climbing one flight of stairs.RAND-36 - Health Limit Climbing One Flight
R360108C114050R3601-Health Limit Bending or KneelingRAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Bending, kneeling, or stooping.RAND-36 - Health Limit Bending or Stooping
R360109C114051R3601-Health Limit Walk More Than MileRAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Walking more than a mile.RAND-36 - Health Limit Walking More Than A Mile
R360110C114052R3601-Health Limit Walk Several BlocksRAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Walking several blocks.RAND-36 - Health Limit Walking Several Blocks
R360111C114053R3601-Health Limit Walk One BlockRAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Walking one block.RAND-36 - Health Limit Walking One Block
R360112C114054R3601-Health Limit Bathing/Dressing SelfRAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Bathing or dressing yourself.RAND-36 - Health Limit Bathing or Dressing
R360113C114055R3601-Phys Health: Cut Work TimeRAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Cut down the amount of time you spent on work or other activities.RAND-36 - Physical Health Cut Down Time Spent on Work
R360114C114056R3601-Phys Health: Accomplish LessRAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Accomplished less than you would like.RAND-36 - Physical Health Accomplished Less
R360115C114057R3601-Phys Health: Limit Kind of WorkRAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Were limited in the kind of work or other activities.RAND-36 - Physical Health Limited in the Kind of Work
R360116C114058R3601-Phys Health: Difficulty PerformingRAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Had difficulty performing the work or other activities.RAND-36 - Physical Health Difficulty Performing Work
R360117C114059R3601-Emotional Problem: Cut Work TimeRAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems: Cut down the amount of time you spent on work or other activities.RAND-36 - Emotional Problem Cut Down Time Spent on Work
R360118C114060R3601-Emotional Problem: Accomplish LessRAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems: Accomplished less than you would like.RAND-36 - Emotional Problem Accomplished Less
R360119C114061R3601-Emotional Problem: Less CarefulRAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems: Didn't do work or other activities as carefully as usual.RAND-36 - Emotional Problem Did Not Do Work as Carefully
R360120C114062R3601-Extent Interfered Social ActivityRAND 36-Item Health Survey 1.0 - During the past 4 weeks, to what extent has your physical health or emotional problems interfered with your normal social activities with family, friends, neighbors, or groups?RAND-36 - Extend Physical Health or Emotional Problems Interfere With Social Activities
R360121C114063R3601-How Much Bodily Pain Have You HadRAND 36-Item Health Survey 1.0 - How much bodily pain have you had during the past 4 weeks?RAND-36 - Bodily Pain
R360122C114064R3601-Did Pain Interfere With Your WorkRAND 36-Item Health Survey 1.0 - During the past 4 weeks, how much did pain interfere with your normal work?RAND-36 - Pain Interfere With Normal Work
R360123C114065R3601-Did You Feel Full of PepRAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Did you feel full of pep?RAND-36 - Feel Full of Pep
R360124C114066R3601-Have Been a Very Nervous PersonRAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Have you been a very nervous person?RAND-36 - Been a Nervous Person
R360125C114067R3601-Have Felt So Down in the DumpsRAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Have you felt so down in the dumps that nothing could cheer you up?RAND-36 - Felt Nothing Could Cheer You Up
R360126C114068R3601-Have You Felt Calm and PeacefulRAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Have you felt calm and peaceful?RAND-36 - Felt Calm and Peaceful
R360127C114069R3601-Did You Have a Lot of EnergyRAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Did you have a lot of energy?RAND-36 - Have a Lot of Energy
R360128C114070R3601-Have Felt Downhearted and BlueRAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Have you felt downhearted and blue?RAND-36 - Felt Downhearted and Blue
R360129C114071R3601-Did You Feel Worn OutRAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Did you feel worn out?RAND-36 - Feel Worn Out
R360130C114072R3601-Have You Been a Happy PersonRAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Have you been a happy person?RAND-36 - Been a Happy Person
R360131C114073R3601-Did You Feel TiredRAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Did you feel tired?RAND-36 - Feel Tired
R360132C114074R3601-Amt Time Interfere Social ActivityRAND 36-Item Health Survey 1.0 - During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities?RAND-36 - Time Physical Health or Emotional Problems Interfere With Social Activities
R360133C114075R3601-Get Sick Easier Than Other PeopleRAND 36-Item Health Survey 1.0 - How TRUE or FALSE is each of the following statements for you: I seem to get sick a little easier than other people.RAND-36 - Get Sick Easier Than Other
R360134C114076R3601-I Am as Healthy as Anybody I KnowRAND 36-Item Health Survey 1.0 - How TRUE or FALSE is each of the following statements for you: I am as healthy as anybody I know.RAND-36 - As Healthy as Anybody
R360135C114077R3601-I Expect My Health to Get WorseRAND 36-Item Health Survey 1.0 - How TRUE or FALSE is each of the following statements for you: I expect my health to get worse.RAND-36 - Expect Health to Get Worse
R360136C114078R3601-My Health Is ExcellentRAND 36-Item Health Survey 1.0 - How TRUE or FALSE is each of the following statements for you: My health is excellent.RAND-36 - My Health is Excellent
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CL.C113861.R3601TNRAND 36-Item Health Survey 1.0 Questionnaire Test Name
(R3601TN)
text
Extensible: No
C113861RAND 36-Item Health Survey 1.0 Questionnaire Test NameRAND 36-Item Health Survey 1.0 test name.CDISC Questionnaire RAND 36-Item Health Survey 1.0 Test Name Terminology
R3601-Amt Time Interfere Social ActivityC114074R3601-Amt Time Interfere Social ActivityRAND 36-Item Health Survey 1.0 - During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities?RAND-36 - Time Physical Health or Emotional Problems Interfere With Social Activities
R3601-Did Pain Interfere With Your WorkC114064R3601-Did Pain Interfere With Your WorkRAND 36-Item Health Survey 1.0 - During the past 4 weeks, how much did pain interfere with your normal work?RAND-36 - Pain Interfere With Normal Work
R3601-Did You Feel Full of PepC114065R3601-Did You Feel Full of PepRAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Did you feel full of pep?RAND-36 - Feel Full of Pep
R3601-Did You Feel TiredC114073R3601-Did You Feel TiredRAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Did you feel tired?RAND-36 - Feel Tired
R3601-Did You Feel Worn OutC114071R3601-Did You Feel Worn OutRAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Did you feel worn out?RAND-36 - Feel Worn Out
R3601-Did You Have a Lot of EnergyC114069R3601-Did You Have a Lot of EnergyRAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Did you have a lot of energy?RAND-36 - Have a Lot of Energy
R3601-Emotional Problem: Accomplish LessC114060R3601-Emotional Problem: Accomplish LessRAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems: Accomplished less than you would like.RAND-36 - Emotional Problem Accomplished Less
R3601-Emotional Problem: Cut Work TimeC114059R3601-Emotional Problem: Cut Work TimeRAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems: Cut down the amount of time you spent on work or other activities.RAND-36 - Emotional Problem Cut Down Time Spent on Work
R3601-Emotional Problem: Less CarefulC114061R3601-Emotional Problem: Less CarefulRAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems: Didn't do work or other activities as carefully as usual.RAND-36 - Emotional Problem Did Not Do Work as Carefully
R3601-Extent Interfered Social ActivityC114062R3601-Extent Interfered Social ActivityRAND 36-Item Health Survey 1.0 - During the past 4 weeks, to what extent has your physical health or emotional problems interfered with your normal social activities with family, friends, neighbors, or groups?RAND-36 - Extend Physical Health or Emotional Problems Interfere With Social Activities
R3601-Get Sick Easier Than Other PeopleC114075R3601-Get Sick Easier Than Other PeopleRAND 36-Item Health Survey 1.0 - How TRUE or FALSE is each of the following statements for you: I seem to get sick a little easier than other people.RAND-36 - Get Sick Easier Than Other
R3601-Have Been a Very Nervous PersonC114066R3601-Have Been a Very Nervous PersonRAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Have you been a very nervous person?RAND-36 - Been a Nervous Person
R3601-Have Felt Downhearted and BlueC114070R3601-Have Felt Downhearted and BlueRAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Have you felt downhearted and blue?RAND-36 - Felt Downhearted and Blue
R3601-Have Felt So Down in the DumpsC114067R3601-Have Felt So Down in the DumpsRAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Have you felt so down in the dumps that nothing could cheer you up?RAND-36 - Felt Nothing Could Cheer You Up
R3601-Have You Been a Happy PersonC114072R3601-Have You Been a Happy PersonRAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Have you been a happy person?RAND-36 - Been a Happy Person
R3601-Have You Felt Calm and PeacefulC114068R3601-Have You Felt Calm and PeacefulRAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Have you felt calm and peaceful?RAND-36 - Felt Calm and Peaceful
R3601-Health Limit Bathing/Dressing SelfC114054R3601-Health Limit Bathing/Dressing SelfRAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Bathing or dressing yourself.RAND-36 - Health Limit Bathing or Dressing
R3601-Health Limit Bending or KneelingC114050R3601-Health Limit Bending or KneelingRAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Bending, kneeling, or stooping.RAND-36 - Health Limit Bending or Stooping
R3601-Health Limit Carrying GroceriesC114047R3601-Health Limit Carrying GroceriesRAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Lifting or carrying groceries.RAND-36 - Health Limit Lifting Groceries
R3601-Health Limit Climb One FlightC114049R3601-Health Limit Climb One FlightRAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Climbing one flight of stairs.RAND-36 - Health Limit Climbing One Flight
R3601-Health Limit Climb Several FlightsC114048R3601-Health Limit Climb Several FlightsRAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Climbing several flights of stairs.RAND-36 - Health Limit Climbing Several Flights
R3601-Health Limit Moderate ActivitiesC114046R3601-Health Limit Moderate ActivitiesRAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf.RAND-36 - Health Limit Moderate Activities
R3601-Health Limit Vigorous ActivitiesC114045R3601-Health Limit Vigorous ActivitiesRAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Vigorous activities, such as running, lifting heavy objects, participating in strenuous sports.RAND-36 - Health Limit Vigorous Activities
R3601-Health Limit Walk More Than MileC114051R3601-Health Limit Walk More Than MileRAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Walking more than a mile.RAND-36 - Health Limit Walking More Than A Mile
R3601-Health Limit Walk One BlockC114053R3601-Health Limit Walk One BlockRAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Walking one block.RAND-36 - Health Limit Walking One Block
R3601-Health Limit Walk Several BlocksC114052R3601-Health Limit Walk Several BlocksRAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Walking several blocks.RAND-36 - Health Limit Walking Several Blocks
R3601-Health Now Compared to 1 Year AgoC114044R3601-Health Now Compared to 1 Year AgoRAND 36-Item Health Survey 1.0 - Compared to one year ago, how would you rate your health in general now?RAND-36 - Rate Your Health Compared to One Year Ago
R3601-How Much Bodily Pain Have You HadC114063R3601-How Much Bodily Pain Have You HadRAND 36-Item Health Survey 1.0 - How much bodily pain have you had during the past 4 weeks?RAND-36 - Bodily Pain
R3601-I Am as Healthy as Anybody I KnowC114076R3601-I Am as Healthy as Anybody I KnowRAND 36-Item Health Survey 1.0 - How TRUE or FALSE is each of the following statements for you: I am as healthy as anybody I know.RAND-36 - As Healthy as Anybody
R3601-I Expect My Health to Get WorseC114077R3601-I Expect My Health to Get WorseRAND 36-Item Health Survey 1.0 - How TRUE or FALSE is each of the following statements for you: I expect my health to get worse.RAND-36 - Expect Health to Get Worse
R3601-My Health Is ExcellentC114078R3601-My Health Is ExcellentRAND 36-Item Health Survey 1.0 - How TRUE or FALSE is each of the following statements for you: My health is excellent.RAND-36 - My Health is Excellent
R3601-Phys Health: Accomplish LessC114056R3601-Phys Health: Accomplish LessRAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Accomplished less than you would like.RAND-36 - Physical Health Accomplished Less
R3601-Phys Health: Cut Work TimeC114055R3601-Phys Health: Cut Work TimeRAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Cut down the amount of time you spent on work or other activities.RAND-36 - Physical Health Cut Down Time Spent on Work
R3601-Phys Health: Difficulty PerformingC114058R3601-Phys Health: Difficulty PerformingRAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Had difficulty performing the work or other activities.RAND-36 - Physical Health Difficulty Performing Work
R3601-Phys Health: Limit Kind of WorkC114057R3601-Phys Health: Limit Kind of WorkRAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Were limited in the kind of work or other activities.RAND-36 - Physical Health Limited in the Kind of Work
R3601-Would You Say Your Health IsC114043R3601-Would You Say Your Health IsRAND 36-Item Health Survey 1.0 - In general, would you say your health is:RAND-36 - Rate Your Health
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CL.C135700.RSSS01TCRAND Social Support Survey Instrument Questionnaire Test Code
(RSSS01TC)
text
Extensible: No
C135700RAND Social Support Survey Instrument Questionnaire Test CodeRAND Social Support Survey Instrument test code.CDISC Questionnaire RAND Social Support Survey Test Code Terminology
RSSS0101C136215RSSS01-Count on to Listen to YouRAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone you can count on to listen to you when you need to talk.RAND Social Support Survey - Count on to Listen to You
RSSS0102C136216RSSS01-Give You Info to Help UnderstandRAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to give you information to help you understand a situation.RAND Social Support Survey - Give You Info to Help Understand
RSSS0103C136217RSSS01-Give You Advice About a CrisisRAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to give you good advice about a crisis.RAND Social Support Survey - Give You Advice About a Crisis
RSSS0104C136218RSSS01-Confide in/Talk to About YourselfRAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to confide in or talk to about yourself or your problems.RAND Social Support Survey - Confide in or Talk to About Yourself
RSSS0105C136219RSSS01-Advice You Really WantRAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone whose advice you really want.RAND Social Support Survey - Advice You Really Want
RSSS0106C136220RSSS01-Share Your Private Worries/FearsRAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to share your most private worries and fears with.RAND Social Support Survey - Share Your Private Worries and Fears
RSSS0107C136221RSSS01-Turn to Suggestions Personal ProbRAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to turn to for suggestions about how to deal with a personal problem.RAND Social Support Survey - Suggestions to Deal With Personal Problem
RSSS0108C136222RSSS01-Understands Your ProblemsRAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone who understands your problems.RAND Social Support Survey - Understands Your Problems
RSSS0109C136223RSSS01-Help If You Were Confined to BedRAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to help you if you were confined to bed.RAND Social Support Survey - Help If You Were Confined to Bed
RSSS0110C136224RSSS01-Take You to the Doctor If NeededRAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to take you to the doctor if you needed it.RAND Social Support Survey - Take You to the Doctor If Needed
RSSS0111C136225RSSS01-Prepare Your Meals If UnableRAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to prepare your meals if you were unable to do it yourself.RAND Social Support Survey - Prepare Your Meals If Unable
RSSS0112C136226RSSS01-Help With Daily Chores If SickRAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to help with daily chores if you were sick.RAND Social Support Survey - Help With Daily Chores If Sick
RSSS0113C136227RSSS01-Shows You Love and AffectionRAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone who shows you love and affection.RAND Social Support Survey - Shows You Love and Affection
RSSS0114C136228RSSS01-Love and Make You Feel WantedRAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to love and make you feel wanted.RAND Social Support Survey - Love and Make You Feel Wanted
RSSS0115C136229RSSS01-Hugs YouRAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone who hugs you.RAND Social Support Survey - Hugs You
RSSS0116C136230RSSS01-Have a Good Time WithRAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to have a good time with.RAND Social Support Survey - Have a Good Time With
RSSS0117C136231RSSS01-Get Together With for RelaxationRAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to get together with for relaxation.RAND Social Support Survey - Get Together With for Relaxation
RSSS0118C136232RSSS01-Do Something Enjoyable WithRAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to do something enjoyable with.RAND Social Support Survey - Do Something Enjoyable With
RSSS0119C136233RSSS01-Help You Get Your Mind Off ThingsRAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to do things with to help you get your mind off things.RAND Social Support Survey - Help You Get Your Mind Off Things
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CL.C135699.RSSS01TNRAND Social Support Survey Instrument Questionnaire Test Name
(RSSS01TN)
text
Extensible: No
C135699RAND Social Support Survey Instrument Questionnaire Test NameRAND Social Support Survey Instrument test name.CDISC Questionnaire RAND Social Support Survey Test Name Terminology
RSSS01-Advice You Really WantC136219RSSS01-Advice You Really WantRAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone whose advice you really want.RAND Social Support Survey - Advice You Really Want
RSSS01-Confide in/Talk to About YourselfC136218RSSS01-Confide in/Talk to About YourselfRAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to confide in or talk to about yourself or your problems.RAND Social Support Survey - Confide in or Talk to About Yourself
RSSS01-Count on to Listen to YouC136215RSSS01-Count on to Listen to YouRAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone you can count on to listen to you when you need to talk.RAND Social Support Survey - Count on to Listen to You
RSSS01-Do Something Enjoyable WithC136232RSSS01-Do Something Enjoyable WithRAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to do something enjoyable with.RAND Social Support Survey - Do Something Enjoyable With
RSSS01-Get Together With for RelaxationC136231RSSS01-Get Together With for RelaxationRAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to get together with for relaxation.RAND Social Support Survey - Get Together With for Relaxation
RSSS01-Give You Advice About a CrisisC136217RSSS01-Give You Advice About a CrisisRAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to give you good advice about a crisis.RAND Social Support Survey - Give You Advice About a Crisis
RSSS01-Give You Info to Help UnderstandC136216RSSS01-Give You Info to Help UnderstandRAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to give you information to help you understand a situation.RAND Social Support Survey - Give You Info to Help Understand
RSSS01-Have a Good Time WithC136230RSSS01-Have a Good Time WithRAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to have a good time with.RAND Social Support Survey - Have a Good Time With
RSSS01-Help If You Were Confined to BedC136223RSSS01-Help If You Were Confined to BedRAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to help you if you were confined to bed.RAND Social Support Survey - Help If You Were Confined to Bed
RSSS01-Help With Daily Chores If SickC136226RSSS01-Help With Daily Chores If SickRAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to help with daily chores if you were sick.RAND Social Support Survey - Help With Daily Chores If Sick
RSSS01-Help You Get Your Mind Off ThingsC136233RSSS01-Help You Get Your Mind Off ThingsRAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to do things with to help you get your mind off things.RAND Social Support Survey - Help You Get Your Mind Off Things
RSSS01-Hugs YouC136229RSSS01-Hugs YouRAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone who hugs you.RAND Social Support Survey - Hugs You
RSSS01-Love and Make You Feel WantedC136228RSSS01-Love and Make You Feel WantedRAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to love and make you feel wanted.RAND Social Support Survey - Love and Make You Feel Wanted
RSSS01-Prepare Your Meals If UnableC136225RSSS01-Prepare Your Meals If UnableRAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to prepare your meals if you were unable to do it yourself.RAND Social Support Survey - Prepare Your Meals If Unable
RSSS01-Share Your Private Worries/FearsC136220RSSS01-Share Your Private Worries/FearsRAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to share your most private worries and fears with.RAND Social Support Survey - Share Your Private Worries and Fears
RSSS01-Shows You Love and AffectionC136227RSSS01-Shows You Love and AffectionRAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone who shows you love and affection.RAND Social Support Survey - Shows You Love and Affection
RSSS01-Take You to the Doctor If NeededC136224RSSS01-Take You to the Doctor If NeededRAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to take you to the doctor if you needed it.RAND Social Support Survey - Take You to the Doctor If Needed
RSSS01-Turn to Suggestions Personal ProbC136221RSSS01-Turn to Suggestions Personal ProbRAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone to turn to for suggestions about how to deal with a personal problem.RAND Social Support Survey - Suggestions to Deal With Personal Problem
RSSS01-Understands Your ProblemsC136222RSSS01-Understands Your ProblemsRAND Social Support Survey Instrument - How often is each of the following kinds of support available to you if you need it: Someone who understands your problems.RAND Social Support Survey - Understands Your Problems
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CL.C103465.FIQR01TCRevised Fibromyalgia Impact Questionnaire Questionnaire Test Code
(FIQR01TC)
text
Extensible: No
C103465Revised Fibromyalgia Impact Questionnaire Questionnaire Test CodeRevised Fibromyalgia Impact Questionnaire test code.CDISC Questionnaire FIQR Test Code Terminology
FIQR0101C103544FIQR01-Brush or Comb Your HairRevised Fibromyalgia Impact Questionnaire - Brush or comb your hair.FIQR - Brush or Comb Your Hair
FIQR0102C103545FIQR01-Walk Continuously for 20 MinutesRevised Fibromyalgia Impact Questionnaire - Walk continuously for 20 minutes.FIQR - Walk Continuously for 20 Minutes
FIQR0103C103546FIQR01-Prepare a Homemade MealRevised Fibromyalgia Impact Questionnaire - Prepare a homemade meal.FIQR - Prepare a Homemade Meal
FIQR0104C103547FIQR01-Vacuum Scrub or Sweep FloorsRevised Fibromyalgia Impact Questionnaire - Vacuum, scrub or sweep floors.FIQR - Vacuum Scrub or Sweep Floors
FIQR0105C103548FIQR01-Lift/Carry Bag Full of GroceriesRevised Fibromyalgia Impact Questionnaire - Lift and carry a bag full of groceries.FIQR - Lift and Carry a Bag Full of Groceries
FIQR0106C103549FIQR01-Climb One Flight of StairsRevised Fibromyalgia Impact Questionnaire - Climb one flight of stairs.FIQR - Climb One Flight of Stairs
FIQR0107C103550FIQR01-Change Bed SheetsRevised Fibromyalgia Impact Questionnaire - Change bed sheets.FIQR - Change Bed Sheets
FIQR0108C103551FIQR01-Sit in a Chair for 45 MinutesRevised Fibromyalgia Impact Questionnaire - Sit in a chair for 45 minutes.FIQR - Sit in a Chair for 45 Minutes
FIQR0109C103552FIQR01-Go Shopping for GroceriesRevised Fibromyalgia Impact Questionnaire - Go shopping for groceries.FIQR - Go Shopping for Groceries
FIQR0110C103553FIQR01-Fibromyalgia Prevented GoalsRevised Fibromyalgia Impact Questionnaire - Fibromyalgia prevented me from accomplishing goals for the week.FIQR - Fibromyalgia Prevented Me from Accomplishing Goals for the Week
FIQR0111C103554FIQR01-Overwhelmed by FibromyalgiaRevised Fibromyalgia Impact Questionnaire - I was completely overwhelmed by my fibromyalgia symptoms.FIQR - I was Completely Overwhelmed by My Fibromyalgia Symptoms
FIQR0112C103555FIQR01-PainRevised Fibromyalgia Impact Questionnaire - Please rate your level of pain.FIQR - Pain
FIQR0113C103556FIQR01-EnergyRevised Fibromyalgia Impact Questionnaire - Please rate your level of energy.FIQR - Energy
FIQR0114C103557FIQR01-StiffnessRevised Fibromyalgia Impact Questionnaire - Please rate your level of stiffness.FIQR - Stiffness
FIQR0115C103558FIQR01-Your SleepRevised Fibromyalgia Impact Questionnaire - Please rate the quality of your sleep.FIQR - Your Sleep
FIQR0116C103559FIQR01-DepressionRevised Fibromyalgia Impact Questionnaire - Please rate your level of depression.FIQR - Depression
FIQR0117C103560FIQR01-Memory ProblemsRevised Fibromyalgia Impact Questionnaire - Please rate your level of memory problems.FIQR - Memory Problems
FIQR0118C103561FIQR01-AnxietyRevised Fibromyalgia Impact Questionnaire - Please rate your level of anxiety.FIQR - Anxiety
FIQR0119C103562FIQR01-Tenderness to TouchRevised Fibromyalgia Impact Questionnaire - Please rate your level of tenderness to touch.FIQR - Tenderness to Touch
FIQR0120C103563FIQR01-Balance ProblemsRevised Fibromyalgia Impact Questionnaire - Please rate your level of balance problems.FIQR - Balance Problems
FIQR0121C103564FIQR01-Sensitivity Noise/Light/Odor/ColdRevised Fibromyalgia Impact Questionnaire - Please rate your level of sensitivity to loud noises, bright lights, odors and cold.FIQR - Sensitivity to Loud Noises, Bright Lights, Odors and Cold
FIQR0122C118107FIQR01-Activities Sub-TotalRevised Fibromyalgia Impact Questionnaire - Sub-total for activities subcategory.FIQR - Activities Sub-Total
FIQR0123C118108FIQR01-Overall Impact Sub-TotalRevised Fibromyalgia Impact Questionnaire - Sub-total for overall impact subcategory.FIQR - Overall Impact Sub-Total
FIQR0124C118109FIQR01-Symptoms Sub-TotalRevised Fibromyalgia Impact Questionnaire - Sub-total for symptoms subcategory.FIQR - Symptoms Sub-Total
FIQR0125C118110FIQR01-FIQR TotalRevised Fibromyalgia Impact Questionnaire - FIQR total.FIQR - FIQR Total
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CL.C103464.FIQR01TNRevised Fibromyalgia Impact Questionnaire Questionnaire Test Name
(FIQR01TN)
text
Extensible: No
C103464Revised Fibromyalgia Impact Questionnaire Questionnaire Test NameRevised Fibromyalgia Impact Questionnaire test name.CDISC Questionnaire FIQR Test Name Terminology
FIQR01-Activities Sub-TotalC118107FIQR01-Activities Sub-TotalRevised Fibromyalgia Impact Questionnaire - Sub-total for activities subcategory.FIQR - Activities Sub-Total
FIQR01-AnxietyC103561FIQR01-AnxietyRevised Fibromyalgia Impact Questionnaire - Please rate your level of anxiety.FIQR - Anxiety
FIQR01-Balance ProblemsC103563FIQR01-Balance ProblemsRevised Fibromyalgia Impact Questionnaire - Please rate your level of balance problems.FIQR - Balance Problems
FIQR01-Brush or Comb Your HairC103544FIQR01-Brush or Comb Your HairRevised Fibromyalgia Impact Questionnaire - Brush or comb your hair.FIQR - Brush or Comb Your Hair
FIQR01-Change Bed SheetsC103550FIQR01-Change Bed SheetsRevised Fibromyalgia Impact Questionnaire - Change bed sheets.FIQR - Change Bed Sheets
FIQR01-Climb One Flight of StairsC103549FIQR01-Climb One Flight of StairsRevised Fibromyalgia Impact Questionnaire - Climb one flight of stairs.FIQR - Climb One Flight of Stairs
FIQR01-DepressionC103559FIQR01-DepressionRevised Fibromyalgia Impact Questionnaire - Please rate your level of depression.FIQR - Depression
FIQR01-EnergyC103556FIQR01-EnergyRevised Fibromyalgia Impact Questionnaire - Please rate your level of energy.FIQR - Energy
FIQR01-Fibromyalgia Prevented GoalsC103553FIQR01-Fibromyalgia Prevented GoalsRevised Fibromyalgia Impact Questionnaire - Fibromyalgia prevented me from accomplishing goals for the week.FIQR - Fibromyalgia Prevented Me from Accomplishing Goals for the Week
FIQR01-FIQR TotalC118110FIQR01-FIQR TotalRevised Fibromyalgia Impact Questionnaire - FIQR total.FIQR - FIQR Total
FIQR01-Go Shopping for GroceriesC103552FIQR01-Go Shopping for GroceriesRevised Fibromyalgia Impact Questionnaire - Go shopping for groceries.FIQR - Go Shopping for Groceries
FIQR01-Lift/Carry Bag Full of GroceriesC103548FIQR01-Lift/Carry Bag Full of GroceriesRevised Fibromyalgia Impact Questionnaire - Lift and carry a bag full of groceries.FIQR - Lift and Carry a Bag Full of Groceries
FIQR01-Memory ProblemsC103560FIQR01-Memory ProblemsRevised Fibromyalgia Impact Questionnaire - Please rate your level of memory problems.FIQR - Memory Problems
FIQR01-Overall Impact Sub-TotalC118108FIQR01-Overall Impact Sub-TotalRevised Fibromyalgia Impact Questionnaire - Sub-total for overall impact subcategory.FIQR - Overall Impact Sub-Total
FIQR01-Overwhelmed by FibromyalgiaC103554FIQR01-Overwhelmed by FibromyalgiaRevised Fibromyalgia Impact Questionnaire - I was completely overwhelmed by my fibromyalgia symptoms.FIQR - I was Completely Overwhelmed by My Fibromyalgia Symptoms
FIQR01-PainC103555FIQR01-PainRevised Fibromyalgia Impact Questionnaire - Please rate your level of pain.FIQR - Pain
FIQR01-Prepare a Homemade MealC103546FIQR01-Prepare a Homemade MealRevised Fibromyalgia Impact Questionnaire - Prepare a homemade meal.FIQR - Prepare a Homemade Meal
FIQR01-Sensitivity Noise/Light/Odor/ColdC103564FIQR01-Sensitivity Noise/Light/Odor/ColdRevised Fibromyalgia Impact Questionnaire - Please rate your level of sensitivity to loud noises, bright lights, odors and cold.FIQR - Sensitivity to Loud Noises, Bright Lights, Odors and Cold
FIQR01-Sit in a Chair for 45 MinutesC103551FIQR01-Sit in a Chair for 45 MinutesRevised Fibromyalgia Impact Questionnaire - Sit in a chair for 45 minutes.FIQR - Sit in a Chair for 45 Minutes
FIQR01-StiffnessC103557FIQR01-StiffnessRevised Fibromyalgia Impact Questionnaire - Please rate your level of stiffness.FIQR - Stiffness
FIQR01-Symptoms Sub-TotalC118109FIQR01-Symptoms Sub-TotalRevised Fibromyalgia Impact Questionnaire - Sub-total for symptoms subcategory.FIQR - Symptoms Sub-Total
FIQR01-Tenderness to TouchC103562FIQR01-Tenderness to TouchRevised Fibromyalgia Impact Questionnaire - Please rate your level of tenderness to touch.FIQR - Tenderness to Touch
FIQR01-Vacuum Scrub or Sweep FloorsC103547FIQR01-Vacuum Scrub or Sweep FloorsRevised Fibromyalgia Impact Questionnaire - Vacuum, scrub or sweep floors.FIQR - Vacuum Scrub or Sweep Floors
FIQR01-Walk Continuously for 20 MinutesC103545FIQR01-Walk Continuously for 20 MinutesRevised Fibromyalgia Impact Questionnaire - Walk continuously for 20 minutes.FIQR - Walk Continuously for 20 Minutes
FIQR01-Your SleepC103558FIQR01-Your SleepRevised Fibromyalgia Impact Questionnaire - Please rate the quality of your sleep.FIQR - Your Sleep
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CL.C123655.AVL02TCRey Auditory Verbal Learning Test Functional Test Test Code
(AVL02TC)
text
Extensible: No
C123655Rey Auditory Verbal Learning Test Functional Test Test CodeRey Auditory Verbal Learning Test test code.CDISC Functional Test AVLT-REY Test Code Terminology
AVL0201C123683AVL02-List A Word 1Auditory Verbal Learning Test - List A, Word 1.AVLT-REY - List A Word 1
AVL0202C123684AVL02-List A Word 2Auditory Verbal Learning Test - List A, Word 2.AVLT-REY - List A Word 2
AVL0203C123685AVL02-List A Word 3Auditory Verbal Learning Test - List A, Word 3.AVLT-REY - List A Word 3
AVL0204C123686AVL02-List A Word 4Auditory Verbal Learning Test - List A, Word 4.AVLT-REY - List A Word 4
AVL0205C123687AVL02-List A Word 5Auditory Verbal Learning Test - List A, Word 5.AVLT-REY - List A Word 5
AVL0206C123688AVL02-List A Word 6Auditory Verbal Learning Test - List A, Word 6.AVLT-REY - List A Word 6
AVL0207C123689AVL02-List A Word 7Auditory Verbal Learning Test - List A, Word 7.AVLT-REY - List A Word 7
AVL0208C123690AVL02-List A Word 8Auditory Verbal Learning Test - List A, Word 8.AVLT-REY - List A Word 8
AVL0209C123691AVL02-List A Word 9Auditory Verbal Learning Test - List A, Word 9.AVLT-REY - List A Word 9
AVL0210C123692AVL02-List A Word 10Auditory Verbal Learning Test - List A, Word 10.AVLT-REY - List A Word 10
AVL0211C123693AVL02-List A Word 11Auditory Verbal Learning Test - List A, Word 11.AVLT-REY - List A Word 11
AVL0212C123694AVL02-List A Word 12Auditory Verbal Learning Test - List A, Word 12.AVLT-REY - List A Word 12
AVL0213C123695AVL02-List A Word 13Auditory Verbal Learning Test - List A, Word 13.AVLT-REY - List A Word 13
AVL0214C123696AVL02-List A Word 14Auditory Verbal Learning Test - List A, Word 14.AVLT-REY - List A Word 14
AVL0215C123697AVL02-List A Word 15Auditory Verbal Learning Test - List A, Word 15.AVLT-REY - List A Word 15
AVL0216C123698AVL02-List A TotalAuditory Verbal Learning Test - The number of List A words recalled from a trial.AVLT-REY - List A Total
AVL0217C123699AVL02-List A IntrusionsAuditory Verbal Learning Test - The number of List A intrusions while recalling from a trial.AVLT-REY - List A Intrusions
AVL0218C123700AVL02-List B Word 1Auditory Verbal Learning Test - List B, Word 1.AVLT-REY - List B Word 1
AVL0219C123701AVL02-List B Word 2Auditory Verbal Learning Test - List B, Word 2.AVLT-REY - List B Word 2
AVL0220C123702AVL02-List B Word 3Auditory Verbal Learning Test - List B, Word 3.AVLT-REY - List B Word 3
AVL0221C123703AVL02-List B Word 4Auditory Verbal Learning Test - List B, Word 4.AVLT-REY - List B Word 4
AVL0222C123704AVL02-List B Word 5Auditory Verbal Learning Test - List B, Word 5.AVLT-REY - List B Word 5
AVL0223C123705AVL02-List B Word 6Auditory Verbal Learning Test - List B, Word 6.AVLT-REY - List B Word 6
AVL0224C123706AVL02-List B Word 7Auditory Verbal Learning Test - List B, Word 7.AVLT-REY - List B Word 7
AVL0225C123707AVL02-List B Word 8Auditory Verbal Learning Test - List B, Word 8.AVLT-REY - List B Word 8
AVL0226C123708AVL02-List B Word 9Auditory Verbal Learning Test - List B, Word 9.AVLT-REY - List B Word 9
AVL0227C123709AVL02-List B Word 10Auditory Verbal Learning Test - List B, Word 10.AVLT-REY - List B Word 10
AVL0228C123710AVL02-List B Word 11Auditory Verbal Learning Test - List B, Word 11.AVLT-REY - List B Word 11
AVL0229C123711AVL02-List B Word 12Auditory Verbal Learning Test - List B, Word 12.AVLT-REY - List B Word 12
AVL0230C123712AVL02-List B Word 13Auditory Verbal Learning Test - List B, Word 13.AVLT-REY - List B Word 13
AVL0231C123713AVL02-List B Word 14Auditory Verbal Learning Test - List B, Word 14.AVLT-REY - List B Word 14
AVL0232C123714AVL02-List B Word 15Auditory Verbal Learning Test - List B, Word 15.AVLT-REY - List B Word 15
AVL0233C123715AVL02- List B TotalAuditory Verbal Learning Test - The number of words recalled from List B trial.AVLT-REY - List B Total
AVL0234C123716AVL02-List B IntrusionsAuditory Verbal Learning Test - The number of intrusions while recalling from List B trial.AVLT-REY - List B Intrusions
AVL0235C123717AVL02-Recognition TotalAuditory Verbal Learning Test - The number of words correct on recognition test.AVLT-REY - Recognition Total
AVL0236C123718AVL02-Recognition IntrusionsAuditory Verbal Learning Test - The number of intrusions on recognition test.AVLT-REY - Recognition Intrusions
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CL.C123654.AVL02TNRey Auditory Verbal Learning Test Functional Test Test Name
(AVL02TN)
text
Extensible: No
C123654Rey Auditory Verbal Learning Test Functional Test Test NameRey Auditory Verbal Learning Test test name.CDISC Functional Test AVLT-REY Test Name Terminology
AVL02- List B TotalC123715AVL02- List B TotalAuditory Verbal Learning Test - The number of words recalled from List B trial.AVLT-REY - List B Total
AVL02-List A IntrusionsC123699AVL02-List A IntrusionsAuditory Verbal Learning Test - The number of List A intrusions while recalling from a trial.AVLT-REY - List A Intrusions
AVL02-List A TotalC123698AVL02-List A TotalAuditory Verbal Learning Test - The number of List A words recalled from a trial.AVLT-REY - List A Total
AVL02-List A Word 1C123683AVL02-List A Word 1Auditory Verbal Learning Test - List A, Word 1.AVLT-REY - List A Word 1
AVL02-List A Word 10C123692AVL02-List A Word 10Auditory Verbal Learning Test - List A, Word 10.AVLT-REY - List A Word 10
AVL02-List A Word 11C123693AVL02-List A Word 11Auditory Verbal Learning Test - List A, Word 11.AVLT-REY - List A Word 11
AVL02-List A Word 12C123694AVL02-List A Word 12Auditory Verbal Learning Test - List A, Word 12.AVLT-REY - List A Word 12
AVL02-List A Word 13C123695AVL02-List A Word 13Auditory Verbal Learning Test - List A, Word 13.AVLT-REY - List A Word 13
AVL02-List A Word 14C123696AVL02-List A Word 14Auditory Verbal Learning Test - List A, Word 14.AVLT-REY - List A Word 14
AVL02-List A Word 15C123697AVL02-List A Word 15Auditory Verbal Learning Test - List A, Word 15.AVLT-REY - List A Word 15
AVL02-List A Word 2C123684AVL02-List A Word 2Auditory Verbal Learning Test - List A, Word 2.AVLT-REY - List A Word 2
AVL02-List A Word 3C123685AVL02-List A Word 3Auditory Verbal Learning Test - List A, Word 3.AVLT-REY - List A Word 3
AVL02-List A Word 4C123686AVL02-List A Word 4Auditory Verbal Learning Test - List A, Word 4.AVLT-REY - List A Word 4
AVL02-List A Word 5C123687AVL02-List A Word 5Auditory Verbal Learning Test - List A, Word 5.AVLT-REY - List A Word 5
AVL02-List A Word 6C123688AVL02-List A Word 6Auditory Verbal Learning Test - List A, Word 6.AVLT-REY - List A Word 6
AVL02-List A Word 7C123689AVL02-List A Word 7Auditory Verbal Learning Test - List A, Word 7.AVLT-REY - List A Word 7
AVL02-List A Word 8C123690AVL02-List A Word 8Auditory Verbal Learning Test - List A, Word 8.AVLT-REY - List A Word 8
AVL02-List A Word 9C123691AVL02-List A Word 9Auditory Verbal Learning Test - List A, Word 9.AVLT-REY - List A Word 9
AVL02-List B IntrusionsC123716AVL02-List B IntrusionsAuditory Verbal Learning Test - The number of intrusions while recalling from List B trial.AVLT-REY - List B Intrusions
AVL02-List B Word 1C123700AVL02-List B Word 1Auditory Verbal Learning Test - List B, Word 1.AVLT-REY - List B Word 1
AVL02-List B Word 10C123709AVL02-List B Word 10Auditory Verbal Learning Test - List B, Word 10.AVLT-REY - List B Word 10
AVL02-List B Word 11C123710AVL02-List B Word 11Auditory Verbal Learning Test - List B, Word 11.AVLT-REY - List B Word 11
AVL02-List B Word 12C123711AVL02-List B Word 12Auditory Verbal Learning Test - List B, Word 12.AVLT-REY - List B Word 12
AVL02-List B Word 13C123712AVL02-List B Word 13Auditory Verbal Learning Test - List B, Word 13.AVLT-REY - List B Word 13
AVL02-List B Word 14C123713AVL02-List B Word 14Auditory Verbal Learning Test - List B, Word 14.AVLT-REY - List B Word 14
AVL02-List B Word 15C123714AVL02-List B Word 15Auditory Verbal Learning Test - List B, Word 15.AVLT-REY - List B Word 15
AVL02-List B Word 2C123701AVL02-List B Word 2Auditory Verbal Learning Test - List B, Word 2.AVLT-REY - List B Word 2
AVL02-List B Word 3C123702AVL02-List B Word 3Auditory Verbal Learning Test - List B, Word 3.AVLT-REY - List B Word 3
AVL02-List B Word 4C123703AVL02-List B Word 4Auditory Verbal Learning Test - List B, Word 4.AVLT-REY - List B Word 4
AVL02-List B Word 5C123704AVL02-List B Word 5Auditory Verbal Learning Test - List B, Word 5.AVLT-REY - List B Word 5
AVL02-List B Word 6C123705AVL02-List B Word 6Auditory Verbal Learning Test - List B, Word 6.AVLT-REY - List B Word 6
AVL02-List B Word 7C123706AVL02-List B Word 7Auditory Verbal Learning Test - List B, Word 7.AVLT-REY - List B Word 7
AVL02-List B Word 8C123707AVL02-List B Word 8Auditory Verbal Learning Test - List B, Word 8.AVLT-REY - List B Word 8
AVL02-List B Word 9C123708AVL02-List B Word 9Auditory Verbal Learning Test - List B, Word 9.AVLT-REY - List B Word 9
AVL02-Recognition IntrusionsC123718AVL02-Recognition IntrusionsAuditory Verbal Learning Test - The number of intrusions on recognition test.AVLT-REY - Recognition Intrusions
AVL02-Recognition TotalC123717AVL02-Recognition TotalAuditory Verbal Learning Test - The number of words correct on recognition test.AVLT-REY - Recognition Total
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CL.C124672.RCVD01TCReynolds Cardiovascular Disease 10-Year Risk Score Clinical Classification Test Code
(RCVD01TC)
text
Extensible: No
C124672Reynolds Cardiovascular Disease 10-Year Risk Score Clinical Classification Test CodeReynolds Cardiovascular Disease 10-Year Risk Score test code.CDISC Clinical Classification Reynolds CVD 10-Year Risk Score Test Code Terminology
RCVD0101C124723RCVD01-Reynolds CVD 10-Year Risk ScoreReynolds Cardiovascular Disease 10-Year Risk Score - Cardiovascular disease 10-year risk score.Reynolds CVD 10-Year Risk Score - Risk Score
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CL.C124671.RCVD01TNReynolds Cardiovascular Disease 10-Year Risk Score Clinical Classification Test Name
(RCVD01TN)
text
Extensible: No
C124671Reynolds Cardiovascular Disease 10-Year Risk Score Clinical Classification Test NameReynolds Cardiovascular Disease 10-Year Risk Score test name.CDISC Clinical Classification Reynolds CVD 10-Year Risk Score Test Name Terminology
RCVD01-Reynolds CVD 10-Year Risk ScoreC124723RCVD01-Reynolds CVD 10-Year Risk ScoreReynolds Cardiovascular Disease 10-Year Risk Score - Cardiovascular disease 10-year risk score.Reynolds CVD 10-Year Risk Score - Risk Score
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CL.C171409.RASS01TCRichmond Agitation-Sedation Scale Clinical Classification Test Code
(RASS01TC)
text
Extensible: No
C171409Richmond Agitation-Sedation Scale Clinical Classification Test CodeRichmond Agitation-Sedation Scale test code.CDISC Clinical Classification RASS Test Code Terminology
RASS0101C171419RASS01-ScoreRichmond Agitation-Sedation Scale - Score.RASS - Score
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CL.C171408.RASS01TNRichmond Agitation-Sedation Scale Clinical Classification Test Name
(RASS01TN)
text
Extensible: No
C171408Richmond Agitation-Sedation Scale Clinical Classification Test NameRichmond Agitation-Sedation Scale test name.CDISC Clinical Classification RASS Test Name Terminology
RASS01-ScoreC171419RASS01-ScoreRichmond Agitation-Sedation Scale - Score.RASS - Score
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CL.C171413.SAS01TCRiker Sedation-Agitation Scale Clinical Classification Test Code
(SAS01TC)
text
Extensible: No
C171413Riker Sedation-Agitation Scale Clinical Classification Test CodeRiker Sedation-Agitation Scale test code.CDISC Clinical Classification SAS Test Code Terminology
SAS0101C171420SAS01-ScoreRiker Sedation-Agitation Scale - Score.SAS - Score
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CL.C171412.SAS01TNRiker Sedation-Agitation Scale Clinical Classification Test Name
(SAS01TN)
text
Extensible: No
C171412Riker Sedation-Agitation Scale Clinical Classification Test NameRiker Sedation-Agitation Scale test name.CDISC Clinical Classification SAS Test Name Terminology
SAS01-ScoreC171420SAS01-ScoreRiker Sedation-Agitation Scale - Score.SAS - Score
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CL.C141659.RISEF1TCRising From Floor Functional Test Test Code
(RISEF1TC)
text
Extensible: No
C141659Rising From Floor Functional Test Test CodeRising From Floor test code.CDISC Functional Test Rising From Floor Test Code Terminology
RISEF101C174105RISEF1-Was Rising From Floor PerformedRising From Floor - Was Rising From Floor performed?Rising From Floor - Was Rising From Floor Performed
RISEF102C141702RISEF1-Time to Rise From FloorRising From Floor - If yes, time taken to rise from floor.Rising From Floor - Time to Rise From Floor
RISEF103C151073RISEF1-Wear OrthosesRising From Floor - If yes, did subject wear orthoses?Rising From Floor - Wear Orthoses
RISEF104C141703RISEF1-Test GradeRising From Floor - Test grade.Rising From Floor - Test Grade
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CL.C141658.RISEF1TNRising From Floor Functional Test Test Name
(RISEF1TN)
text
Extensible: No
C141658Rising From Floor Functional Test Test NameRising From Floor test name.CDISC Functional Test Rising From Floor Test Name Terminology
RISEF1-Test GradeC141703RISEF1-Test GradeRising From Floor - Test grade.Rising From Floor - Test Grade
RISEF1-Time to Rise From FloorC141702RISEF1-Time to Rise From FloorRising From Floor - If yes, time taken to rise from floor.Rising From Floor - Time to Rise From Floor
RISEF1-Was Rising From Floor PerformedC174105RISEF1-Was Rising From Floor PerformedRising From Floor - Was Rising From Floor performed?Rising From Floor - Was Rising From Floor Performed
RISEF1-Wear OrthosesC151073RISEF1-Wear OrthosesRising From Floor - If yes, did subject wear orthoses?Rising From Floor - Wear Orthoses
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CL.C119072.RPQ01TCRivermead Post Concussion Symptoms Questionnaire Questionnaire Test Code
(RPQ01TC)
text
Extensible: No
C119072Rivermead Post Concussion Symptoms Questionnaire Questionnaire Test CodeRivermead Post Concussion Symptoms Questionnaire test code.CDISC Questionnaire RPQ Test Code Terminology
RPQ0101C119175RPQ01-HeadachesRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Headaches.RPQ - Headaches
RPQ0102C119176RPQ01-Feelings of DizzinessRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Feelings of dizziness.RPQ - Feelings of Dizziness
RPQ0103C119177RPQ01-Nausea and/or VomitingRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Nausea and/or vomiting.RPQ - Nausea and/or Vomiting
RPQ0104C119178RPQ01-Noise Sensitivity/Loud NoiseRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Noise sensitivity, easily upset by loud noise.RPQ - Noise Sensitivity
RPQ0105C119179RPQ01-Sleep DisturbanceRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Sleep disturbance.RPQ - Sleep Disturbance
RPQ0106C119180RPQ01-Fatigue, Tiring More EasilyRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Fatigue, tiring more easily.RPQ - Fatigue, Tiring More Easily
RPQ0107C119181RPQ01-Being Irritable, Easily AngeredRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Being irritable, easily angered.RPQ - Being Irritable, Easily Angered
RPQ0108C119182RPQ01-Feeling Depressed or TearfulRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Feeling depressed or tearful.RPQ - Feeling Depressed or Tearful
RPQ0109C119183RPQ01-Feeling Frustrated or ImpatientRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Feeling frustrated or impatient.RPQ - Feeling Frustrated or Impatient
RPQ0110C119184RPQ01-Forgetfulness, Poor MemoryRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Forgetfulness, poor memory.RPQ - Forgetfulness, Poor Memory
RPQ0111C119185RPQ01-Poor ConcentrationRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Poor concentration.RPQ - Poor Concentration
RPQ0112C119186RPQ01-Taking Longer to ThinkRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Taking longer to think.RPQ - Taking Longer to Think
RPQ0113C119187RPQ01-Blurred VisionRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Blurred vision.RPQ - Blurred Vision
RPQ0114C119188RPQ01-Light Sensitivity/Bright LightRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Light sensitivity, easily upset by bright light.RPQ - Light Sensitivity
RPQ0115C119189RPQ01-Double VisionRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Double vision.RPQ - Double Vision
RPQ0116C119190RPQ01-RestlessnessRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Restlessness.RPQ - Restlessness
RPQ0117AC119191RPQ01-Any Other Difficulties 1 (Text)Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, are you experiencing any other difficulties 1? (Text).RPQ - Any Other Difficulties 1 (Text)
RPQ0117BC119192RPQ01-Any Other Difficulties 1Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, are you experiencing any other difficulties 1?RPQ - Any Other Difficulties 1 (number)
RPQ0118AC119193RPQ01-Any Other Difficulties 2 (Text)Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, are you experiencing any other difficulties 2? (Text).RPQ - Any Other Difficulties 2 (Text)
RPQ0118BC119194RPQ01-Any Other Difficulties 2Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, are you experiencing any other difficulties 2?RPQ - Any Other Difficulties 2 (Number)
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CL.C119071.RPQ01TNRivermead Post Concussion Symptoms Questionnaire Questionnaire Test Name
(RPQ01TN)
text
Extensible: No
C119071Rivermead Post Concussion Symptoms Questionnaire Questionnaire Test NameRivermead Post Concussion Symptoms Questionnaire test name.CDISC Questionnaire RPQ Test Name Terminology
RPQ01-Any Other Difficulties 1 (Text)C119191RPQ01-Any Other Difficulties 1 (Text)Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, are you experiencing any other difficulties 1? (Text).RPQ - Any Other Difficulties 1 (Text)
RPQ01-Any Other Difficulties 1C119192RPQ01-Any Other Difficulties 1Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, are you experiencing any other difficulties 1?RPQ - Any Other Difficulties 1 (number)
RPQ01-Any Other Difficulties 2 (Text)C119193RPQ01-Any Other Difficulties 2 (Text)Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, are you experiencing any other difficulties 2? (Text).RPQ - Any Other Difficulties 2 (Text)
RPQ01-Any Other Difficulties 2C119194RPQ01-Any Other Difficulties 2Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, are you experiencing any other difficulties 2?RPQ - Any Other Difficulties 2 (Number)
RPQ01-Being Irritable, Easily AngeredC119181RPQ01-Being Irritable, Easily AngeredRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Being irritable, easily angered.RPQ - Being Irritable, Easily Angered
RPQ01-Blurred VisionC119187RPQ01-Blurred VisionRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Blurred vision.RPQ - Blurred Vision
RPQ01-Double VisionC119189RPQ01-Double VisionRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Double vision.RPQ - Double Vision
RPQ01-Fatigue, Tiring More EasilyC119180RPQ01-Fatigue, Tiring More EasilyRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Fatigue, tiring more easily.RPQ - Fatigue, Tiring More Easily
RPQ01-Feeling Depressed or TearfulC119182RPQ01-Feeling Depressed or TearfulRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Feeling depressed or tearful.RPQ - Feeling Depressed or Tearful
RPQ01-Feeling Frustrated or ImpatientC119183RPQ01-Feeling Frustrated or ImpatientRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Feeling frustrated or impatient.RPQ - Feeling Frustrated or Impatient
RPQ01-Feelings of DizzinessC119176RPQ01-Feelings of DizzinessRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Feelings of dizziness.RPQ - Feelings of Dizziness
RPQ01-Forgetfulness, Poor MemoryC119184RPQ01-Forgetfulness, Poor MemoryRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Forgetfulness, poor memory.RPQ - Forgetfulness, Poor Memory
RPQ01-HeadachesC119175RPQ01-HeadachesRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Headaches.RPQ - Headaches
RPQ01-Light Sensitivity/Bright LightC119188RPQ01-Light Sensitivity/Bright LightRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Light sensitivity, easily upset by bright light.RPQ - Light Sensitivity
RPQ01-Nausea and/or VomitingC119177RPQ01-Nausea and/or VomitingRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Nausea and/or vomiting.RPQ - Nausea and/or Vomiting
RPQ01-Noise Sensitivity/Loud NoiseC119178RPQ01-Noise Sensitivity/Loud NoiseRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Noise sensitivity, easily upset by loud noise.RPQ - Noise Sensitivity
RPQ01-Poor ConcentrationC119185RPQ01-Poor ConcentrationRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Poor concentration.RPQ - Poor Concentration
RPQ01-RestlessnessC119190RPQ01-RestlessnessRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Restlessness.RPQ - Restlessness
RPQ01-Sleep DisturbanceC119179RPQ01-Sleep DisturbanceRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Sleep disturbance.RPQ - Sleep Disturbance
RPQ01-Taking Longer to ThinkC119186RPQ01-Taking Longer to ThinkRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Taking longer to think.RPQ - Taking Longer to Think
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CL.C166190.ROCK01TCRockport One Mile Walk Test Version 1.0 Functional Test Test Code
(ROCK01TC)
text
Extensible: No
C166190Rockport One Mile Walk Test Version 1.0 Functional Test Test CodeRockport One Mile Walk Test Version 1.0 test code.CDISC Functional Test RFWT Version 1 Test Code Terminology
ROCK0101C166338ROCK01-Time To Complete One Mile WalkRockport One Mile Walk Test - Time to complete one-mile walk.RFWT Version 1 - Time To Complete One Mile Walk
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CL.C166189.ROCK01TNRockport One Mile Walk Test Version 1.0 Functional Test Test Name
(ROCK01TN)
text
Extensible: No
C166189Rockport One Mile Walk Test Version 1.0 Functional Test Test NameRockport One Mile Walk Test Version 1.0 test name.CDISC Functional Test RFWT Version 1 Test Name Terminology
ROCK01-Time To Complete One Mile WalkC166338ROCK01-Time To Complete One Mile WalkRockport One Mile Walk Test - Time to complete one-mile walk.RFWT Version 1 - Time To Complete One Mile Walk
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CL.C100166.RDQ01TCRoland Morris Disability Questionnaire Questionnaire Test Code
(RDQ01TC)
text
Extensible: No
C100166Roland Morris Disability Questionnaire Questionnaire Test CodeRoland Morris Disability Questionnaire test code.CDISC Questionnaire RDQ Test Code Terminology
RDQ0101C100780RDQ01-Stay at HomeRoland Morris Disability Questionnaire - I stay at home most of the time because of my back.RDQ - Stay at Home
RDQ0102C100781RDQ01-Change Position FrequentlyRoland Morris Disability Questionnaire - I change position frequently to try and get my back comfortable.RDQ - Change Position Frequently
RDQ0103C100782RDQ01-Walk More SlowlyRoland Morris Disability Questionnaire - I walk more slowly than usual because of my back.RDQ - Walk More Slowly
RDQ0104C100783RDQ01-Not Do Any Usual JobsRoland Morris Disability Questionnaire - Because of my back, I am not doing any of the jobs that I usually do around the house.RDQ - Not Do Any Usual House Jobs
RDQ0105C100784RDQ01-Use Handrail to Get UpstairsRoland Morris Disability Questionnaire - Because of my back, I use a handrail to get upstairs.RDQ - Use Handrail to Get Upstairs
RDQ0106C100785RDQ01-Lie Down to Rest More OftenRoland Morris Disability Questionnaire - Because of my back, I lie down to rest more often.RDQ - Lie Down to Rest More Often
RDQ0107C100786RDQ01-Hold on to Get Out of a ChairRoland Morris Disability Questionnaire - Because of my back, I have to hold on to something to get out of an easy chair.RDQ - Hold on to Get Out of a Chair
RDQ0108C100787RDQ01-Get Other People to Do ThingsRoland Morris Disability Questionnaire - Because of my back, I try to get other people to do things for me.RDQ - Get Other People to Do Things
RDQ0109C100788RDQ01-Get Dressed More SlowlyRoland Morris Disability Questionnaire - I get dressed more slowly then usual because of my back.RDQ - Get Dressed More Slowly
RDQ0110C100789RDQ01-Only Stand for Short PeriodsRoland Morris Disability Questionnaire - I only stand for short periods of time because of my back.RDQ - Only Stand for Short Periods
RDQ0111C100790RDQ01-Try Not to Bend or KneelRoland Morris Disability Questionnaire - Because of my back, I try not to bend or kneel down.RDQ - Try Not to Bend or Kneel
RDQ0112C100791RDQ01-Difficult to Get Out of a ChairRoland Morris Disability Questionnaire - I find it difficult to get out of a chair because of my back.RDQ - Difficult to Get Out of a Chair
RDQ0113C100792RDQ01-Painful Almost All the TimeRoland Morris Disability Questionnaire - My back is painful almost all the time.RDQ - Painful Almost All the Time
RDQ0114C100793RDQ01-Difficult to Turn Over in BedRoland Morris Disability Questionnaire - I find it difficult to turn over in bed because of my back.RDQ - Difficult to Turn Over in Bed
RDQ0115C100794RDQ01-Appetite is Not Very GoodRoland Morris Disability Questionnaire - My appetite is not very good because of my back pain.RDQ - Appetite is Not Very Good
RDQ0116C100795RDQ01-Trouble Putting on Socks/StockingsRoland Morris Disability Questionnaire - I have trouble putting on my socks (or stockings) because of the pain in my back.RDQ - Trouble Putting on Socks or Stockings
RDQ0117C100796RDQ01-Only Walk Short DistancesRoland Morris Disability Questionnaire - I only walk short distances because of my back.RDQ - Only Walk Short Distances
RDQ0118C100797RDQ01-Sleep Less WellRoland Morris Disability Questionnaire - I sleep less well because of my back.RDQ - Sleep Less Well
RDQ0119C100798RDQ01-Get Dressed With HelpRoland Morris Disability Questionnaire - Because of my back pain, I get dressed with help from someone else.RDQ - Get Dressed With Help
RDQ0120C100799RDQ01-Sit Down Most of the DayRoland Morris Disability Questionnaire - I sit down for most of the day because of my back.RDQ - Sit Down Most of the Day
RDQ0121C100800RDQ01-Avoid Heavy JobsRoland Morris Disability Questionnaire - I avoid heavy jobs around the house because of my back.RDQ - Avoid Heavy Jobs
RDQ0122C100801RDQ01-More Irritable With PeopleRoland Morris Disability Questionnaire - Because of my back pain, I am more irritable and bad tempered with people than usual.RDQ - More Irritable With People
RDQ0123C100802RDQ01-Go Upstairs More SlowlyRoland Morris Disability Questionnaire - Because of my back, I go upstairs more slowly than usual.RDQ - Go Upstairs More Slowly
RDQ0124C100803RDQ01-Stay in BedRoland Morris Disability Questionnaire - I stay in bed most of the time because of my back.RDQ - Stay in Bed
RDQ0125C100804RDQ01-RDQ Total ScoreRoland Morris Disability Questionnaire - RDQ total derived score.RDQ - Total Derived Score
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CL.C100165.RDQ01TNRoland Morris Disability Questionnaire Questionnaire Test Name
(RDQ01TN)
text
Extensible: No
C100165Roland Morris Disability Questionnaire Questionnaire Test NameRoland Morris Disability Questionnaire test name.CDISC Questionnaire RDQ Test Name Terminology
RDQ01-Appetite is Not Very GoodC100794RDQ01-Appetite is Not Very GoodRoland Morris Disability Questionnaire - My appetite is not very good because of my back pain.RDQ - Appetite is Not Very Good
RDQ01-Avoid Heavy JobsC100800RDQ01-Avoid Heavy JobsRoland Morris Disability Questionnaire - I avoid heavy jobs around the house because of my back.RDQ - Avoid Heavy Jobs
RDQ01-Change Position FrequentlyC100781RDQ01-Change Position FrequentlyRoland Morris Disability Questionnaire - I change position frequently to try and get my back comfortable.RDQ - Change Position Frequently
RDQ01-Difficult to Get Out of a ChairC100791RDQ01-Difficult to Get Out of a ChairRoland Morris Disability Questionnaire - I find it difficult to get out of a chair because of my back.RDQ - Difficult to Get Out of a Chair
RDQ01-Difficult to Turn Over in BedC100793RDQ01-Difficult to Turn Over in BedRoland Morris Disability Questionnaire - I find it difficult to turn over in bed because of my back.RDQ - Difficult to Turn Over in Bed
RDQ01-Get Dressed More SlowlyC100788RDQ01-Get Dressed More SlowlyRoland Morris Disability Questionnaire - I get dressed more slowly then usual because of my back.RDQ - Get Dressed More Slowly
RDQ01-Get Dressed With HelpC100798RDQ01-Get Dressed With HelpRoland Morris Disability Questionnaire - Because of my back pain, I get dressed with help from someone else.RDQ - Get Dressed With Help
RDQ01-Get Other People to Do ThingsC100787RDQ01-Get Other People to Do ThingsRoland Morris Disability Questionnaire - Because of my back, I try to get other people to do things for me.RDQ - Get Other People to Do Things
RDQ01-Go Upstairs More SlowlyC100802RDQ01-Go Upstairs More SlowlyRoland Morris Disability Questionnaire - Because of my back, I go upstairs more slowly than usual.RDQ - Go Upstairs More Slowly
RDQ01-Hold on to Get Out of a ChairC100786RDQ01-Hold on to Get Out of a ChairRoland Morris Disability Questionnaire - Because of my back, I have to hold on to something to get out of an easy chair.RDQ - Hold on to Get Out of a Chair
RDQ01-Lie Down to Rest More OftenC100785RDQ01-Lie Down to Rest More OftenRoland Morris Disability Questionnaire - Because of my back, I lie down to rest more often.RDQ - Lie Down to Rest More Often
RDQ01-More Irritable With PeopleC100801RDQ01-More Irritable With PeopleRoland Morris Disability Questionnaire - Because of my back pain, I am more irritable and bad tempered with people than usual.RDQ - More Irritable With People
RDQ01-Not Do Any Usual JobsC100783RDQ01-Not Do Any Usual JobsRoland Morris Disability Questionnaire - Because of my back, I am not doing any of the jobs that I usually do around the house.RDQ - Not Do Any Usual House Jobs
RDQ01-Only Stand for Short PeriodsC100789RDQ01-Only Stand for Short PeriodsRoland Morris Disability Questionnaire - I only stand for short periods of time because of my back.RDQ - Only Stand for Short Periods
RDQ01-Only Walk Short DistancesC100796RDQ01-Only Walk Short DistancesRoland Morris Disability Questionnaire - I only walk short distances because of my back.RDQ - Only Walk Short Distances
RDQ01-Painful Almost All the TimeC100792RDQ01-Painful Almost All the TimeRoland Morris Disability Questionnaire - My back is painful almost all the time.RDQ - Painful Almost All the Time
RDQ01-RDQ Total ScoreC100804RDQ01-RDQ Total ScoreRoland Morris Disability Questionnaire - RDQ total derived score.RDQ - Total Derived Score
RDQ01-Sit Down Most of the DayC100799RDQ01-Sit Down Most of the DayRoland Morris Disability Questionnaire - I sit down for most of the day because of my back.RDQ - Sit Down Most of the Day
RDQ01-Sleep Less WellC100797RDQ01-Sleep Less WellRoland Morris Disability Questionnaire - I sleep less well because of my back.RDQ - Sleep Less Well
RDQ01-Stay at HomeC100780RDQ01-Stay at HomeRoland Morris Disability Questionnaire - I stay at home most of the time because of my back.RDQ - Stay at Home
RDQ01-Stay in BedC100803RDQ01-Stay in BedRoland Morris Disability Questionnaire - I stay in bed most of the time because of my back.RDQ - Stay in Bed
RDQ01-Trouble Putting on Socks/StockingsC100795RDQ01-Trouble Putting on Socks/StockingsRoland Morris Disability Questionnaire - I have trouble putting on my socks (or stockings) because of the pain in my back.RDQ - Trouble Putting on Socks or Stockings
RDQ01-Try Not to Bend or KneelC100790RDQ01-Try Not to Bend or KneelRoland Morris Disability Questionnaire - Because of my back, I try not to bend or kneel down.RDQ - Try Not to Bend or Kneel
RDQ01-Use Handrail to Get UpstairsC100784RDQ01-Use Handrail to Get UpstairsRoland Morris Disability Questionnaire - Because of my back, I use a handrail to get upstairs.RDQ - Use Handrail to Get Upstairs
RDQ01-Walk More SlowlyC100782RDQ01-Walk More SlowlyRoland Morris Disability Questionnaire - I walk more slowly than usual because of my back.RDQ - Walk More Slowly
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CL.C115408.SWLS01TCSatisfaction With Life Scale Questionnaire Test Code
(SWLS01TC)
text
Extensible: No
C115408Satisfaction With Life Scale Questionnaire Test CodeSatisfaction With Life Scale test code.CDISC Questionnaire SWLS Test Code Terminology
SWLS0101C115895SWLS01-My Life is Close to IdealSatisfaction With Life Scale - In most ways my life is close to ideal.SWLS - My Life is Close to Ideal
SWLS0102C115896SWLS01-My Life Conditions are ExcellentSatisfaction With Life Scale - The conditions of my life are excellent.SWLS - Life Conditions are Excellent
SWLS0103C115897SWLS01-I Am Satisfied with My LifeSatisfaction With Life Scale - I am satisfied with my life.SWLS - Satisfied with My Life
SWLS0104C115898SWLS01-Have Gotten Important ThingsSatisfaction With Life Scale - So far I have gotten the important things I want in life.SWLS - Have Gotten Important Things
SWLS0105C115899SWLS01-Live Life Over Change NothingSatisfaction With Life Scale - If I could live my life over, I would change almost nothing.SWLS - Live Life Over Change Nothing
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CL.C115407.SWLS01TNSatisfaction With Life Scale Questionnaire Test Name
(SWLS01TN)
text
Extensible: No
C115407Satisfaction With Life Scale Questionnaire Test NameSatisfaction With Life Scale test name.CDISC Questionnaire SWLS Test Name Terminology
SWLS01-Have Gotten Important ThingsC115898SWLS01-Have Gotten Important ThingsSatisfaction With Life Scale - So far I have gotten the important things I want in life.SWLS - Have Gotten Important Things
SWLS01-I Am Satisfied with My LifeC115897SWLS01-I Am Satisfied with My LifeSatisfaction With Life Scale - I am satisfied with my life.SWLS - Satisfied with My Life
SWLS01-Live Life Over Change NothingC115899SWLS01-Live Life Over Change NothingSatisfaction With Life Scale - If I could live my life over, I would change almost nothing.SWLS - Live Life Over Change Nothing
SWLS01-My Life Conditions are ExcellentC115896SWLS01-My Life Conditions are ExcellentSatisfaction With Life Scale - The conditions of my life are excellent.SWLS - Life Conditions are Excellent
SWLS01-My Life is Close to IdealC115895SWLS01-My Life is Close to IdealSatisfaction With Life Scale - In most ways my life is close to ideal.SWLS - My Life is Close to Ideal
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CL.C100160.SOAPR1TCScreener and Opioid Assessment for Patients with Pain - Revised Questionnaire Test Code
(SOAPR1TC)
text
Extensible: No
C100160Screener and Opioid Assessment for Patients with Pain - Revised Questionnaire Test CodeScreener and Opioid Assessment for Patients with Pain - Revised test code.CDISC Questionnaire SOAPP-R Test Code Terminology
SOAPR101C100870SOAPR1-How Often Mood SwingsScreener and Opioid Assessment for Patients with Pain - Revised - How often do you have mood swings?SOAPP-R - How Often Mood Swings
SOAPR102C100871SOAPR1-Need Higher Doses of MedicationScreener and Opioid Assessment for Patients with Pain - Revised - How often have you felt a need for higher doses of medication to treat your pain?SOAPP-R - Need Higher Doses of Medication
SOAPR103C100872SOAPR1-Felt Impatient With DoctorsScreener and Opioid Assessment for Patients with Pain - Revised - How often have you felt impatient with your doctors?SOAPP-R - Felt Impatient With Doctors
SOAPR104C100873SOAPR1-Felt That Things Are OverwhelmingScreener and Opioid Assessment for Patients with Pain - Revised - How often have you felt that things are just too overwhelming that you can't handle them?SOAPP-R - Felt That Things Are Overwhelming
SOAPR105C100874SOAPR1-How Often Tension at HomeScreener and Opioid Assessment for Patients with Pain - Revised - How often is there tension in the home?SOAPP-R - How Often Tension at Home
SOAPR106C100875SOAPR1-How Often Counted Pain PillsScreener and Opioid Assessment for Patients with Pain - Revised - How often have you counted pain pills to see how many are remaining?SOAPP-R - How Often Counted Pain Pills
SOAPR107C100876SOAPR1-Concerned People Will Judge YouScreener and Opioid Assessment for Patients with Pain - Revised - How often have you been concerned that people will judge you for taking pain medication?SOAPP-R - Concerned People Will Judge You
SOAPR108C100877SOAPR1-How Often Feel BoredScreener and Opioid Assessment for Patients with Pain - Revised - How often do you feel bored?SOAPP-R - How Often Feel Bored
SOAPR109C100878SOAPR1-How Often Taken More Pain MedScreener and Opioid Assessment for Patients with Pain - Revised - How often have you taken more pain medication than you were supposed to?SOAPP-R - How Often Taken More Pain Medication
SOAPR110C100879SOAPR1-Worried About Being Left AloneScreener and Opioid Assessment for Patients with Pain - Revised - How often have you worried about being left alone?SOAPP-R - Worried About Being Left Alone
SOAPR111C100880SOAPR1-Felt Craving for MedicationScreener and Opioid Assessment for Patients with Pain - Revised - How often have you felt a craving for medication?SOAPP-R - Felt Craving for Medication
SOAPR112C100881SOAPR1-Expressed Concern Over Med UseScreener and Opioid Assessment for Patients with Pain - Revised - How often have others expressed concern over your use of medication?SOAPP-R - Others Expressed Concern Over Medication Use
SOAPR113C100882SOAPR1-How Often Friends Had ProblemScreener and Opioid Assessment for Patients with Pain - Revised - How often have any of your close friends had a problem with alcohol or drugs?SOAPP-R - How Often Friends Had Problem
SOAPR114C100883SOAPR1-Others Told You Bad TemperScreener and Opioid Assessment for Patients with Pain - Revised - How often have others told you that you had a bad temper?SOAPP-R - Others Told You Bad Temper
SOAPR115C100884SOAPR1-Felt Consumed to Get Pain MedScreener and Opioid Assessment for Patients with Pain - Revised - How often have you felt consumed by the need to get pain medication?SOAPP-R - Felt Consumed to Get Pain Medication
SOAPR116C100885SOAPR1-Run Out of Pain Med EarlyScreener and Opioid Assessment for Patients with Pain - Revised - How often have you run out of pain medication early?SOAPP-R - Run Out of Pain Medication Early
SOAPR117C100886SOAPR1-Kept From What You DeserveScreener and Opioid Assessment for Patients with Pain - Revised - How often have others kept you from getting what you deserve?SOAPP-R - Others Kept You From what You Deserve
SOAPR118C100887SOAPR1-Legal Problems or ArrestedScreener and Opioid Assessment for Patients with Pain - Revised - How often, in your lifetime, have you had legal problems or been arrested?SOAPP-R - Legal Problems or Arrested
SOAPR119C100888SOAPR1-Attended AA or NA MeetingScreener and Opioid Assessment for Patients with Pain - Revised - How often have you attended an AA or NA meeting?SOAPP-R - Attended AA or NA Meeting
SOAPR120C100889SOAPR1-Argument Someone Got HurtScreener and Opioid Assessment for Patients with Pain - Revised - How often have you been in an argument that was so out of control that someone got hurt?SOAPP-R - Argument Where Someone Got Hurt
SOAPR121C100890SOAPR1-How Often Sexually AbusedScreener and Opioid Assessment for Patients with Pain - Revised - How often have you been sexually abused?SOAPP-R - How Often Sexually Abused
SOAPR122C100891SOAPR1-Suggested Drug or Alcohol ProblemScreener and Opioid Assessment for Patients with Pain - Revised - How often have others suggested that you have a drug or alcohol problem?SOAPP-R - Others Suggested Drug or Alcohol Problem
SOAPR123C100892SOAPR1-How Often Borrowed Pain MedsScreener and Opioid Assessment for Patients with Pain - Revised - How often have you had to borrow pain medications from your family or friends?SOAPP-R - How Often Borrowed Pain Medication
SOAPR124C100893SOAPR1-Treated for Alcohol or Drug ProbScreener and Opioid Assessment for Patients with Pain - Revised - How often have you been treated for an alcohol or drug problem?SOAPP-R - Treated for Alcohol or Drug Problem
SOAPR125C100894SOAPR1-Any Additional InformationScreener and Opioid Assessment for Patients with Pain - Revised - Please include any additional information you wish about the above answers.SOAPP-R - Any Additional Information
SOAPR126C100895SOAPR1-ScoreScreener and Opioid Assessment for Patients with Pain - Revised - Score.SOAPP-R - Score
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CL.C100159.SOAPR1TNScreener and Opioid Assessment for Patients with Pain - Revised Questionnaire Test Name
(SOAPR1TN)
text
Extensible: No
C100159Screener and Opioid Assessment for Patients with Pain - Revised Questionnaire Test NameScreener and Opioid Assessment for Patients with Pain - Revised test name.CDISC Questionnaire SOAPP-R Test Name Terminology
SOAPR1-Any Additional InformationC100894SOAPR1-Any Additional InformationScreener and Opioid Assessment for Patients with Pain - Revised - Please include any additional information you wish about the above answers.SOAPP-R - Any Additional Information
SOAPR1-Argument Someone Got HurtC100889SOAPR1-Argument Someone Got HurtScreener and Opioid Assessment for Patients with Pain - Revised - How often have you been in an argument that was so out of control that someone got hurt?SOAPP-R - Argument Where Someone Got Hurt
SOAPR1-Attended AA or NA MeetingC100888SOAPR1-Attended AA or NA MeetingScreener and Opioid Assessment for Patients with Pain - Revised - How often have you attended an AA or NA meeting?SOAPP-R - Attended AA or NA Meeting
SOAPR1-Concerned People Will Judge YouC100876SOAPR1-Concerned People Will Judge YouScreener and Opioid Assessment for Patients with Pain - Revised - How often have you been concerned that people will judge you for taking pain medication?SOAPP-R - Concerned People Will Judge You
SOAPR1-Expressed Concern Over Med UseC100881SOAPR1-Expressed Concern Over Med UseScreener and Opioid Assessment for Patients with Pain - Revised - How often have others expressed concern over your use of medication?SOAPP-R - Others Expressed Concern Over Medication Use
SOAPR1-Felt Consumed to Get Pain MedC100884SOAPR1-Felt Consumed to Get Pain MedScreener and Opioid Assessment for Patients with Pain - Revised - How often have you felt consumed by the need to get pain medication?SOAPP-R - Felt Consumed to Get Pain Medication
SOAPR1-Felt Craving for MedicationC100880SOAPR1-Felt Craving for MedicationScreener and Opioid Assessment for Patients with Pain - Revised - How often have you felt a craving for medication?SOAPP-R - Felt Craving for Medication
SOAPR1-Felt Impatient With DoctorsC100872SOAPR1-Felt Impatient With DoctorsScreener and Opioid Assessment for Patients with Pain - Revised - How often have you felt impatient with your doctors?SOAPP-R - Felt Impatient With Doctors
SOAPR1-Felt That Things Are OverwhelmingC100873SOAPR1-Felt That Things Are OverwhelmingScreener and Opioid Assessment for Patients with Pain - Revised - How often have you felt that things are just too overwhelming that you can't handle them?SOAPP-R - Felt That Things Are Overwhelming
SOAPR1-How Often Borrowed Pain MedsC100892SOAPR1-How Often Borrowed Pain MedsScreener and Opioid Assessment for Patients with Pain - Revised - How often have you had to borrow pain medications from your family or friends?SOAPP-R - How Often Borrowed Pain Medication
SOAPR1-How Often Counted Pain PillsC100875SOAPR1-How Often Counted Pain PillsScreener and Opioid Assessment for Patients with Pain - Revised - How often have you counted pain pills to see how many are remaining?SOAPP-R - How Often Counted Pain Pills
SOAPR1-How Often Feel BoredC100877SOAPR1-How Often Feel BoredScreener and Opioid Assessment for Patients with Pain - Revised - How often do you feel bored?SOAPP-R - How Often Feel Bored
SOAPR1-How Often Friends Had ProblemC100882SOAPR1-How Often Friends Had ProblemScreener and Opioid Assessment for Patients with Pain - Revised - How often have any of your close friends had a problem with alcohol or drugs?SOAPP-R - How Often Friends Had Problem
SOAPR1-How Often Mood SwingsC100870SOAPR1-How Often Mood SwingsScreener and Opioid Assessment for Patients with Pain - Revised - How often do you have mood swings?SOAPP-R - How Often Mood Swings
SOAPR1-How Often Sexually AbusedC100890SOAPR1-How Often Sexually AbusedScreener and Opioid Assessment for Patients with Pain - Revised - How often have you been sexually abused?SOAPP-R - How Often Sexually Abused
SOAPR1-How Often Taken More Pain MedC100878SOAPR1-How Often Taken More Pain MedScreener and Opioid Assessment for Patients with Pain - Revised - How often have you taken more pain medication than you were supposed to?SOAPP-R - How Often Taken More Pain Medication
SOAPR1-How Often Tension at HomeC100874SOAPR1-How Often Tension at HomeScreener and Opioid Assessment for Patients with Pain - Revised - How often is there tension in the home?SOAPP-R - How Often Tension at Home
SOAPR1-Kept From What You DeserveC100886SOAPR1-Kept From What You DeserveScreener and Opioid Assessment for Patients with Pain - Revised - How often have others kept you from getting what you deserve?SOAPP-R - Others Kept You From what You Deserve
SOAPR1-Legal Problems or ArrestedC100887SOAPR1-Legal Problems or ArrestedScreener and Opioid Assessment for Patients with Pain - Revised - How often, in your lifetime, have you had legal problems or been arrested?SOAPP-R - Legal Problems or Arrested
SOAPR1-Need Higher Doses of MedicationC100871SOAPR1-Need Higher Doses of MedicationScreener and Opioid Assessment for Patients with Pain - Revised - How often have you felt a need for higher doses of medication to treat your pain?SOAPP-R - Need Higher Doses of Medication
SOAPR1-Others Told You Bad TemperC100883SOAPR1-Others Told You Bad TemperScreener and Opioid Assessment for Patients with Pain - Revised - How often have others told you that you had a bad temper?SOAPP-R - Others Told You Bad Temper
SOAPR1-Run Out of Pain Med EarlyC100885SOAPR1-Run Out of Pain Med EarlyScreener and Opioid Assessment for Patients with Pain - Revised - How often have you run out of pain medication early?SOAPP-R - Run Out of Pain Medication Early
SOAPR1-ScoreC100895SOAPR1-ScoreScreener and Opioid Assessment for Patients with Pain - Revised - Score.SOAPP-R - Score
SOAPR1-Suggested Drug or Alcohol ProblemC100891SOAPR1-Suggested Drug or Alcohol ProblemScreener and Opioid Assessment for Patients with Pain - Revised - How often have others suggested that you have a drug or alcohol problem?SOAPP-R - Others Suggested Drug or Alcohol Problem
SOAPR1-Treated for Alcohol or Drug ProbC100893SOAPR1-Treated for Alcohol or Drug ProbScreener and Opioid Assessment for Patients with Pain - Revised - How often have you been treated for an alcohol or drug problem?SOAPP-R - Treated for Alcohol or Drug Problem
SOAPR1-Worried About Being Left AloneC100879SOAPR1-Worried About Being Left AloneScreener and Opioid Assessment for Patients with Pain - Revised - How often have you worried about being left alone?SOAPP-R - Worried About Being Left Alone
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CL.C185740.SF6D2TCSF-6Dv2 Health Utility Survey Acute, English Version 2.0 Questionnaire Test Code
(SF6D2TC)
text
Extensible: No
C185740SF-6Dv2 Health Utility Survey Acute, English Version 2.0 Questionnaire Test CodeSF-6Dv2 Health Utility Survey Acute, English Version 2.0 test code.CDISC Questionnaire SF6D Version 2.0 Acute Test Code Terminology
SF6D201C185763SF6D2-Health Limit Physical ActivitiesSF-6Dv2 Health Utility Survey Acute, English Version 2.0 (SF6D V2.0 ACUTE) - Does your health now limit you in your physical activities?SF6D Version 2.0 Acute - Health Limit Physical Activities
SF6D202C185764SF6D2-Accomplished Less Due to ProblemsSF-6Dv2 Health Utility Survey Acute, English Version 2.0 (SF6D V2.0 ACUTE) - During the past week how much of the time have you accomplished less than you would like at work or during other regular daily activities as a result of your physical health or emotional problems?SF6D Version 2.0 Acute - Accomplished Less Due to Problems
SF6D203C185765SF6D2-How Much Bodily Pain Have You HadSF-6Dv2 Health Utility Survey Acute, English Version 2.0 (SF6D V2.0 ACUTE) - During the past week, how much bodily pain have you had?SF6D Version 2.0 Acute - How Much Bodily Pain Have You Had
SF6D204C185766SF6D2-Time Have You Felt Worn OutSF-6Dv2 Health Utility Survey Acute, English Version 2.0 (SF6D V2.0 ACUTE) - During the past week, how much of the time have you felt worn out?SF6D Version 2.0 Acute - Time Have You Felt Worn Out
SF6D205C185767SF6D2-Interfered With Social ActivitiesSF-6Dv2 Health Utility Survey Acute, English Version 2.0 (SF6D V2.0 ACUTE) - During the past week, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting with friends, relatives, etc.)?SF6D Version 2.0 Acute - Interfered With Social Activities
SF6D206C185768SF6D2-Time Felt Depressed/Very NervousSF-6Dv2 Health Utility Survey Acute, English Version 2.0 (SF6D V2.0 ACUTE) - During the past week, how much of the time have you felt depressed or very nervous?SF6D Version 2.0 Acute - Time Felt Depressed/Very Nervous
SF6D207C185769SF6D2-Utililty Index Score UK WeightsSF-6Dv2 Health Utility Survey Acute, English Version 2.0 (SF6D V2.0 ACUTE) - Utility index score United Kingdom weights.SF6D Version 2.0 Acute - Utililty Index Score UK Weights
SF6D208C185770SF6D2-Utility Index Score CN WeightsSF-6Dv2 Health Utility Survey Acute, English Version 2.0 (SF6D V2.0 ACUTE) - Utility index score Canada weights.SF6D Version 2.0 Acute - Utility Index Score CN Weights
SF6D209C185771SF6D2-Utility Index Score AU WeightsSF-6Dv2 Health Utility Survey Acute, English Version 2.0 (SF6D V2.0 ACUTE) - Utility index score Australia weights.SF6D Version 2.0 Acute - Utility Index Score AU Weights
SF6D210C185772SF6D2-Utility Index Score US WeightsSF-6Dv2 Health Utility Survey Acute, English Version 2.0 (SF6D V2.0 ACUTE) - Utility index score United States weights.SF6D Version 2.0 Acute - Utility Index Score US Weights
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CL.C185739.SF6D2TNSF-6Dv2 Health Utility Survey Acute, English Version 2.0 Questionnaire Test Name
(SF6D2TN)
text
Extensible: No
C185739SF-6Dv2 Health Utility Survey Acute, English Version 2.0 Questionnaire Test NameSF-6Dv2 Health Utility Survey Acute, English Version 2.0 test name.CDISC Questionnaire SF6D Version 2.0 Acute Test Name Terminology
SF6D2-Accomplished Less Due to ProblemsC185764SF6D2-Accomplished Less Due to ProblemsSF-6Dv2 Health Utility Survey Acute, English Version 2.0 (SF6D V2.0 ACUTE) - During the past week how much of the time have you accomplished less than you would like at work or during other regular daily activities as a result of your physical health or emotional problems?SF6D Version 2.0 Acute - Accomplished Less Due to Problems
SF6D2-Health Limit Physical ActivitiesC185763SF6D2-Health Limit Physical ActivitiesSF-6Dv2 Health Utility Survey Acute, English Version 2.0 (SF6D V2.0 ACUTE) - Does your health now limit you in your physical activities?SF6D Version 2.0 Acute - Health Limit Physical Activities
SF6D2-How Much Bodily Pain Have You HadC185765SF6D2-How Much Bodily Pain Have You HadSF-6Dv2 Health Utility Survey Acute, English Version 2.0 (SF6D V2.0 ACUTE) - During the past week, how much bodily pain have you had?SF6D Version 2.0 Acute - How Much Bodily Pain Have You Had
SF6D2-Interfered With Social ActivitiesC185767SF6D2-Interfered With Social ActivitiesSF-6Dv2 Health Utility Survey Acute, English Version 2.0 (SF6D V2.0 ACUTE) - During the past week, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting with friends, relatives, etc.)?SF6D Version 2.0 Acute - Interfered With Social Activities
SF6D2-Time Felt Depressed/Very NervousC185768SF6D2-Time Felt Depressed/Very NervousSF-6Dv2 Health Utility Survey Acute, English Version 2.0 (SF6D V2.0 ACUTE) - During the past week, how much of the time have you felt depressed or very nervous?SF6D Version 2.0 Acute - Time Felt Depressed/Very Nervous
SF6D2-Time Have You Felt Worn OutC185766SF6D2-Time Have You Felt Worn OutSF-6Dv2 Health Utility Survey Acute, English Version 2.0 (SF6D V2.0 ACUTE) - During the past week, how much of the time have you felt worn out?SF6D Version 2.0 Acute - Time Have You Felt Worn Out
SF6D2-Utililty Index Score UK WeightsC185769SF6D2-Utililty Index Score UK WeightsSF-6Dv2 Health Utility Survey Acute, English Version 2.0 (SF6D V2.0 ACUTE) - Utility index score United Kingdom weights.SF6D Version 2.0 Acute - Utililty Index Score UK Weights
SF6D2-Utility Index Score AU WeightsC185771SF6D2-Utility Index Score AU WeightsSF-6Dv2 Health Utility Survey Acute, English Version 2.0 (SF6D V2.0 ACUTE) - Utility index score Australia weights.SF6D Version 2.0 Acute - Utility Index Score AU Weights
SF6D2-Utility Index Score CN WeightsC185770SF6D2-Utility Index Score CN WeightsSF-6Dv2 Health Utility Survey Acute, English Version 2.0 (SF6D V2.0 ACUTE) - Utility index score Canada weights.SF6D Version 2.0 Acute - Utility Index Score CN Weights
SF6D2-Utility Index Score US WeightsC185772SF6D2-Utility Index Score US WeightsSF-6Dv2 Health Utility Survey Acute, English Version 2.0 (SF6D V2.0 ACUTE) - Utility index score United States weights.SF6D Version 2.0 Acute - Utility Index Score US Weights
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CL.C185742.SF6D1TCSF-6Dv2 Health Utility Survey Standard, English Version 2.0 Questionnaire Test Code
(SF6D1TC)
text
Extensible: No
C185742SF-6Dv2 Health Utility Survey Standard, English Version 2.0 Questionnaire Test CodeSF-6Dv2 Health Utility Survey Standard, English Version 2.0 test code.CDISC Questionnaire SF6D Version 2.0 Standard Test Code Terminology
SF6D101C185773SF6D1-Health Limit Physical ActivitiesSF-6Dv2 Health Utility Survey Standard, English Version 2.0 (SF6D V2.0 STANDARD) - Does your health now limit you in your physical activities?SF6D Version 2.0 Standard - Health Limit Physical Activities
SF6D102C185774SF6D1-Accomplished Less Due to ProblemsSF-6Dv2 Health Utility Survey Standard, English Version 2.0 (SF6D V2.0 STANDARD) - During the past 4 weeks, how much of the time have you accomplished less than you would like at work or during other regular daily activities as a result of your physical health or emotional problems?SF6D Version 2.0 Standard - Accomplished Less Due to Problems
SF6D103C185775SF6D1-How Much Bodily Pain Have You HadSF-6Dv2 Health Utility Survey Standard, English Version 2.0 (SF6D V2.0 STANDARD) - During the past 4 weeks, how much bodily pain have you had?SF6D Version 2.0 Standard - How Much Bodily Pain Have You Had
SF6D104C185776SF6D1-Time Have You Felt Worn OutSF-6Dv2 Health Utility Survey Standard, English Version 2.0 (SF6D V2.0 STANDARD) - During the past 4 weeks, how much of the time have you felt worn out?SF6D Version 2.0 Standard - Time Have You Felt Worn Out
SF6D105C185777SF6D1-Interfered With Social ActivitiesSF-6Dv2 Health Utility Survey Standard, English Version 2.0 (SF6D V2.0 STANDARD) - During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting with friends, relatives, etc.)?SF6D Version 2.0 Standard - Interfered With Social Activities
SF6D106C185778SF6D1-Time Felt Depressed/Very NervousSF-6Dv2 Health Utility Survey Standard, English Version 2.0 (SF6D V2.0 STANDARD) - During the past 4 weeks, how much of the time have you felt depressed or very nervous?SF6D Version 2.0 Standard - Time Felt Depressed/Very Nervous
SF6D107C185779SF6D1-Utility Index Score UK WeightsSF-6Dv2 Health Utility Survey Standard, English Version 2.0 (SF6D V2.0 STANDARD) - Utility index score United Kingdom weights.SF6D Version 2.0 Standard - Utility Index Score UK Weights
SF6D108C185780SF6D1-Utility Index Score CN WeightsSF-6Dv2 Health Utility Survey Standard, English Version 2.0 (SF6D V2.0 STANDARD) - Utility index score Canada weights.SF6D Version 2.0 Standard - Utility Index Score CN Weights
SF6D109C185781SF6D1-Utility Index Score AU WeightsSF-6Dv2 Health Utility Survey Standard, English Version 2.0 (SF6D V2.0 STANDARD) - Utility index score Australia weights.SF6D Version 2.0 Standard - Utility Index Score AU Weights
SF6D110C185782SF6D1-Utility Index Score US WeightsSF-6Dv2 Health Utility Survey Standard, English Version 2.0 (SF6D V2.0 STANDARD) - Utility index score United States weights.SF6D Version 2.0 Standard - Utility Index Score US Weights
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CL.C185741.SF6D1TNSF-6Dv2 Health Utility Survey Standard, English Version 2.0 Questionnaire Test Name
(SF6D1TN)
text
Extensible: No
C185741SF-6Dv2 Health Utility Survey Standard, English Version 2.0 Questionnaire Test NameSF-6Dv2 Health Utility Survey Standard, English Version 2.0 test name.CDISC Questionnaire SF6D Version 2.0 Standard Test Name Terminology
SF6D1-Accomplished Less Due to ProblemsC185774SF6D1-Accomplished Less Due to ProblemsSF-6Dv2 Health Utility Survey Standard, English Version 2.0 (SF6D V2.0 STANDARD) - During the past 4 weeks, how much of the time have you accomplished less than you would like at work or during other regular daily activities as a result of your physical health or emotional problems?SF6D Version 2.0 Standard - Accomplished Less Due to Problems
SF6D1-Health Limit Physical ActivitiesC185773SF6D1-Health Limit Physical ActivitiesSF-6Dv2 Health Utility Survey Standard, English Version 2.0 (SF6D V2.0 STANDARD) - Does your health now limit you in your physical activities?SF6D Version 2.0 Standard - Health Limit Physical Activities
SF6D1-How Much Bodily Pain Have You HadC185775SF6D1-How Much Bodily Pain Have You HadSF-6Dv2 Health Utility Survey Standard, English Version 2.0 (SF6D V2.0 STANDARD) - During the past 4 weeks, how much bodily pain have you had?SF6D Version 2.0 Standard - How Much Bodily Pain Have You Had
SF6D1-Interfered With Social ActivitiesC185777SF6D1-Interfered With Social ActivitiesSF-6Dv2 Health Utility Survey Standard, English Version 2.0 (SF6D V2.0 STANDARD) - During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting with friends, relatives, etc.)?SF6D Version 2.0 Standard - Interfered With Social Activities
SF6D1-Time Felt Depressed/Very NervousC185778SF6D1-Time Felt Depressed/Very NervousSF-6Dv2 Health Utility Survey Standard, English Version 2.0 (SF6D V2.0 STANDARD) - During the past 4 weeks, how much of the time have you felt depressed or very nervous?SF6D Version 2.0 Standard - Time Felt Depressed/Very Nervous
SF6D1-Time Have You Felt Worn OutC185776SF6D1-Time Have You Felt Worn OutSF-6Dv2 Health Utility Survey Standard, English Version 2.0 (SF6D V2.0 STANDARD) - During the past 4 weeks, how much of the time have you felt worn out?SF6D Version 2.0 Standard - Time Have You Felt Worn Out
SF6D1-Utility Index Score AU WeightsC185781SF6D1-Utility Index Score AU WeightsSF-6Dv2 Health Utility Survey Standard, English Version 2.0 (SF6D V2.0 STANDARD) - Utility index score Australia weights.SF6D Version 2.0 Standard - Utility Index Score AU Weights
SF6D1-Utility Index Score CN WeightsC185780SF6D1-Utility Index Score CN WeightsSF-6Dv2 Health Utility Survey Standard, English Version 2.0 (SF6D V2.0 STANDARD) - Utility index score Canada weights.SF6D Version 2.0 Standard - Utility Index Score CN Weights
SF6D1-Utility Index Score UK WeightsC185779SF6D1-Utility Index Score UK WeightsSF-6Dv2 Health Utility Survey Standard, English Version 2.0 (SF6D V2.0 STANDARD) - Utility index score United Kingdom weights.SF6D Version 2.0 Standard - Utility Index Score UK Weights
SF6D1-Utility Index Score US WeightsC185782SF6D1-Utility Index Score US WeightsSF-6Dv2 Health Utility Survey Standard, English Version 2.0 (SF6D V2.0 STANDARD) - Utility index score United States weights.SF6D Version 2.0 Standard - Utility Index Score US Weights
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CL.C111350.SDS01TCSheehan Disability Scale Questionnaire Test Code
(SDS01TC)
text
Extensible: No
C111350Sheehan Disability Scale Questionnaire Test CodeSheehan Disability Scale test code.CDISC Questionnaire SDS Test Code Terminology
SDS0101C111521SDS01-Work/SchoolSheehan Disability Scale - The symptoms have disrupted your work/school work.SDS - Symptoms Disrupted Work/School Work
SDS0101AC111522SDS01-No Work/Study - Unrelated DisorderSheehan Disability Scale - I have not worked/studied at all during the past week for reasons unrelated to the disorder.SDS - Not Worked/Studied in Past Week for Reason Unrelated to Disorder
SDS0102C111523SDS01-Social LifeSheehan Disability Scale - The symptoms have disrupted your social life/leisure activities.SDS - Symptoms Disrupted Social Life/Leisure Activities
SDS0103C111524SDS01-Family Life/Home ResponsibilitiesSheehan Disability Scale - The symptoms have disrupted your family life/home responsibilities.SDS - Symptoms Disrupted Family Life/Home Responsibilities
SDS0104C111525SDS01-Days LostSheehan Disability Scale - On how many days in the last week did your symptoms cause you to miss school or work or leave you unable to carry out your normal daily responsibilities?SDS - Days Lost
SDS0105C111526SDS01-Days UnproductiveSheehan Disability Scale - On how many days in the last week did you feel so impaired by your symptoms, that even though you went to school or work or had other daily responsibilities, your productivity was reduced?SDS - Days Unproductive
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CL.C111349.SDS01TNSheehan Disability Scale Questionnaire Test Name
(SDS01TN)
text
Extensible: No
C111349Sheehan Disability Scale Questionnaire Test NameSheehan Disability Scale test name.CDISC Questionnaire SDS Test Name Terminology
SDS01-Days LostC111525SDS01-Days LostSheehan Disability Scale - On how many days in the last week did your symptoms cause you to miss school or work or leave you unable to carry out your normal daily responsibilities?SDS - Days Lost
SDS01-Days UnproductiveC111526SDS01-Days UnproductiveSheehan Disability Scale - On how many days in the last week did you feel so impaired by your symptoms, that even though you went to school or work or had other daily responsibilities, your productivity was reduced?SDS - Days Unproductive
SDS01-Family Life/Home ResponsibilitiesC111524SDS01-Family Life/Home ResponsibilitiesSheehan Disability Scale - The symptoms have disrupted your family life/home responsibilities.SDS - Symptoms Disrupted Family Life/Home Responsibilities
SDS01-No Work/Study - Unrelated DisorderC111522SDS01-No Work/Study - Unrelated DisorderSheehan Disability Scale - I have not worked/studied at all during the past week for reasons unrelated to the disorder.SDS - Not Worked/Studied in Past Week for Reason Unrelated to Disorder
SDS01-Social LifeC111523SDS01-Social LifeSheehan Disability Scale - The symptoms have disrupted your social life/leisure activities.SDS - Symptoms Disrupted Social Life/Leisure Activities
SDS01-Work/SchoolC111521SDS01-Work/SchoolSheehan Disability Scale - The symptoms have disrupted your work/school work.SDS - Symptoms Disrupted Work/School Work
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CL.C177710.SF102TCShort Form 10 Health Survey for Children Acute, US Version 1.0 Questionnaire Test Code
(SF102TC)
text
Extensible: No
C177710Short Form 10 Health Survey for Children Acute, US Version 1.0 Questionnaire Test CodeShort Form 10 Health Survey for Children Acute, US Version 1.0 test code.CDISC Questionnaire SF10 v1.0 Children Acute Test Code Terminology
SF10201C177827SF102-In General You Say Child Health IsThe Short Form 10 Health Survey Children Acute, US Version 1.0 - In general, would you say your child's health is.SF10 v1.0 Children Acute - In General You Say Child Health Is
SF10202AC177828SF102-Doing Things That Take Some EnergyThe Short Form 10 Health Survey Children Acute, US Version 1.0 - During the past week, has your child been limited in any of the following activities due to HEALTH problems - Doing things that take some energy such as riding a bike or skating?SF10 v1.0 Children Acute - Doing Things That Take Some Energy
SF10202BC177829SF102-Bending/Lifting/StoopingThe Short Form 10 Health Survey Children Acute, US Version 1.0 - During the past week, has your child been limited in any of the following activities due to HEALTH problems - bending, lifting, or stooping?SF10 v1.0 Children Acute - Bending, Lifting, Stooping
SF10203C177830SF102-Physical: Schoolwork/ActivitiesThe Short Form 10 Health Survey Children Acute, US Version 1.0 - During the past week, has your child been limited in the KIND of schoolwork or activities with friends he/she could do because of PHYSICAL health problems?SF10 v1.0 Children Acute - Physical: Schoolwork, Activities
SF10204C177831SF102-Emotional: Schoolwork/ActivitiesThe Short Form 10 Health Survey Children Acute, US Version 1.0 - During the past week, has your child been limited in the KIND of schoolwork or activities with friends he/she could do because of EMOTIONAL or BEHAVIORAL problems?SF10 v1.0 Children Acute - Emotional: Schoolwork, Activities
SF10205C177832SF102-How Much Bodily Pain Child HadThe Short Form 10 Health Survey Children Acute, US Version 1.0 - During the past week, how much bodily pain or discomfort has your child had?SF10 v1.0 Children Acute - How Much Bodily Pain Child Had
SF10206C177833SF102-Felt About His/Her FriendshipsThe Short Form 10 Health Survey Children Acute, US Version 1.0 - During the past week, how satisfied do you think your child has felt about his/her friendships?SF10 v1.0 Children Acute - Felt About His/Her Friendships
SF10207C177834SF102-Felt About His/Her Life OverallThe Short Form 10 Health Survey Children Acute, US Version 1.0 - During the past week, how satisfied do you think your child has felt about his/her life overall?SF10 v1.0 Children Acute - Felt About His/Her Life Overall
SF10208C177835SF102-Acted Bothered or UpsetThe Short Form 10 Health Survey Children Acute, US Version 1.0 - During the past week, how much of the time do you think your child acted bothered or upset?SF10 v1.0 Children Acute - Acted Bothered or Upset
SF10209C177836SF102-His/Her Behavior IsThe Short Form 10 Health Survey Children Acute, US Version 1.0 - Compared to other children your child's age, in general would you say his/her behavior is.SF10 v1.0 Children Acute - His/Her Behavior Is
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CL.C177709.SF102TNShort Form 10 Health Survey for Children Acute, US Version 1.0 Questionnaire Test Name
(SF102TN)
text
Extensible: No
C177709Short Form 10 Health Survey for Children Acute, US Version 1.0 Questionnaire Test NameShort Form 10 Health Survey for Children Acute, US Version 1.0 test name.CDISC Questionnaire SF10 v1.0 Children Acute Test Name Terminology
SF102-Acted Bothered or UpsetC177835SF102-Acted Bothered or UpsetThe Short Form 10 Health Survey Children Acute, US Version 1.0 - During the past week, how much of the time do you think your child acted bothered or upset?SF10 v1.0 Children Acute - Acted Bothered or Upset
SF102-Bending/Lifting/StoopingC177829SF102-Bending/Lifting/StoopingThe Short Form 10 Health Survey Children Acute, US Version 1.0 - During the past week, has your child been limited in any of the following activities due to HEALTH problems - bending, lifting, or stooping?SF10 v1.0 Children Acute - Bending, Lifting, Stooping
SF102-Doing Things That Take Some EnergyC177828SF102-Doing Things That Take Some EnergyThe Short Form 10 Health Survey Children Acute, US Version 1.0 - During the past week, has your child been limited in any of the following activities due to HEALTH problems - Doing things that take some energy such as riding a bike or skating?SF10 v1.0 Children Acute - Doing Things That Take Some Energy
SF102-Emotional: Schoolwork/ActivitiesC177831SF102-Emotional: Schoolwork/ActivitiesThe Short Form 10 Health Survey Children Acute, US Version 1.0 - During the past week, has your child been limited in the KIND of schoolwork or activities with friends he/she could do because of EMOTIONAL or BEHAVIORAL problems?SF10 v1.0 Children Acute - Emotional: Schoolwork, Activities
SF102-Felt About His/Her FriendshipsC177833SF102-Felt About His/Her FriendshipsThe Short Form 10 Health Survey Children Acute, US Version 1.0 - During the past week, how satisfied do you think your child has felt about his/her friendships?SF10 v1.0 Children Acute - Felt About His/Her Friendships
SF102-Felt About His/Her Life OverallC177834SF102-Felt About His/Her Life OverallThe Short Form 10 Health Survey Children Acute, US Version 1.0 - During the past week, how satisfied do you think your child has felt about his/her life overall?SF10 v1.0 Children Acute - Felt About His/Her Life Overall
SF102-His/Her Behavior IsC177836SF102-His/Her Behavior IsThe Short Form 10 Health Survey Children Acute, US Version 1.0 - Compared to other children your child's age, in general would you say his/her behavior is.SF10 v1.0 Children Acute - His/Her Behavior Is
SF102-How Much Bodily Pain Child HadC177832SF102-How Much Bodily Pain Child HadThe Short Form 10 Health Survey Children Acute, US Version 1.0 - During the past week, how much bodily pain or discomfort has your child had?SF10 v1.0 Children Acute - How Much Bodily Pain Child Had
SF102-In General You Say Child Health IsC177827SF102-In General You Say Child Health IsThe Short Form 10 Health Survey Children Acute, US Version 1.0 - In general, would you say your child's health is.SF10 v1.0 Children Acute - In General You Say Child Health Is
SF102-Physical: Schoolwork/ActivitiesC177830SF102-Physical: Schoolwork/ActivitiesThe Short Form 10 Health Survey Children Acute, US Version 1.0 - During the past week, has your child been limited in the KIND of schoolwork or activities with friends he/she could do because of PHYSICAL health problems?SF10 v1.0 Children Acute - Physical: Schoolwork, Activities
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CL.C177712.SF101TCShort Form 10 Health Survey for Children Standard, US Version 1.0 Questionnaire Test Code
(SF101TC)
text
Extensible: No
C177712Short Form 10 Health Survey for Children Standard, US Version 1.0 Questionnaire Test CodeShort Form 10 Health Survey for Children Standard, US Version 1.0 test code.CDISC Questionnaire SF10 v1.0 Children Standard Test Code Terminology
SF10101C177837SF101-In General You Say Child Health IsThe Short Form 10 Health Survey Children Standard, US Version 1.0 - In general, would you say your child's health is.SF10 v1.0 Children Standard - In General You Say Child Health Is
SF10102AC177838SF101-Doing Things That Take Some EnergyThe Short Form 10 Health Survey Children Standard, US Version 1.0 - During the past 4 weeks, has your child been limited in any activities due to HEALTH problems - Doing things that take some energy such as riding a bike or skating?SF10 v1.0 Children Standard - Doing Things That Take Some Energy
SF10102BC177839SF101-Bending/Lifting/StoopingThe Short Form 10 Health Survey Children Standard, US Version 1.0 - During the past 4 weeks, has your child been limited in any activities due to HEALTH problems - bending, lifting, or stooping?SF10 v1.0 Children Standard - Bending, Lifting, Stooping
SF10103C177840SF101-Physical: Schoolwork/ActivitiesThe Short Form 10 Health Survey Children Standard, US Version 1.0 - During the past 4 weeks, has your child been limited in the KIND of schoolwork or activities with friends he/she could do because of PHYSICAL health problems?SF10 v1.0 Children Standard - Physical: Schoolwork, Activities
SF10104C177841SF101-Emotional: Schoolwork/ActivitiesThe Short Form 10 Health Survey Children Standard, US Version 1.0 - During the past 4 weeks, has your child been limited in the KIND of schoolwork or activities with friends he/she could do because of EMOTIONAL or BEHAVIORAL problems?.SF10 v1.0 Children Standard - Emotional: Schoolwork, Activities
SF10105C177842SF101-How Much Bodily Pain Child HadThe Short Form 10 Health Survey Children Standard, US Version 1.0 - During the past 4 weeks, how much bodily pain or discomfort has your child had?SF10 v1.0 Children Standard - How Much Bodily Pain Child Had
SF10106C177843SF101-Felt About His/Her FriendshipsThe Short Form 10 Health Survey Children Standard, US Version 1.0 - During the past 4 weeks, how satisfied do you think your child has felt about his/her friendships?SF10 v1.0 Children Standard - Felt About His/Her Friendships
SF10107C177844SF101-Felt About His/Her Life OverallThe Short Form 10 Health Survey Children Standard, US Version 1.0 - During the past 4 weeks, how satisfied do you think your child has felt about his/her life overall?SF10 v1.0 Children Standard - Felt About His/Her Life Overall
SF10108C177845SF101-Acted Bothered or UpsetThe Short Form 10 Health Survey Children Standard, US Version 1.0 - During the past 4 weeks, how much of the time do you think your child acted bothered or upset?SF10 v1.0 Children Standard - Acted Bothered or Upset
SF10109C177846SF101-His/Her Behavior IsThe Short Form 10 Health Survey Children Standard, US Version 1.0 - Compared to other children your child's age, in general would you say his/her behavior is.SF10 v1.0 Children Standard - His/Her Behavior Is
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CL.C177711.SF101TNShort Form 10 Health Survey for Children Standard, US Version 1.0 Questionnaire Test Name
(SF101TN)
text
Extensible: No
C177711Short Form 10 Health Survey for Children Standard, US Version 1.0 Questionnaire Test NameShort Form 10 Health Survey for Children Standard, US Version 1.0 test name.CDISC Questionnaire SF10 v1.0 Children Standard Test Name Terminology
SF101-Acted Bothered or UpsetC177845SF101-Acted Bothered or UpsetThe Short Form 10 Health Survey Children Standard, US Version 1.0 - During the past 4 weeks, how much of the time do you think your child acted bothered or upset?SF10 v1.0 Children Standard - Acted Bothered or Upset
SF101-Bending/Lifting/StoopingC177839SF101-Bending/Lifting/StoopingThe Short Form 10 Health Survey Children Standard, US Version 1.0 - During the past 4 weeks, has your child been limited in any activities due to HEALTH problems - bending, lifting, or stooping?SF10 v1.0 Children Standard - Bending, Lifting, Stooping
SF101-Doing Things That Take Some EnergyC177838SF101-Doing Things That Take Some EnergyThe Short Form 10 Health Survey Children Standard, US Version 1.0 - During the past 4 weeks, has your child been limited in any activities due to HEALTH problems - Doing things that take some energy such as riding a bike or skating?SF10 v1.0 Children Standard - Doing Things That Take Some Energy
SF101-Emotional: Schoolwork/ActivitiesC177841SF101-Emotional: Schoolwork/ActivitiesThe Short Form 10 Health Survey Children Standard, US Version 1.0 - During the past 4 weeks, has your child been limited in the KIND of schoolwork or activities with friends he/she could do because of EMOTIONAL or BEHAVIORAL problems?.SF10 v1.0 Children Standard - Emotional: Schoolwork, Activities
SF101-Felt About His/Her FriendshipsC177843SF101-Felt About His/Her FriendshipsThe Short Form 10 Health Survey Children Standard, US Version 1.0 - During the past 4 weeks, how satisfied do you think your child has felt about his/her friendships?SF10 v1.0 Children Standard - Felt About His/Her Friendships
SF101-Felt About His/Her Life OverallC177844SF101-Felt About His/Her Life OverallThe Short Form 10 Health Survey Children Standard, US Version 1.0 - During the past 4 weeks, how satisfied do you think your child has felt about his/her life overall?SF10 v1.0 Children Standard - Felt About His/Her Life Overall
SF101-His/Her Behavior IsC177846SF101-His/Her Behavior IsThe Short Form 10 Health Survey Children Standard, US Version 1.0 - Compared to other children your child's age, in general would you say his/her behavior is.SF10 v1.0 Children Standard - His/Her Behavior Is
SF101-How Much Bodily Pain Child HadC177842SF101-How Much Bodily Pain Child HadThe Short Form 10 Health Survey Children Standard, US Version 1.0 - During the past 4 weeks, how much bodily pain or discomfort has your child had?SF10 v1.0 Children Standard - How Much Bodily Pain Child Had
SF101-In General You Say Child Health IsC177837SF101-In General You Say Child Health IsThe Short Form 10 Health Survey Children Standard, US Version 1.0 - In general, would you say your child's health is.SF10 v1.0 Children Standard - In General You Say Child Health Is
SF101-Physical: Schoolwork/ActivitiesC177840SF101-Physical: Schoolwork/ActivitiesThe Short Form 10 Health Survey Children Standard, US Version 1.0 - During the past 4 weeks, has your child been limited in the KIND of schoolwork or activities with friends he/she could do because of PHYSICAL health problems?SF10 v1.0 Children Standard - Physical: Schoolwork, Activities
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CL.C177714.SF122TCShort Form 12 Health Survey Acute, US Version 1.0 Questionnaire Test Code
(SF122TC)
text
Extensible: No
C177714Short Form 12 Health Survey Acute, US Version 1.0 Questionnaire Test CodeShort Form 12 Health Survey Acute, US Version 1.0 test code.CDISC Questionnaire SF12 v1.0 Acute Test Code Terminology
SF12201C177847SF122-In General You Say Your Health IsThe Short Form 12 Health Survey Acute, US Version 1.0 - In general, would you say your health is.SF12 v1.0 Acute - In General You Say Your Health Is
SF12202AC177848SF122-Limit Moderate ActivitiesThe Short Form 12 Health Survey Acute, US Version 1.0 - How much does your health now limit you in - moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf.SF12 v1.0 Acute - Limit Moderate Activities
SF12202BC177849SF122-Limit Climbing Several FlightsThe Short Form 12 Health Survey Acute, US Version 1.0 - How much does your health now limit you in - climbing several flights of stairs.SF12 v1.0 Acute - Limit Climbing Several Flights
SF12203AC177850SF122-Physical: Accomplished LessThe Short Form 12 Health Survey Acute, US Version 1.0 - During the past week, have you had any of the following problems with your work or other regular daily activities as a result of your physical health - accomplished less than you would like.SF12 v1.0 Acute - Physical: Accomplished Less
SF12203BC177851SF122-Physical: Limited Kind of WorkThe Short Form 12 Health Survey Acute, US Version 1.0 - During the past week, have you had any of the following problems with your work or other regular daily activities as a result of your physical health - were limited in the kind of work or other activities.SF12 v1.0 Acute - Physical: Limited Kind of Work
SF12204AC177852SF122-Emotional: Accomplished LessThe Short Form 12 Health Survey Acute, US Version 1.0 - During the past week, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - accomplished less than you would like.SF12 v1.0 Acute - Emotional: Accomplished Less
SF12204BC177853SF122-Emotional: Did Work Less CarefullyThe Short Form 12 Health Survey Acute, US Version 1.0 - During the past week, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - did work or other activities less carefully than usual.SF12 v1.0 Acute - Emotional: Did Work Less Carefully
SF12205C177854SF122-Pain Interfere With Normal WorkThe Short Form 12 Health Survey Acute, US Version 1.0 - During the past week, how much did pain interfere with your normal work (including both work outside the home and housework)?SF12 v1.0 Acute - Pain Interfere With Normal Work
SF12206AC177855SF122-Have You Felt Calm and PeacefulThe Short Form 12 Health Survey Acute, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you felt calm and peaceful?SF12 v1.0 Acute - Have You Felt Calm and Peaceful
SF12206BC177856SF122-Did You Have a Lot of EnergyThe Short Form 12 Health Survey Acute, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - did you have a lot of energy?SF12 v1.0 Acute - Did You Have a Lot of Energy
SF12206CC177857SF122-You Felt Downhearted and BlueThe Short Form 12 Health Survey Acute, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you felt downhearted and blue?SF12 v1.0 Acute - You Felt Downhearted and Blue
SF12207C177858SF122-Time Phys/Emotional InterferedThe Short Form 12 Health Survey Acute, US Version 1.0 - During the past week, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting friends, relatives, etc.)?SF12 v1.0 Acute - Time Physical Health, Emotional Interfered
SF12208C180454SF122-Physical Component ScoreThe Short Form 12 Health Survey Acute, US Version 1.0 - Physical component score.SF12 v1.0 Acute - Physical Component Score
SF12209C180455SF122-Mental Component ScoreThe Short Form 12 Health Survey Acute, US Version 1.0 - Mental component score.SF12 v1.0 Acute - Mental Component Score
SF12210C180456SF122-SF-6D_R2 (Util Index Rel 2) ScoreThe Short Form 12 Health Survey Acute, US Version 1.0 - SF-6D_R2 (utility index release 2) score.SF12 v1.0 Acute - SF-6D_R2 Score
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CL.C177713.SF122TNShort Form 12 Health Survey Acute, US Version 1.0 Questionnaire Test Name
(SF122TN)
text
Extensible: No
C177713Short Form 12 Health Survey Acute, US Version 1.0 Questionnaire Test NameShort Form 12 Health Survey Acute, US Version 1.0 test name.CDISC Questionnaire SF12 v1.0 Acute Test Name Terminology
SF122-Did You Have a Lot of EnergyC177856SF122-Did You Have a Lot of EnergyThe Short Form 12 Health Survey Acute, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - did you have a lot of energy?SF12 v1.0 Acute - Did You Have a Lot of Energy
SF122-Emotional: Accomplished LessC177852SF122-Emotional: Accomplished LessThe Short Form 12 Health Survey Acute, US Version 1.0 - During the past week, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - accomplished less than you would like.SF12 v1.0 Acute - Emotional: Accomplished Less
SF122-Emotional: Did Work Less CarefullyC177853SF122-Emotional: Did Work Less CarefullyThe Short Form 12 Health Survey Acute, US Version 1.0 - During the past week, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - did work or other activities less carefully than usual.SF12 v1.0 Acute - Emotional: Did Work Less Carefully
SF122-Have You Felt Calm and PeacefulC177855SF122-Have You Felt Calm and PeacefulThe Short Form 12 Health Survey Acute, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you felt calm and peaceful?SF12 v1.0 Acute - Have You Felt Calm and Peaceful
SF122-In General You Say Your Health IsC177847SF122-In General You Say Your Health IsThe Short Form 12 Health Survey Acute, US Version 1.0 - In general, would you say your health is.SF12 v1.0 Acute - In General You Say Your Health Is
SF122-Limit Climbing Several FlightsC177849SF122-Limit Climbing Several FlightsThe Short Form 12 Health Survey Acute, US Version 1.0 - How much does your health now limit you in - climbing several flights of stairs.SF12 v1.0 Acute - Limit Climbing Several Flights
SF122-Limit Moderate ActivitiesC177848SF122-Limit Moderate ActivitiesThe Short Form 12 Health Survey Acute, US Version 1.0 - How much does your health now limit you in - moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf.SF12 v1.0 Acute - Limit Moderate Activities
SF122-Mental Component ScoreC180455SF122-Mental Component ScoreThe Short Form 12 Health Survey Acute, US Version 1.0 - Mental component score.SF12 v1.0 Acute - Mental Component Score
SF122-Pain Interfere With Normal WorkC177854SF122-Pain Interfere With Normal WorkThe Short Form 12 Health Survey Acute, US Version 1.0 - During the past week, how much did pain interfere with your normal work (including both work outside the home and housework)?SF12 v1.0 Acute - Pain Interfere With Normal Work
SF122-Physical Component ScoreC180454SF122-Physical Component ScoreThe Short Form 12 Health Survey Acute, US Version 1.0 - Physical component score.SF12 v1.0 Acute - Physical Component Score
SF122-Physical: Accomplished LessC177850SF122-Physical: Accomplished LessThe Short Form 12 Health Survey Acute, US Version 1.0 - During the past week, have you had any of the following problems with your work or other regular daily activities as a result of your physical health - accomplished less than you would like.SF12 v1.0 Acute - Physical: Accomplished Less
SF122-Physical: Limited Kind of WorkC177851SF122-Physical: Limited Kind of WorkThe Short Form 12 Health Survey Acute, US Version 1.0 - During the past week, have you had any of the following problems with your work or other regular daily activities as a result of your physical health - were limited in the kind of work or other activities.SF12 v1.0 Acute - Physical: Limited Kind of Work
SF122-SF-6D_R2 (Util Index Rel 2) ScoreC180456SF122-SF-6D_R2 (Util Index Rel 2) ScoreThe Short Form 12 Health Survey Acute, US Version 1.0 - SF-6D_R2 (utility index release 2) score.SF12 v1.0 Acute - SF-6D_R2 Score
SF122-Time Phys/Emotional InterferedC177858SF122-Time Phys/Emotional InterferedThe Short Form 12 Health Survey Acute, US Version 1.0 - During the past week, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting friends, relatives, etc.)?SF12 v1.0 Acute - Time Physical Health, Emotional Interfered
SF122-You Felt Downhearted and BlueC177857SF122-You Felt Downhearted and BlueThe Short Form 12 Health Survey Acute, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you felt downhearted and blue?SF12 v1.0 Acute - You Felt Downhearted and Blue
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CL.C177718.SF124TCShort Form 12 Health Survey Acute, US Version 2.0 Questionnaire Test Code
(SF124TC)
text
Extensible: No
C177718Short Form 12 Health Survey Acute, US Version 2.0 Questionnaire Test CodeShort Form 12 Health Survey Acute, US Version 2.0 test code.CDISC Questionnaire SF12 v2.0 Acute Test Code Terminology
SF12401C177871SF124-In General You Say Your Health IsThe Short Form 12 Health Survey Acute, US Version 2.0 - In general, would you say your health is.SF12 v2.0 Acute - In General You Say Your Health Is
SF12402AC177872SF124-Limit Moderate ActivitiesThe Short Form 12 Health Survey Acute, US Version 2.0 - The following questions are about activities you might do during a typical day. Does your health now limit you in these activities?SF12 v2.0 Acute - Limit Moderate Activities
SF12402BC177873SF124-Limit Climbing Several FlightsThe Short Form 12 Health Survey Acute, US Version 2.0 - How much does your health now limit you in - climbing several flights of stairs.SF12 v2.0 Acute - Limit Climbing Several Flights
SF12403AC177874SF124-Physical: Accomplished LessThe Short Form 12 Health Survey Acute, US Version 2.0 - During the past week, how much of the time have you had any of the following problems with your work or other regular daily activities as a result of your physical health - accomplished less than you would like.SF12 v2.0 Acute - Physical: Accomplished Less
SF12403BC177875SF124-Physical: Limited Kind of WorkThe Short Form 12 Health Survey Acute, US Version 2.0 - During the past week, how much of the time have you had any of the following problems with your work or other regular daily activities as a result of your physical health - were limited in the kind of work or other activities.SF12 v2.0 Acute - Physical: Limited Kind of Work
SF12404AC177876SF124-Emotional: Accomplished LessThe Short Form 12 Health Survey Acute, US Version 2.0 - During the past week, how much of the time have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - accomplished less than you would like.SF12 v2.0 Acute - Emotional: Accomplished Less
SF12404BC177877SF124-Emotional: Did Work Less CarefullyThe Short Form 12 Health Survey Acute, US Version 2.0 - During the past week, how much of the time have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - did work or other activities less carefully than usual.SF12 v2.0 Acute - Emotional: Did Work Less Carefully
SF12405C177878SF124-Pain Interfere With Normal WorkThe Short Form 12 Health Survey Acute, US Version 2.0 - During the past week, how much did pain interfere with your normal work (including both work outside the home and housework)?SF12 v2.0 Acute - Pain Interfere With Normal Work
SF12406AC177879SF124-Have You Felt Calm and PeacefulThe Short Form 12 Health Survey Acute, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you felt calm and peaceful?SF12 v2.0 Acute - Have You Felt Calm and Peaceful
SF12406BC177880SF124-Did You Have a Lot of EnergyThe Short Form 12 Health Survey Acute, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - did you have a lot of energy?SF12 v2.0 Acute - Did You Have a Lot of Energy
SF12406CC177881SF124-You Felt Downhearted and DepressedThe Short Form 12 Health Survey Acute, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you felt downhearted and depressed?SF12 v2.0 Acute - You Felt Downhearted and Depressed
SF12407C177882SF124-Time Phys/Emotional InterferedThe Short Form 12 Health Survey Acute, US Version 2.0 - During the past week, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting friends, relatives, etc.)?SF12 v2.0 Acute - Time Physical Health, Emotional Interfered
SF12408C180460SF124-Physical Functioning 0-100 ScoreThe Short Form 12 Health Survey Acute, US Version 2.0 - Physical functioning 0-100 score.SF12 v2.0 Acute - Physical Functioning 0-100 Score
SF12409C180461SF124-Role Physical 0-100 ScoreThe Short Form 12 Health Survey Acute, US Version 2.0 - Role physical 0-100 score.SF12 v2.0 Acute - Role Physical 0-100 Score
SF12410C180462SF124-Bodily Pain 0-100 ScoreThe Short Form 12 Health Survey Acute, US Version 2.0 - Bodily pain 0-100 score.SF12 v2.0 Acute - Bodily Pain 0-100 Score
SF12411C180463SF124-General Health 0-100 ScoreThe Short Form 12 Health Survey Acute, US Version 2.0 - General health 0-100 score.SF12 v2.0 Acute - General Health 0-100 Score
SF12412C180464SF124-Vitality 0-100 ScoreThe Short Form 12 Health Survey Acute, US Version 2.0 - Vitality 0-100 score.SF12 v2.0 Acute - Vitality 0-100 Score
SF12413C180465SF124-Social Functioning 0-100 ScoreThe Short Form 12 Health Survey Acute, US Version 2.0 - Social functioning 0-100 score.SF12 v2.0 Acute - Social Functioning 0-100 Score
SF12414C180466SF124-Role Emotional 0-100 ScoreThe Short Form 12 Health Survey Acute, US Version 2.0 - Role emotional 0-100 score.SF12 v2.0 Acute - Role Emotional 0-100 Score
SF12415C180467SF124-Mental Health 0-100 ScoreThe Short Form 12 Health Survey Acute, US Version 2.0 - Mental health 0-100 score.SF12 v2.0 Acute - Mental Health 0-100 Score
SF12416C180468SF124-Phys Functioning Norm-Based ScoreThe Short Form 12 Health Survey Acute, US Version 2.0 - Physical functioning norm-based score.SF12 v2.0 Acute - Phys Functioning Norm-Based Score
SF12417C180469SF124-Role Physical Norm-Based ScoreThe Short Form 12 Health Survey Acute, US Version 2.0 - Role physical norm-based score.SF12 v2.0 Acute - Role Physical Norm-Based Score
SF12418C180470SF124-Bodily Pain Norm-Based ScoreThe Short Form 12 Health Survey Acute, US Version 2.0 - Bodily pain norm-based score.SF12 v2.0 Acute - Bodily Pain Norm-Based Score
SF12419C180471SF124-General Health Norm-Based ScoreThe Short Form 12 Health Survey Acute, US Version 2.0 - General health norm-based score.SF12 v2.0 Acute - General Health Norm-Based Score
SF12420C180472SF124-Vitality Norm-Based ScoreThe Short Form 12 Health Survey Acute, US Version 2.0 - Vitality norm-based score.SF12 v2.0 Acute - Vitality Norm-Based Score
SF12421C180473SF124-Social Function Norm-Based ScoreThe Short Form 12 Health Survey Acute, US Version 2.0 - Social function norm-based score.SF12 v2.0 Acute - Social Function Norm-Based Score
SF12422C180474SF124-Role Emotional Norm-Based ScoreThe Short Form 12 Health Survey Acute, US Version 2.0 - Role emotional norm-based score.SF12 v2.0 Acute - Role Emotional Norm-Based Score
SF12423C180475SF124-Mental Health Norm-Based ScoreThe Short Form 12 Health Survey Acute, US Version 2.0 - Mental health norm-based score.SF12 v2.0 Acute - Mental Health Norm-Based Score
SF12424C180476SF124-Physical Component ScoreThe Short Form 12 Health Survey Acute, US Version 2.0 - Physical component score.SF12 v2.0 Acute - Physical Component Score
SF12425C180477SF124-Mental Component ScoreThe Short Form 12 Health Survey Acute, US Version 2.0 - Mental component score.SF12 v2.0 Acute - Mental Component Score
SF12426C180478SF124-SF-6D_R2 (Util Index Rel 2) ScoreThe Short Form 12 Health Survey Acute, US Version 2.0 - SF-6D_R2 (utility index release 2) score.SF12 v2.0 Acute - SF-6D_R2 (Util Index Rel 2) Score
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CL.C177717.SF124TNShort Form 12 Health Survey Acute, US Version 2.0 Questionnaire Test Name
(SF124TN)
text
Extensible: No
C177717Short Form 12 Health Survey Acute, US Version 2.0 Questionnaire Test NameShort Form 12 Health Survey Acute, US Version 2.0 test name.CDISC Questionnaire SF12 v2.0 Acute Test Name Terminology
SF124-Bodily Pain 0-100 ScoreC180462SF124-Bodily Pain 0-100 ScoreThe Short Form 12 Health Survey Acute, US Version 2.0 - Bodily pain 0-100 score.SF12 v2.0 Acute - Bodily Pain 0-100 Score
SF124-Bodily Pain Norm-Based ScoreC180470SF124-Bodily Pain Norm-Based ScoreThe Short Form 12 Health Survey Acute, US Version 2.0 - Bodily pain norm-based score.SF12 v2.0 Acute - Bodily Pain Norm-Based Score
SF124-Did You Have a Lot of EnergyC177880SF124-Did You Have a Lot of EnergyThe Short Form 12 Health Survey Acute, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - did you have a lot of energy?SF12 v2.0 Acute - Did You Have a Lot of Energy
SF124-Emotional: Accomplished LessC177876SF124-Emotional: Accomplished LessThe Short Form 12 Health Survey Acute, US Version 2.0 - During the past week, how much of the time have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - accomplished less than you would like.SF12 v2.0 Acute - Emotional: Accomplished Less
SF124-Emotional: Did Work Less CarefullyC177877SF124-Emotional: Did Work Less CarefullyThe Short Form 12 Health Survey Acute, US Version 2.0 - During the past week, how much of the time have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - did work or other activities less carefully than usual.SF12 v2.0 Acute - Emotional: Did Work Less Carefully
SF124-General Health 0-100 ScoreC180463SF124-General Health 0-100 ScoreThe Short Form 12 Health Survey Acute, US Version 2.0 - General health 0-100 score.SF12 v2.0 Acute - General Health 0-100 Score
SF124-General Health Norm-Based ScoreC180471SF124-General Health Norm-Based ScoreThe Short Form 12 Health Survey Acute, US Version 2.0 - General health norm-based score.SF12 v2.0 Acute - General Health Norm-Based Score
SF124-Have You Felt Calm and PeacefulC177879SF124-Have You Felt Calm and PeacefulThe Short Form 12 Health Survey Acute, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you felt calm and peaceful?SF12 v2.0 Acute - Have You Felt Calm and Peaceful
SF124-In General You Say Your Health IsC177871SF124-In General You Say Your Health IsThe Short Form 12 Health Survey Acute, US Version 2.0 - In general, would you say your health is.SF12 v2.0 Acute - In General You Say Your Health Is
SF124-Limit Climbing Several FlightsC177873SF124-Limit Climbing Several FlightsThe Short Form 12 Health Survey Acute, US Version 2.0 - How much does your health now limit you in - climbing several flights of stairs.SF12 v2.0 Acute - Limit Climbing Several Flights
SF124-Limit Moderate ActivitiesC177872SF124-Limit Moderate ActivitiesThe Short Form 12 Health Survey Acute, US Version 2.0 - The following questions are about activities you might do during a typical day. Does your health now limit you in these activities?SF12 v2.0 Acute - Limit Moderate Activities
SF124-Mental Component ScoreC180477SF124-Mental Component ScoreThe Short Form 12 Health Survey Acute, US Version 2.0 - Mental component score.SF12 v2.0 Acute - Mental Component Score
SF124-Mental Health 0-100 ScoreC180467SF124-Mental Health 0-100 ScoreThe Short Form 12 Health Survey Acute, US Version 2.0 - Mental health 0-100 score.SF12 v2.0 Acute - Mental Health 0-100 Score
SF124-Mental Health Norm-Based ScoreC180475SF124-Mental Health Norm-Based ScoreThe Short Form 12 Health Survey Acute, US Version 2.0 - Mental health norm-based score.SF12 v2.0 Acute - Mental Health Norm-Based Score
SF124-Pain Interfere With Normal WorkC177878SF124-Pain Interfere With Normal WorkThe Short Form 12 Health Survey Acute, US Version 2.0 - During the past week, how much did pain interfere with your normal work (including both work outside the home and housework)?SF12 v2.0 Acute - Pain Interfere With Normal Work
SF124-Phys Functioning Norm-Based ScoreC180468SF124-Phys Functioning Norm-Based ScoreThe Short Form 12 Health Survey Acute, US Version 2.0 - Physical functioning norm-based score.SF12 v2.0 Acute - Phys Functioning Norm-Based Score
SF124-Physical Component ScoreC180476SF124-Physical Component ScoreThe Short Form 12 Health Survey Acute, US Version 2.0 - Physical component score.SF12 v2.0 Acute - Physical Component Score
SF124-Physical Functioning 0-100 ScoreC180460SF124-Physical Functioning 0-100 ScoreThe Short Form 12 Health Survey Acute, US Version 2.0 - Physical functioning 0-100 score.SF12 v2.0 Acute - Physical Functioning 0-100 Score
SF124-Physical: Accomplished LessC177874SF124-Physical: Accomplished LessThe Short Form 12 Health Survey Acute, US Version 2.0 - During the past week, how much of the time have you had any of the following problems with your work or other regular daily activities as a result of your physical health - accomplished less than you would like.SF12 v2.0 Acute - Physical: Accomplished Less
SF124-Physical: Limited Kind of WorkC177875SF124-Physical: Limited Kind of WorkThe Short Form 12 Health Survey Acute, US Version 2.0 - During the past week, how much of the time have you had any of the following problems with your work or other regular daily activities as a result of your physical health - were limited in the kind of work or other activities.SF12 v2.0 Acute - Physical: Limited Kind of Work
SF124-Role Emotional 0-100 ScoreC180466SF124-Role Emotional 0-100 ScoreThe Short Form 12 Health Survey Acute, US Version 2.0 - Role emotional 0-100 score.SF12 v2.0 Acute - Role Emotional 0-100 Score
SF124-Role Emotional Norm-Based ScoreC180474SF124-Role Emotional Norm-Based ScoreThe Short Form 12 Health Survey Acute, US Version 2.0 - Role emotional norm-based score.SF12 v2.0 Acute - Role Emotional Norm-Based Score
SF124-Role Physical 0-100 ScoreC180461SF124-Role Physical 0-100 ScoreThe Short Form 12 Health Survey Acute, US Version 2.0 - Role physical 0-100 score.SF12 v2.0 Acute - Role Physical 0-100 Score
SF124-Role Physical Norm-Based ScoreC180469SF124-Role Physical Norm-Based ScoreThe Short Form 12 Health Survey Acute, US Version 2.0 - Role physical norm-based score.SF12 v2.0 Acute - Role Physical Norm-Based Score
SF124-SF-6D_R2 (Util Index Rel 2) ScoreC180478SF124-SF-6D_R2 (Util Index Rel 2) ScoreThe Short Form 12 Health Survey Acute, US Version 2.0 - SF-6D_R2 (utility index release 2) score.SF12 v2.0 Acute - SF-6D_R2 (Util Index Rel 2) Score
SF124-Social Function Norm-Based ScoreC180473SF124-Social Function Norm-Based ScoreThe Short Form 12 Health Survey Acute, US Version 2.0 - Social function norm-based score.SF12 v2.0 Acute - Social Function Norm-Based Score
SF124-Social Functioning 0-100 ScoreC180465SF124-Social Functioning 0-100 ScoreThe Short Form 12 Health Survey Acute, US Version 2.0 - Social functioning 0-100 score.SF12 v2.0 Acute - Social Functioning 0-100 Score
SF124-Time Phys/Emotional InterferedC177882SF124-Time Phys/Emotional InterferedThe Short Form 12 Health Survey Acute, US Version 2.0 - During the past week, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting friends, relatives, etc.)?SF12 v2.0 Acute - Time Physical Health, Emotional Interfered
SF124-Vitality 0-100 ScoreC180464SF124-Vitality 0-100 ScoreThe Short Form 12 Health Survey Acute, US Version 2.0 - Vitality 0-100 score.SF12 v2.0 Acute - Vitality 0-100 Score
SF124-Vitality Norm-Based ScoreC180472SF124-Vitality Norm-Based ScoreThe Short Form 12 Health Survey Acute, US Version 2.0 - Vitality norm-based score.SF12 v2.0 Acute - Vitality Norm-Based Score
SF124-You Felt Downhearted and DepressedC177881SF124-You Felt Downhearted and DepressedThe Short Form 12 Health Survey Acute, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you felt downhearted and depressed?SF12 v2.0 Acute - You Felt Downhearted and Depressed
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CL.C177716.SF121TCShort Form 12 Health Survey Standard, US Version 1.0 Questionnaire Test Code
(SF121TC)
text
Extensible: No
C177716Short Form 12 Health Survey Standard, US Version 1.0 Questionnaire Test CodeShort Form 12 Health Survey Standard, US Version 1.0 test code.CDISC Questionnaire SF12 v1.0 Standard Test Code Terminology
SF12101C177859SF121-In General You Say Your Health IsThe Short Form 12 Health Survey Standard, US Version 1.0 - In general, would you say your health is.SF12 v1.0 Standard - In General You Say Your Health Is
SF12102AC177860SF121-Limit Moderate ActivitiesThe Short Form 12 Health Survey Standard, US Version 1.0 - How much does your health now limit you in - moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf.SF12 v1.0 Standard - Limit Moderate Activities
SF12102BC177861SF121-Limit Climbing Several FlightsThe Short Form 12 Health Survey Standard, US Version 1.0 - How much does your health now limit you in - climbing several flights of stairs.SF12 v1.0 Standard - Limit Climbing Several Flights
SF12103AC177862SF121-Physical: Accomplished LessThe Short Form 12 Health Survey Standard, US Version 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health - accomplished less than you would like.SF12 v1.0 Standard - Physical: Accomplished Less
SF12103BC177863SF121-Physical: Limited Kind of WorkThe Short Form 12 Health Survey Standard, US Version 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health - were limited in the kind of work or other activities.SF12 v1.0 Standard - Physical: Limited Kind of Work
SF12104AC177864SF121-Emotional: Accomplished LessThe Short Form 12 Health Survey Standard, US Version 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - accomplished less than you would like.SF12 v1.0 Standard - Emotional: Accomplished Less
SF12104BC177865SF121-Emotional: Did Work Less CarefullyThe Short Form 12 Health Survey Standard, US Version 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - did work or other activities less carefully than usual.SF12 v1.0 Standard - Emotional: Did Work Less Carefully
SF12105C177866SF121-Pain Interfere With Normal WorkThe Short Form 12 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much did pain interfere with your normal work (including both work outside the home and housework)?SF12 v1.0 Standard - Pain Interfere With Normal Work
SF12106AC177867SF121-Have You Felt Calm and PeacefulThe Short Form 12 Health Survey Standard, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you felt calm and peaceful?SF12 v1.0 Standard - Have You Felt Calm and Peaceful
SF12106BC177868SF121-Did You Have a Lot of EnergyThe Short Form 12 Health Survey Standard, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - did you have a lot of energy?SF12 v1.0 Standard - Did You Have a Lot of Energy
SF12106CC177869SF121-You Felt Downhearted and BlueThe Short Form 12 Health Survey Standard, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you felt downhearted and blue?SF12 v1.0 Standard - You Felt Downhearted and Blue
SF12107C177870SF121-Time Phys/Emotional InterferedThe Short Form 12 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting friends, relatives, etc.)?SF12 v1.0 Standard - Time Physical Health, Emotional Interfered
SF12108C180457SF121-Physical Component ScoreThe Short Form 12 Health Survey Standard, US Version 1.0 - Physical component score.SF12 v1.0 Standard - Physical Component Score
SF12109C180458SF121-Mental Component ScoreThe Short Form 12 Health Survey Standard, US Version 1.0 - Mental component score.SF12 v1.0 Standard - Mental Component Score
SF12110C180459SF121-SF-6D_R2 (Util Index Rel 2) ScoreThe Short Form 12 Health Survey Standard, US Version 1.0 - SF-6D_R2 (utility index release 2) score.SF12 v1.0 Standard - SF-6D_R2 Score
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CL.C177715.SF121TNShort Form 12 Health Survey Standard, US Version 1.0 Questionnaire Test Name
(SF121TN)
text
Extensible: No
C177715Short Form 12 Health Survey Standard, US Version 1.0 Questionnaire Test NameShort Form 12 Health Survey Standard, US Version 1.0 test name.CDISC Questionnaire SF12 v1.0 Standard Test Name Terminology
SF121-Did You Have a Lot of EnergyC177868SF121-Did You Have a Lot of EnergyThe Short Form 12 Health Survey Standard, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - did you have a lot of energy?SF12 v1.0 Standard - Did You Have a Lot of Energy
SF121-Emotional: Accomplished LessC177864SF121-Emotional: Accomplished LessThe Short Form 12 Health Survey Standard, US Version 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - accomplished less than you would like.SF12 v1.0 Standard - Emotional: Accomplished Less
SF121-Emotional: Did Work Less CarefullyC177865SF121-Emotional: Did Work Less CarefullyThe Short Form 12 Health Survey Standard, US Version 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - did work or other activities less carefully than usual.SF12 v1.0 Standard - Emotional: Did Work Less Carefully
SF121-Have You Felt Calm and PeacefulC177867SF121-Have You Felt Calm and PeacefulThe Short Form 12 Health Survey Standard, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you felt calm and peaceful?SF12 v1.0 Standard - Have You Felt Calm and Peaceful
SF121-In General You Say Your Health IsC177859SF121-In General You Say Your Health IsThe Short Form 12 Health Survey Standard, US Version 1.0 - In general, would you say your health is.SF12 v1.0 Standard - In General You Say Your Health Is
SF121-Limit Climbing Several FlightsC177861SF121-Limit Climbing Several FlightsThe Short Form 12 Health Survey Standard, US Version 1.0 - How much does your health now limit you in - climbing several flights of stairs.SF12 v1.0 Standard - Limit Climbing Several Flights
SF121-Limit Moderate ActivitiesC177860SF121-Limit Moderate ActivitiesThe Short Form 12 Health Survey Standard, US Version 1.0 - How much does your health now limit you in - moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf.SF12 v1.0 Standard - Limit Moderate Activities
SF121-Mental Component ScoreC180458SF121-Mental Component ScoreThe Short Form 12 Health Survey Standard, US Version 1.0 - Mental component score.SF12 v1.0 Standard - Mental Component Score
SF121-Pain Interfere With Normal WorkC177866SF121-Pain Interfere With Normal WorkThe Short Form 12 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much did pain interfere with your normal work (including both work outside the home and housework)?SF12 v1.0 Standard - Pain Interfere With Normal Work
SF121-Physical Component ScoreC180457SF121-Physical Component ScoreThe Short Form 12 Health Survey Standard, US Version 1.0 - Physical component score.SF12 v1.0 Standard - Physical Component Score
SF121-Physical: Accomplished LessC177862SF121-Physical: Accomplished LessThe Short Form 12 Health Survey Standard, US Version 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health - accomplished less than you would like.SF12 v1.0 Standard - Physical: Accomplished Less
SF121-Physical: Limited Kind of WorkC177863SF121-Physical: Limited Kind of WorkThe Short Form 12 Health Survey Standard, US Version 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health - were limited in the kind of work or other activities.SF12 v1.0 Standard - Physical: Limited Kind of Work
SF121-SF-6D_R2 (Util Index Rel 2) ScoreC180459SF121-SF-6D_R2 (Util Index Rel 2) ScoreThe Short Form 12 Health Survey Standard, US Version 1.0 - SF-6D_R2 (utility index release 2) score.SF12 v1.0 Standard - SF-6D_R2 Score
SF121-Time Phys/Emotional InterferedC177870SF121-Time Phys/Emotional InterferedThe Short Form 12 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting friends, relatives, etc.)?SF12 v1.0 Standard - Time Physical Health, Emotional Interfered
SF121-You Felt Downhearted and BlueC177869SF121-You Felt Downhearted and BlueThe Short Form 12 Health Survey Standard, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you felt downhearted and blue?SF12 v1.0 Standard - You Felt Downhearted and Blue
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CL.C177720.SF123TCShort Form 12 Health Survey Standard, US Version 2.0 Questionnaire Test Code
(SF123TC)
text
Extensible: No
C177720Short Form 12 Health Survey Standard, US Version 2.0 Questionnaire Test CodeShort Form 12 Health Survey Standard, US Version 2.0 test code.CDISC Questionnaire SF12 v2.0 Standard Test Code Terminology
SF12301C177883SF123-In General You Say Your Health IsThe Short Form 12 Health Survey Standard, US Version 2.0 - In general, would you say your health is.SF12 v2.0 Standard - In General You Say Your Health Is
SF12302AC177884SF123-Limit Moderate ActivitiesThe Short Form 12 Health Survey Standard, US Version 2.0 - How much does your health now limit you in - moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf.SF12 v2.0 Standard - Limit Moderate Activities
SF12302BC177885SF123-Limit Climbing Several FlightsThe Short Form 12 Health Survey Standard, US Version 2.0 - How much does your health now limit you in - climbing several flights of stairs.SF12 v2.0 Standard - Limit Climbing Several Flights
SF12303AC177886SF123-Physical: Accomplished LessThe Short Form 12 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time have you had any of the following problems with your work or other regular daily activities as a result of your physical health - accomplished less than you would like.SF12 v2.0 Standard - Physical: Accomplished Less
SF12303BC177887SF123-Physical: Limited Kind of WorkThe Short Form 12 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time have you had any of the following problems with your work or other regular daily activities as a result of your physical health - were limited in the kind of work or other activities.SF12 v2.0 Standard - Physical: Limited Kind of Work
SF12304AC177888SF123-Emotional: Accomplished LessThe Short Form 12 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - accomplished less than you would like.SF12 v2.0 Standard - Emotional: Accomplished Less
SF12304BC177889SF123-Emotional: Did Work Less CarefullyThe Short Form 12 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - did work or other activities less carefully than usual.SF12 v2.0 Standard - Emotional: Did Work Less Carefully
SF12305C177890SF123-Pain Interfere With Normal WorkThe Short Form 12 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much did pain interfere with your normal work (including both work outside the home and housework)?SF12 v2.0 Standard - Pain Interfere With Normal Work
SF12306AC177891SF123-Have You Felt Calm and PeacefulThe Short Form 12 Health Survey Standard, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you felt calm and peaceful?SF12 v2.0 Standard - Have You Felt Calm and Peaceful
SF12306BC177892SF123-Did You Have a Lot of EnergyThe Short Form 12 Health Survey Standard, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - did you have a lot of energy?SF12 v2.0 Standard - Did You Have a Lot of Energy
SF12306CC177893SF123-You Felt Downhearted and DepressedThe Short Form 12 Health Survey Standard, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you felt downhearted and depressed?SF12 v2.0 Standard - You Felt Downhearted and Depressed
SF12307C177894SF123-Time Phys/Emotional InterferedThe Short Form 12 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting friends, relatives, etc.)?SF12 v2.0 Standard - Time Physical Health, Emotional Interfered
SF12308C180479SF123-Physical Functioning 0-100 ScoreThe Short Form 12 Health Survey Standard, US Version 2.0 - Physical functioning 0-100 score.SF12 v2.0 Standard - Physical Functioning 0-100 Score
SF12309C180480SF123-Role Physical 0-100 ScoreThe Short Form 12 Health Survey Standard, US Version 2.0 - Role physical 0-100 score.SF12 v2.0 Standard - Role Physical 0-100 Score
SF12310C180481SF123-Bodily Pain 0-100 ScoreThe Short Form 12 Health Survey Standard, US Version 2.0 - Bodily pain 0-100 score.SF12 v2.0 Standard - Bodily Pain 0-100 Score
SF12311C180482SF123-General Health 0-100 ScoreThe Short Form 12 Health Survey Standard, US Version 2.0 - General health 0-100 score.SF12 v2.0 Standard - General Health 0-100 Score
SF12312C180483SF123-Vitality 0-100 ScoreThe Short Form 12 Health Survey Standard, US Version 2.0 - Vitality 0-100 score.SF12 v2.0 Standard - Vitality 0-100 Score
SF12313C180484SF123-Social Functioning 0-100 ScoreThe Short Form 12 Health Survey Standard, US Version 2.0 - Social functioning 0-100 score.SF12 v2.0 Standard - Social Functioning 0-100 Score
SF12314C180485SF123-Role Emotional 0-100 ScoreThe Short Form 12 Health Survey Standard, US Version 2.0 - Role emotional 0-100 score.SF12 v2.0 Standard - Role Emotional 0-100 Score
SF12315C180486SF123-Mental Health 0-100 ScoreThe Short Form 12 Health Survey Standard, US Version 2.0 - Mental health 0-100 score.SF12 v2.0 Standard - Mental Health 0-100 Score
SF12316C180487SF123-Phys Functioning Norm-Based ScoreThe Short Form 12 Health Survey Standard, US Version 2.0 - Physical functioning norm-based score.SF12 v2.0 Standard - Phys Functioning Norm-Based Score
SF12317C180488SF123-Role Physical Norm-Based ScoreThe Short Form 12 Health Survey Standard, US Version 2.0 - Role physical norm-based score.SF12 v2.0 Standard - Role Physical Norm-Based Score
SF12318C180489SF123-Bodily Pain Norm-Based ScoreThe Short Form 12 Health Survey Standard, US Version 2.0 - Bodily pain norm-based score.SF12 v2.0 Standard - Bodily Pain Norm-Based Score
SF12319C180490SF123-General Health Norm-Based ScoreThe Short Form 12 Health Survey Standard, US Version 2.0 - General health norm-based score.SF12 v2.0 Standard - General Health Norm-Based Score
SF12320C180491SF123-Vitality Norm-Based ScoreThe Short Form 12 Health Survey Standard, US Version 2.0 - Vitality norm-based score.SF12 v2.0 Standard - Vitality Norm-Based Score
SF12321C180492SF123-Social Function Norm-Based ScoreThe Short Form 12 Health Survey Standard, US Version 2.0 - Social function norm-based score.SF12 v2.0 Standard - Social Function Norm-Based Score
SF12322C180493SF123-Role Emotional Norm-Based ScoreThe Short Form 12 Health Survey Standard, US Version 2.0 - Role emotional norm-based score.SF12 v2.0 Standard - Role Emotional Norm-Based Score
SF12323C180494SF123-Mental Health Norm-Based ScoreThe Short Form 12 Health Survey Standard, US Version 2.0 - Mental health norm-based score.SF12 v2.0 Standard - Mental Health Norm-Based Score
SF12324C180495SF123-Physical Component ScoreThe Short Form 12 Health Survey Standard, US Version 2.0 - Physical component score.SF12 v2.0 Standard - Physical Component Score
SF12325C180496SF123-Mental Component ScoreThe Short Form 12 Health Survey Standard, US Version 2.0 - Mental component score.SF12 v2.0 Standard - Mental Component Score
SF12326C180497SF123-SF-6D_R2 (Util Index Rel 2) ScoreThe Short Form 12 Health Survey Standard, US Version 2.0 - SF-6D_R2 (utility index release 2) score.SF12 v2.0 Standard - SF-6D_R2 (Util Index Rel 2) Score
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CL.C177719.SF123TNShort Form 12 Health Survey Standard, US Version 2.0 Questionnaire Test Name
(SF123TN)
text
Extensible: No
C177719Short Form 12 Health Survey Standard, US Version 2.0 Questionnaire Test NameShort Form 12 Health Survey Standard, US Version 2.0 test name.CDISC Questionnaire SF12 v2.0 Standard Test Name Terminology
SF123-Bodily Pain 0-100 ScoreC180481SF123-Bodily Pain 0-100 ScoreThe Short Form 12 Health Survey Standard, US Version 2.0 - Bodily pain 0-100 score.SF12 v2.0 Standard - Bodily Pain 0-100 Score
SF123-Bodily Pain Norm-Based ScoreC180489SF123-Bodily Pain Norm-Based ScoreThe Short Form 12 Health Survey Standard, US Version 2.0 - Bodily pain norm-based score.SF12 v2.0 Standard - Bodily Pain Norm-Based Score
SF123-Did You Have a Lot of EnergyC177892SF123-Did You Have a Lot of EnergyThe Short Form 12 Health Survey Standard, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - did you have a lot of energy?SF12 v2.0 Standard - Did You Have a Lot of Energy
SF123-Emotional: Accomplished LessC177888SF123-Emotional: Accomplished LessThe Short Form 12 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - accomplished less than you would like.SF12 v2.0 Standard - Emotional: Accomplished Less
SF123-Emotional: Did Work Less CarefullyC177889SF123-Emotional: Did Work Less CarefullyThe Short Form 12 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - did work or other activities less carefully than usual.SF12 v2.0 Standard - Emotional: Did Work Less Carefully
SF123-General Health 0-100 ScoreC180482SF123-General Health 0-100 ScoreThe Short Form 12 Health Survey Standard, US Version 2.0 - General health 0-100 score.SF12 v2.0 Standard - General Health 0-100 Score
SF123-General Health Norm-Based ScoreC180490SF123-General Health Norm-Based ScoreThe Short Form 12 Health Survey Standard, US Version 2.0 - General health norm-based score.SF12 v2.0 Standard - General Health Norm-Based Score
SF123-Have You Felt Calm and PeacefulC177891SF123-Have You Felt Calm and PeacefulThe Short Form 12 Health Survey Standard, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you felt calm and peaceful?SF12 v2.0 Standard - Have You Felt Calm and Peaceful
SF123-In General You Say Your Health IsC177883SF123-In General You Say Your Health IsThe Short Form 12 Health Survey Standard, US Version 2.0 - In general, would you say your health is.SF12 v2.0 Standard - In General You Say Your Health Is
SF123-Limit Climbing Several FlightsC177885SF123-Limit Climbing Several FlightsThe Short Form 12 Health Survey Standard, US Version 2.0 - How much does your health now limit you in - climbing several flights of stairs.SF12 v2.0 Standard - Limit Climbing Several Flights
SF123-Limit Moderate ActivitiesC177884SF123-Limit Moderate ActivitiesThe Short Form 12 Health Survey Standard, US Version 2.0 - How much does your health now limit you in - moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf.SF12 v2.0 Standard - Limit Moderate Activities
SF123-Mental Component ScoreC180496SF123-Mental Component ScoreThe Short Form 12 Health Survey Standard, US Version 2.0 - Mental component score.SF12 v2.0 Standard - Mental Component Score
SF123-Mental Health 0-100 ScoreC180486SF123-Mental Health 0-100 ScoreThe Short Form 12 Health Survey Standard, US Version 2.0 - Mental health 0-100 score.SF12 v2.0 Standard - Mental Health 0-100 Score
SF123-Mental Health Norm-Based ScoreC180494SF123-Mental Health Norm-Based ScoreThe Short Form 12 Health Survey Standard, US Version 2.0 - Mental health norm-based score.SF12 v2.0 Standard - Mental Health Norm-Based Score
SF123-Pain Interfere With Normal WorkC177890SF123-Pain Interfere With Normal WorkThe Short Form 12 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much did pain interfere with your normal work (including both work outside the home and housework)?SF12 v2.0 Standard - Pain Interfere With Normal Work
SF123-Phys Functioning Norm-Based ScoreC180487SF123-Phys Functioning Norm-Based ScoreThe Short Form 12 Health Survey Standard, US Version 2.0 - Physical functioning norm-based score.SF12 v2.0 Standard - Phys Functioning Norm-Based Score
SF123-Physical Component ScoreC180495SF123-Physical Component ScoreThe Short Form 12 Health Survey Standard, US Version 2.0 - Physical component score.SF12 v2.0 Standard - Physical Component Score
SF123-Physical Functioning 0-100 ScoreC180479SF123-Physical Functioning 0-100 ScoreThe Short Form 12 Health Survey Standard, US Version 2.0 - Physical functioning 0-100 score.SF12 v2.0 Standard - Physical Functioning 0-100 Score
SF123-Physical: Accomplished LessC177886SF123-Physical: Accomplished LessThe Short Form 12 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time have you had any of the following problems with your work or other regular daily activities as a result of your physical health - accomplished less than you would like.SF12 v2.0 Standard - Physical: Accomplished Less
SF123-Physical: Limited Kind of WorkC177887SF123-Physical: Limited Kind of WorkThe Short Form 12 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time have you had any of the following problems with your work or other regular daily activities as a result of your physical health - were limited in the kind of work or other activities.SF12 v2.0 Standard - Physical: Limited Kind of Work
SF123-Role Emotional 0-100 ScoreC180485SF123-Role Emotional 0-100 ScoreThe Short Form 12 Health Survey Standard, US Version 2.0 - Role emotional 0-100 score.SF12 v2.0 Standard - Role Emotional 0-100 Score
SF123-Role Emotional Norm-Based ScoreC180493SF123-Role Emotional Norm-Based ScoreThe Short Form 12 Health Survey Standard, US Version 2.0 - Role emotional norm-based score.SF12 v2.0 Standard - Role Emotional Norm-Based Score
SF123-Role Physical 0-100 ScoreC180480SF123-Role Physical 0-100 ScoreThe Short Form 12 Health Survey Standard, US Version 2.0 - Role physical 0-100 score.SF12 v2.0 Standard - Role Physical 0-100 Score
SF123-Role Physical Norm-Based ScoreC180488SF123-Role Physical Norm-Based ScoreThe Short Form 12 Health Survey Standard, US Version 2.0 - Role physical norm-based score.SF12 v2.0 Standard - Role Physical Norm-Based Score
SF123-SF-6D_R2 (Util Index Rel 2) ScoreC180497SF123-SF-6D_R2 (Util Index Rel 2) ScoreThe Short Form 12 Health Survey Standard, US Version 2.0 - SF-6D_R2 (utility index release 2) score.SF12 v2.0 Standard - SF-6D_R2 (Util Index Rel 2) Score
SF123-Social Function Norm-Based ScoreC180492SF123-Social Function Norm-Based ScoreThe Short Form 12 Health Survey Standard, US Version 2.0 - Social function norm-based score.SF12 v2.0 Standard - Social Function Norm-Based Score
SF123-Social Functioning 0-100 ScoreC180484SF123-Social Functioning 0-100 ScoreThe Short Form 12 Health Survey Standard, US Version 2.0 - Social functioning 0-100 score.SF12 v2.0 Standard - Social Functioning 0-100 Score
SF123-Time Phys/Emotional InterferedC177894SF123-Time Phys/Emotional InterferedThe Short Form 12 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting friends, relatives, etc.)?SF12 v2.0 Standard - Time Physical Health, Emotional Interfered
SF123-Vitality 0-100 ScoreC180483SF123-Vitality 0-100 ScoreThe Short Form 12 Health Survey Standard, US Version 2.0 - Vitality 0-100 score.SF12 v2.0 Standard - Vitality 0-100 Score
SF123-Vitality Norm-Based ScoreC180491SF123-Vitality Norm-Based ScoreThe Short Form 12 Health Survey Standard, US Version 2.0 - Vitality norm-based score.SF12 v2.0 Standard - Vitality Norm-Based Score
SF123-You Felt Downhearted and DepressedC177893SF123-You Felt Downhearted and DepressedThe Short Form 12 Health Survey Standard, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you felt downhearted and depressed?SF12 v2.0 Standard - You Felt Downhearted and Depressed
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CL.C177706.SF82TCShort Form 8 Health Survey Acute, US Version 1.0 Questionnaire Test Code
(SF82TC)
text
Extensible: No
C177706Short Form 8 Health Survey Acute, US Version 1.0 Questionnaire Test CodeShort Form 8 Health Survey Acute, US Version 1.0 test code.CDISC Questionnaire SF8 v1.0 Acute Test Code Terminology
SF8201C177811SF82-Overall How You Rate Your HealthThe Short Form 8 Health Survey Acute, US Version 1.0 - Overall, how would you rate your health during the past week?SF8 v1.0 Acute - Overall How You Rate Your Health
SF8202C177812SF82-How Much Limit Physical ActivitiesThe Short Form 8 Health Survey Acute, US Version 1.0 - During the past week, how much did physical health problems limit your usual physical activities (walking, climbing stairs)?SF8 v1.0 Acute - How Much Limit Physical Activities
SF8203C177813SF82-Difficulty Doing Daily WorkThe Short Form 8 Health Survey Acute, US Version 1.0 - During the past week, how much difficulty did you have doing your daily work, both at home and away from home, because of your physical health?SF8 v1.0 Acute - Difficulty Doing Daily Work
SF8204C177814SF82-How Much Bodily Pain Have You HadThe Short Form 8 Health Survey Acute, US Version 1.0 - How much bodily pain have you had during the past week?SF8 v1.0 Acute - How Much Bodily Pain Have You Had
SF8205C177815SF82-How Much Energy Did You HaveThe Short Form 8 Health Survey Acute, US Version 1.0 - During the past week, how much energy did you have?SF8 v1.0 Acute - How Much Energy Did You Have
SF8206C177816SF82-Physical/Emotional Limit ActivitiesThe Short Form 8 Health Survey Acute, US Version 1.0 - During the past week, how much did your physical health or emotional problems limit your usual social activities with family or friends?SF8 v1.0 Acute - Physical, Emotional Limit Activities
SF8207C177817SF82-Bothered by Emotional ProblemsThe Short Form 8 Health Survey Acute, US Version 1.0 - During the past week, how much have you been bothered by emotional problems (such as feeling anxious, depressed or irritable)?SF8 v1.0 Acute - Bothered by Emotional Problems
SF8208C177818SF82-Emotional Problems Keep From WorkThe Short Form 8 Health Survey Acute, US Version 1.0 - During the past week, how much did personal or emotional problems keep you from doing your usual work, school or other daily activities?SF8 v1.0 Acute - Emotional Problems Keep From Work
SF8209C180434SF82-Phys. Functioning Norm-Based ScoreThe Short Form 8 Health Survey Acute, US Version 1.0 - Physical functioning norm-based score.SF8 v1.0 Acute - Physical Functioning Norm-Based Score
SF8210C180435SF82-Role Physical Norm-Based ScoreThe Short Form 8 Health Survey Acute, US Version 1.0 - Role physical norm-based score.SF8 v1.0 Acute - Role Physical Norm-Based Score
SF8211C180436SF82-Bodily Pain Norm-Based ScoreThe Short Form 8 Health Survey Acute, US Version 1.0 - Bodily pain norm-based score.SF8 v1.0 Acute - Bodily Pain Norm-Based Score
SF8212C180437SF82-General Health Norm-Based ScoreThe Short Form 8 Health Survey Acute, US Version 1.0 - General health norm-based score.SF8 v1.0 Acute - General Health Norm-Based Score
SF8213C180438SF82-Vitality Norm-Based ScoreThe Short Form 8 Health Survey Acute, US Version 1.0 - Vitality norm-based score.SF8 v1.0 Acute - Vitality Norm-Based Score
SF8214C180439SF82-Social Functioning Norm-Based ScoreThe Short Form 8 Health Survey Acute, US Version 1.0 - Social functioning norm-based score.SF8 v1.0 Acute - Social Functioning Norm-Based Score
SF8215C180440SF82-Role Emotional Norm-Based ScoreThe Short Form 8 Health Survey Acute, US Version 1.0 - Role emotional norm-based score.SF8 v1.0 Acute - Role Emotional Norm-Based Score
SF8216C180441SF82-Mental Health Norm-Based ScoreThe Short Form 8 Health Survey Acute, US Version 1.0 - Mental health norm-based score.SF8 v1.0 Acute - Mental Health Norm-Based Score
SF8217C180442SF82-Physical Component ScoreThe Short Form 8 Health Survey Acute, US Version 1.0 - Physical component score.SF8 v1.0 Acute - Physical Component Score
SF8218C180443SF82-Mental Component ScoreThe Short Form 8 Health Survey Acute, US Version 1.0 - Mental component score.SF8 v1.0 Acute - Mental Component Score
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CL.C177705.SF82TNShort Form 8 Health Survey Acute, US Version 1.0 Questionnaire Test Name
(SF82TN)
text
Extensible: No
C177705Short Form 8 Health Survey Acute, US Version 1.0 Questionnaire Test NameShort Form 8 Health Survey Acute, US Version 1.0 test name.CDISC Questionnaire SF8 v1.0 Acute Test Name Terminology
SF82-Bodily Pain Norm-Based ScoreC180436SF82-Bodily Pain Norm-Based ScoreThe Short Form 8 Health Survey Acute, US Version 1.0 - Bodily pain norm-based score.SF8 v1.0 Acute - Bodily Pain Norm-Based Score
SF82-Bothered by Emotional ProblemsC177817SF82-Bothered by Emotional ProblemsThe Short Form 8 Health Survey Acute, US Version 1.0 - During the past week, how much have you been bothered by emotional problems (such as feeling anxious, depressed or irritable)?SF8 v1.0 Acute - Bothered by Emotional Problems
SF82-Difficulty Doing Daily WorkC177813SF82-Difficulty Doing Daily WorkThe Short Form 8 Health Survey Acute, US Version 1.0 - During the past week, how much difficulty did you have doing your daily work, both at home and away from home, because of your physical health?SF8 v1.0 Acute - Difficulty Doing Daily Work
SF82-Emotional Problems Keep From WorkC177818SF82-Emotional Problems Keep From WorkThe Short Form 8 Health Survey Acute, US Version 1.0 - During the past week, how much did personal or emotional problems keep you from doing your usual work, school or other daily activities?SF8 v1.0 Acute - Emotional Problems Keep From Work
SF82-General Health Norm-Based ScoreC180437SF82-General Health Norm-Based ScoreThe Short Form 8 Health Survey Acute, US Version 1.0 - General health norm-based score.SF8 v1.0 Acute - General Health Norm-Based Score
SF82-How Much Bodily Pain Have You HadC177814SF82-How Much Bodily Pain Have You HadThe Short Form 8 Health Survey Acute, US Version 1.0 - How much bodily pain have you had during the past week?SF8 v1.0 Acute - How Much Bodily Pain Have You Had
SF82-How Much Energy Did You HaveC177815SF82-How Much Energy Did You HaveThe Short Form 8 Health Survey Acute, US Version 1.0 - During the past week, how much energy did you have?SF8 v1.0 Acute - How Much Energy Did You Have
SF82-How Much Limit Physical ActivitiesC177812SF82-How Much Limit Physical ActivitiesThe Short Form 8 Health Survey Acute, US Version 1.0 - During the past week, how much did physical health problems limit your usual physical activities (walking, climbing stairs)?SF8 v1.0 Acute - How Much Limit Physical Activities
SF82-Mental Component ScoreC180443SF82-Mental Component ScoreThe Short Form 8 Health Survey Acute, US Version 1.0 - Mental component score.SF8 v1.0 Acute - Mental Component Score
SF82-Mental Health Norm-Based ScoreC180441SF82-Mental Health Norm-Based ScoreThe Short Form 8 Health Survey Acute, US Version 1.0 - Mental health norm-based score.SF8 v1.0 Acute - Mental Health Norm-Based Score
SF82-Overall How You Rate Your HealthC177811SF82-Overall How You Rate Your HealthThe Short Form 8 Health Survey Acute, US Version 1.0 - Overall, how would you rate your health during the past week?SF8 v1.0 Acute - Overall How You Rate Your Health
SF82-Phys. Functioning Norm-Based ScoreC180434SF82-Phys. Functioning Norm-Based ScoreThe Short Form 8 Health Survey Acute, US Version 1.0 - Physical functioning norm-based score.SF8 v1.0 Acute - Physical Functioning Norm-Based Score
SF82-Physical Component ScoreC180442SF82-Physical Component ScoreThe Short Form 8 Health Survey Acute, US Version 1.0 - Physical component score.SF8 v1.0 Acute - Physical Component Score
SF82-Physical/Emotional Limit ActivitiesC177816SF82-Physical/Emotional Limit ActivitiesThe Short Form 8 Health Survey Acute, US Version 1.0 - During the past week, how much did your physical health or emotional problems limit your usual social activities with family or friends?SF8 v1.0 Acute - Physical, Emotional Limit Activities
SF82-Role Emotional Norm-Based ScoreC180440SF82-Role Emotional Norm-Based ScoreThe Short Form 8 Health Survey Acute, US Version 1.0 - Role emotional norm-based score.SF8 v1.0 Acute - Role Emotional Norm-Based Score
SF82-Role Physical Norm-Based ScoreC180435SF82-Role Physical Norm-Based ScoreThe Short Form 8 Health Survey Acute, US Version 1.0 - Role physical norm-based score.SF8 v1.0 Acute - Role Physical Norm-Based Score
SF82-Social Functioning Norm-Based ScoreC180439SF82-Social Functioning Norm-Based ScoreThe Short Form 8 Health Survey Acute, US Version 1.0 - Social functioning norm-based score.SF8 v1.0 Acute - Social Functioning Norm-Based Score
SF82-Vitality Norm-Based ScoreC180438SF82-Vitality Norm-Based ScoreThe Short Form 8 Health Survey Acute, US Version 1.0 - Vitality norm-based score.SF8 v1.0 Acute - Vitality Norm-Based Score
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CL.C177708.SF81TCShort Form 8 Health Survey Standard, US Version 1.0 Questionnaire Test Code
(SF81TC)
text
Extensible: No
C177708Short Form 8 Health Survey Standard, US Version 1.0 Questionnaire Test CodeShort Form 8 Health Survey Standard, US Version 1.0 test code.CDISC Questionnaire SF8 v1.0 Standard Test Code Terminology
SF8101C177819SF81-Overall How You Rate Your HealthThe Short Form 8 Health Survey Standard, US Version 1.0 - Overall, how would you rate your health during the past 4 weeks?SF8 v1.0 Standard - Overall How You Rate Your Health
SF8102C177820SF81-How Much Limit Physical ActivitiesThe Short Form 8 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much did physical health problems limit your usual physical activities (walking, climbing stairs)?.SF8 v1.0 Standard - How Much Limit Physical Activities
SF8103C177821SF81-Difficulty Doing Daily WorkThe Short Form 8 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much difficulty did you have doing your daily work, both at home and away from home, because of your physical health?SF8 v1.0 Standard - Difficulty Doing Daily Work
SF8104C177822SF81-How Much Bodily Pain You Have HadThe Short Form 8 Health Survey Standard, US Version 1.0 - How much bodily pain have you had during the past 4 weeks?SF8 v1.0 Standard - How Much Bodily Pain You Have Had
SF8105C177823SF81-How Much Energy Did You HaveThe Short Form 8 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much energy did you have?SF8 v1.0 Standard - How Much Energy Did You Have
SF8106C177824SF81-Physical/Emotional Limit ActivitiesThe Short Form 8 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much did your physical health or emotional problems limit your usual social activities with family or friends?SF8 v1.0 Standard - Physical, Emotional Limit Activities
SF8107C177825SF81-Bothered by Emotional ProblemsThe Short Form 8 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much have you been bothered by emotional problems (such as feeling anxious, depressed or irritable)?SF8 v1.0 Standard - Bothered by Emotional Problems
SF8108C177826SF81-Emotional Problems Keep From WorkThe Short Form 8 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much did personal or emotional problems keep you from doing your usual work, school or other daily activities?SF8 v1.0 Standard - Emotional Problems Keep From Work
SF8109C180444SF81-Phys. Functioning Norm-Based ScoreThe Short Form 8 Health Survey Standard, US Version 1.0 - Physical functioning norm-based score.SF8 v1.0 Standard - Physical Functioning Norm-Based Score
SF8110C180445SF81-Role Physical Norm-Based ScoreThe Short Form 8 Health Survey Standard, US Version 1.0 - Role physical norm-based score.SF8 v1.0 Standard - Role Physical Norm-Based Score
SF8111C180446SF81-Bodily Pain Norm-Based ScoreThe Short Form 8 Health Survey Standard, US Version 1.0 - Bodily pain norm-based score.SF8 v1.0 Standard - Bodily Pain Norm-Based Score
SF8112C180447SF81-General Health Norm-Based ScoreThe Short Form 8 Health Survey Standard, US Version 1.0 - General health norm-based score.SF8 v1.0 Standard - General Health Norm-Based Score
SF8113C180448SF81-Vitality Norm-Based ScoreThe Short Form 8 Health Survey Standard, US Version 1.0 - Vitality norm-based score.SF8 v1.0 Standard - Vitality Norm-Based Score
SF8114C180449SF81-Social Functioning Norm-Based ScoreThe Short Form 8 Health Survey Standard, US Version 1.0 - Social functioning norm-based score.SF8 v1.0 Standard - Social Functioning Norm-Based Score
SF8115C180450SF81-Role Emotional Norm-Based ScoreThe Short Form 8 Health Survey Standard, US Version 1.0 - Role emotional norm-based score.SF8 v1.0 Standard - Role Emotional Norm-Based Score
SF8116C180451SF81-Mental Health Norm-Based ScoreThe Short Form 8 Health Survey Standard, US Version 1.0 - Mental health norm-based score.SF8 v1.0 Standard - Mental Health Norm-Based Score
SF8117C180452SF81-Physical Component ScoreThe Short Form 8 Health Survey Standard, US Version 1.0 - Physical component score.SF8 v1.0 Standard - Physical Component Score
SF8118C180453SF81-Mental Component ScoreThe Short Form 8 Health Survey Standard, US Version 1.0 - Mental component score.SF8 v1.0 Standard - Mental Component Score
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CL.C177707.SF81TNShort Form 8 Health Survey Standard, US Version 1.0 Questionnaire Test Name
(SF81TN)
text
Extensible: No
C177707Short Form 8 Health Survey Standard, US Version 1.0 Questionnaire Test NameShort Form 8 Health Survey Standard, US Version 1.0 test name.CDISC Questionnaire SF8 v1.0 Standard Test Name Terminology
SF81-Bodily Pain Norm-Based ScoreC180446SF81-Bodily Pain Norm-Based ScoreThe Short Form 8 Health Survey Standard, US Version 1.0 - Bodily pain norm-based score.SF8 v1.0 Standard - Bodily Pain Norm-Based Score
SF81-Bothered by Emotional ProblemsC177825SF81-Bothered by Emotional ProblemsThe Short Form 8 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much have you been bothered by emotional problems (such as feeling anxious, depressed or irritable)?SF8 v1.0 Standard - Bothered by Emotional Problems
SF81-Difficulty Doing Daily WorkC177821SF81-Difficulty Doing Daily WorkThe Short Form 8 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much difficulty did you have doing your daily work, both at home and away from home, because of your physical health?SF8 v1.0 Standard - Difficulty Doing Daily Work
SF81-Emotional Problems Keep From WorkC177826SF81-Emotional Problems Keep From WorkThe Short Form 8 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much did personal or emotional problems keep you from doing your usual work, school or other daily activities?SF8 v1.0 Standard - Emotional Problems Keep From Work
SF81-General Health Norm-Based ScoreC180447SF81-General Health Norm-Based ScoreThe Short Form 8 Health Survey Standard, US Version 1.0 - General health norm-based score.SF8 v1.0 Standard - General Health Norm-Based Score
SF81-How Much Bodily Pain You Have HadC177822SF81-How Much Bodily Pain You Have HadThe Short Form 8 Health Survey Standard, US Version 1.0 - How much bodily pain have you had during the past 4 weeks?SF8 v1.0 Standard - How Much Bodily Pain You Have Had
SF81-How Much Energy Did You HaveC177823SF81-How Much Energy Did You HaveThe Short Form 8 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much energy did you have?SF8 v1.0 Standard - How Much Energy Did You Have
SF81-How Much Limit Physical ActivitiesC177820SF81-How Much Limit Physical ActivitiesThe Short Form 8 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much did physical health problems limit your usual physical activities (walking, climbing stairs)?.SF8 v1.0 Standard - How Much Limit Physical Activities
SF81-Mental Component ScoreC180453SF81-Mental Component ScoreThe Short Form 8 Health Survey Standard, US Version 1.0 - Mental component score.SF8 v1.0 Standard - Mental Component Score
SF81-Mental Health Norm-Based ScoreC180451SF81-Mental Health Norm-Based ScoreThe Short Form 8 Health Survey Standard, US Version 1.0 - Mental health norm-based score.SF8 v1.0 Standard - Mental Health Norm-Based Score
SF81-Overall How You Rate Your HealthC177819SF81-Overall How You Rate Your HealthThe Short Form 8 Health Survey Standard, US Version 1.0 - Overall, how would you rate your health during the past 4 weeks?SF8 v1.0 Standard - Overall How You Rate Your Health
SF81-Phys. Functioning Norm-Based ScoreC180444SF81-Phys. Functioning Norm-Based ScoreThe Short Form 8 Health Survey Standard, US Version 1.0 - Physical functioning norm-based score.SF8 v1.0 Standard - Physical Functioning Norm-Based Score
SF81-Physical Component ScoreC180452SF81-Physical Component ScoreThe Short Form 8 Health Survey Standard, US Version 1.0 - Physical component score.SF8 v1.0 Standard - Physical Component Score
SF81-Physical/Emotional Limit ActivitiesC177824SF81-Physical/Emotional Limit ActivitiesThe Short Form 8 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much did your physical health or emotional problems limit your usual social activities with family or friends?SF8 v1.0 Standard - Physical, Emotional Limit Activities
SF81-Role Emotional Norm-Based ScoreC180450SF81-Role Emotional Norm-Based ScoreThe Short Form 8 Health Survey Standard, US Version 1.0 - Role emotional norm-based score.SF8 v1.0 Standard - Role Emotional Norm-Based Score
SF81-Role Physical Norm-Based ScoreC180445SF81-Role Physical Norm-Based ScoreThe Short Form 8 Health Survey Standard, US Version 1.0 - Role physical norm-based score.SF8 v1.0 Standard - Role Physical Norm-Based Score
SF81-Social Functioning Norm-Based ScoreC180449SF81-Social Functioning Norm-Based ScoreThe Short Form 8 Health Survey Standard, US Version 1.0 - Social functioning norm-based score.SF8 v1.0 Standard - Social Functioning Norm-Based Score
SF81-Vitality Norm-Based ScoreC180448SF81-Vitality Norm-Based ScoreThe Short Form 8 Health Survey Standard, US Version 1.0 - Vitality norm-based score.SF8 v1.0 Standard - Vitality Norm-Based Score
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CL.C170527.SPPB1TCShort Physical Performance Battery Version 1.2 Functional Test Test Code
(SPPB1TC)
text
Extensible: No
C170527Short Physical Performance Battery Version 1.2 Functional Test Test CodeShort Physical Performance Battery Version 1.2 test code.CDISC Functional Test SPPB Version 1.2 Test Code Terminology
SPPB101C170693SPPB1-Side-by-Side ScoreShort Physical Performance Battery V1.2 - Side-By-Side Stand: Side-by-side score.SPPB Version 1.2 - Side-by-Side Score
SPPB101AC170694SPPB1-Side-by-Side Seconds Held If <10Short Physical Performance Battery V1.2 - Side-By-Side Stand: Number of seconds held if less than 10 sec.SPPB Version 1.2 - Side-by-Side Seconds Held If <10
SPPB102C170695SPPB1-Semi-Tandem Stand ScoreShort Physical Performance Battery V1.2 - Semi-Tandem Stand: Semi-tandem stand score.SPPB Version 1.2 - Semi-Tandem Stand Score
SPPB102AC170696SPPB1-Semi-Tandem Seconds Held If <10Short Physical Performance Battery V1.2 - Semi-Tandem Stand: Number of seconds held if less than 10 sec.SPPB Version 1.2 - Semi-Tandem Seconds Held If <10
SPPB103C170697SPPB1-Tandem Stand ScoreShort Physical Performance Battery V1.2 - Tandem Stand: Tandem stand score.SPPB Version 1.2 - Tandem Stand Score
SPPB103AC170698SPPB1-Tandem Seconds If <10Short Physical Performance Battery V1.2 - Tandem Stand: Number of seconds if less than 10 sec.SPPB Version 1.2 - Tandem Seconds If <10
SPPB104C170699SPPB1-Did Not Attempt Test BalanceShort Physical Performance Battery V1.2 - Balance Tests: If participant did not attempt test.SPPB Version 1.2 - Did Not Attempt Test Balance
SPPB104AC170700SPPB1-Did Not Attempt Balance SpecifyShort Physical Performance Battery V1.2 - Balance Tests: If participant did not attempt test: Other (specify).SPPB Version 1.2 - Did Not Attempt Balance Specify
SPPB105C170701SPPB1-Total Balance Tests ScoreShort Physical Performance Battery V1.2 - Total balance tests score.SPPB Version 1.2 - Total Balance Tests Score
SPPB106C170702SPPB1-Length of Walk Test CourseShort Physical Performance Battery V1.2 - Gait Speed Test: Length of walk test course.SPPB Version 1.2 - Length of Walk Test Course
SPPB107C170703SPPB1-Time for 3 or 4 Meters 1st GaitShort Physical Performance Battery V1.2 - Gait Speed Test - First Gait Speed Test: Time for 3 or 4 meters.SPPB Version 1.2 - Time for 3 or 4 Meters 1st Gait
SPPB107AC170704SPPB1-Did Not Attempt 1st GaitShort Physical Performance Battery V1.2 - Gait Speed Test - First Gait Speed Test: If participant did not attempt test.SPPB Version 1.2 - Did Not Attempt 1st Gait
SPPB107BC170705SPPB1-Did Not Attempt 1st Gait SpecifyShort Physical Performance Battery V1.2 - Gait Speed Test - First Gait Speed Test: If participant did not attempt test: Other (specify).SPPB Version 1.2 - Did Not Attempt 1st Gait Specify
SPPB107CC170706SPPB1-Aids Used 1st GaitShort Physical Performance Battery V1.2 - Gait Speed Test - First Gait Speed Test: Aids used for first walk.SPPB Version 1.2 - Aids Used 1st Gait
SPPB107DC170707SPPB1-Aids Used 1st Gait SpecifyShort Physical Performance Battery V1.2 - Gait Speed Test - First Gait Speed Test: Aids used for first walk: Other (specify).SPPB Version 1.2 - Aids Used 1st Gait Specify
SPPB108C170708SPPB1-Time for 3 or 4 Meters - 2nd GaitShort Physical Performance Battery V1.2 - Gait Speed Test - Second Gait Speed Test: Time for 3 or 4 meters.SPPB Version 1.2 - Time for 3 or 4 Meters - 2nd Gait
SPPB108AC170709SPPB1-Did Not Attempt or Failed 2nd GaitShort Physical Performance Battery V1.2 - Gait Speed Test - Second Gait Speed Test: If participant did not attempt or failed.SPPB Version 1.2 - Did Not Attempt or Failed 2nd Gait
SPPB108BC170710SPPB1-Did Not Attempt 2nd Gait SpecifyShort Physical Performance Battery V1.2 - Gait Speed Test - Second Gait Speed Test: If participant did not attempt or failed: Other (specify).SPPB Version 1.2 - Did Not Attempt 2nd Gait Specify
SPPB108CC170711SPPB1-Aids Used 2nd GaitShort Physical Performance Battery V1.2 - Gait Speed Test - Second Gait Speed Test: Aids used for second walk.SPPB Version 1.2 - Aids Used 2nd Gait
SPPB108DC170712SPPB1-Aids Used 2nd Gait SpecifyShort Physical Performance Battery V1.2 - Gait Speed Test - Second Gait Speed Test: Aids used for second walk: Other (specify).SPPB Version 1.2 - Aids Used 2nd Gait Specify
SPPB109AC170713SPPB1-For 4-Meter WalkShort Physical Performance Battery V1.2 - Gait Speed Test: For 4-meter walk.SPPB Version 1.2 - For 4-Meter Walk
SPPB109BC170714SPPB1-For 3-Meter WalkShort Physical Performance Battery V1.2 - Gait Speed Test: For 3-meter walk.SPPB Version 1.2 - For 3-Meter Walk
SPPB110C170715SPPB1-Safe to Stand Without HelpShort Physical Performance Battery V1.2 - Chair Stand Test - Single Chair Stand Test: Safe to stand without help.SPPB Version 1.2 - Safe to Stand Without Help
SPPB111C170716SPPB1-Results Single ChairShort Physical Performance Battery V1.2 - Chair Stand Test - Single Chair Stand Test: Results.SPPB Version 1.2 - Results Single Chair
SPPB111AC170717SPPB1-Did Not Attempt Single ChairShort Physical Performance Battery V1.2 - Chair Stand Test - Single Chair Stand Test: If participant did not attempt or failed.SPPB Version 1.2 - Did Not Attempt Single Chair
SPPB111BC170718SPPB1-Not Attempt Single Chair SpecifyShort Physical Performance Battery V1.2 - Chair Stand Test - Single Chair Stand Test: If participant did not attempt or failed: Other (specify).SPPB Version 1.2 - Not Attempt Single Chair Specify
SPPB112C170719SPPB1-Safe to Stand Five TimesShort Physical Performance Battery V1.2 - Chair Stand Test - Repeated Chair Stand Test: Safe to stand five times.SPPB Version 1.2 - Safe to Stand Five Times
SPPB113C170720SPPB1-Time to Complete Five StandsShort Physical Performance Battery V1.2 - Chair Stand Test - Repeated Chair Stand Test: Time to complete five stands.SPPB Version 1.2 - Time to Complete Five Stands
SPPB113AC170721SPPB1-Did Not Attempt Repeated ChairShort Physical Performance Battery V1.2 - Chair Stand Test - Repeated Chair Stand Test: If participant did not attempt test or failed.SPPB Version 1.2 - Did Not Attempt Repeated Chair
SPPB113BC170722SPPB1-Not Attempt Repeated Chair SpecifyShort Physical Performance Battery V1.2 - Chair Stand Test - Repeated Chair Stand Test: If participant did not attempt test or failed: Other (specify).SPPB Version 1.2 - Not Attempt Repeated Chair Specify
SPPB113CC170723SPPB1-Chair Stand Score RepeatedShort Physical Performance Battery V1.2 - Chair Stand Test - Repeated Chair Stand Test: Chair stand score.SPPB Version 1.2 - Chair Stand Score Repeated
SPPB114C170724SPPB1-Total ScoreShort Physical Performance Battery V1.2 - Total score.SPPB Version 1.2 - Total Score
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CL.C170526.SPPB1TNShort Physical Performance Battery Version 1.2 Functional Test Test Name
(SPPB1TN)
text
Extensible: No
C170526Short Physical Performance Battery Version 1.2 Functional Test Test NameShort Physical Performance Battery Version 1.2 test name.CDISC Functional Test SPPB Version 1.2 Test Name Terminology
SPPB1-Aids Used 1st Gait SpecifyC170707SPPB1-Aids Used 1st Gait SpecifyShort Physical Performance Battery V1.2 - Gait Speed Test - First Gait Speed Test: Aids used for first walk: Other (specify).SPPB Version 1.2 - Aids Used 1st Gait Specify
SPPB1-Aids Used 1st GaitC170706SPPB1-Aids Used 1st GaitShort Physical Performance Battery V1.2 - Gait Speed Test - First Gait Speed Test: Aids used for first walk.SPPB Version 1.2 - Aids Used 1st Gait
SPPB1-Aids Used 2nd Gait SpecifyC170712SPPB1-Aids Used 2nd Gait SpecifyShort Physical Performance Battery V1.2 - Gait Speed Test - Second Gait Speed Test: Aids used for second walk: Other (specify).SPPB Version 1.2 - Aids Used 2nd Gait Specify
SPPB1-Aids Used 2nd GaitC170711SPPB1-Aids Used 2nd GaitShort Physical Performance Battery V1.2 - Gait Speed Test - Second Gait Speed Test: Aids used for second walk.SPPB Version 1.2 - Aids Used 2nd Gait
SPPB1-Chair Stand Score RepeatedC170723SPPB1-Chair Stand Score RepeatedShort Physical Performance Battery V1.2 - Chair Stand Test - Repeated Chair Stand Test: Chair stand score.SPPB Version 1.2 - Chair Stand Score Repeated
SPPB1-Did Not Attempt 1st Gait SpecifyC170705SPPB1-Did Not Attempt 1st Gait SpecifyShort Physical Performance Battery V1.2 - Gait Speed Test - First Gait Speed Test: If participant did not attempt test: Other (specify).SPPB Version 1.2 - Did Not Attempt 1st Gait Specify
SPPB1-Did Not Attempt 1st GaitC170704SPPB1-Did Not Attempt 1st GaitShort Physical Performance Battery V1.2 - Gait Speed Test - First Gait Speed Test: If participant did not attempt test.SPPB Version 1.2 - Did Not Attempt 1st Gait
SPPB1-Did Not Attempt 2nd Gait SpecifyC170710SPPB1-Did Not Attempt 2nd Gait SpecifyShort Physical Performance Battery V1.2 - Gait Speed Test - Second Gait Speed Test: If participant did not attempt or failed: Other (specify).SPPB Version 1.2 - Did Not Attempt 2nd Gait Specify
SPPB1-Did Not Attempt Balance SpecifyC170700SPPB1-Did Not Attempt Balance SpecifyShort Physical Performance Battery V1.2 - Balance Tests: If participant did not attempt test: Other (specify).SPPB Version 1.2 - Did Not Attempt Balance Specify
SPPB1-Did Not Attempt or Failed 2nd GaitC170709SPPB1-Did Not Attempt or Failed 2nd GaitShort Physical Performance Battery V1.2 - Gait Speed Test - Second Gait Speed Test: If participant did not attempt or failed.SPPB Version 1.2 - Did Not Attempt or Failed 2nd Gait
SPPB1-Did Not Attempt Repeated ChairC170721SPPB1-Did Not Attempt Repeated ChairShort Physical Performance Battery V1.2 - Chair Stand Test - Repeated Chair Stand Test: If participant did not attempt test or failed.SPPB Version 1.2 - Did Not Attempt Repeated Chair
SPPB1-Did Not Attempt Single ChairC170717SPPB1-Did Not Attempt Single ChairShort Physical Performance Battery V1.2 - Chair Stand Test - Single Chair Stand Test: If participant did not attempt or failed.SPPB Version 1.2 - Did Not Attempt Single Chair
SPPB1-Did Not Attempt Test BalanceC170699SPPB1-Did Not Attempt Test BalanceShort Physical Performance Battery V1.2 - Balance Tests: If participant did not attempt test.SPPB Version 1.2 - Did Not Attempt Test Balance
SPPB1-For 3-Meter WalkC170714SPPB1-For 3-Meter WalkShort Physical Performance Battery V1.2 - Gait Speed Test: For 3-meter walk.SPPB Version 1.2 - For 3-Meter Walk
SPPB1-For 4-Meter WalkC170713SPPB1-For 4-Meter WalkShort Physical Performance Battery V1.2 - Gait Speed Test: For 4-meter walk.SPPB Version 1.2 - For 4-Meter Walk
SPPB1-Length of Walk Test CourseC170702SPPB1-Length of Walk Test CourseShort Physical Performance Battery V1.2 - Gait Speed Test: Length of walk test course.SPPB Version 1.2 - Length of Walk Test Course
SPPB1-Not Attempt Repeated Chair SpecifyC170722SPPB1-Not Attempt Repeated Chair SpecifyShort Physical Performance Battery V1.2 - Chair Stand Test - Repeated Chair Stand Test: If participant did not attempt test or failed: Other (specify).SPPB Version 1.2 - Not Attempt Repeated Chair Specify
SPPB1-Not Attempt Single Chair SpecifyC170718SPPB1-Not Attempt Single Chair SpecifyShort Physical Performance Battery V1.2 - Chair Stand Test - Single Chair Stand Test: If participant did not attempt or failed: Other (specify).SPPB Version 1.2 - Not Attempt Single Chair Specify
SPPB1-Results Single ChairC170716SPPB1-Results Single ChairShort Physical Performance Battery V1.2 - Chair Stand Test - Single Chair Stand Test: Results.SPPB Version 1.2 - Results Single Chair
SPPB1-Safe to Stand Five TimesC170719SPPB1-Safe to Stand Five TimesShort Physical Performance Battery V1.2 - Chair Stand Test - Repeated Chair Stand Test: Safe to stand five times.SPPB Version 1.2 - Safe to Stand Five Times
SPPB1-Safe to Stand Without HelpC170715SPPB1-Safe to Stand Without HelpShort Physical Performance Battery V1.2 - Chair Stand Test - Single Chair Stand Test: Safe to stand without help.SPPB Version 1.2 - Safe to Stand Without Help
SPPB1-Semi-Tandem Seconds Held If <10C170696SPPB1-Semi-Tandem Seconds Held If <10Short Physical Performance Battery V1.2 - Semi-Tandem Stand: Number of seconds held if less than 10 sec.SPPB Version 1.2 - Semi-Tandem Seconds Held If <10
SPPB1-Semi-Tandem Stand ScoreC170695SPPB1-Semi-Tandem Stand ScoreShort Physical Performance Battery V1.2 - Semi-Tandem Stand: Semi-tandem stand score.SPPB Version 1.2 - Semi-Tandem Stand Score
SPPB1-Side-by-Side ScoreC170693SPPB1-Side-by-Side ScoreShort Physical Performance Battery V1.2 - Side-By-Side Stand: Side-by-side score.SPPB Version 1.2 - Side-by-Side Score
SPPB1-Side-by-Side Seconds Held If <10C170694SPPB1-Side-by-Side Seconds Held If <10Short Physical Performance Battery V1.2 - Side-By-Side Stand: Number of seconds held if less than 10 sec.SPPB Version 1.2 - Side-by-Side Seconds Held If <10
SPPB1-Tandem Seconds If <10C170698SPPB1-Tandem Seconds If <10Short Physical Performance Battery V1.2 - Tandem Stand: Number of seconds if less than 10 sec.SPPB Version 1.2 - Tandem Seconds If <10
SPPB1-Tandem Stand ScoreC170697SPPB1-Tandem Stand ScoreShort Physical Performance Battery V1.2 - Tandem Stand: Tandem stand score.SPPB Version 1.2 - Tandem Stand Score
SPPB1-Time for 3 or 4 Meters - 2nd GaitC170708SPPB1-Time for 3 or 4 Meters - 2nd GaitShort Physical Performance Battery V1.2 - Gait Speed Test - Second Gait Speed Test: Time for 3 or 4 meters.SPPB Version 1.2 - Time for 3 or 4 Meters - 2nd Gait
SPPB1-Time for 3 or 4 Meters 1st GaitC170703SPPB1-Time for 3 or 4 Meters 1st GaitShort Physical Performance Battery V1.2 - Gait Speed Test - First Gait Speed Test: Time for 3 or 4 meters.SPPB Version 1.2 - Time for 3 or 4 Meters 1st Gait
SPPB1-Time to Complete Five StandsC170720SPPB1-Time to Complete Five StandsShort Physical Performance Battery V1.2 - Chair Stand Test - Repeated Chair Stand Test: Time to complete five stands.SPPB Version 1.2 - Time to Complete Five Stands
SPPB1-Total Balance Tests ScoreC170701SPPB1-Total Balance Tests ScoreShort Physical Performance Battery V1.2 - Total balance tests score.SPPB Version 1.2 - Total Balance Tests Score
SPPB1-Total ScoreC170724SPPB1-Total ScoreShort Physical Performance Battery V1.2 - Total score.SPPB Version 1.2 - Total Score
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CL.C100156.SFMP2TCShort-Form McGill Pain Questionnaire-2 Questionnaire Test Code
(SFMP2TC)
text
Extensible: No
C100156Short-Form McGill Pain Questionnaire-2 Questionnaire Test CodeShort-Form McGill Pain Questionnaire-2 test code.CDISC Questionnaire Short-Form MPQ-2 Test Code Terminology
SFMP201C100849SFMP2-Throbbing PainShort-Form McGill Pain Questionnaire-2 - Throbbing pain.SF-MPQ-2 - Throbbing Pain
SFMP202C100850SFMP2-Shooting PainShort-Form McGill Pain Questionnaire-2 - Shooting pain.SF-MPQ-2 - Shooting Pain
SFMP203C100851SFMP2-Stabbing PainShort-Form McGill Pain Questionnaire-2 - Stabbing pain.SF-MPQ-2 - Stabbing Pain
SFMP204C100852SFMP2-Sharp PainShort-Form McGill Pain Questionnaire-2 - Sharp pain.SF-MPQ-2 - Sharp Pain
SFMP205C100853SFMP2-Cramping PainShort-Form McGill Pain Questionnaire-2 - Cramping pain.SF-MPQ-2 - Cramping Pain
SFMP206C100854SFMP2-Gnawing PainShort-Form McGill Pain Questionnaire-2 - Gnawing pain.SF-MPQ-2 - Gnawing Pain
SFMP207C100855SFMP2-Hot-burning PainShort-Form McGill Pain Questionnaire-2 - Hot-burning pain.SF-MPQ-2 - Hot-burning Pain
SFMP208C100856SFMP2-Aching PainShort-Form McGill Pain Questionnaire-2 - Aching pain.SF-MPQ-2 - Aching Pain
SFMP209C100857SFMP2-Heavy PainShort-Form McGill Pain Questionnaire-2 - Heavy pain.SF-MPQ-2 - Heavy Pain
SFMP210C100858SFMP2-TenderShort-Form McGill Pain Questionnaire-2 - Tender.SF-MPQ-2 - Tender
SFMP211C100859SFMP2-Splitting PainShort-Form McGill Pain Questionnaire-2 - Splitting pain.SF-MPQ-2 - Splitting Pain
SFMP212C100860SFMP2-Tiring-ExhaustingShort-Form McGill Pain Questionnaire-2 - Tiring-exhausting.SF-MPQ-2 - Tiring-Exhausting
SFMP213C100861SFMP2-SickeningShort-Form McGill Pain Questionnaire-2 - Sickening.SF-MPQ-2 - Sickening
SFMP214C100862SFMP2-FearfulShort-Form McGill Pain Questionnaire-2 - Fearful.SF-MPQ-2 - Fearful
SFMP215C100863SFMP2-Punishing-CruelShort-Form McGill Pain Questionnaire-2 - Punishing-cruel.SF-MPQ-2 - Punishing-Cruel
SFMP216C100864SFMP2-Electric-Shock PainShort-Form McGill Pain Questionnaire-2 - Electric-shock pain.SF-MPQ-2 - Electric-Shock Pain
SFMP217C100865SFMP2-Cold-Freezing PainShort-Form McGill Pain Questionnaire-2 - Cold-freezing pain.SF-MPQ-2 - Cold-Freezing Pain
SFMP218C100866SFMP2-PiercingShort-Form McGill Pain Questionnaire-2 - Piercing.SF-MPQ-2 - Piercing
SFMP219C100867SFMP2-Pain Caused by Light TouchShort-Form McGill Pain Questionnaire-2 - Pain caused by light touch.SF-MPQ-2 - Pain Caused by Light Touch
SFMP220C100868SFMP2-ItchingShort-Form McGill Pain Questionnaire-2 - Itching.SF-MPQ-2 - Itching
SFMP221C101021SFMP2-Tingling or 'Pins and Needles'Short-Form McGill Pain Questionnaire-2 - Tingling or 'pins and needles'.SF-MPQ-2 - Tingling or 'Pins and Needles'
SFMP222C100869SFMP2-NumbnessShort-Form McGill Pain Questionnaire-2 - Numbness.SF-MPQ-2 - Numbness
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CL.C100155.SFMP2TNShort-Form McGill Pain Questionnaire-2 Questionnaire Test Name
(SFMP2TN)
text
Extensible: No
C100155Short-Form McGill Pain Questionnaire-2 Questionnaire Test NameShort-Form McGill Pain Questionnaire-2 test name.CDISC Questionnaire Short-Form MPQ-2 Test Name Terminology
SFMP2-Aching PainC100856SFMP2-Aching PainShort-Form McGill Pain Questionnaire-2 - Aching pain.SF-MPQ-2 - Aching Pain
SFMP2-Cold-Freezing PainC100865SFMP2-Cold-Freezing PainShort-Form McGill Pain Questionnaire-2 - Cold-freezing pain.SF-MPQ-2 - Cold-Freezing Pain
SFMP2-Cramping PainC100853SFMP2-Cramping PainShort-Form McGill Pain Questionnaire-2 - Cramping pain.SF-MPQ-2 - Cramping Pain
SFMP2-Electric-Shock PainC100864SFMP2-Electric-Shock PainShort-Form McGill Pain Questionnaire-2 - Electric-shock pain.SF-MPQ-2 - Electric-Shock Pain
SFMP2-FearfulC100862SFMP2-FearfulShort-Form McGill Pain Questionnaire-2 - Fearful.SF-MPQ-2 - Fearful
SFMP2-Gnawing PainC100854SFMP2-Gnawing PainShort-Form McGill Pain Questionnaire-2 - Gnawing pain.SF-MPQ-2 - Gnawing Pain
SFMP2-Heavy PainC100857SFMP2-Heavy PainShort-Form McGill Pain Questionnaire-2 - Heavy pain.SF-MPQ-2 - Heavy Pain
SFMP2-Hot-burning PainC100855SFMP2-Hot-burning PainShort-Form McGill Pain Questionnaire-2 - Hot-burning pain.SF-MPQ-2 - Hot-burning Pain
SFMP2-ItchingC100868SFMP2-ItchingShort-Form McGill Pain Questionnaire-2 - Itching.SF-MPQ-2 - Itching
SFMP2-NumbnessC100869SFMP2-NumbnessShort-Form McGill Pain Questionnaire-2 - Numbness.SF-MPQ-2 - Numbness
SFMP2-Pain Caused by Light TouchC100867SFMP2-Pain Caused by Light TouchShort-Form McGill Pain Questionnaire-2 - Pain caused by light touch.SF-MPQ-2 - Pain Caused by Light Touch
SFMP2-PiercingC100866SFMP2-PiercingShort-Form McGill Pain Questionnaire-2 - Piercing.SF-MPQ-2 - Piercing
SFMP2-Punishing-CruelC100863SFMP2-Punishing-CruelShort-Form McGill Pain Questionnaire-2 - Punishing-cruel.SF-MPQ-2 - Punishing-Cruel
SFMP2-Sharp PainC100852SFMP2-Sharp PainShort-Form McGill Pain Questionnaire-2 - Sharp pain.SF-MPQ-2 - Sharp Pain
SFMP2-Shooting PainC100850SFMP2-Shooting PainShort-Form McGill Pain Questionnaire-2 - Shooting pain.SF-MPQ-2 - Shooting Pain
SFMP2-SickeningC100861SFMP2-SickeningShort-Form McGill Pain Questionnaire-2 - Sickening.SF-MPQ-2 - Sickening
SFMP2-Splitting PainC100859SFMP2-Splitting PainShort-Form McGill Pain Questionnaire-2 - Splitting pain.SF-MPQ-2 - Splitting Pain
SFMP2-Stabbing PainC100851SFMP2-Stabbing PainShort-Form McGill Pain Questionnaire-2 - Stabbing pain.SF-MPQ-2 - Stabbing Pain
SFMP2-TenderC100858SFMP2-TenderShort-Form McGill Pain Questionnaire-2 - Tender.SF-MPQ-2 - Tender
SFMP2-Throbbing PainC100849SFMP2-Throbbing PainShort-Form McGill Pain Questionnaire-2 - Throbbing pain.SF-MPQ-2 - Throbbing Pain
SFMP2-Tingling or 'Pins and Needles'C101021SFMP2-Tingling or 'Pins and Needles'Short-Form McGill Pain Questionnaire-2 - Tingling or 'pins and needles'.SF-MPQ-2 - Tingling or 'Pins and Needles'
SFMP2-Tiring-ExhaustingC100860SFMP2-Tiring-ExhaustingShort-Form McGill Pain Questionnaire-2 - Tiring-exhausting.SF-MPQ-2 - Tiring-Exhausting
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CL.C176051.SES01TCSimple Endoscopic Score for Crohn's Disease Version 1 Clinical Classification Test Code
(SES01TC)
text
Extensible: No
C176051Simple Endoscopic Score for Crohn's Disease Version 1 Clinical Classification Test CodeSimple Endoscopic Score for Crohn's Disease Version 1 test code.CDISC Clinical Classification SES-CD Version 1 Test Code Terminology
SES0101C176090SES01-Ileum: ExploredSimple Endoscopic Score for Crohn's Disease Version 1 - Was ileum explored?SES-CD Version 1 - Ileum: Explored
SES0102C176091SES01-Ileum: Size of UlcersSimple Endoscopic Score for Crohn's Disease Version 1 - Size of ulcers - ileum.SES-CD Version 1 - Ileum: Size of Ulcers
SES0103C176092SES01-Ileum: Ulcerated SurfaceSimple Endoscopic Score for Crohn's Disease Version 1 - Ulcerated surface - ileum.SES-CD Version 1 - Ileum: Ulcerated Surface
SES0104C176093SES01-Ileum: Affected SurfaceSimple Endoscopic Score for Crohn's Disease Version 1 - Affected surface - ileum.SES-CD Version 1 - Ileum: Affected Surface
SES0105C176094SES01-Ileum: Presence of NarrowingSimple Endoscopic Score for Crohn's Disease Version 1 - Presence of narrowing - ileum.SES-CD Version 1 - Ileum: Presence of Narrowing
SES0106C176095SES01-Right Colon: ExploredSimple Endoscopic Score for Crohn's Disease Version 1 - Was right colon explored?SES-CD Version 1 - Right Colon: Explored
SES0107C176096SES01-Right Colon: Size of UlcersSimple Endoscopic Score for Crohn's Disease Version 1 - Size of ulcers - right colon.SES-CD Version 1 - Right Colon: Size of Ulcers
SES0108C176097SES01-Right Colon: Ulcerated SurfaceSimple Endoscopic Score for Crohn's Disease Version 1 - Ulcerated surface - right colon.SES-CD Version 1 - Right Colon: Ulcerated Surface
SES0109C176098SES01-Right Colon: Affected SurfaceSimple Endoscopic Score for Crohn's Disease Version 1 - Affected surface - right colon.SES-CD Version 1 - Right Colon: Affected Surface
SES0110C176099SES01-Right Colon: Presence of NarrowingSimple Endoscopic Score for Crohn's Disease Version 1 - Presence of narrowing - right colon.SES-CD Version 1 - Right Colon: Presence of Narrowing
SES0111C176100SES01-Trans Colon: ExploredSimple Endoscopic Score for Crohn's Disease Version 1 - Was transverse colon explored?SES-CD Version 1 - Trans Colon: Explored
SES0112C176101SES01-Trans Colon: Size of UlcersSimple Endoscopic Score for Crohn's Disease Version 1 - Size of ulcers - transverse colon.SES-CD Version 1 - Trans Colon: Size of Ulcers
SES0113C176102SES01-Trans Colon: Ulcerated SurfaceSimple Endoscopic Score for Crohn's Disease Version 1 - Ulcerated surface - transverse colon.SES-CD Version 1 - Trans Colon: Ulcerated Surface
SES0114C176103SES01-Trans Colon: Affected SurfaceSimple Endoscopic Score for Crohn's Disease Version 1 - Affected surface - transverse colon.SES-CD Version 1 - Trans Colon: Affected Surface
SES0115C176104SES01-Trans Colon: Presence of NarrowingSimple Endoscopic Score for Crohn's Disease Version 1 - Presence of narrowing - transverse colon.SES-CD Version 1 - Trans Colon: Presence of Narrowing
SES0116C176105SES01-Left Colon: ExploredSimple Endoscopic Score for Crohn's Disease Version 1 - Was sigmoid and left colon explored?SES-CD Version 1 - Left Colon: Explored
SES0117C176106SES01-Left Colon: Size of UlcersSimple Endoscopic Score for Crohn's Disease Version 1 - Size of ulcers - sigmoid and left colon.SES-CD Version 1 - Left Colon: Size of Ulcers
SES0118C176107SES01-Left Colon: Ulcerated SurfaceSimple Endoscopic Score for Crohn's Disease Version 1 - Ulcerated surface - sigmoid and left colon.SES-CD Version 1 - Left Colon: Ulcerated Surface
SES0119C176108SES01-Left Colon: Affected SurfaceSimple Endoscopic Score for Crohn's Disease Version 1 - Affected surface - sigmoid and left colon.SES-CD Version 1 - Left Colon: Affected Surface
SES0120C176109SES01-Left Colon: Presence of NarrowingSimple Endoscopic Score for Crohn's Disease Version 1 - Presence of narrowing - sigmoid and left colon.SES-CD Version 1 - Left Colon: Presence of Narrowing
SES0121C176110SES01-Rectum: ExploredSimple Endoscopic Score for Crohn's Disease Version 1 - Was rectum explored?SES-CD Version 1 - Rectum: Explored
SES0122C176111SES01-Rectum: Size of UlcersSimple Endoscopic Score for Crohn's Disease Version 1 - Size of ulcers - rectum.SES-CD Version 1 - Rectum: Size of Ulcers
SES0123C176112SES01-Rectum: Ulcerated SurfaceSimple Endoscopic Score for Crohn's Disease Version 1 - Ulcerated surface - rectum.SES-CD Version 1 - Rectum: Ulcerated Surface
SES0124C176113SES01-Rectum: Affected SurfaceSimple Endoscopic Score for Crohn's Disease Version 1 - Affected surface - rectum.SES-CD Version 1 - Rectum: Affected Surface
SES0125C176114SES01-Rectum: Presence of NarrowingSimple Endoscopic Score for Crohn's Disease Version 1 - Presence of narrowing - rectum.SES-CD Version 1 - Rectum: Presence of Narrowing
SES0126C176115SES01-Ileum SubscoreSimple Endoscopic Score for Crohn's Disease Version 1 - Ileum subscore.SES-CD Version 1 - Ileum Subscore
SES0127C176116SES01-Right Colon SubscoreSimple Endoscopic Score for Crohn's Disease Version 1 - Right colon subscore.SES-CD Version 1 - Right Colon Subscore
SES0128C176117SES01-Trans Colon SubscoreSimple Endoscopic Score for Crohn's Disease Version 1 - Transverse colon subscore.SES-CD Version 1 - Trans Colon Subscore
SES0129C176118SES01-Left Colon SubscoreSimple Endoscopic Score for Crohn's Disease Version 1 - Sigmoid and left colon subscore.SES-CD Version 1 - Left Colon Subscore
SES0130C176119SES01-Rectum SubscoreSimple Endoscopic Score for Crohn's Disease Version 1 - Rectum subscore.SES-CD Version 1 - Rectum Subscore
SES0131C176120SES01-Total ScoreSimple Endoscopic Score for Crohn's Disease Version 1 - SES-CD total score.SES-CD Version 1 - Total Score
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CL.C176050.SES01TNSimple Endoscopic Score for Crohn's Disease Version 1 Clinical Classification Test Name
(SES01TN)
text
Extensible: No
C176050Simple Endoscopic Score for Crohn's Disease Version 1 Clinical Classification Test NameSimple Endoscopic Score for Crohn's Disease Version 1 test name.CDISC Clinical Classification SES-CD Version 1 Test Name Terminology
SES01-Ileum SubscoreC176115SES01-Ileum SubscoreSimple Endoscopic Score for Crohn's Disease Version 1 - Ileum subscore.SES-CD Version 1 - Ileum Subscore
SES01-Ileum: Affected SurfaceC176093SES01-Ileum: Affected SurfaceSimple Endoscopic Score for Crohn's Disease Version 1 - Affected surface - ileum.SES-CD Version 1 - Ileum: Affected Surface
SES01-Ileum: ExploredC176090SES01-Ileum: ExploredSimple Endoscopic Score for Crohn's Disease Version 1 - Was ileum explored?SES-CD Version 1 - Ileum: Explored
SES01-Ileum: Presence of NarrowingC176094SES01-Ileum: Presence of NarrowingSimple Endoscopic Score for Crohn's Disease Version 1 - Presence of narrowing - ileum.SES-CD Version 1 - Ileum: Presence of Narrowing
SES01-Ileum: Size of UlcersC176091SES01-Ileum: Size of UlcersSimple Endoscopic Score for Crohn's Disease Version 1 - Size of ulcers - ileum.SES-CD Version 1 - Ileum: Size of Ulcers
SES01-Ileum: Ulcerated SurfaceC176092SES01-Ileum: Ulcerated SurfaceSimple Endoscopic Score for Crohn's Disease Version 1 - Ulcerated surface - ileum.SES-CD Version 1 - Ileum: Ulcerated Surface
SES01-Left Colon SubscoreC176118SES01-Left Colon SubscoreSimple Endoscopic Score for Crohn's Disease Version 1 - Sigmoid and left colon subscore.SES-CD Version 1 - Left Colon Subscore
SES01-Left Colon: Affected SurfaceC176108SES01-Left Colon: Affected SurfaceSimple Endoscopic Score for Crohn's Disease Version 1 - Affected surface - sigmoid and left colon.SES-CD Version 1 - Left Colon: Affected Surface
SES01-Left Colon: ExploredC176105SES01-Left Colon: ExploredSimple Endoscopic Score for Crohn's Disease Version 1 - Was sigmoid and left colon explored?SES-CD Version 1 - Left Colon: Explored
SES01-Left Colon: Presence of NarrowingC176109SES01-Left Colon: Presence of NarrowingSimple Endoscopic Score for Crohn's Disease Version 1 - Presence of narrowing - sigmoid and left colon.SES-CD Version 1 - Left Colon: Presence of Narrowing
SES01-Left Colon: Size of UlcersC176106SES01-Left Colon: Size of UlcersSimple Endoscopic Score for Crohn's Disease Version 1 - Size of ulcers - sigmoid and left colon.SES-CD Version 1 - Left Colon: Size of Ulcers
SES01-Left Colon: Ulcerated SurfaceC176107SES01-Left Colon: Ulcerated SurfaceSimple Endoscopic Score for Crohn's Disease Version 1 - Ulcerated surface - sigmoid and left colon.SES-CD Version 1 - Left Colon: Ulcerated Surface
SES01-Rectum SubscoreC176119SES01-Rectum SubscoreSimple Endoscopic Score for Crohn's Disease Version 1 - Rectum subscore.SES-CD Version 1 - Rectum Subscore
SES01-Rectum: Affected SurfaceC176113SES01-Rectum: Affected SurfaceSimple Endoscopic Score for Crohn's Disease Version 1 - Affected surface - rectum.SES-CD Version 1 - Rectum: Affected Surface
SES01-Rectum: ExploredC176110SES01-Rectum: ExploredSimple Endoscopic Score for Crohn's Disease Version 1 - Was rectum explored?SES-CD Version 1 - Rectum: Explored
SES01-Rectum: Presence of NarrowingC176114SES01-Rectum: Presence of NarrowingSimple Endoscopic Score for Crohn's Disease Version 1 - Presence of narrowing - rectum.SES-CD Version 1 - Rectum: Presence of Narrowing
SES01-Rectum: Size of UlcersC176111SES01-Rectum: Size of UlcersSimple Endoscopic Score for Crohn's Disease Version 1 - Size of ulcers - rectum.SES-CD Version 1 - Rectum: Size of Ulcers
SES01-Rectum: Ulcerated SurfaceC176112SES01-Rectum: Ulcerated SurfaceSimple Endoscopic Score for Crohn's Disease Version 1 - Ulcerated surface - rectum.SES-CD Version 1 - Rectum: Ulcerated Surface
SES01-Right Colon SubscoreC176116SES01-Right Colon SubscoreSimple Endoscopic Score for Crohn's Disease Version 1 - Right colon subscore.SES-CD Version 1 - Right Colon Subscore
SES01-Right Colon: Affected SurfaceC176098SES01-Right Colon: Affected SurfaceSimple Endoscopic Score for Crohn's Disease Version 1 - Affected surface - right colon.SES-CD Version 1 - Right Colon: Affected Surface
SES01-Right Colon: ExploredC176095SES01-Right Colon: ExploredSimple Endoscopic Score for Crohn's Disease Version 1 - Was right colon explored?SES-CD Version 1 - Right Colon: Explored
SES01-Right Colon: Presence of NarrowingC176099SES01-Right Colon: Presence of NarrowingSimple Endoscopic Score for Crohn's Disease Version 1 - Presence of narrowing - right colon.SES-CD Version 1 - Right Colon: Presence of Narrowing
SES01-Right Colon: Size of UlcersC176096SES01-Right Colon: Size of UlcersSimple Endoscopic Score for Crohn's Disease Version 1 - Size of ulcers - right colon.SES-CD Version 1 - Right Colon: Size of Ulcers
SES01-Right Colon: Ulcerated SurfaceC176097SES01-Right Colon: Ulcerated SurfaceSimple Endoscopic Score for Crohn's Disease Version 1 - Ulcerated surface - right colon.SES-CD Version 1 - Right Colon: Ulcerated Surface
SES01-Total ScoreC176120SES01-Total ScoreSimple Endoscopic Score for Crohn's Disease Version 1 - SES-CD total score.SES-CD Version 1 - Total Score
SES01-Trans Colon SubscoreC176117SES01-Trans Colon SubscoreSimple Endoscopic Score for Crohn's Disease Version 1 - Transverse colon subscore.SES-CD Version 1 - Trans Colon Subscore
SES01-Trans Colon: Affected SurfaceC176103SES01-Trans Colon: Affected SurfaceSimple Endoscopic Score for Crohn's Disease Version 1 - Affected surface - transverse colon.SES-CD Version 1 - Trans Colon: Affected Surface
SES01-Trans Colon: ExploredC176100SES01-Trans Colon: ExploredSimple Endoscopic Score for Crohn's Disease Version 1 - Was transverse colon explored?SES-CD Version 1 - Trans Colon: Explored
SES01-Trans Colon: Presence of NarrowingC176104SES01-Trans Colon: Presence of NarrowingSimple Endoscopic Score for Crohn's Disease Version 1 - Presence of narrowing - transverse colon.SES-CD Version 1 - Trans Colon: Presence of Narrowing
SES01-Trans Colon: Size of UlcersC176101SES01-Trans Colon: Size of UlcersSimple Endoscopic Score for Crohn's Disease Version 1 - Size of ulcers - transverse colon.SES-CD Version 1 - Trans Colon: Size of Ulcers
SES01-Trans Colon: Ulcerated SurfaceC176102SES01-Trans Colon: Ulcerated SurfaceSimple Endoscopic Score for Crohn's Disease Version 1 - Ulcerated surface - transverse colon.SES-CD Version 1 - Trans Colon: Ulcerated Surface
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CL.C106671.SGRQC1TCSt. George's Respiratory Questionnaire for COPD Patients Questionnaire Test Code
(SGRQC1TC)
text
Extensible: No
C106671St. George's Respiratory Questionnaire for COPD Patients Questionnaire Test CodeSt. George's Respiratory Questionnaire for COPD Patients test code.CDISC Questionnaire SGRQ-C Test Code Terminology
SGRQC101C106853SGRQC1-Describe Your Current HealthSt. George's Respiratory Questionnaire - Please check one box to show how you describe your current health.SGRQ-C - Description of Your Current Health
SGRQC102C106854SGRQC1-I CoughSt. George's Respiratory Questionnaire - I cough.SGRQ-C - Cough
SGRQC103C106855SGRQC1-I Bring Up PhlegmSt. George's Respiratory Questionnaire - I bring up phlegm (sputum).SGRQ-C - Bring Up Phlegm
SGRQC104C106856SGRQC1-I Have Shortness of BreathSt. George's Respiratory Questionnaire - I have shortness of breath.SGRQ-C - Have Shortness of Breath
SGRQC105C106857SGRQC1-I Have Attacks of WheezingSt. George's Respiratory Questionnaire - I have attacks of wheezing.SGRQ-C - Have Attacks of Wheezing
SGRQC106C106858SGRQC1-How Many Respiratory AttacksSt. George's Respiratory Questionnaire - How many respiratory attacks did you have during the last year?SGRQ-C - Number of Respiratory Attacks Last Year
SGRQC107C106859SGRQC1-How Often Do You Have Good DaysSt. George's Respiratory Questionnaire - How often do you have good days (with few respiratory problems)?SGRQ-C - Good Days with Few Respiratory Problems
SGRQC108C106860SGRQC1-Wheeze Worse in the MorningSt. George's Respiratory Questionnaire - If you wheeze, is it worse when you get up in the morning?SGRQ-C - Wheezing Worse In the Morning
SGRQC109C106861SGRQC1-Describe Your Resp ProblemsSt. George's Respiratory Questionnaire - How would you describe your respiratory problems?SGRQ-C - Description of Your Respiratory Problems
SGRQC110C106862SGRQC1-Washing or Dressing YourselfSt. George's Respiratory Questionnaire - Questions about what activities usually make you feel breathless: Washing or dressing yourself.SGRQ-C - Feel Breathless Washing or Dressing Yourself
SGRQC111C106863SGRQC1-Walking Around the HouseSt. George's Respiratory Questionnaire - Questions about what activities usually make you feel breathless: Walking around the house.SGRQ-C - Feel Breathless Walking Around the House
SGRQC112C106864SGRQC1-Walking Outside on Level GroundSt. George's Respiratory Questionnaire - Questions about what activities usually make you feel breathless: Walking outside on level ground.SGRQ-C - Feel Breathless Walking Outside on Level Ground
SGRQC113C106865SGRQC1-Walking Up a Flight of StairsSt. George's Respiratory Questionnaire - Questions about what activities usually make you feel breathless: Walking up a flight of stairs.SGRQ-C - Feel Breathless Walking Up a Flight of Stairs
SGRQC114C106866SGRQC1-Walking Up HillsSt. George's Respiratory Questionnaire - Questions about what activities usually make you feel breathless: Walking up hills.SGRQ-C - Feel Breathless Walking Up Hills
SGRQC115C106867SGRQC1-Coughing HurtsSt. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: Coughing hurts.SGRQ-C - Coughing Hurts
SGRQC116C106868SGRQC1-Coughing Makes Me TiredSt. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: Coughing makes me tired.SGRQ-C - Coughing Makes Me Tired
SGRQC117C106869SGRQC1-Short of Breath When TalkSt. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: I am short of breath when I talk.SGRQ-C - Short of Breath When Talk
SGRQC118C106870SGRQC1-Short of Breath When Bend OverSt. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: I am short of breath when I bend over.SGRQ-C - Short of Breath When Bend Over
SGRQC119C106871SGRQC1-Coughing Disturbs My SleepSt. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: My coughing or breathing disturbs my sleep.SGRQ-C - Coughing Disturbs My Sleep
SGRQC120C106872SGRQC1-Get Exhausted EasilySt. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: I get exhausted easily.SGRQ-C - Get Exhausted Easily
SGRQC121C106873SGRQC1-Cough Is Embarrassing in PublicSt. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: My cough or breathing is embarrassing in public.SGRQ-C - Cough Is Embarrassing in Public
SGRQC122C107021SGRQC1-Respiratory Problems a NuisanceSt. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: My respiratory problems are a nuisance to my family, friends or neighbours.SGRQ-C - Respiratory Problems a Nuisance to Family, Friends or Neighbours
SGRQC123C106874SGRQC1-Afraid When Cannot Catch BreathSt. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: I get afraid or panic when I cannot catch my breath.SGRQ-C - Afraid or Panic When Cannot Catch Breath
SGRQC124C106875SGRQC1-Not in Control of Resp ProblemsSt. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: I feel that I am not in control of my respiratory problems.SGRQ-C - Not in Control of Respiratory Problems
SGRQC125C106876SGRQC1-Frail Because of Resp ProblemsSt. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: I have become frail or an invalid because of my respiratory problems.SGRQ-C - Become Frail Because of Respiratory Problems
SGRQC126C106877SGRQC1-Exercise Is Not Safe for MeSt. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: Exercise is not safe for me.SGRQ-C - Exercise Is Not Safe for Me
SGRQC127C106878SGRQC1-Everything Too Much EffortSt. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: Everything seems too much of an effort.SGRQ-C - Everything Seems Too Much Effort
SGRQC128C106879SGRQC1-Take a Long Time to Get WashedSt. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: I take a long time to get washed or dressed.SGRQ-C - Take a Long Time to Get Washed or Dressed
SGRQC129C106880SGRQC1-Cannot Take a Bath or ShowerSt. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: I cannot take a bath or shower, or I take a long time to do it.SGRQ-C - Cannot Take a Bath or Shower
SGRQC130C106881SGRQC1-Walk Slow Than Others My AgeSt. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: I walk slower than other people my age, or I stop to rest.SGRQ-C - Walk Slower Than Other People My Age
SGRQC131C106882SGRQC1-Jobs Take a Long TimeSt. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: Jobs such as household chores take a long time, or I have to stop to rest.SGRQ-C - Jobs Take a Long Time
SGRQC132C106883SGRQC1-Walk Up Flight of Stairs SlowlySt. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: If I walk up one flight of stairs, I have to go slowly or stop.SGRQ-C - Walk Up Flight of Stairs Slowly
SGRQC133C106884SGRQC1-If I Hurry, I Have to StopSt. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: If I hurry or walk fast, I have to stop or slow down.SGRQ-C - If Walk Fast Have to Stop
SGRQC134C106885SGRQC1-Difficult to Walk Up HillsSt. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as walk up hills, carry things up stairs, light gardening such as weeding, dance, bowl or play golf.SGRQ-C - Difficult to Walk Up Hills
SGRQC135C106886SGRQC1-Difficult to Carry Heavy LoadsSt. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as carry heavy loads, dig in the garden or shovel snow, jog or walk briskly (5 miles per hour), play tennis or swim.SGRQ-C - Difficult to Carry Heavy Loads
SGRQC136C107022SGRQC1-Cannot Play SportsSt. George's Respiratory Questionnaire - We would like to know how your respiratory problems usually affect your daily life: I cannot play sports or do other physical activities.SGRQ-C - Respiratory Problems Affect Daily Life: Cannot Play Sports
SGRQC137C107023SGRQC1-Cannot Go Out for EntertainmentSt. George's Respiratory Questionnaire - We would like to know how your respiratory problems usually affect your daily life: I cannot go out for entertainment or recreation.SGRQ-C - Respiratory Problems Affect Daily Life: Cannot Go Out for Entertainment
SGRQC138C107024SGRQC1-Cannot Go Out to Do ShoppingSt. George's Respiratory Questionnaire - We would like to know how your respiratory problems usually affect your daily life: I cannot go out of the house to do the shopping.SGRQ-C - Respiratory Problems Affect Daily Life: Cannot Go Out to Do Shopping
SGRQC139C107025SGRQC1-Cannot Do Household ChoresSt. George's Respiratory Questionnaire - We would like to know how your respiratory problems usually affect your daily life: I cannot do household chores.SGRQ-C - Respiratory Problems Affect Daily Life: Cannot Do Household Chores
SGRQC140C107026SGRQC1-Cannot Move Far From My BedSt. George's Respiratory Questionnaire - We would like to know how your respiratory problems usually affect your daily life: I cannot move far from my bed or chair.SGRQ-C - Respiratory Problems Affect Daily Life: Cannot Move Far From Bed
SGRQC141C106887SGRQC1-How Resp Problems Affect YouSt. George's Respiratory Questionnaire - How do your respiratory problems affect you?SGRQ-C - How Respiratory Problems Affect You
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CL.C106670.SGRQC1TNSt. George's Respiratory Questionnaire for COPD Patients Questionnaire Test Name
(SGRQC1TN)
text
Extensible: No
C106670St. George's Respiratory Questionnaire for COPD Patients Questionnaire Test NameSt. George's Respiratory Questionnaire for COPD Patients test name.CDISC Questionnaire SGRQ-C Test Name Terminology
SGRQC1-Afraid When Cannot Catch BreathC106874SGRQC1-Afraid When Cannot Catch BreathSt. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: I get afraid or panic when I cannot catch my breath.SGRQ-C - Afraid or Panic When Cannot Catch Breath
SGRQC1-Cannot Do Household ChoresC107025SGRQC1-Cannot Do Household ChoresSt. George's Respiratory Questionnaire - We would like to know how your respiratory problems usually affect your daily life: I cannot do household chores.SGRQ-C - Respiratory Problems Affect Daily Life: Cannot Do Household Chores
SGRQC1-Cannot Go Out for EntertainmentC107023SGRQC1-Cannot Go Out for EntertainmentSt. George's Respiratory Questionnaire - We would like to know how your respiratory problems usually affect your daily life: I cannot go out for entertainment or recreation.SGRQ-C - Respiratory Problems Affect Daily Life: Cannot Go Out for Entertainment
SGRQC1-Cannot Go Out to Do ShoppingC107024SGRQC1-Cannot Go Out to Do ShoppingSt. George's Respiratory Questionnaire - We would like to know how your respiratory problems usually affect your daily life: I cannot go out of the house to do the shopping.SGRQ-C - Respiratory Problems Affect Daily Life: Cannot Go Out to Do Shopping
SGRQC1-Cannot Move Far From My BedC107026SGRQC1-Cannot Move Far From My BedSt. George's Respiratory Questionnaire - We would like to know how your respiratory problems usually affect your daily life: I cannot move far from my bed or chair.SGRQ-C - Respiratory Problems Affect Daily Life: Cannot Move Far From Bed
SGRQC1-Cannot Play SportsC107022SGRQC1-Cannot Play SportsSt. George's Respiratory Questionnaire - We would like to know how your respiratory problems usually affect your daily life: I cannot play sports or do other physical activities.SGRQ-C - Respiratory Problems Affect Daily Life: Cannot Play Sports
SGRQC1-Cannot Take a Bath or ShowerC106880SGRQC1-Cannot Take a Bath or ShowerSt. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: I cannot take a bath or shower, or I take a long time to do it.SGRQ-C - Cannot Take a Bath or Shower
SGRQC1-Cough Is Embarrassing in PublicC106873SGRQC1-Cough Is Embarrassing in PublicSt. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: My cough or breathing is embarrassing in public.SGRQ-C - Cough Is Embarrassing in Public
SGRQC1-Coughing Disturbs My SleepC106871SGRQC1-Coughing Disturbs My SleepSt. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: My coughing or breathing disturbs my sleep.SGRQ-C - Coughing Disturbs My Sleep
SGRQC1-Coughing HurtsC106867SGRQC1-Coughing HurtsSt. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: Coughing hurts.SGRQ-C - Coughing Hurts
SGRQC1-Coughing Makes Me TiredC106868SGRQC1-Coughing Makes Me TiredSt. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: Coughing makes me tired.SGRQ-C - Coughing Makes Me Tired
SGRQC1-Describe Your Current HealthC106853SGRQC1-Describe Your Current HealthSt. George's Respiratory Questionnaire - Please check one box to show how you describe your current health.SGRQ-C - Description of Your Current Health
SGRQC1-Describe Your Resp ProblemsC106861SGRQC1-Describe Your Resp ProblemsSt. George's Respiratory Questionnaire - How would you describe your respiratory problems?SGRQ-C - Description of Your Respiratory Problems
SGRQC1-Difficult to Carry Heavy LoadsC106886SGRQC1-Difficult to Carry Heavy LoadsSt. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as carry heavy loads, dig in the garden or shovel snow, jog or walk briskly (5 miles per hour), play tennis or swim.SGRQ-C - Difficult to Carry Heavy Loads
SGRQC1-Difficult to Walk Up HillsC106885SGRQC1-Difficult to Walk Up HillsSt. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as walk up hills, carry things up stairs, light gardening such as weeding, dance, bowl or play golf.SGRQ-C - Difficult to Walk Up Hills
SGRQC1-Everything Too Much EffortC106878SGRQC1-Everything Too Much EffortSt. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: Everything seems too much of an effort.SGRQ-C - Everything Seems Too Much Effort
SGRQC1-Exercise Is Not Safe for MeC106877SGRQC1-Exercise Is Not Safe for MeSt. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: Exercise is not safe for me.SGRQ-C - Exercise Is Not Safe for Me
SGRQC1-Frail Because of Resp ProblemsC106876SGRQC1-Frail Because of Resp ProblemsSt. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: I have become frail or an invalid because of my respiratory problems.SGRQ-C - Become Frail Because of Respiratory Problems
SGRQC1-Get Exhausted EasilyC106872SGRQC1-Get Exhausted EasilySt. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: I get exhausted easily.SGRQ-C - Get Exhausted Easily
SGRQC1-How Many Respiratory AttacksC106858SGRQC1-How Many Respiratory AttacksSt. George's Respiratory Questionnaire - How many respiratory attacks did you have during the last year?SGRQ-C - Number of Respiratory Attacks Last Year
SGRQC1-How Often Do You Have Good DaysC106859SGRQC1-How Often Do You Have Good DaysSt. George's Respiratory Questionnaire - How often do you have good days (with few respiratory problems)?SGRQ-C - Good Days with Few Respiratory Problems
SGRQC1-How Resp Problems Affect YouC106887SGRQC1-How Resp Problems Affect YouSt. George's Respiratory Questionnaire - How do your respiratory problems affect you?SGRQ-C - How Respiratory Problems Affect You
SGRQC1-I Bring Up PhlegmC106855SGRQC1-I Bring Up PhlegmSt. George's Respiratory Questionnaire - I bring up phlegm (sputum).SGRQ-C - Bring Up Phlegm
SGRQC1-I CoughC106854SGRQC1-I CoughSt. George's Respiratory Questionnaire - I cough.SGRQ-C - Cough
SGRQC1-I Have Attacks of WheezingC106857SGRQC1-I Have Attacks of WheezingSt. George's Respiratory Questionnaire - I have attacks of wheezing.SGRQ-C - Have Attacks of Wheezing
SGRQC1-I Have Shortness of BreathC106856SGRQC1-I Have Shortness of BreathSt. George's Respiratory Questionnaire - I have shortness of breath.SGRQ-C - Have Shortness of Breath
SGRQC1-If I Hurry, I Have to StopC106884SGRQC1-If I Hurry, I Have to StopSt. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: If I hurry or walk fast, I have to stop or slow down.SGRQ-C - If Walk Fast Have to Stop
SGRQC1-Jobs Take a Long TimeC106882SGRQC1-Jobs Take a Long TimeSt. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: Jobs such as household chores take a long time, or I have to stop to rest.SGRQ-C - Jobs Take a Long Time
SGRQC1-Not in Control of Resp ProblemsC106875SGRQC1-Not in Control of Resp ProblemsSt. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: I feel that I am not in control of my respiratory problems.SGRQ-C - Not in Control of Respiratory Problems
SGRQC1-Respiratory Problems a NuisanceC107021SGRQC1-Respiratory Problems a NuisanceSt. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: My respiratory problems are a nuisance to my family, friends or neighbours.SGRQ-C - Respiratory Problems a Nuisance to Family, Friends or Neighbours
SGRQC1-Short of Breath When Bend OverC106870SGRQC1-Short of Breath When Bend OverSt. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: I am short of breath when I bend over.SGRQ-C - Short of Breath When Bend Over
SGRQC1-Short of Breath When TalkC106869SGRQC1-Short of Breath When TalkSt. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: I am short of breath when I talk.SGRQ-C - Short of Breath When Talk
SGRQC1-Take a Long Time to Get WashedC106879SGRQC1-Take a Long Time to Get WashedSt. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: I take a long time to get washed or dressed.SGRQ-C - Take a Long Time to Get Washed or Dressed
SGRQC1-Walk Slow Than Others My AgeC106881SGRQC1-Walk Slow Than Others My AgeSt. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: I walk slower than other people my age, or I stop to rest.SGRQ-C - Walk Slower Than Other People My Age
SGRQC1-Walk Up Flight of Stairs SlowlyC106883SGRQC1-Walk Up Flight of Stairs SlowlySt. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: If I walk up one flight of stairs, I have to go slowly or stop.SGRQ-C - Walk Up Flight of Stairs Slowly
SGRQC1-Walking Around the HouseC106863SGRQC1-Walking Around the HouseSt. George's Respiratory Questionnaire - Questions about what activities usually make you feel breathless: Walking around the house.SGRQ-C - Feel Breathless Walking Around the House
SGRQC1-Walking Outside on Level GroundC106864SGRQC1-Walking Outside on Level GroundSt. George's Respiratory Questionnaire - Questions about what activities usually make you feel breathless: Walking outside on level ground.SGRQ-C - Feel Breathless Walking Outside on Level Ground
SGRQC1-Walking Up a Flight of StairsC106865SGRQC1-Walking Up a Flight of StairsSt. George's Respiratory Questionnaire - Questions about what activities usually make you feel breathless: Walking up a flight of stairs.SGRQ-C - Feel Breathless Walking Up a Flight of Stairs
SGRQC1-Walking Up HillsC106866SGRQC1-Walking Up HillsSt. George's Respiratory Questionnaire - Questions about what activities usually make you feel breathless: Walking up hills.SGRQ-C - Feel Breathless Walking Up Hills
SGRQC1-Washing or Dressing YourselfC106862SGRQC1-Washing or Dressing YourselfSt. George's Respiratory Questionnaire - Questions about what activities usually make you feel breathless: Washing or dressing yourself.SGRQ-C - Feel Breathless Washing or Dressing Yourself
SGRQC1-Wheeze Worse in the MorningC106860SGRQC1-Wheeze Worse in the MorningSt. George's Respiratory Questionnaire - If you wheeze, is it worse when you get up in the morning?SGRQ-C - Wheezing Worse In the Morning
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CL.C112449.SGRQ01TCSt. George's Respiratory Questionnaire Past 3 Months Version Questionnaire Test Code
(SGRQ01TC)
text
Extensible: No
C112449St. George's Respiratory Questionnaire Past 3 Months Version Questionnaire Test CodeSt. George's Respiratory Questionnaire Past 3 Months Version test code.CDISC Questionnaire SGRQ Past 3 Months Version Test Code Terminology
SGRQ0101C112627SGRQ01-Describe Your Current HealthSt. George's Respiratory Questionnaire Past 3 Months Version - Please check one box to show how you describe your current health.SGRQ Past 3 Months Version - Describe Your Current Health
SGRQ0102C112628SGRQ01-I Have CoughedSt. George's Respiratory Questionnaire Past 3 Months Version - Over the past 3 months, I have coughed.SGRQ Past 3 Months Version - I Have Coughed
SGRQ0103C112629SGRQ01-I Have Brought Up PhlegmSt. George's Respiratory Questionnaire Past 3 Months Version - Over the past 3 months, I have brought up phlegm (sputum).SGRQ Past 3 Months Version - I Have Brought Up Phlegm
SGRQ0104C112630SGRQ01-I Have Had Shortness of BreathSt. George's Respiratory Questionnaire Past 3 Months Version - Over the past 3 months, I have had shortness of breath.SGRQ Past 3 Months Version - I Have Had Shortness of Breath
SGRQ0105C112631SGRQ01-I Have Had Wheezing AttacksSt. George's Respiratory Questionnaire Past 3 Months Version - Over the past 3 months, I have had wheezing attacks.SGRQ Past 3 Months Version - I Have Had Wheezing Attacks
SGRQ0106C112632SGRQ01-Times Suffered Sev Resp AttacksSt. George's Respiratory Questionnaire Past 3 Months Version - How many times during the past 3 months have you suffered from severe or very unpleasant respiratory attacks?SGRQ Past 3 Months Version - Times Suffered From Severe Respiratory Attacks
SGRQ0107C112633SGRQ01-How Long Worst Resp Attack LastSt. George's Respiratory Questionnaire Past 3 Months Version - How long did the worst respiratory attack last?SGRQ Past 3 Months Version - How Long Did Worst Respiratory Attack Last
SGRQ0108C112634SGRQ01-How Many Good Days Have You HadSt. George's Respiratory Questionnaire Past 3 Months Version - Over the past 3 months, in a typical week, how many good days (with few respiratory problems) have you had?SGRQ Past 3 Months Version - How Many Good Days You Had
SGRQ0109C112635SGRQ01-Wheeze Worse in the MorningSt. George's Respiratory Questionnaire Past 3 Months Version - If you wheeze, is it worse when you get up in the morning?SGRQ Past 3 Months Version - Wheeze Worse When Get Up in the Morning
SGRQ0110C112636SGRQ01-Describe Your Resp ConditionSt. George's Respiratory Questionnaire Past 3 Months Version - How would you describe your respiratory condition?SGRQ Past 3 Months Version - Describe Your Respiratory Condition
SGRQ0111C112637SGRQ01-If You Have Ever Held a JobSt. George's Respiratory Questionnaire Past 3 Months Version - If you have ever held a job.SGRQ Past 3 Months Version - Held a Job
SGRQ0112C112638SGRQ01-Sitting or Lying StillSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Sitting or lying still.SGRQ Past 3 Months Version - Sitting or Lying Still
SGRQ0113C112639SGRQ01-Washing or Dressing YourselfSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Washing or dressing yourself.SGRQ Past 3 Months Version - Washing or Dressing Yourself
SGRQ0114C112640SGRQ01-Walking Around the HouseSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Walking around the house.SGRQ Past 3 Months Version - Walking Around the House
SGRQ0115C112641SGRQ01-Walking Outside on Level GroundSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Walking outside on level ground.SGRQ Past 3 Months Version - Walking Outside on Level Ground
SGRQ0116C112642SGRQ01-Walking Up a Flight of StairsSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Walking up a flight of stairs.SGRQ Past 3 Months Version - Walking Up a Flight of Stairs
SGRQ0117C112643SGRQ01-Walking Up HillsSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Walking up hills.SGRQ Past 3 Months Version - Walking Up Hills
SGRQ0118C112644SGRQ01-Playing SportsSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Playing sports or other physical activities.SGRQ Past 3 Months Version - Playing Sports or Other Physical Activities
SGRQ0119C112645SGRQ01-Coughing HurtsSt. George's Respiratory Questionnaire Past 3 Months Version - These are more questions about your cough and shortness of breath these days: Coughing hurts.SGRQ Past 3 Months Version - Coughing Hurts
SGRQ0120C112646SGRQ01-Coughing Makes Me TiredSt. George's Respiratory Questionnaire Past 3 Months Version - These are more questions about your cough and shortness of breath these days: Coughing makes me tired.SGRQ Past 3 Months Version - Coughing Makes Me Tired
SGRQ0121C112647SGRQ01-Short of Breath When I TalkSt. George's Respiratory Questionnaire Past 3 Months Version - These are more questions about your cough and shortness of breath these days: I am short of breath when I talk.SGRQ Past 3 Months Version - Short of Breath When I Talk
SGRQ0122C112648SGRQ01-Short of Breath When Bend OverSt. George's Respiratory Questionnaire Past 3 Months Version - These are more questions about your cough and shortness of breath these days: I am short of breath when I bend over.SGRQ Past 3 Months Version - Short of Breath When Bend Over
SGRQ0123C112649SGRQ01-Coughing Disturbs My SleepSt. George's Respiratory Questionnaire Past 3 Months Version - These are more questions about your cough and shortness of breath these days: My coughing or breathing disturbs my sleep.SGRQ Past 3 Months Version - Coughing Disturbs My Sleep
SGRQ0124C112650SGRQ01-I Get Exhausted EasilySt. George's Respiratory Questionnaire Past 3 Months Version - These are more questions about your cough and shortness of breath these days: I get exhausted easily.SGRQ Past 3 Months Version - I Get Exhausted Easily
SGRQ0125C112651SGRQ01-Cough Is Embarrassing in PublicSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: My cough or breathing is embarrassing in public.SGRQ Past 3 Months Version - My Cough is Embarrassing in Public
SGRQ0126C112652SGRQ01-Respiratory Problems a NuisanceSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: My respiratory problems are a nuisance to my family, friends or neighbors.SGRQ Past 3 Months Version - Respiratory Problems a Nuisance to Family
SGRQ0127C112653SGRQ01-Afraid When Cannot Catch BreathSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: I get afraid or panic when I cannot catch my breath.SGRQ Past 3 Months Version - Get Afraid When Cannot Catch My Breath
SGRQ0128C112654SGRQ01-Not in Control of Resp ProblemsSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: I feel that I am not in control of my respiratory problems.SGRQ Past 3 Months Version - Not in Control of My Respiratory Problems
SGRQ0129C112655SGRQ01-Not Expect Probs to Get BetterSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: I do not expect my respiratory problems to get any better.SGRQ Past 3 Months Version - Not Expect Respiratory Problems Get Better
SGRQ0130C112656SGRQ01-I Have Become FrailSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: I have become frail or an invalid because of my respiratory problems.SGRQ Past 3 Months Version - Become Frail or Invalid Because of My Respiratory Problems
SGRQ0131C112657SGRQ01-Exercise Is Not Safe for MeSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: Exercise is not safe for me.SGRQ Past 3 Months Version - Exercise Is Not Safe for Me
SGRQ0132C112658SGRQ01-Everything Too Much EffortSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: Everything seems too much of an effort.SGRQ Past 3 Months Version - Everything Too Much Effort
SGRQ0133C112659SGRQ01-Treatment Does Not Help Me MuchSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about your respiratory treatment: My treatment does not help me very much.SGRQ Past 3 Months Version - Treatment Does Not Help Me Much
SGRQ0134C112660SGRQ01-Embarrassed Using Med in PublicSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about your respiratory treatment: I get embarrassed using my medication in public.SGRQ Past 3 Months Version - Embarrassed Using Medication in Public
SGRQ0135C112661SGRQ01-Unpleasant Side Effect From MedSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about your respiratory treatment: I have unpleasant side effects from my medication.SGRQ Past 3 Months Version - Unpleasant Side Effects From Medication
SGRQ0136C112662SGRQ01-Treatment Interferes With LifeSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about your respiratory treatment: My treatment interferes with my life a lot.SGRQ Past 3 Months Version - Treatment Interferes With My Life
SGRQ0137C112663SGRQ01-Take a Long Time to Get WashedSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: I take a long time to get washed or dressed.SGRQ Past 3 Months Version - Take Long Time to Get Washed or Dressed
SGRQ0138C112664SGRQ01-I Cannot Take a Bath or ShowerSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: I cannot take a bath or shower, or I take a long time to do it.SGRQ Past 3 Months Version - Cannot Take a Bath or Shower
SGRQ0139C112665SGRQ01-I Walk Slower Than Other PeopleSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: I walk slower than other people my age, or I stop to rest.SGRQ Past 3 Months Version - Walk Slower Than Other People My Age
SGRQ0140C112666SGRQ01-Jobs Take a Long TimeSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: Jobs such as household chores take a long time, or I have to stop to rest.SGRQ Past 3 Months Version - Jobs Take Long Time or I Have to Stop
SGRQ0141C112667SGRQ01-Walk Up Flight of Stairs SlowlySt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: If I walk up one flight of stairs, I have to go slowly or stop.SGRQ Past 3 Months Version - If Walk Up One Flight of Stairs I Have to Go Slow
SGRQ0142C112668SGRQ01-If I Hurry, I Have to StopSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: If I hurry or walk fast, I have to stop or slow down.SGRQ Past 3 Months Version - If Walk Fast I Have to Stop or Slow Down
SGRQ0143C112669SGRQ01-Difficult to Walk Up HillsSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as walk up hills, carry things up stairs, light gardening such as weeding, dance, bowl or play golf.SGRQ Past 3 Months Version - Breathing Makes Difficult to Walk Up Hills
SGRQ0144C112670SGRQ01-Difficult to Carry Heavy LoadsSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as carry heavy loads, dig in the garden or shovel snow, jog or walk briskly (5 miles per hour), play tennis or swim.SGRQ Past 3 Months Version - Breathing Makes Difficult to Carry Heavy Loads
SGRQ0145C112671SGRQ01-Difficult to Do Very Heavy WorkSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as very heavy manual work, ride a bike, run, swim fast, or play competitive sports.SGRQ Past 3 Months Version - Breathing Makes Difficult to Do Heavy Manual Work
SGRQ0146C112672SGRQ01-I Cannot Play SportsSt. George's Respiratory Questionnaire Past 3 Months Version - We would like to know how your respiratory problems usually affect your daily life: I cannot play sports or do other physical activities.SGRQ Past 3 Months Version - Cannot Play Sports or Do Physical Activities
SGRQ0147C112673SGRQ01-Cannot Go Out for EntertainmentSt. George's Respiratory Questionnaire Past 3 Months Version - We would like to know how your respiratory problems usually affect your daily life: I cannot go out for entertainment or recreation.SGRQ Past 3 Months Version - Cannot Go Out for Entertainment
SGRQ0148C112674SGRQ01-Cannot Go Out to Do ShoppingSt. George's Respiratory Questionnaire Past 3 Months Version - We would like to know how your respiratory problems usually affect your daily life: I cannot go out of the house to do the shopping.SGRQ Past 3 Months Version - Cannot Go Out to Do Shopping
SGRQ0149C112675SGRQ01-I Cannot Do Household ChoresSt. George's Respiratory Questionnaire Past 3 Months Version - We would like to know how your respiratory problems usually affect your daily life: I cannot do household chores.SGRQ Past 3 Months Version - Cannot Do Household Chores
SGRQ0150C112676SGRQ01-I Cannot Move Far From My BedSt. George's Respiratory Questionnaire Past 3 Months Version - We would like to know how your respiratory problems usually affect your daily life: I cannot move far from my bed or chair.SGRQ Past 3 Months Version - Cannot Move Far From Bed or Chair
SGRQ0151C112677SGRQ01-How Resp Problems Affect YouSt. George's Respiratory Questionnaire Past 3 Months Version - Best describe how your respiratory problems affect you.SGRQ Past 3 Months Version - How Respiratory Problems Affect You
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CL.C112448.SGRQ01TNSt. George's Respiratory Questionnaire Past 3 Months Version Questionnaire Test Name
(SGRQ01TN)
text
Extensible: No
C112448St. George's Respiratory Questionnaire Past 3 Months Version Questionnaire Test NameSt. George's Respiratory Questionnaire Past 3 Months Version test name.CDISC Questionnaire SGRQ Past 3 Months Version Test Name Terminology
SGRQ01-Afraid When Cannot Catch BreathC112653SGRQ01-Afraid When Cannot Catch BreathSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: I get afraid or panic when I cannot catch my breath.SGRQ Past 3 Months Version - Get Afraid When Cannot Catch My Breath
SGRQ01-Cannot Go Out for EntertainmentC112673SGRQ01-Cannot Go Out for EntertainmentSt. George's Respiratory Questionnaire Past 3 Months Version - We would like to know how your respiratory problems usually affect your daily life: I cannot go out for entertainment or recreation.SGRQ Past 3 Months Version - Cannot Go Out for Entertainment
SGRQ01-Cannot Go Out to Do ShoppingC112674SGRQ01-Cannot Go Out to Do ShoppingSt. George's Respiratory Questionnaire Past 3 Months Version - We would like to know how your respiratory problems usually affect your daily life: I cannot go out of the house to do the shopping.SGRQ Past 3 Months Version - Cannot Go Out to Do Shopping
SGRQ01-Cough Is Embarrassing in PublicC112651SGRQ01-Cough Is Embarrassing in PublicSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: My cough or breathing is embarrassing in public.SGRQ Past 3 Months Version - My Cough is Embarrassing in Public
SGRQ01-Coughing Disturbs My SleepC112649SGRQ01-Coughing Disturbs My SleepSt. George's Respiratory Questionnaire Past 3 Months Version - These are more questions about your cough and shortness of breath these days: My coughing or breathing disturbs my sleep.SGRQ Past 3 Months Version - Coughing Disturbs My Sleep
SGRQ01-Coughing HurtsC112645SGRQ01-Coughing HurtsSt. George's Respiratory Questionnaire Past 3 Months Version - These are more questions about your cough and shortness of breath these days: Coughing hurts.SGRQ Past 3 Months Version - Coughing Hurts
SGRQ01-Coughing Makes Me TiredC112646SGRQ01-Coughing Makes Me TiredSt. George's Respiratory Questionnaire Past 3 Months Version - These are more questions about your cough and shortness of breath these days: Coughing makes me tired.SGRQ Past 3 Months Version - Coughing Makes Me Tired
SGRQ01-Describe Your Current HealthC112627SGRQ01-Describe Your Current HealthSt. George's Respiratory Questionnaire Past 3 Months Version - Please check one box to show how you describe your current health.SGRQ Past 3 Months Version - Describe Your Current Health
SGRQ01-Describe Your Resp ConditionC112636SGRQ01-Describe Your Resp ConditionSt. George's Respiratory Questionnaire Past 3 Months Version - How would you describe your respiratory condition?SGRQ Past 3 Months Version - Describe Your Respiratory Condition
SGRQ01-Difficult to Carry Heavy LoadsC112670SGRQ01-Difficult to Carry Heavy LoadsSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as carry heavy loads, dig in the garden or shovel snow, jog or walk briskly (5 miles per hour), play tennis or swim.SGRQ Past 3 Months Version - Breathing Makes Difficult to Carry Heavy Loads
SGRQ01-Difficult to Do Very Heavy WorkC112671SGRQ01-Difficult to Do Very Heavy WorkSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as very heavy manual work, ride a bike, run, swim fast, or play competitive sports.SGRQ Past 3 Months Version - Breathing Makes Difficult to Do Heavy Manual Work
SGRQ01-Difficult to Walk Up HillsC112669SGRQ01-Difficult to Walk Up HillsSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as walk up hills, carry things up stairs, light gardening such as weeding, dance, bowl or play golf.SGRQ Past 3 Months Version - Breathing Makes Difficult to Walk Up Hills
SGRQ01-Embarrassed Using Med in PublicC112660SGRQ01-Embarrassed Using Med in PublicSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about your respiratory treatment: I get embarrassed using my medication in public.SGRQ Past 3 Months Version - Embarrassed Using Medication in Public
SGRQ01-Everything Too Much EffortC112658SGRQ01-Everything Too Much EffortSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: Everything seems too much of an effort.SGRQ Past 3 Months Version - Everything Too Much Effort
SGRQ01-Exercise Is Not Safe for MeC112657SGRQ01-Exercise Is Not Safe for MeSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: Exercise is not safe for me.SGRQ Past 3 Months Version - Exercise Is Not Safe for Me
SGRQ01-How Long Worst Resp Attack LastC112633SGRQ01-How Long Worst Resp Attack LastSt. George's Respiratory Questionnaire Past 3 Months Version - How long did the worst respiratory attack last?SGRQ Past 3 Months Version - How Long Did Worst Respiratory Attack Last
SGRQ01-How Many Good Days Have You HadC112634SGRQ01-How Many Good Days Have You HadSt. George's Respiratory Questionnaire Past 3 Months Version - Over the past 3 months, in a typical week, how many good days (with few respiratory problems) have you had?SGRQ Past 3 Months Version - How Many Good Days You Had
SGRQ01-How Resp Problems Affect YouC112677SGRQ01-How Resp Problems Affect YouSt. George's Respiratory Questionnaire Past 3 Months Version - Best describe how your respiratory problems affect you.SGRQ Past 3 Months Version - How Respiratory Problems Affect You
SGRQ01-I Cannot Do Household ChoresC112675SGRQ01-I Cannot Do Household ChoresSt. George's Respiratory Questionnaire Past 3 Months Version - We would like to know how your respiratory problems usually affect your daily life: I cannot do household chores.SGRQ Past 3 Months Version - Cannot Do Household Chores
SGRQ01-I Cannot Move Far From My BedC112676SGRQ01-I Cannot Move Far From My BedSt. George's Respiratory Questionnaire Past 3 Months Version - We would like to know how your respiratory problems usually affect your daily life: I cannot move far from my bed or chair.SGRQ Past 3 Months Version - Cannot Move Far From Bed or Chair
SGRQ01-I Cannot Play SportsC112672SGRQ01-I Cannot Play SportsSt. George's Respiratory Questionnaire Past 3 Months Version - We would like to know how your respiratory problems usually affect your daily life: I cannot play sports or do other physical activities.SGRQ Past 3 Months Version - Cannot Play Sports or Do Physical Activities
SGRQ01-I Cannot Take a Bath or ShowerC112664SGRQ01-I Cannot Take a Bath or ShowerSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: I cannot take a bath or shower, or I take a long time to do it.SGRQ Past 3 Months Version - Cannot Take a Bath or Shower
SGRQ01-I Get Exhausted EasilyC112650SGRQ01-I Get Exhausted EasilySt. George's Respiratory Questionnaire Past 3 Months Version - These are more questions about your cough and shortness of breath these days: I get exhausted easily.SGRQ Past 3 Months Version - I Get Exhausted Easily
SGRQ01-I Have Become FrailC112656SGRQ01-I Have Become FrailSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: I have become frail or an invalid because of my respiratory problems.SGRQ Past 3 Months Version - Become Frail or Invalid Because of My Respiratory Problems
SGRQ01-I Have Brought Up PhlegmC112629SGRQ01-I Have Brought Up PhlegmSt. George's Respiratory Questionnaire Past 3 Months Version - Over the past 3 months, I have brought up phlegm (sputum).SGRQ Past 3 Months Version - I Have Brought Up Phlegm
SGRQ01-I Have CoughedC112628SGRQ01-I Have CoughedSt. George's Respiratory Questionnaire Past 3 Months Version - Over the past 3 months, I have coughed.SGRQ Past 3 Months Version - I Have Coughed
SGRQ01-I Have Had Shortness of BreathC112630SGRQ01-I Have Had Shortness of BreathSt. George's Respiratory Questionnaire Past 3 Months Version - Over the past 3 months, I have had shortness of breath.SGRQ Past 3 Months Version - I Have Had Shortness of Breath
SGRQ01-I Have Had Wheezing AttacksC112631SGRQ01-I Have Had Wheezing AttacksSt. George's Respiratory Questionnaire Past 3 Months Version - Over the past 3 months, I have had wheezing attacks.SGRQ Past 3 Months Version - I Have Had Wheezing Attacks
SGRQ01-I Walk Slower Than Other PeopleC112665SGRQ01-I Walk Slower Than Other PeopleSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: I walk slower than other people my age, or I stop to rest.SGRQ Past 3 Months Version - Walk Slower Than Other People My Age
SGRQ01-If I Hurry, I Have to StopC112668SGRQ01-If I Hurry, I Have to StopSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: If I hurry or walk fast, I have to stop or slow down.SGRQ Past 3 Months Version - If Walk Fast I Have to Stop or Slow Down
SGRQ01-If You Have Ever Held a JobC112637SGRQ01-If You Have Ever Held a JobSt. George's Respiratory Questionnaire Past 3 Months Version - If you have ever held a job.SGRQ Past 3 Months Version - Held a Job
SGRQ01-Jobs Take a Long TimeC112666SGRQ01-Jobs Take a Long TimeSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: Jobs such as household chores take a long time, or I have to stop to rest.SGRQ Past 3 Months Version - Jobs Take Long Time or I Have to Stop
SGRQ01-Not Expect Probs to Get BetterC112655SGRQ01-Not Expect Probs to Get BetterSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: I do not expect my respiratory problems to get any better.SGRQ Past 3 Months Version - Not Expect Respiratory Problems Get Better
SGRQ01-Not in Control of Resp ProblemsC112654SGRQ01-Not in Control of Resp ProblemsSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: I feel that I am not in control of my respiratory problems.SGRQ Past 3 Months Version - Not in Control of My Respiratory Problems
SGRQ01-Playing SportsC112644SGRQ01-Playing SportsSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Playing sports or other physical activities.SGRQ Past 3 Months Version - Playing Sports or Other Physical Activities
SGRQ01-Respiratory Problems a NuisanceC112652SGRQ01-Respiratory Problems a NuisanceSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: My respiratory problems are a nuisance to my family, friends or neighbors.SGRQ Past 3 Months Version - Respiratory Problems a Nuisance to Family
SGRQ01-Short of Breath When Bend OverC112648SGRQ01-Short of Breath When Bend OverSt. George's Respiratory Questionnaire Past 3 Months Version - These are more questions about your cough and shortness of breath these days: I am short of breath when I bend over.SGRQ Past 3 Months Version - Short of Breath When Bend Over
SGRQ01-Short of Breath When I TalkC112647SGRQ01-Short of Breath When I TalkSt. George's Respiratory Questionnaire Past 3 Months Version - These are more questions about your cough and shortness of breath these days: I am short of breath when I talk.SGRQ Past 3 Months Version - Short of Breath When I Talk
SGRQ01-Sitting or Lying StillC112638SGRQ01-Sitting or Lying StillSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Sitting or lying still.SGRQ Past 3 Months Version - Sitting or Lying Still
SGRQ01-Take a Long Time to Get WashedC112663SGRQ01-Take a Long Time to Get WashedSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: I take a long time to get washed or dressed.SGRQ Past 3 Months Version - Take Long Time to Get Washed or Dressed
SGRQ01-Times Suffered Sev Resp AttacksC112632SGRQ01-Times Suffered Sev Resp AttacksSt. George's Respiratory Questionnaire Past 3 Months Version - How many times during the past 3 months have you suffered from severe or very unpleasant respiratory attacks?SGRQ Past 3 Months Version - Times Suffered From Severe Respiratory Attacks
SGRQ01-Treatment Does Not Help Me MuchC112659SGRQ01-Treatment Does Not Help Me MuchSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about your respiratory treatment: My treatment does not help me very much.SGRQ Past 3 Months Version - Treatment Does Not Help Me Much
SGRQ01-Treatment Interferes With LifeC112662SGRQ01-Treatment Interferes With LifeSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about your respiratory treatment: My treatment interferes with my life a lot.SGRQ Past 3 Months Version - Treatment Interferes With My Life
SGRQ01-Unpleasant Side Effect From MedC112661SGRQ01-Unpleasant Side Effect From MedSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about your respiratory treatment: I have unpleasant side effects from my medication.SGRQ Past 3 Months Version - Unpleasant Side Effects From Medication
SGRQ01-Walk Up Flight of Stairs SlowlyC112667SGRQ01-Walk Up Flight of Stairs SlowlySt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: If I walk up one flight of stairs, I have to go slowly or stop.SGRQ Past 3 Months Version - If Walk Up One Flight of Stairs I Have to Go Slow
SGRQ01-Walking Around the HouseC112640SGRQ01-Walking Around the HouseSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Walking around the house.SGRQ Past 3 Months Version - Walking Around the House
SGRQ01-Walking Outside on Level GroundC112641SGRQ01-Walking Outside on Level GroundSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Walking outside on level ground.SGRQ Past 3 Months Version - Walking Outside on Level Ground
SGRQ01-Walking Up a Flight of StairsC112642SGRQ01-Walking Up a Flight of StairsSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Walking up a flight of stairs.SGRQ Past 3 Months Version - Walking Up a Flight of Stairs
SGRQ01-Walking Up HillsC112643SGRQ01-Walking Up HillsSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Walking up hills.SGRQ Past 3 Months Version - Walking Up Hills
SGRQ01-Washing or Dressing YourselfC112639SGRQ01-Washing or Dressing YourselfSt. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Washing or dressing yourself.SGRQ Past 3 Months Version - Washing or Dressing Yourself
SGRQ01-Wheeze Worse in the MorningC112635SGRQ01-Wheeze Worse in the MorningSt. George's Respiratory Questionnaire Past 3 Months Version - If you wheeze, is it worse when you get up in the morning?SGRQ Past 3 Months Version - Wheeze Worse When Get Up in the Morning
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CL.C112451.SGRQ02TCSt. George's Respiratory Questionnaire Past 4 Weeks Version Questionnaire Test Code
(SGRQ02TC)
text
Extensible: No
C112451St. George's Respiratory Questionnaire Past 4 Weeks Version Questionnaire Test CodeSt. George's Respiratory Questionnaire Past 4 Weeks Version test code.CDISC Questionnaire SGRQ Past 4 Weeks Version Test Code Terminology
SGRQ0201C112678SGRQ02-Describe Your Current HealthSt. George's Respiratory Questionnaire Past 4 Weeks Version - Please check one box to show how you describe your current health.SGRQ Past 4 Weeks Version - Describe Your Current Health
SGRQ0202C112679SGRQ02-I Have CoughedSt. George's Respiratory Questionnaire Past 4 Weeks Version - Over the past 4 weeks, I have coughed.SGRQ Past 4 Weeks Version - I Have Coughed
SGRQ0203C112680SGRQ02-I Have Brought Up PhlegmSt. George's Respiratory Questionnaire Past 4 Weeks Version - Over the past 4 weeks, I have brought up phlegm (sputum).SGRQ Past 4 Weeks Version - I Have Brought Up Phlegm
SGRQ0204C112681SGRQ02-I Have Had Shortness of BreathSt. George's Respiratory Questionnaire Past 4 Weeks Version - Over the past 4 weeks, I have had shortness of breath.SGRQ Past 4 Weeks Version - I Have Had Shortness of Breath
SGRQ0205C112682SGRQ02-I Have Had Wheezing AttacksSt. George's Respiratory Questionnaire Past 4 Weeks Version - Over the past 4 weeks, I have had wheezing attacks.SGRQ Past 4 Weeks Version - I Have Had Wheezing Attacks
SGRQ0206C112683SGRQ02-Times Suffered Sev Resp AttacksSt. George's Respiratory Questionnaire Past 4 Weeks Version - How many times during the past 4 weeks have you suffered from severe or very unpleasant respiratory attacks?SGRQ Past 4 Weeks Version - Times Suffered From Severe Respiratory Attacks
SGRQ0207C112684SGRQ02-How Long Worst Resp Attack LastSt. George's Respiratory Questionnaire Past 4 Weeks Version - How long did the worst respiratory attack last?SGRQ Past 4 Weeks Version - How Long Did Worst Respiratory Attack Last
SGRQ0208C112685SGRQ02-How Many Good Days Have You HadSt. George's Respiratory Questionnaire Past 4 Weeks Version - Over the past 4 weeks, in a typical week, how many good days (with few respiratory problems) have you had?SGRQ Past 4 Weeks Version - How Many Good Days You Had
SGRQ0209C112686SGRQ02-Wheeze Worse in the MorningSt. George's Respiratory Questionnaire Past 4 Weeks Version - If you wheeze, is it worse when you get up in the morning?SGRQ Past 4 Weeks Version - Wheeze Worse When Get Up in the Morning
SGRQ0210C112687SGRQ02-Describe Your Resp ConditionSt. George's Respiratory Questionnaire Past 4 Weeks Version - How would you describe your respiratory condition?SGRQ Past 4 Weeks Version - Describe Your Respiratory Condition
SGRQ0211C112688SGRQ02-If You Have Ever Held a JobSt. George's Respiratory Questionnaire Past 4 Weeks Version - If you have ever held a job.SGRQ Past 4 Weeks Version - Held a Job
SGRQ0212C112689SGRQ02-Sitting or Lying StillSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Sitting or lying still.SGRQ Past 4 Weeks Version - Sitting or Lying Still
SGRQ0213C112690SGRQ02-Washing or Dressing YourselfSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Washing or dressing yourself.SGRQ Past 4 Weeks Version - Washing or Dressing Yourself
SGRQ0214C112691SGRQ02-Walking Around the HouseSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Walking around the house.SGRQ Past 4 Weeks Version - Walking Around the House
SGRQ0215C112692SGRQ02-Walking Outside on Level GroundSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Walking outside on level ground.SGRQ Past 4 Weeks Version - Walking Outside on Level Ground
SGRQ0216C112693SGRQ02-Walking Up a Flight of StairsSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Walking up a flight of stairs.SGRQ Past 4 Weeks Version - Walking Up a Flight of Stairs
SGRQ0217C112694SGRQ02-Walking Up HillsSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Walking up hills.SGRQ Past 4 Weeks Version - Walking Up Hills
SGRQ0218C112695SGRQ02-Playing SportsSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Playing sports or other physical activities.SGRQ Past 4 Weeks Version - Playing Sports or Other Physical Activities
SGRQ0219C112696SGRQ02-Coughing HurtsSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are more questions about your cough and shortness of breath these days: Coughing hurts.SGRQ Past 4 Weeks Version - Coughing Hurts
SGRQ0220C112697SGRQ02-Coughing Makes Me TiredSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are more questions about your cough and shortness of breath these days: Coughing makes me tired.SGRQ Past 4 Weeks Version - Coughing Makes Me Tired
SGRQ0221C112698SGRQ02-Short of Breath When I TalkSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are more questions about your cough and shortness of breath these days: I am short of breath when I talk.SGRQ Past 4 Weeks Version - Short of Breath When I Talk
SGRQ0222C112699SGRQ02-Short of Breath When Bend OverSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are more questions about your cough and shortness of breath these days: I am short of breath when I bend over.SGRQ Past 4 Weeks Version - Short of Breath When Bend Over
SGRQ0223C112700SGRQ02-Coughing Disturbs My SleepSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are more questions about your cough and shortness of breath these days: My coughing or breathing disturbs my sleep.SGRQ Past 4 Weeks Version - Coughing Disturbs My Sleep
SGRQ0224C112701SGRQ02-I Get Exhausted EasilySt. George's Respiratory Questionnaire Past 4 Weeks Version - These are more questions about your cough and shortness of breath these days: I get exhausted easily.SGRQ Past 4 Weeks Version - I Get Exhausted Easily
SGRQ0225C112702SGRQ02-Cough Is Embarrassing in PublicSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: My cough or breathing is embarrassing in public.SGRQ Past 4 Weeks Version - My Cough is Embarrassing in Public
SGRQ0226C112703SGRQ02-Respiratory Problems a NuisanceSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: My respiratory problems are a nuisance to my family, friends or neighbors.SGRQ Past 4 Weeks Version - Respiratory Problems a Nuisance to Family
SGRQ0227C112704SGRQ02-Afraid When Cannot Catch BreathSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: I get afraid or panic when I cannot catch my breath.SGRQ Past 4 Weeks Version - Get Afraid When Cannot Catch My Breath
SGRQ0228C112705SGRQ02-Not in Control of Resp ProblemsSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: I feel that I am not in control of my respiratory problems.SGRQ Past 4 Weeks Version - Not in Control of My Respiratory Problems
SGRQ0229C112706SGRQ02-Not Expect Probs to Get BetterSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: I do not expect my respiratory problems to get any better.SGRQ Past 4 Weeks Version - Not Expect Respiratory Problems Get Better
SGRQ0230C112707SGRQ02-I Have Become FrailSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: I have become frail or an invalid because of my respiratory problems.SGRQ Past 4 Weeks Version - Become Frail or Invalid Because of My Respiratory Problems
SGRQ0231C112708SGRQ02-Exercise Is Not Safe for MeSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: Exercise is not safe for me.SGRQ Past 4 Weeks Version - Exercise Is Not Safe for Me
SGRQ0232C112709SGRQ02-Everything Too Much EffortSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: Everything seems too much of an effort.SGRQ Past 4 Weeks Version - Everything Too Much Effort
SGRQ0233C112710SGRQ02-Treatment Does Not Help Me MuchSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about your respiratory treatment: My treatment does not help me very much.SGRQ Past 4 Weeks Version - Treatment Does Not Help Me Much
SGRQ0234C112711SGRQ02-Embarrassed Using Med in PublicSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about your respiratory treatment: I get embarrassed using my medication in public.SGRQ Past 4 Weeks Version - Embarrassed Using Medication in Public
SGRQ0235C112712SGRQ02-Unpleasant Side Effect From MedSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about your respiratory treatment: I have unpleasant side effects from my medication.SGRQ Past 4 Weeks Version - Unpleasant Side Effects From Medication
SGRQ0236C112713SGRQ02-Treatment Interferes With LifeSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about your respiratory treatment: My treatment interferes with my life a lot.SGRQ Past 4 Weeks Version - Treatment Interferes With My Life
SGRQ0237C112714SGRQ02-Take a Long Time to Get WashedSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: I take a long time to get washed or dressed.SGRQ Past 4 Weeks Version - Take Long Time to Get Washed or Dressed
SGRQ0238C112715SGRQ02-I Cannot Take a Bath or ShowerSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: I cannot take a bath or shower, or I take a long time to do it.SGRQ Past 4 Weeks Version - Cannot Take A Bath or Shower
SGRQ0239C112716SGRQ02-I Walk Slower Than Other PeopleSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: I walk slower than other people my age, or I stop to rest.SGRQ Past 4 Weeks Version - Walk Slower Than Other People My Age
SGRQ0240C112717SGRQ02-Jobs Take a Long TimeSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: Jobs such as household chores take a long time, or I have to stop to rest.SGRQ Past 4 Weeks Version - Jobs Take Long Time or I Have to Stop
SGRQ0241C112718SGRQ02-Walk Up Flight of Stairs SlowlySt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: If I walk up one flight of stairs, I have to go slowly or stop.SGRQ Past 4 Weeks Version - If Walk Up One Flight of Stairs I Have to Go Slow
SGRQ0242C112719SGRQ02-If I Hurry, I Have to StopSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: If I hurry or walk fast, I have to stop or slow down.SGRQ Past 4 Weeks Version - If Walk Fast I Have to Stop or Slow Down
SGRQ0243C112720SGRQ02-Difficult to Walk Up HillsSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as walk up hills, carry things up stairs, light gardening such as weeding, dance, bowl or play golf.SGRQ Past 4 Weeks Version - Breathing Makes Difficult to Walk Up Hills
SGRQ0244C112721SGRQ02-Difficult to Carry Heavy LoadsSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as carry heavy loads, dig in the garden or shovel snow, jog or walk briskly (5 miles per hour), play tennis or swim.SGRQ Past 4 Weeks Version - Breathing Makes Difficult to Carry Heavy Loads
SGRQ0245C112722SGRQ02-Difficult to Do Very Heavy WorkSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as very heavy manual work, ride a bike, run, swim fast, or play competitive sports.SGRQ Past 4 Weeks Version - Breathing Makes Difficult to Do Heavy Manual Work
SGRQ0246C112723SGRQ02-I Cannot Play SportsSt. George's Respiratory Questionnaire Past 4 Weeks Version - We would like to know how your respiratory problems usually affect your daily life: I cannot play sports or do other physical activities.SGRQ Past 4 Weeks Version - Cannot Play Sports or Do Physical Activities
SGRQ0247C112724SGRQ02-Cannot Go Out for EntertainmentSt. George's Respiratory Questionnaire Past 4 Weeks Version - We would like to know how your respiratory problems usually affect your daily life: I cannot go out for entertainment or recreation.SGRQ Past 4 Weeks Version - Cannot Go Out for Entertainment
SGRQ0248C112725SGRQ02-Cannot Go Out to Do ShoppingSt. George's Respiratory Questionnaire Past 4 Weeks Version - We would like to know how your respiratory problems usually affect your daily life: I cannot go out of the house to do the shopping.SGRQ Past 4 Weeks Version - Cannot Go Out to Do Shopping
SGRQ0249C112726SGRQ02-I Cannot Do Household ChoresSt. George's Respiratory Questionnaire Past 4 Weeks Version - We would like to know how your respiratory problems usually affect your daily life: I cannot do household chores.SGRQ Past 4 Weeks Version - Cannot Do Household Chores
SGRQ0250C112727SGRQ02-I Cannot Move Far From My BedSt. George's Respiratory Questionnaire Past 4 Weeks Version - We would like to know how your respiratory problems usually affect your daily life: I cannot move far from my bed or chair.SGRQ Past 4 Weeks Version - Cannot Move Far From Bed or Chair
SGRQ0251C112728SGRQ02-How Resp Problems Affect YouSt. George's Respiratory Questionnaire Past 4 Weeks Version - Best describe how your respiratory problems affect you.SGRQ Past 4 Weeks Version - How Respiratory Problems Affect You
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CL.C112450.SGRQ02TNSt. George's Respiratory Questionnaire Past 4 Weeks Version Questionnaire Test Name
(SGRQ02TN)
text
Extensible: No
C112450St. George's Respiratory Questionnaire Past 4 Weeks Version Questionnaire Test NameSt. George's Respiratory Questionnaire Past 4 Weeks Version test name.CDISC Questionnaire SGRQ Past 4 Weeks Version Test Name Terminology
SGRQ02-Afraid When Cannot Catch BreathC112704SGRQ02-Afraid When Cannot Catch BreathSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: I get afraid or panic when I cannot catch my breath.SGRQ Past 4 Weeks Version - Get Afraid When Cannot Catch My Breath
SGRQ02-Cannot Go Out for EntertainmentC112724SGRQ02-Cannot Go Out for EntertainmentSt. George's Respiratory Questionnaire Past 4 Weeks Version - We would like to know how your respiratory problems usually affect your daily life: I cannot go out for entertainment or recreation.SGRQ Past 4 Weeks Version - Cannot Go Out for Entertainment
SGRQ02-Cannot Go Out to Do ShoppingC112725SGRQ02-Cannot Go Out to Do ShoppingSt. George's Respiratory Questionnaire Past 4 Weeks Version - We would like to know how your respiratory problems usually affect your daily life: I cannot go out of the house to do the shopping.SGRQ Past 4 Weeks Version - Cannot Go Out to Do Shopping
SGRQ02-Cough Is Embarrassing in PublicC112702SGRQ02-Cough Is Embarrassing in PublicSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: My cough or breathing is embarrassing in public.SGRQ Past 4 Weeks Version - My Cough is Embarrassing in Public
SGRQ02-Coughing Disturbs My SleepC112700SGRQ02-Coughing Disturbs My SleepSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are more questions about your cough and shortness of breath these days: My coughing or breathing disturbs my sleep.SGRQ Past 4 Weeks Version - Coughing Disturbs My Sleep
SGRQ02-Coughing HurtsC112696SGRQ02-Coughing HurtsSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are more questions about your cough and shortness of breath these days: Coughing hurts.SGRQ Past 4 Weeks Version - Coughing Hurts
SGRQ02-Coughing Makes Me TiredC112697SGRQ02-Coughing Makes Me TiredSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are more questions about your cough and shortness of breath these days: Coughing makes me tired.SGRQ Past 4 Weeks Version - Coughing Makes Me Tired
SGRQ02-Describe Your Current HealthC112678SGRQ02-Describe Your Current HealthSt. George's Respiratory Questionnaire Past 4 Weeks Version - Please check one box to show how you describe your current health.SGRQ Past 4 Weeks Version - Describe Your Current Health
SGRQ02-Describe Your Resp ConditionC112687SGRQ02-Describe Your Resp ConditionSt. George's Respiratory Questionnaire Past 4 Weeks Version - How would you describe your respiratory condition?SGRQ Past 4 Weeks Version - Describe Your Respiratory Condition
SGRQ02-Difficult to Carry Heavy LoadsC112721SGRQ02-Difficult to Carry Heavy LoadsSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as carry heavy loads, dig in the garden or shovel snow, jog or walk briskly (5 miles per hour), play tennis or swim.SGRQ Past 4 Weeks Version - Breathing Makes Difficult to Carry Heavy Loads
SGRQ02-Difficult to Do Very Heavy WorkC112722SGRQ02-Difficult to Do Very Heavy WorkSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as very heavy manual work, ride a bike, run, swim fast, or play competitive sports.SGRQ Past 4 Weeks Version - Breathing Makes Difficult to Do Heavy Manual Work
SGRQ02-Difficult to Walk Up HillsC112720SGRQ02-Difficult to Walk Up HillsSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as walk up hills, carry things up stairs, light gardening such as weeding, dance, bowl or play golf.SGRQ Past 4 Weeks Version - Breathing Makes Difficult to Walk Up Hills
SGRQ02-Embarrassed Using Med in PublicC112711SGRQ02-Embarrassed Using Med in PublicSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about your respiratory treatment: I get embarrassed using my medication in public.SGRQ Past 4 Weeks Version - Embarrassed Using Medication in Public
SGRQ02-Everything Too Much EffortC112709SGRQ02-Everything Too Much EffortSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: Everything seems too much of an effort.SGRQ Past 4 Weeks Version - Everything Too Much Effort
SGRQ02-Exercise Is Not Safe for MeC112708SGRQ02-Exercise Is Not Safe for MeSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: Exercise is not safe for me.SGRQ Past 4 Weeks Version - Exercise Is Not Safe for Me
SGRQ02-How Long Worst Resp Attack LastC112684SGRQ02-How Long Worst Resp Attack LastSt. George's Respiratory Questionnaire Past 4 Weeks Version - How long did the worst respiratory attack last?SGRQ Past 4 Weeks Version - How Long Did Worst Respiratory Attack Last
SGRQ02-How Many Good Days Have You HadC112685SGRQ02-How Many Good Days Have You HadSt. George's Respiratory Questionnaire Past 4 Weeks Version - Over the past 4 weeks, in a typical week, how many good days (with few respiratory problems) have you had?SGRQ Past 4 Weeks Version - How Many Good Days You Had
SGRQ02-How Resp Problems Affect YouC112728SGRQ02-How Resp Problems Affect YouSt. George's Respiratory Questionnaire Past 4 Weeks Version - Best describe how your respiratory problems affect you.SGRQ Past 4 Weeks Version - How Respiratory Problems Affect You
SGRQ02-I Cannot Do Household ChoresC112726SGRQ02-I Cannot Do Household ChoresSt. George's Respiratory Questionnaire Past 4 Weeks Version - We would like to know how your respiratory problems usually affect your daily life: I cannot do household chores.SGRQ Past 4 Weeks Version - Cannot Do Household Chores
SGRQ02-I Cannot Move Far From My BedC112727SGRQ02-I Cannot Move Far From My BedSt. George's Respiratory Questionnaire Past 4 Weeks Version - We would like to know how your respiratory problems usually affect your daily life: I cannot move far from my bed or chair.SGRQ Past 4 Weeks Version - Cannot Move Far From Bed or Chair
SGRQ02-I Cannot Play SportsC112723SGRQ02-I Cannot Play SportsSt. George's Respiratory Questionnaire Past 4 Weeks Version - We would like to know how your respiratory problems usually affect your daily life: I cannot play sports or do other physical activities.SGRQ Past 4 Weeks Version - Cannot Play Sports or Do Physical Activities
SGRQ02-I Cannot Take a Bath or ShowerC112715SGRQ02-I Cannot Take a Bath or ShowerSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: I cannot take a bath or shower, or I take a long time to do it.SGRQ Past 4 Weeks Version - Cannot Take A Bath or Shower
SGRQ02-I Get Exhausted EasilyC112701SGRQ02-I Get Exhausted EasilySt. George's Respiratory Questionnaire Past 4 Weeks Version - These are more questions about your cough and shortness of breath these days: I get exhausted easily.SGRQ Past 4 Weeks Version - I Get Exhausted Easily
SGRQ02-I Have Become FrailC112707SGRQ02-I Have Become FrailSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: I have become frail or an invalid because of my respiratory problems.SGRQ Past 4 Weeks Version - Become Frail or Invalid Because of My Respiratory Problems
SGRQ02-I Have Brought Up PhlegmC112680SGRQ02-I Have Brought Up PhlegmSt. George's Respiratory Questionnaire Past 4 Weeks Version - Over the past 4 weeks, I have brought up phlegm (sputum).SGRQ Past 4 Weeks Version - I Have Brought Up Phlegm
SGRQ02-I Have CoughedC112679SGRQ02-I Have CoughedSt. George's Respiratory Questionnaire Past 4 Weeks Version - Over the past 4 weeks, I have coughed.SGRQ Past 4 Weeks Version - I Have Coughed
SGRQ02-I Have Had Shortness of BreathC112681SGRQ02-I Have Had Shortness of BreathSt. George's Respiratory Questionnaire Past 4 Weeks Version - Over the past 4 weeks, I have had shortness of breath.SGRQ Past 4 Weeks Version - I Have Had Shortness of Breath
SGRQ02-I Have Had Wheezing AttacksC112682SGRQ02-I Have Had Wheezing AttacksSt. George's Respiratory Questionnaire Past 4 Weeks Version - Over the past 4 weeks, I have had wheezing attacks.SGRQ Past 4 Weeks Version - I Have Had Wheezing Attacks
SGRQ02-I Walk Slower Than Other PeopleC112716SGRQ02-I Walk Slower Than Other PeopleSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: I walk slower than other people my age, or I stop to rest.SGRQ Past 4 Weeks Version - Walk Slower Than Other People My Age
SGRQ02-If I Hurry, I Have to StopC112719SGRQ02-If I Hurry, I Have to StopSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: If I hurry or walk fast, I have to stop or slow down.SGRQ Past 4 Weeks Version - If Walk Fast I Have to Stop or Slow Down
SGRQ02-If You Have Ever Held a JobC112688SGRQ02-If You Have Ever Held a JobSt. George's Respiratory Questionnaire Past 4 Weeks Version - If you have ever held a job.SGRQ Past 4 Weeks Version - Held a Job
SGRQ02-Jobs Take a Long TimeC112717SGRQ02-Jobs Take a Long TimeSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: Jobs such as household chores take a long time, or I have to stop to rest.SGRQ Past 4 Weeks Version - Jobs Take Long Time or I Have to Stop
SGRQ02-Not Expect Probs to Get BetterC112706SGRQ02-Not Expect Probs to Get BetterSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: I do not expect my respiratory problems to get any better.SGRQ Past 4 Weeks Version - Not Expect Respiratory Problems Get Better
SGRQ02-Not in Control of Resp ProblemsC112705SGRQ02-Not in Control of Resp ProblemsSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: I feel that I am not in control of my respiratory problems.SGRQ Past 4 Weeks Version - Not in Control of My Respiratory Problems
SGRQ02-Playing SportsC112695SGRQ02-Playing SportsSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Playing sports or other physical activities.SGRQ Past 4 Weeks Version - Playing Sports or Other Physical Activities
SGRQ02-Respiratory Problems a NuisanceC112703SGRQ02-Respiratory Problems a NuisanceSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: My respiratory problems are a nuisance to my family, friends or neighbors.SGRQ Past 4 Weeks Version - Respiratory Problems a Nuisance to Family
SGRQ02-Short of Breath When Bend OverC112699SGRQ02-Short of Breath When Bend OverSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are more questions about your cough and shortness of breath these days: I am short of breath when I bend over.SGRQ Past 4 Weeks Version - Short of Breath When Bend Over
SGRQ02-Short of Breath When I TalkC112698SGRQ02-Short of Breath When I TalkSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are more questions about your cough and shortness of breath these days: I am short of breath when I talk.SGRQ Past 4 Weeks Version - Short of Breath When I Talk
SGRQ02-Sitting or Lying StillC112689SGRQ02-Sitting or Lying StillSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Sitting or lying still.SGRQ Past 4 Weeks Version - Sitting or Lying Still
SGRQ02-Take a Long Time to Get WashedC112714SGRQ02-Take a Long Time to Get WashedSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: I take a long time to get washed or dressed.SGRQ Past 4 Weeks Version - Take Long Time to Get Washed or Dressed
SGRQ02-Times Suffered Sev Resp AttacksC112683SGRQ02-Times Suffered Sev Resp AttacksSt. George's Respiratory Questionnaire Past 4 Weeks Version - How many times during the past 4 weeks have you suffered from severe or very unpleasant respiratory attacks?SGRQ Past 4 Weeks Version - Times Suffered From Severe Respiratory Attacks
SGRQ02-Treatment Does Not Help Me MuchC112710SGRQ02-Treatment Does Not Help Me MuchSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about your respiratory treatment: My treatment does not help me very much.SGRQ Past 4 Weeks Version - Treatment Does Not Help Me Much
SGRQ02-Treatment Interferes With LifeC112713SGRQ02-Treatment Interferes With LifeSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about your respiratory treatment: My treatment interferes with my life a lot.SGRQ Past 4 Weeks Version - Treatment Interferes With My Life
SGRQ02-Unpleasant Side Effect From MedC112712SGRQ02-Unpleasant Side Effect From MedSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about your respiratory treatment: I have unpleasant side effects from my medication.SGRQ Past 4 Weeks Version - Unpleasant Side Effects From Medication
SGRQ02-Walk Up Flight of Stairs SlowlyC112718SGRQ02-Walk Up Flight of Stairs SlowlySt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: If I walk up one flight of stairs, I have to go slowly or stop.SGRQ Past 4 Weeks Version - If Walk Up One Flight of Stairs I Have to Go Slow
SGRQ02-Walking Around the HouseC112691SGRQ02-Walking Around the HouseSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Walking around the house.SGRQ Past 4 Weeks Version - Walking Around the House
SGRQ02-Walking Outside on Level GroundC112692SGRQ02-Walking Outside on Level GroundSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Walking outside on level ground.SGRQ Past 4 Weeks Version - Walking Outside on Level Ground
SGRQ02-Walking Up a Flight of StairsC112693SGRQ02-Walking Up a Flight of StairsSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Walking up a flight of stairs.SGRQ Past 4 Weeks Version - Walking Up a Flight of Stairs
SGRQ02-Walking Up HillsC112694SGRQ02-Walking Up HillsSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Walking up hills.SGRQ Past 4 Weeks Version - Walking Up Hills
SGRQ02-Washing or Dressing YourselfC112690SGRQ02-Washing or Dressing YourselfSt. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Washing or dressing yourself.SGRQ Past 4 Weeks Version - Washing or Dressing Yourself
SGRQ02-Wheeze Worse in the MorningC112686SGRQ02-Wheeze Worse in the MorningSt. George's Respiratory Questionnaire Past 4 Weeks Version - If you wheeze, is it worse when you get up in the morning?SGRQ Past 4 Weeks Version - Wheeze Worse When Get Up in the Morning
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CL.C119080.STCG01TCStent Thrombosis Coronary ARC Grade Clinical Classification Test Code
(STCG01TC)
text
Extensible: No
C119080Stent Thrombosis Coronary ARC Grade Clinical Classification Test CodeStent Thrombosis Coronary ARC Grade test code.CDISC Clinical Classification ARC STC Grade Test Code Terminology
STCG0101C119198STCG01-STC ARC GradeStent Thrombosis Coronary ARC Grade - A grading system to describe the coronary stent thrombosis per the classification schema described by the Academic Research Consortium.ARC STC Grade - Stent Thrombosis Coronary ARC Grade
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CL.C119079.STCG01TNStent Thrombosis Coronary ARC Grade Clinical Classification Test Name
(STCG01TN)
text
Extensible: No
C119079Stent Thrombosis Coronary ARC Grade Clinical Classification Test NameStent Thrombosis Coronary ARC Grade test name.CDISC Clinical Classification ARC STC Grade Test Name Terminology
STCG01-STC ARC GradeC119198STCG01-STC ARC GradeStent Thrombosis Coronary ARC Grade - A grading system to describe the coronary stent thrombosis per the classification schema described by the Academic Research Consortium.ARC STC Grade - Stent Thrombosis Coronary ARC Grade
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CL.C101828.SOWSA1TCSubjective Opiate Withdrawal Scale Questionnaire Test Code
(SOWSA1TC)
text
Extensible: No
C101828Subjective Opiate Withdrawal Scale Questionnaire Test CodeSubjective Opiate Withdrawal Scale test code.CDISC Questionnaire SOWS Subjective Test Code Terminology
SOWSA101C102409SOWSA1-I Feel AnxiousSubjective Opiate Withdrawal Scale - I feel anxious.SOWS Subjective (Handelsman) - I Feel Anxious
SOWSA102C102410SOWSA1-I Feel Like YawningSubjective Opiate Withdrawal Scale - I feel like yawning.SOWS Subjective (Handelsman) - I Feel Like Yawning
SOWSA103C102411SOWSA1-I'm PerspiringSubjective Opiate Withdrawal Scale - I'm perspiring.SOWS Subjective (Handelsman) - I'm Perspiring
SOWSA104C102412SOWSA1-My Eyes Are TearingSubjective Opiate Withdrawal Scale - My eyes are tearing.SOWS Subjective (Handelsman) - My Eyes Are Tearing
SOWSA105C102413SOWSA1-My Nose is RunningSubjective Opiate Withdrawal Scale - My nose is running.SOWS Subjective (Handelsman) - My Nose is Running
SOWSA106C102414SOWSA1-I Have Goose FleshSubjective Opiate Withdrawal Scale - I have goose flesh.SOWS Subjective (Handelsman) - I Have Goose Flesh
SOWSA107C102415SOWSA1-I Am ShakingSubjective Opiate Withdrawal Scale - I am shaking.SOWS Subjective (Handelsman) - I Am Shaking
SOWSA108C102416SOWSA1-I Have Hot FlashesSubjective Opiate Withdrawal Scale - I have hot flashes.SOWS Subjective (Handelsman) - I Have Hot Flashes
SOWSA109C102417SOWSA1-I Have Cold FlashesSubjective Opiate Withdrawal Scale - I have cold flashes.SOWS Subjective (Handelsman) - I Have Cold Flashes
SOWSA110C102418SOWSA1-My Bones and Muscles AcheSubjective Opiate Withdrawal Scale - My bones and muscles ache.SOWS Subjective (Handelsman) - My Bones and Muscles Ache
SOWSA111C102419SOWSA1-I Feel RestlessSubjective Opiate Withdrawal Scale - I feel restless.SOWS Subjective (Handelsman) - I Feel Restless
SOWSA112C102420SOWSA1-I Feel NauseousSubjective Opiate Withdrawal Scale - I feel nauseous.SOWS Subjective (Handelsman) - I Feel Nauseous
SOWSA113C102421SOWSA1-I Feel Like VomitingSubjective Opiate Withdrawal Scale - I feel like vomiting.SOWS Subjective (Handelsman) - I Feel Like Vomiting
SOWSA114C102422SOWSA1-My Muscles TwitchSubjective Opiate Withdrawal Scale - My muscles twitch.SOWS Subjective (Handelsman) - My Muscles Twitch
SOWSA115C102423SOWSA1-I Have Cramps in My StomachSubjective Opiate Withdrawal Scale - I have cramps in my stomach.SOWS Subjective (Handelsman) - I Have Cramps in My Stomach
SOWSA116C102424SOWSA1-I Feel Like Shooting Up NowSubjective Opiate Withdrawal Scale - I feel like shooting up now.SOWS Subjective (Handelsman) - I Feel Like Shooting Up Now
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CL.C101829.SOWSA1TNSubjective Opiate Withdrawal Scale Questionnaire Test Name
(SOWSA1TN)
text
Extensible: No
C101829Subjective Opiate Withdrawal Scale Questionnaire Test NameSubjective Opiate Withdrawal Scale test name.CDISC Questionnaire SOWS Subjective Test Name Terminology
SOWSA1-I Am ShakingC102415SOWSA1-I Am ShakingSubjective Opiate Withdrawal Scale - I am shaking.SOWS Subjective (Handelsman) - I Am Shaking
SOWSA1-I Feel AnxiousC102409SOWSA1-I Feel AnxiousSubjective Opiate Withdrawal Scale - I feel anxious.SOWS Subjective (Handelsman) - I Feel Anxious
SOWSA1-I Feel Like Shooting Up NowC102424SOWSA1-I Feel Like Shooting Up NowSubjective Opiate Withdrawal Scale - I feel like shooting up now.SOWS Subjective (Handelsman) - I Feel Like Shooting Up Now
SOWSA1-I Feel Like VomitingC102421SOWSA1-I Feel Like VomitingSubjective Opiate Withdrawal Scale - I feel like vomiting.SOWS Subjective (Handelsman) - I Feel Like Vomiting
SOWSA1-I Feel Like YawningC102410SOWSA1-I Feel Like YawningSubjective Opiate Withdrawal Scale - I feel like yawning.SOWS Subjective (Handelsman) - I Feel Like Yawning
SOWSA1-I Feel NauseousC102420SOWSA1-I Feel NauseousSubjective Opiate Withdrawal Scale - I feel nauseous.SOWS Subjective (Handelsman) - I Feel Nauseous
SOWSA1-I Feel RestlessC102419SOWSA1-I Feel RestlessSubjective Opiate Withdrawal Scale - I feel restless.SOWS Subjective (Handelsman) - I Feel Restless
SOWSA1-I Have Cold FlashesC102417SOWSA1-I Have Cold FlashesSubjective Opiate Withdrawal Scale - I have cold flashes.SOWS Subjective (Handelsman) - I Have Cold Flashes
SOWSA1-I Have Cramps in My StomachC102423SOWSA1-I Have Cramps in My StomachSubjective Opiate Withdrawal Scale - I have cramps in my stomach.SOWS Subjective (Handelsman) - I Have Cramps in My Stomach
SOWSA1-I Have Goose FleshC102414SOWSA1-I Have Goose FleshSubjective Opiate Withdrawal Scale - I have goose flesh.SOWS Subjective (Handelsman) - I Have Goose Flesh
SOWSA1-I Have Hot FlashesC102416SOWSA1-I Have Hot FlashesSubjective Opiate Withdrawal Scale - I have hot flashes.SOWS Subjective (Handelsman) - I Have Hot Flashes
SOWSA1-I'm PerspiringC102411SOWSA1-I'm PerspiringSubjective Opiate Withdrawal Scale - I'm perspiring.SOWS Subjective (Handelsman) - I'm Perspiring
SOWSA1-My Bones and Muscles AcheC102418SOWSA1-My Bones and Muscles AcheSubjective Opiate Withdrawal Scale - My bones and muscles ache.SOWS Subjective (Handelsman) - My Bones and Muscles Ache
SOWSA1-My Eyes Are TearingC102412SOWSA1-My Eyes Are TearingSubjective Opiate Withdrawal Scale - My eyes are tearing.SOWS Subjective (Handelsman) - My Eyes Are Tearing
SOWSA1-My Muscles TwitchC102422SOWSA1-My Muscles TwitchSubjective Opiate Withdrawal Scale - My muscles twitch.SOWS Subjective (Handelsman) - My Muscles Twitch
SOWSA1-My Nose is RunningC102413SOWSA1-My Nose is RunningSubjective Opiate Withdrawal Scale - My nose is running.SOWS Subjective (Handelsman) - My Nose is Running
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CL.C150790.SIQ01TCSuicidal Ideation Questionnaire Test Code
(SIQ01TC)
text
Extensible: No
C150790Suicidal Ideation Questionnaire Test CodeSuicidal Ideation Questionnaire test code.CDISC Questionnaire SIQ Test Code Terminology
SIQ0101C151326SIQ01-Would Be Better If I Was Not AliveSuicidal Ideation Questionnaire - I thought it would be better if I was not alive.SIQ - Would Be Better If I Was Not Alive
SIQ0102C151327SIQ01-I Thought About Killing MyselfSuicidal Ideation Questionnaire - I thought about killing myself.SIQ - I Thought About Killing Myself
SIQ0103C151328SIQ01-I Thought How I Would Kill MyselfSuicidal Ideation Questionnaire - I thought about how I would kill myself.SIQ - I Thought How I Would Kill Myself
SIQ0104C151329SIQ01-I Thought When I Would Kill MyselfSuicidal Ideation Questionnaire - I thought about when I would kill myself.SIQ - I Thought When I Would Kill Myself
SIQ0105C151330SIQ01-I Thought About People DyingSuicidal Ideation Questionnaire - I thought about people dying.SIQ - I Thought About People Dying
SIQ0106C151331SIQ01-I Thought About DeathSuicidal Ideation Questionnaire - I thought about death.SIQ - I Thought About Death
SIQ0107C151332SIQ01-What to Write in a Suicide NoteSuicidal Ideation Questionnaire - I thought about what to write in a suicide note.SIQ - What to Write in a Suicide Note
SIQ0108C151333SIQ01-I Thought About Writing a WillSuicidal Ideation Questionnaire - I thought about writing a will.SIQ - I Thought About Writing a Will
SIQ0109C151334SIQ01-Tell People I Plan to Kill MyselfSuicidal Ideation Questionnaire - I thought about telling people I plan to kill myself.SIQ - Tell People I Plan to Kill Myself
SIQ0110C151335SIQ01-People Happier If Not AroundSuicidal Ideation Questionnaire - I thought that people would be happier if I were not around.SIQ - People Happier If Not Around
SIQ0111C151336SIQ01-How People Feel If I Killed MyselfSuicidal Ideation Questionnaire - I thought about how people would feel if I killed myself.SIQ - How People Feel If I Killed Myself
SIQ0112C151337SIQ01-I Wished I Were DeadSuicidal Ideation Questionnaire - I wished I were dead.SIQ - I Wished I Were Dead
SIQ0113C151338SIQ01-How Easy It Would Be to End It AllSuicidal Ideation Questionnaire - I thought about how easy it would be to end it all.SIQ - How Easy It Would Be to End It All
SIQ0114C151339SIQ01-Killing Myself Would Solve ProblemSuicidal Ideation Questionnaire - I thought that killing myself would solve my problems.SIQ - Killing Myself Would Solve Problem
SIQ0115C151340SIQ01-Others Better Off If I Was DeadSuicidal Ideation Questionnaire - I thought others would be better off if I was dead.SIQ - Others Better Off If I Was Dead
SIQ0116C151341SIQ01-Wished I Had the Nerve Kill MyselfSuicidal Ideation Questionnaire - I wished I had the nerve to kill myself.SIQ - Wished I Had the Nerve Kill Myself
SIQ0117C151342SIQ01-Wished I Had Never Been BornSuicidal Ideation Questionnaire - I wished that I had never been born.SIQ - Wished I Had Never Been Born
SIQ0118C151343SIQ01-If Had Chance I Would Kill MyselfSuicidal Ideation Questionnaire - I thought if I had the chance I would kill myself.SIQ - If Had Chance I Would Kill Myself
SIQ0119C151344SIQ01-Thought Way People Kill ThemselvesSuicidal Ideation Questionnaire - I thought about ways people kill themselves.SIQ - Thought Way People Kill Themselves
SIQ0120C151345SIQ01-Thought Killing Myself Not Do ItSuicidal Ideation Questionnaire - I thought about killing myself, but would not do it.SIQ - Thought Killing Myself Not Do It
SIQ0121C151346SIQ01-Thought About Having Bad AccidentSuicidal Ideation Questionnaire - I thought about having a bad accident.SIQ - Thought About Having Bad Accident
SIQ0122C151347SIQ01-Thought Life Was Not Worth LivingSuicidal Ideation Questionnaire - I thought that life was not worth living.SIQ - Thought Life Was Not Worth Living
SIQ0123C151348SIQ01-My Life Was Too Rotten to ContinueSuicidal Ideation Questionnaire - I thought that my life was too rotten to continue.SIQ - My Life Was Too Rotten to Continue
SIQ0124C151349SIQ01-Only Way Be Noticed Is Kill MyselfSuicidal Ideation Questionnaire - I thought that the only way to be noticed is to kill myself.SIQ - Only Way Be Noticed Is Kill Myself
SIQ0125C151350SIQ01-People Realize Worth Caring AboutSuicidal Ideation Questionnaire - I thought that if I killed myself people would realize I was worth caring about.SIQ - People Realize Worth Caring About
SIQ0126C151351SIQ01-No One Cared If I Lived or DiedSuicidal Ideation Questionnaire - I thought that no one cared if I lived or died.SIQ - No One Cared If I Lived or Died
SIQ0127C151352SIQ01-Hurting Myself but Not Kill MyselfSuicidal Ideation Questionnaire - I thought about hurting myself but not really killing myself.SIQ - Hurting Myself but Not Kill Myself
SIQ0128C151353SIQ01-Wondered If Had Nerve Kill MyselfSuicidal Ideation Questionnaire - I wondered if I had the nerve to kill myself.SIQ - Wondered If Had Nerve Kill Myself
SIQ0129C151354SIQ01-If Things Not Better I Kill MyselfSuicidal Ideation Questionnaire - I thought that if things did not get better I would kill myself.SIQ - If Things Not Better I Kill Myself
SIQ0130C151355SIQ01-Wished I Had Right to Kill MyselfSuicidal Ideation Questionnaire - I wished that I had the right to kill myself.SIQ - Wished I Had Right to Kill Myself
SIQ0131C151356SIQ01-TSSuicidal Ideation Questionnaire - TS (total raw score).SIQ - TS
SIQ0132C151357SIQ01-Total %Suicidal Ideation Questionnaire - Total standardization sample %.SIQ - Total %
SIQ0133C151358SIQ01-Specific %: Standard Sample 1Suicidal Ideation Questionnaire - Specific standardization %: Sample 1.SIQ - Specific %: Standard Sample 1
SIQ0134C151359SIQ01-Specific %: Standard Sample 2Suicidal Ideation Questionnaire - Specific standardization %: Sample 2.SIQ - Specific %: Standard Sample 2
SIQ0135C151360SIQ01-Specific %: Standard Sample 3Suicidal Ideation Questionnaire - Specific standardization %: Sample 3.SIQ - Specific %: Standard Sample 3
SIQ0136C151361SIQ01-Critical Item 1Suicidal Ideation Questionnaire - Critical item 1.SIQ - Critical Item 1
SIQ0137C151362SIQ01-Critical Item 2Suicidal Ideation Questionnaire - Critical item 2.SIQ - Critical Item 2
SIQ0138C151363SIQ01-Critical Item 3Suicidal Ideation Questionnaire - Critical item 3.SIQ - Critical Item 3
SIQ0139C151364SIQ01-Critical Item 4Suicidal Ideation Questionnaire - Critical item 4.SIQ - Critical Item 4
SIQ0140C151365SIQ01-Critical Item 5Suicidal Ideation Questionnaire - Critical item 5.SIQ - Critical Item 5
SIQ0141C151366SIQ01-Critical Item 6Suicidal Ideation Questionnaire - Critical item 6.SIQ - Critical Item 6
SIQ0142C151367SIQ01-Critical Item 7Suicidal Ideation Questionnaire - Critical item 7.SIQ - Critical Item 7
SIQ0143C151368SIQ01-Critical Item 8Suicidal Ideation Questionnaire - Critical item 8.SIQ - Critical Item 8
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CL.C150789.SIQ01TNSuicidal Ideation Questionnaire Test Name
(SIQ01TN)
text
Extensible: No
C150789Suicidal Ideation Questionnaire Test NameSuicidal Ideation Questionnaire test name.CDISC Questionnaire SIQ Test Name Terminology
SIQ01-Critical Item 1C151361SIQ01-Critical Item 1Suicidal Ideation Questionnaire - Critical item 1.SIQ - Critical Item 1
SIQ01-Critical Item 2C151362SIQ01-Critical Item 2Suicidal Ideation Questionnaire - Critical item 2.SIQ - Critical Item 2
SIQ01-Critical Item 3C151363SIQ01-Critical Item 3Suicidal Ideation Questionnaire - Critical item 3.SIQ - Critical Item 3
SIQ01-Critical Item 4C151364SIQ01-Critical Item 4Suicidal Ideation Questionnaire - Critical item 4.SIQ - Critical Item 4
SIQ01-Critical Item 5C151365SIQ01-Critical Item 5Suicidal Ideation Questionnaire - Critical item 5.SIQ - Critical Item 5
SIQ01-Critical Item 6C151366SIQ01-Critical Item 6Suicidal Ideation Questionnaire - Critical item 6.SIQ - Critical Item 6
SIQ01-Critical Item 7C151367SIQ01-Critical Item 7Suicidal Ideation Questionnaire - Critical item 7.SIQ - Critical Item 7
SIQ01-Critical Item 8C151368SIQ01-Critical Item 8Suicidal Ideation Questionnaire - Critical item 8.SIQ - Critical Item 8
SIQ01-How Easy It Would Be to End It AllC151338SIQ01-How Easy It Would Be to End It AllSuicidal Ideation Questionnaire - I thought about how easy it would be to end it all.SIQ - How Easy It Would Be to End It All
SIQ01-How People Feel If I Killed MyselfC151336SIQ01-How People Feel If I Killed MyselfSuicidal Ideation Questionnaire - I thought about how people would feel if I killed myself.SIQ - How People Feel If I Killed Myself
SIQ01-Hurting Myself but Not Kill MyselfC151352SIQ01-Hurting Myself but Not Kill MyselfSuicidal Ideation Questionnaire - I thought about hurting myself but not really killing myself.SIQ - Hurting Myself but Not Kill Myself
SIQ01-I Thought About DeathC151331SIQ01-I Thought About DeathSuicidal Ideation Questionnaire - I thought about death.SIQ - I Thought About Death
SIQ01-I Thought About Killing MyselfC151327SIQ01-I Thought About Killing MyselfSuicidal Ideation Questionnaire - I thought about killing myself.SIQ - I Thought About Killing Myself
SIQ01-I Thought About People DyingC151330SIQ01-I Thought About People DyingSuicidal Ideation Questionnaire - I thought about people dying.SIQ - I Thought About People Dying
SIQ01-I Thought About Writing a WillC151333SIQ01-I Thought About Writing a WillSuicidal Ideation Questionnaire - I thought about writing a will.SIQ - I Thought About Writing a Will
SIQ01-I Thought How I Would Kill MyselfC151328SIQ01-I Thought How I Would Kill MyselfSuicidal Ideation Questionnaire - I thought about how I would kill myself.SIQ - I Thought How I Would Kill Myself
SIQ01-I Thought When I Would Kill MyselfC151329SIQ01-I Thought When I Would Kill MyselfSuicidal Ideation Questionnaire - I thought about when I would kill myself.SIQ - I Thought When I Would Kill Myself
SIQ01-I Wished I Were DeadC151337SIQ01-I Wished I Were DeadSuicidal Ideation Questionnaire - I wished I were dead.SIQ - I Wished I Were Dead
SIQ01-If Had Chance I Would Kill MyselfC151343SIQ01-If Had Chance I Would Kill MyselfSuicidal Ideation Questionnaire - I thought if I had the chance I would kill myself.SIQ - If Had Chance I Would Kill Myself
SIQ01-If Things Not Better I Kill MyselfC151354SIQ01-If Things Not Better I Kill MyselfSuicidal Ideation Questionnaire - I thought that if things did not get better I would kill myself.SIQ - If Things Not Better I Kill Myself
SIQ01-Killing Myself Would Solve ProblemC151339SIQ01-Killing Myself Would Solve ProblemSuicidal Ideation Questionnaire - I thought that killing myself would solve my problems.SIQ - Killing Myself Would Solve Problem
SIQ01-My Life Was Too Rotten to ContinueC151348SIQ01-My Life Was Too Rotten to ContinueSuicidal Ideation Questionnaire - I thought that my life was too rotten to continue.SIQ - My Life Was Too Rotten to Continue
SIQ01-No One Cared If I Lived or DiedC151351SIQ01-No One Cared If I Lived or DiedSuicidal Ideation Questionnaire - I thought that no one cared if I lived or died.SIQ - No One Cared If I Lived or Died
SIQ01-Only Way Be Noticed Is Kill MyselfC151349SIQ01-Only Way Be Noticed Is Kill MyselfSuicidal Ideation Questionnaire - I thought that the only way to be noticed is to kill myself.SIQ - Only Way Be Noticed Is Kill Myself
SIQ01-Others Better Off If I Was DeadC151340SIQ01-Others Better Off If I Was DeadSuicidal Ideation Questionnaire - I thought others would be better off if I was dead.SIQ - Others Better Off If I Was Dead
SIQ01-People Happier If Not AroundC151335SIQ01-People Happier If Not AroundSuicidal Ideation Questionnaire - I thought that people would be happier if I were not around.SIQ - People Happier If Not Around
SIQ01-People Realize Worth Caring AboutC151350SIQ01-People Realize Worth Caring AboutSuicidal Ideation Questionnaire - I thought that if I killed myself people would realize I was worth caring about.SIQ - People Realize Worth Caring About
SIQ01-Specific %: Standard Sample 1C151358SIQ01-Specific %: Standard Sample 1Suicidal Ideation Questionnaire - Specific standardization %: Sample 1.SIQ - Specific %: Standard Sample 1
SIQ01-Specific %: Standard Sample 2C151359SIQ01-Specific %: Standard Sample 2Suicidal Ideation Questionnaire - Specific standardization %: Sample 2.SIQ - Specific %: Standard Sample 2
SIQ01-Specific %: Standard Sample 3C151360SIQ01-Specific %: Standard Sample 3Suicidal Ideation Questionnaire - Specific standardization %: Sample 3.SIQ - Specific %: Standard Sample 3
SIQ01-Tell People I Plan to Kill MyselfC151334SIQ01-Tell People I Plan to Kill MyselfSuicidal Ideation Questionnaire - I thought about telling people I plan to kill myself.SIQ - Tell People I Plan to Kill Myself
SIQ01-Thought About Having Bad AccidentC151346SIQ01-Thought About Having Bad AccidentSuicidal Ideation Questionnaire - I thought about having a bad accident.SIQ - Thought About Having Bad Accident
SIQ01-Thought Killing Myself Not Do ItC151345SIQ01-Thought Killing Myself Not Do ItSuicidal Ideation Questionnaire - I thought about killing myself, but would not do it.SIQ - Thought Killing Myself Not Do It
SIQ01-Thought Life Was Not Worth LivingC151347SIQ01-Thought Life Was Not Worth LivingSuicidal Ideation Questionnaire - I thought that life was not worth living.SIQ - Thought Life Was Not Worth Living
SIQ01-Thought Way People Kill ThemselvesC151344SIQ01-Thought Way People Kill ThemselvesSuicidal Ideation Questionnaire - I thought about ways people kill themselves.SIQ - Thought Way People Kill Themselves
SIQ01-Total %C151357SIQ01-Total %Suicidal Ideation Questionnaire - Total standardization sample %.SIQ - Total %
SIQ01-TSC151356SIQ01-TSSuicidal Ideation Questionnaire - TS (total raw score).SIQ - TS
SIQ01-What to Write in a Suicide NoteC151332SIQ01-What to Write in a Suicide NoteSuicidal Ideation Questionnaire - I thought about what to write in a suicide note.SIQ - What to Write in a Suicide Note
SIQ01-Wished I Had Never Been BornC151342SIQ01-Wished I Had Never Been BornSuicidal Ideation Questionnaire - I wished that I had never been born.SIQ - Wished I Had Never Been Born
SIQ01-Wished I Had Right to Kill MyselfC151355SIQ01-Wished I Had Right to Kill MyselfSuicidal Ideation Questionnaire - I wished that I had the right to kill myself.SIQ - Wished I Had Right to Kill Myself
SIQ01-Wished I Had the Nerve Kill MyselfC151341SIQ01-Wished I Had the Nerve Kill MyselfSuicidal Ideation Questionnaire - I wished I had the nerve to kill myself.SIQ - Wished I Had the Nerve Kill Myself
SIQ01-Wondered If Had Nerve Kill MyselfC151353SIQ01-Wondered If Had Nerve Kill MyselfSuicidal Ideation Questionnaire - I wondered if I had the nerve to kill myself.SIQ - Wondered If Had Nerve Kill Myself
SIQ01-Would Be Better If I Was Not AliveC151326SIQ01-Would Be Better If I Was Not AliveSuicidal Ideation Questionnaire - I thought it would be better if I was not alive.SIQ - Would Be Better If I Was Not Alive
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CL.C150792.SIQ02TCSuicidal Ideation Questionnaire-JR Questionnaire Test Code
(SIQ02TC)
text
Extensible: No
C150792Suicidal Ideation Questionnaire-JR Questionnaire Test CodeSuicidal Ideation Questionnaire-JR test code.CDISC Questionnaire SIQ-JR Test Code Terminology
SIQ0201C151369SIQ02-Would Be Better If I Was Not AliveSuicidal Ideation Questionnaire-JR - I thought it would be better if I was not live.SIQ-JR - Would Be Better If I Was Not Alive
SIQ0202C151370SIQ02-I Thought About Killing MyselfSuicidal Ideation Questionnaire-JR - I thought about killing myself.SIQ-JR - I Thought About Killing Myself
SIQ0203C151371SIQ02-I Thought How I Would Kill MyselfSuicidal Ideation Questionnaire-JR - I thought about how I would kill myself.SIQ-JR - I Thought How I Would Kill Myself
SIQ0204C151372SIQ02-I Thought When I Would Kill MyselfSuicidal Ideation Questionnaire-JR - I thought about when I would kill myself.SIQ-JR - I Thought When I Would Kill Myself
SIQ0205C151373SIQ02-I Thought About People DyingSuicidal Ideation Questionnaire-JR - I thought about people dying.SIQ-JR - I Thought About People Dying
SIQ0206C151374SIQ02-I Thought About DeathSuicidal Ideation Questionnaire-JR - I thought about death.SIQ-JR - I Thought About Death
SIQ0207C151375SIQ02-What to Write in a Suicide NoteSuicidal Ideation Questionnaire-JR - I thought about what to write in a suicide note.SIQ-JR - What to Write in a Suicide Note
SIQ0208C151376SIQ02-I Thought About Writing a WillSuicidal Ideation Questionnaire-JR - I thought about writing a will.SIQ-JR - I Thought About Writing a Will
SIQ0209C151377SIQ02-Tell People I Plan to Kill MyselfSuicidal Ideation Questionnaire-JR - I thought about telling people I plan to kill myself.SIQ-JR - Tell People I Plan to Kill Myself
SIQ0210C151378SIQ02-How People Feel If I Killed MyselfSuicidal Ideation Questionnaire-JR - I thought about how people would feel if I killed myself.SIQ-JR - How People Feel If I Killed Myself
SIQ0211C151379SIQ02-I Wished I Were DeadSuicidal Ideation Questionnaire-JR - I wished I were dead.SIQ-JR - I Wished I Were Dead
SIQ0212C151380SIQ02-Killing Myself Would Solve ProblemSuicidal Ideation Questionnaire-JR - I thought that killing myself would solve my problems.SIQ-JR - Killing Myself Would Solve Problem
SIQ0213C151381SIQ02-Others Be Happier If I Was DeadSuicidal Ideation Questionnaire-JR - I thought that others would be happier if I was dead.SIQ-JR - Others Be Happier If I Was Dead
SIQ0214C151382SIQ02-Wished I Had Never Been BornSuicidal Ideation Questionnaire-JR - I wished that I had never been born.SIQ-JR - Wished I Had Never Been Born
SIQ0215C151383SIQ02-No One Cared If I Lived or DiedSuicidal Ideation Questionnaire-JR - I thought that no one cared if I lived or died.SIQ-JR - No One Cared If I Lived or Died
SIQ0216C151384SIQ02-TSSuicidal Ideation Questionnaire-JR - TS (total raw score).SIQ-JR - TS
SIQ0217C151385SIQ02-Total %Suicidal Ideation Questionnaire-JR - Total standardization sample %.SIQ-JR - Total %
SIQ0218C151386SIQ02-Specific %: Standard Sample 1Suicidal Ideation Questionnaire-JR - Specific standardization %: Sample 1.SIQ-JR - Specific %: Standard Sample 1
SIQ0219C151387SIQ02-Specific %: Standard Sample 2Suicidal Ideation Questionnaire-JR - Specific standardization %: Sample 2.SIQ-JR - Specific %: Standard Sample 2
SIQ0220C151388SIQ02-Specific %: Standard Sample 3Suicidal Ideation Questionnaire-JR - Specific standardization %: Sample 3.SIQ-JR - Specific %: Standard Sample 3
SIQ0221C151389SIQ02-Critical Item 1Suicidal Ideation Questionnaire-JR - Critical item 1.SIQ-JR - Critical Item 1
SIQ0222C151390SIQ02-Critical Item 2Suicidal Ideation Questionnaire-JR - Critical item 2.SIQ-JR - Critical Item 2
SIQ0223C151391SIQ02-Critical Item 3Suicidal Ideation Questionnaire-JR - Critical item 3.SIQ-JR - Critical Item 3
SIQ0224C151392SIQ02-Critical Item 4Suicidal Ideation Questionnaire-JR - Critical item 4.SIQ-JR - Critical Item 4
SIQ0225C151393SIQ02-Critical Item 5Suicidal Ideation Questionnaire-JR - Critical item 5.SIQ-JR - Critical Item 5
SIQ0226C151394SIQ02-Critical Item 6Suicidal Ideation Questionnaire-JR - Critical item 6.SIQ-JR - Critical Item 6
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CL.C150791.SIQ02TNSuicidal Ideation Questionnaire-JR Questionnaire Test Name
(SIQ02TN)
text
Extensible: No
C150791Suicidal Ideation Questionnaire-JR Questionnaire Test NameSuicidal Ideation Questionnaire-JR test name.CDISC Questionnaire SIQ-JR Test Name Terminology
SIQ02-Critical Item 1C151389SIQ02-Critical Item 1Suicidal Ideation Questionnaire-JR - Critical item 1.SIQ-JR - Critical Item 1
SIQ02-Critical Item 2C151390SIQ02-Critical Item 2Suicidal Ideation Questionnaire-JR - Critical item 2.SIQ-JR - Critical Item 2
SIQ02-Critical Item 3C151391SIQ02-Critical Item 3Suicidal Ideation Questionnaire-JR - Critical item 3.SIQ-JR - Critical Item 3
SIQ02-Critical Item 4C151392SIQ02-Critical Item 4Suicidal Ideation Questionnaire-JR - Critical item 4.SIQ-JR - Critical Item 4
SIQ02-Critical Item 5C151393SIQ02-Critical Item 5Suicidal Ideation Questionnaire-JR - Critical item 5.SIQ-JR - Critical Item 5
SIQ02-Critical Item 6C151394SIQ02-Critical Item 6Suicidal Ideation Questionnaire-JR - Critical item 6.SIQ-JR - Critical Item 6
SIQ02-How People Feel If I Killed MyselfC151378SIQ02-How People Feel If I Killed MyselfSuicidal Ideation Questionnaire-JR - I thought about how people would feel if I killed myself.SIQ-JR - How People Feel If I Killed Myself
SIQ02-I Thought About DeathC151374SIQ02-I Thought About DeathSuicidal Ideation Questionnaire-JR - I thought about death.SIQ-JR - I Thought About Death
SIQ02-I Thought About Killing MyselfC151370SIQ02-I Thought About Killing MyselfSuicidal Ideation Questionnaire-JR - I thought about killing myself.SIQ-JR - I Thought About Killing Myself
SIQ02-I Thought About People DyingC151373SIQ02-I Thought About People DyingSuicidal Ideation Questionnaire-JR - I thought about people dying.SIQ-JR - I Thought About People Dying
SIQ02-I Thought About Writing a WillC151376SIQ02-I Thought About Writing a WillSuicidal Ideation Questionnaire-JR - I thought about writing a will.SIQ-JR - I Thought About Writing a Will
SIQ02-I Thought How I Would Kill MyselfC151371SIQ02-I Thought How I Would Kill MyselfSuicidal Ideation Questionnaire-JR - I thought about how I would kill myself.SIQ-JR - I Thought How I Would Kill Myself
SIQ02-I Thought When I Would Kill MyselfC151372SIQ02-I Thought When I Would Kill MyselfSuicidal Ideation Questionnaire-JR - I thought about when I would kill myself.SIQ-JR - I Thought When I Would Kill Myself
SIQ02-I Wished I Were DeadC151379SIQ02-I Wished I Were DeadSuicidal Ideation Questionnaire-JR - I wished I were dead.SIQ-JR - I Wished I Were Dead
SIQ02-Killing Myself Would Solve ProblemC151380SIQ02-Killing Myself Would Solve ProblemSuicidal Ideation Questionnaire-JR - I thought that killing myself would solve my problems.SIQ-JR - Killing Myself Would Solve Problem
SIQ02-No One Cared If I Lived or DiedC151383SIQ02-No One Cared If I Lived or DiedSuicidal Ideation Questionnaire-JR - I thought that no one cared if I lived or died.SIQ-JR - No One Cared If I Lived or Died
SIQ02-Others Be Happier If I Was DeadC151381SIQ02-Others Be Happier If I Was DeadSuicidal Ideation Questionnaire-JR - I thought that others would be happier if I was dead.SIQ-JR - Others Be Happier If I Was Dead
SIQ02-Specific %: Standard Sample 1C151386SIQ02-Specific %: Standard Sample 1Suicidal Ideation Questionnaire-JR - Specific standardization %: Sample 1.SIQ-JR - Specific %: Standard Sample 1
SIQ02-Specific %: Standard Sample 2C151387SIQ02-Specific %: Standard Sample 2Suicidal Ideation Questionnaire-JR - Specific standardization %: Sample 2.SIQ-JR - Specific %: Standard Sample 2
SIQ02-Specific %: Standard Sample 3C151388SIQ02-Specific %: Standard Sample 3Suicidal Ideation Questionnaire-JR - Specific standardization %: Sample 3.SIQ-JR - Specific %: Standard Sample 3
SIQ02-Tell People I Plan to Kill MyselfC151377SIQ02-Tell People I Plan to Kill MyselfSuicidal Ideation Questionnaire-JR - I thought about telling people I plan to kill myself.SIQ-JR - Tell People I Plan to Kill Myself
SIQ02-Total %C151385SIQ02-Total %Suicidal Ideation Questionnaire-JR - Total standardization sample %.SIQ-JR - Total %
SIQ02-TSC151384SIQ02-TSSuicidal Ideation Questionnaire-JR - TS (total raw score).SIQ-JR - TS
SIQ02-What to Write in a Suicide NoteC151375SIQ02-What to Write in a Suicide NoteSuicidal Ideation Questionnaire-JR - I thought about what to write in a suicide note.SIQ-JR - What to Write in a Suicide Note
SIQ02-Wished I Had Never Been BornC151382SIQ02-Wished I Had Never Been BornSuicidal Ideation Questionnaire-JR - I wished that I had never been born.SIQ-JR - Wished I Had Never Been Born
SIQ02-Would Be Better If I Was Not AliveC151369SIQ02-Would Be Better If I Was Not AliveSuicidal Ideation Questionnaire-JR - I thought it would be better if I was not live.SIQ-JR - Would Be Better If I Was Not Alive
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CL.C115396.SDMT01TCSymbol Digit Modalities Test Functional Test Test Code
(SDMT01TC)
text
Extensible: No
C115396Symbol Digit Modalities Test Functional Test Test CodeSymbol Digit Modalities Test test code.CDISC Functional Test SDMT Test Code Terminology
SDMT0101C115816SDMT01-Total ScoreSymbol Digit Modalities Test - Total score.SDMT - Total Score
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CL.C115395.SDMT01TNSymbol Digit Modalities Test Functional Test Test Name
(SDMT01TN)
text
Extensible: No
C115395Symbol Digit Modalities Test Functional Test Test NameSymbol Digit Modalities Test test name.CDISC Functional Test SDMT Test Name Terminology
SDMT01-Total ScoreC115816SDMT01-Total ScoreSymbol Digit Modalities Test - Total score.SDMT - Total Score
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CL.C103485.SIQR01TCSymptom Impact Questionnaire Questionnaire Test Code
(SIQR01TC)
text
Extensible: No
C103485Symptom Impact Questionnaire Questionnaire Test CodeSymptom Impact Questionnaire test code.CDISC Questionnaire SIQR Test Code Terminology
SIQR0101C103730SIQR01-Brush or Comb Your HairSymptom Impact Questionnaire - Brush or comb your hair.SIQR - Brush or Comb Your Hair
SIQR0102C103731SIQR01-Walk Continuously for 20 MinutesSymptom Impact Questionnaire - Walk continuously for 20 minutes.SIQR - Walk Continuously for 20 Minutes
SIQR0103C103732SIQR01-Prepare a Homemade MealSymptom Impact Questionnaire - Prepare a homemade meal.SIQR - Prepare a Homemade Meal
SIQR0104C103733SIQR01-Vacuum Scrub or Sweep FloorsSymptom Impact Questionnaire - Vacuum, scrub or sweep floors.SIQR - Vacuum Scrub or Sweep Floors
SIQR0105C103734SIQR01-Lift/Carry Bag Full of GroceriesSymptom Impact Questionnaire - Lift and carry a bag full of groceries.SIQR - Lift and Carry a Bag Full of Groceries
SIQR0106C103735SIQR01-Climb One Flight of StairsSymptom Impact Questionnaire - Climb one flight of stairs.SIQR - Climb One Flight of Stairs
SIQR0107C103736SIQR01-Change Bed SheetsSymptom Impact Questionnaire - Change bed sheets.SIQR - Change Bed Sheets
SIQR0108C103737SIQR01-Sit in a Chair for 45 MinutesSymptom Impact Questionnaire - Sit in a chair for 45 minutes.SIQR - Sit in a Chair for 45 Minutes
SIQR0109C103738SIQR01-Go Shopping for GroceriesSymptom Impact Questionnaire - Go shopping for groceries.SIQR - Go Shopping for Groceries
SIQR0110C103739SIQR01-Prevent from Accomplishing GoalsSymptom Impact Questionnaire - My medical problems prevented me from accomplishing goals for week.SIQR - My Medical Problem Prevented Me from Accomplishing Goals for the Week
SIQR0111C103740SIQR01-Overwhelmed by Medical ProblemsSymptom Impact Questionnaire - I was completely overwhelmed by my medical problems.SIQR - I was Completely Overwhelmed by My Medical Problem
SIQR0112C103741SIQR01-PainSymptom Impact Questionnaire - Please rate your level of pain.SIQR - Pain
SIQR0113C103742SIQR01-EnergySymptom Impact Questionnaire - Please rate your level of energy.SIQR - Energy
SIQR0114C103743SIQR01-StiffnessSymptom Impact Questionnaire - Please rate your level of stiffness.SIQR - Stiffness
SIQR0115C103744SIQR01-Your SleepSymptom Impact Questionnaire - Please rate the quality of your sleep.SIQR - Your Sleep
SIQR0116C103745SIQR01-DepressionSymptom Impact Questionnaire - Please rate your level of depression.SIQR - Depression
SIQR0117C103746SIQR01-Memory ProblemsSymptom Impact Questionnaire - Please rate your level of memory problems.SIQR - Memory Problems
SIQR0118C103747SIQR01-AnxietySymptom Impact Questionnaire - Please rate your level of anxiety.SIQR - Anxiety
SIQR0119C103748SIQR01-Tenderness to TouchSymptom Impact Questionnaire - Please rate your level of tenderness to touch.SIQR - Tenderness to Touch
SIQR0120C103749SIQR01-Balance ProblemsSymptom Impact Questionnaire - Please rate your level of balance problems.SIQR - Balance Problems
SIQR0121C103750SIQR01-Sensitivity Noise/Light/Odor/ColdSymptom Impact Questionnaire - Please rate your level of sensitivity to loud noises, bright lights, odors and cold.SIQR - Sensitivity to Loud Noises, Bright Lights, Odors and Cold
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CL.C103484.SIQR01TNSymptom Impact Questionnaire Questionnaire Test Name
(SIQR01TN)
text
Extensible: No
C103484Symptom Impact Questionnaire Questionnaire Test NameSymptom Impact Questionnaire test name.CDISC Questionnaire SIQR Test Name Terminology
SIQR01-AnxietyC103747SIQR01-AnxietySymptom Impact Questionnaire - Please rate your level of anxiety.SIQR - Anxiety
SIQR01-Balance ProblemsC103749SIQR01-Balance ProblemsSymptom Impact Questionnaire - Please rate your level of balance problems.SIQR - Balance Problems
SIQR01-Brush or Comb Your HairC103730SIQR01-Brush or Comb Your HairSymptom Impact Questionnaire - Brush or comb your hair.SIQR - Brush or Comb Your Hair
SIQR01-Change Bed SheetsC103736SIQR01-Change Bed SheetsSymptom Impact Questionnaire - Change bed sheets.SIQR - Change Bed Sheets
SIQR01-Climb One Flight of StairsC103735SIQR01-Climb One Flight of StairsSymptom Impact Questionnaire - Climb one flight of stairs.SIQR - Climb One Flight of Stairs
SIQR01-DepressionC103745SIQR01-DepressionSymptom Impact Questionnaire - Please rate your level of depression.SIQR - Depression
SIQR01-EnergyC103742SIQR01-EnergySymptom Impact Questionnaire - Please rate your level of energy.SIQR - Energy
SIQR01-Go Shopping for GroceriesC103738SIQR01-Go Shopping for GroceriesSymptom Impact Questionnaire - Go shopping for groceries.SIQR - Go Shopping for Groceries
SIQR01-Lift/Carry Bag Full of GroceriesC103734SIQR01-Lift/Carry Bag Full of GroceriesSymptom Impact Questionnaire - Lift and carry a bag full of groceries.SIQR - Lift and Carry a Bag Full of Groceries
SIQR01-Memory ProblemsC103746SIQR01-Memory ProblemsSymptom Impact Questionnaire - Please rate your level of memory problems.SIQR - Memory Problems
SIQR01-Overwhelmed by Medical ProblemsC103740SIQR01-Overwhelmed by Medical ProblemsSymptom Impact Questionnaire - I was completely overwhelmed by my medical problems.SIQR - I was Completely Overwhelmed by My Medical Problem
SIQR01-PainC103741SIQR01-PainSymptom Impact Questionnaire - Please rate your level of pain.SIQR - Pain
SIQR01-Prepare a Homemade MealC103732SIQR01-Prepare a Homemade MealSymptom Impact Questionnaire - Prepare a homemade meal.SIQR - Prepare a Homemade Meal
SIQR01-Prevent from Accomplishing GoalsC103739SIQR01-Prevent from Accomplishing GoalsSymptom Impact Questionnaire - My medical problems prevented me from accomplishing goals for week.SIQR - My Medical Problem Prevented Me from Accomplishing Goals for the Week
SIQR01-Sensitivity Noise/Light/Odor/ColdC103750SIQR01-Sensitivity Noise/Light/Odor/ColdSymptom Impact Questionnaire - Please rate your level of sensitivity to loud noises, bright lights, odors and cold.SIQR - Sensitivity to Loud Noises, Bright Lights, Odors and Cold
SIQR01-Sit in a Chair for 45 MinutesC103737SIQR01-Sit in a Chair for 45 MinutesSymptom Impact Questionnaire - Sit in a chair for 45 minutes.SIQR - Sit in a Chair for 45 Minutes
SIQR01-StiffnessC103743SIQR01-StiffnessSymptom Impact Questionnaire - Please rate your level of stiffness.SIQR - Stiffness
SIQR01-Tenderness to TouchC103748SIQR01-Tenderness to TouchSymptom Impact Questionnaire - Please rate your level of tenderness to touch.SIQR - Tenderness to Touch
SIQR01-Vacuum Scrub or Sweep FloorsC103733SIQR01-Vacuum Scrub or Sweep FloorsSymptom Impact Questionnaire - Vacuum, scrub or sweep floors.SIQR - Vacuum Scrub or Sweep Floors
SIQR01-Walk Continuously for 20 MinutesC103731SIQR01-Walk Continuously for 20 MinutesSymptom Impact Questionnaire - Walk continuously for 20 minutes.SIQR - Walk Continuously for 20 Minutes
SIQR01-Your SleepC103744SIQR01-Your SleepSymptom Impact Questionnaire - Please rate the quality of your sleep.SIQR - Your Sleep
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CL.C154457.SMDDS1TCSymptoms of Major Depressive Disorder Scale v1.0 Questionnaire Test Code
(SMDDS1TC)
text
Extensible: No
C154457Symptoms of Major Depressive Disorder Scale v1.0 Questionnaire Test CodeSymptoms of Major Depressive Disorder Scale v1.0 test code.CDISC Questionnaire SMDDS Version 1.0 Test Code Terminology
SMDDS101C155629SMDDS1-How Sad Have You FeltSymptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how sad have you felt?SMDDS Version 1.0 - How Sad Have You Felt
SMDDS102C155630SMDDS1-How Hopeless Have You FeltSymptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how hopeless have you felt?SMDDS Version 1.0 - How Hopeless Have You Felt
SMDDS103C155631SMDDS1-How Irritable Have You FeltSymptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how irritable have you felt?SMDDS Version 1.0 - How Irritable Have You Felt
SMDDS104C155632SMDDS1-How Overwhelmed Have You FeltSymptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how overwhelmed have you felt?SMDDS Version 1.0 - How Overwhelmed Have You Felt
SMDDS105C155633SMDDS1-How Worried Have You FeltSymptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how worried have you felt?SMDDS Version 1.0 - How Worried Have You Felt
SMDDS106C155634SMDDS1-How Tired Have You FeltSymptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how tired have you felt?SMDDS Version 1.0 - How Tired Have You Felt
SMDDS107C155635SMDDS1-How Difficult Stop Think ProblemsSymptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how difficult was it for you to stop thinking about your problems?SMDDS Version 1.0 - How Difficult Stop Think Problems
SMDDS108C155636SMDDS1-How Difficult to ConcentrateSymptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how difficult was it for you to concentrate?SMDDS Version 1.0 - How Difficult to Concentrate
SMDDS109C155637SMDDS1-How Difficult to Enjoy Daily LifeSymptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how difficult was it for you to enjoy your daily life?SMDDS Version 1.0 - How Difficult to Enjoy Daily Life
SMDDS110C155638SMDDS1-How Often Problem With SleepSymptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how often did you have a problem with your sleep (falling asleep, staying asleep, or sleeping too much)?SMDDS Version 1.0 - How Often Problem With Sleep
SMDDS111C155639SMDDS1-How Often Have Poor AppetiteSymptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how often did you have a poor appetite?SMDDS Version 1.0 - How Often Have Poor Appetite
SMDDS112C155640SMDDS1-How Often Did You Over EatSymptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how often did you over eat?SMDDS Version 1.0 - How Often Did You Over Eat
SMDDS113C155641SMDDS1-How Much Push Yourself Do ThingsSymptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how much of the time did you have to push yourself to do things?SMDDS Version 1.0 - How Much Push Yourself Do Things
SMDDS114C155642SMDDS1-How Much Feel Like Doing NothingSymptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how much of the time did you feel like doing nothing?SMDDS Version 1.0 - How Much Feel Like Doing Nothing
SMDDS115C155643SMDDS1-How Much Blame Yourself Bad ThingSymptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how much of the time did you blame yourself when bad things happened?SMDDS Version 1.0 - How Much Blame Yourself Bad Thing
SMDDS116C155644SMDDS1-How Much Feel Not Worth LivingSymptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how much of the time did you feel that life is not worth living?SMDDS Version 1.0 - How Much Feel Not Worth Living
SMDDS117C176211SMDDS1-Negative Emotions/Mood SubscoreSymptoms of Major Depressive Disorder Scale v1.0 - Negative emotions/mood subscore.SMDDS Version 1.0 - Negative Emotions/Mood Subscore
SMDDS118C176212SMDDS1-Anxiety SubscoreSymptoms of Major Depressive Disorder Scale v1.0 - Anxiety subscore.SMDDS Version 1.0 - Anxiety Subscore
SMDDS119C176213SMDDDS1-Low Energy SubscoreSymptoms of Major Depressive Disorder Scale v1.0 - Low energy subscore.SMDDS Version 1.0 - SMDDDS1-Low Energy Subscore
SMDDS120C176214SMDDS1-Cognition SubscoreSymptoms of Major Depressive Disorder Scale v1.0 - Cognition subscore.SMDDS Version 1.0 - Cognition Subscore
SMDDS121C176215SMDDS1-Sleep Disturbances SubscoreSymptoms of Major Depressive Disorder Scale v1.0 - Sleep disturbances subscore.SMDDS Version 1.0 - Sleep Disturbances Subscore
SMDDS122C176216SMDDS1-Eating Behavior SubscoreSymptoms of Major Depressive Disorder Scale v1.0 - Eating behavior subscore.SMDDS Version 1.0 - Eating Behavior Subscore
SMDDS123C176217SMDDS1-Low Motivation SubscoreSymptoms of Major Depressive Disorder Scale v1.0 - Low motivation subscore.SMDDS Version 1.0 - Low Motivation Subscore
SMDDS124C176218SMDDS1-Sense of Self SubscoreSymptoms of Major Depressive Disorder Scale v1.0 - Sense of self subscore.SMDDS Version 1.0 - Sense of Self Subscore
SMDDS125C176219SMDDS1-Self-Harm/Suicide SubscoreSymptoms of Major Depressive Disorder Scale v1.0 - Self-harm/suicide subscore.SMDDS Version 1.0 - Self-Harm/Suicide Subscore
SMDDS126C155645SMDDS1-Total ScoreSymptoms of Major Depressive Disorder Scale v1.0 - Total score.SMDDS Version 1.0 - Total Score
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CL.C154456.SMDDS1TNSymptoms of Major Depressive Disorder Scale v1.0 Questionnaire Test Name
(SMDDS1TN)
text
Extensible: No
C154456Symptoms of Major Depressive Disorder Scale v1.0 Questionnaire Test NameSymptoms of Major Depressive Disorder Scale v1.0 test name.CDISC Questionnaire SMDDS Version 1.0 Test Name Terminology
SMDDDS1-Low Energy SubscoreC176213SMDDDS1-Low Energy SubscoreSymptoms of Major Depressive Disorder Scale v1.0 - Low energy subscore.SMDDS Version 1.0 - SMDDDS1-Low Energy Subscore
SMDDS1-Anxiety SubscoreC176212SMDDS1-Anxiety SubscoreSymptoms of Major Depressive Disorder Scale v1.0 - Anxiety subscore.SMDDS Version 1.0 - Anxiety Subscore
SMDDS1-Cognition SubscoreC176214SMDDS1-Cognition SubscoreSymptoms of Major Depressive Disorder Scale v1.0 - Cognition subscore.SMDDS Version 1.0 - Cognition Subscore
SMDDS1-Eating Behavior SubscoreC176216SMDDS1-Eating Behavior SubscoreSymptoms of Major Depressive Disorder Scale v1.0 - Eating behavior subscore.SMDDS Version 1.0 - Eating Behavior Subscore
SMDDS1-How Difficult Stop Think ProblemsC155635SMDDS1-How Difficult Stop Think ProblemsSymptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how difficult was it for you to stop thinking about your problems?SMDDS Version 1.0 - How Difficult Stop Think Problems
SMDDS1-How Difficult to ConcentrateC155636SMDDS1-How Difficult to ConcentrateSymptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how difficult was it for you to concentrate?SMDDS Version 1.0 - How Difficult to Concentrate
SMDDS1-How Difficult to Enjoy Daily LifeC155637SMDDS1-How Difficult to Enjoy Daily LifeSymptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how difficult was it for you to enjoy your daily life?SMDDS Version 1.0 - How Difficult to Enjoy Daily Life
SMDDS1-How Hopeless Have You FeltC155630SMDDS1-How Hopeless Have You FeltSymptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how hopeless have you felt?SMDDS Version 1.0 - How Hopeless Have You Felt
SMDDS1-How Irritable Have You FeltC155631SMDDS1-How Irritable Have You FeltSymptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how irritable have you felt?SMDDS Version 1.0 - How Irritable Have You Felt
SMDDS1-How Much Blame Yourself Bad ThingC155643SMDDS1-How Much Blame Yourself Bad ThingSymptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how much of the time did you blame yourself when bad things happened?SMDDS Version 1.0 - How Much Blame Yourself Bad Thing
SMDDS1-How Much Feel Like Doing NothingC155642SMDDS1-How Much Feel Like Doing NothingSymptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how much of the time did you feel like doing nothing?SMDDS Version 1.0 - How Much Feel Like Doing Nothing
SMDDS1-How Much Feel Not Worth LivingC155644SMDDS1-How Much Feel Not Worth LivingSymptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how much of the time did you feel that life is not worth living?SMDDS Version 1.0 - How Much Feel Not Worth Living
SMDDS1-How Much Push Yourself Do ThingsC155641SMDDS1-How Much Push Yourself Do ThingsSymptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how much of the time did you have to push yourself to do things?SMDDS Version 1.0 - How Much Push Yourself Do Things
SMDDS1-How Often Did You Over EatC155640SMDDS1-How Often Did You Over EatSymptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how often did you over eat?SMDDS Version 1.0 - How Often Did You Over Eat
SMDDS1-How Often Have Poor AppetiteC155639SMDDS1-How Often Have Poor AppetiteSymptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how often did you have a poor appetite?SMDDS Version 1.0 - How Often Have Poor Appetite
SMDDS1-How Often Problem With SleepC155638SMDDS1-How Often Problem With SleepSymptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how often did you have a problem with your sleep (falling asleep, staying asleep, or sleeping too much)?SMDDS Version 1.0 - How Often Problem With Sleep
SMDDS1-How Overwhelmed Have You FeltC155632SMDDS1-How Overwhelmed Have You FeltSymptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how overwhelmed have you felt?SMDDS Version 1.0 - How Overwhelmed Have You Felt
SMDDS1-How Sad Have You FeltC155629SMDDS1-How Sad Have You FeltSymptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how sad have you felt?SMDDS Version 1.0 - How Sad Have You Felt
SMDDS1-How Tired Have You FeltC155634SMDDS1-How Tired Have You FeltSymptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how tired have you felt?SMDDS Version 1.0 - How Tired Have You Felt
SMDDS1-How Worried Have You FeltC155633SMDDS1-How Worried Have You FeltSymptoms of Major Depressive Disorder Scale v1.0 - Over the past 7 days, how worried have you felt?SMDDS Version 1.0 - How Worried Have You Felt
SMDDS1-Low Motivation SubscoreC176217SMDDS1-Low Motivation SubscoreSymptoms of Major Depressive Disorder Scale v1.0 - Low motivation subscore.SMDDS Version 1.0 - Low Motivation Subscore
SMDDS1-Negative Emotions/Mood SubscoreC176211SMDDS1-Negative Emotions/Mood SubscoreSymptoms of Major Depressive Disorder Scale v1.0 - Negative emotions/mood subscore.SMDDS Version 1.0 - Negative Emotions/Mood Subscore
SMDDS1-Self-Harm/Suicide SubscoreC176219SMDDS1-Self-Harm/Suicide SubscoreSymptoms of Major Depressive Disorder Scale v1.0 - Self-harm/suicide subscore.SMDDS Version 1.0 - Self-Harm/Suicide Subscore
SMDDS1-Sense of Self SubscoreC176218SMDDS1-Sense of Self SubscoreSymptoms of Major Depressive Disorder Scale v1.0 - Sense of self subscore.SMDDS Version 1.0 - Sense of Self Subscore
SMDDS1-Sleep Disturbances SubscoreC176215SMDDS1-Sleep Disturbances SubscoreSymptoms of Major Depressive Disorder Scale v1.0 - Sleep disturbances subscore.SMDDS Version 1.0 - Sleep Disturbances Subscore
SMDDS1-Total ScoreC155645SMDDS1-Total ScoreSymptoms of Major Depressive Disorder Scale v1.0 - Total score.SMDDS Version 1.0 - Total Score
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CL.C124662.TANN02TCTanner Scale Boy Clinical Classification Test Code
(TANN02TC)
text
Extensible: No
C124662Tanner Scale Boy Clinical Classification Test CodeTanner Scale Boy test code.CDISC Clinical Classification Tanner Scale-Boy Test Code Terminology
TANN0201C124716TANN02-Genitalia StagesTanner Scale Boy - Genitalia stages.Tanner Scale-Boy - Genitalia Stages
TANN0202C124717TANN02-Pubic Hair StagesTanner Scale Boy - Pubic hair stages.Tanner Scale-Boy - Pubic Hair Stages
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CL.C124661.TANN02TNTanner Scale Boy Clinical Classification Test Name
(TANN02TN)
text
Extensible: No
C124661Tanner Scale Boy Clinical Classification Test NameTanner Scale Boy test name.CDISC Clinical Classification Tanner Scale-Boy Test Name Terminology
TANN02-Genitalia StagesC124716TANN02-Genitalia StagesTanner Scale Boy - Genitalia stages.Tanner Scale-Boy - Genitalia Stages
TANN02-Pubic Hair StagesC124717TANN02-Pubic Hair StagesTanner Scale Boy - Pubic hair stages.Tanner Scale-Boy - Pubic Hair Stages
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CL.C124664.TANN01TCTanner Scale Girl Clinical Classification Test Code
(TANN01TC)
text
Extensible: No
C124664Tanner Scale Girl Clinical Classification Test CodeTanner Scale Girl test code.CDISC Clinical Classification Tanner Scale-Girl Test Code Terminology
TANN0101C124718TANN01-Breast StagesTanner Scale Girl - Breast stages.Tanner Scale-Girl - Breast Stages
TANN0102C124719TANN01-Pubic Hair StagesTanner Scale Girl - Pubic hair stages.Tanner Scale-Girl - Pubic Hair Stages
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CL.C124663.TANN01TNTanner Scale Girl Clinical Classification Test Name
(TANN01TN)
text
Extensible: No
C124663Tanner Scale Girl Clinical Classification Test NameTanner Scale Girl test name.CDISC Clinical Classification Tanner Scale-Girl Test Name Terminology
TANN01-Breast StagesC124718TANN01-Breast StagesTanner Scale Girl - Breast stages.Tanner Scale-Girl - Breast Stages
TANN01-Pubic Hair StagesC124719TANN01-Pubic Hair StagesTanner Scale Girl - Pubic hair stages.Tanner Scale-Girl - Pubic Hair Stages
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CL.C120987.BODE01TCThe Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index Clinical Classification Test Code
(BODE01TC)
text
Extensible: No
C120987The Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index Clinical Classification Test CodeThe Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index test code.CDISC Clinical Classification BODE Index Test Code Terminology
BODE0101C121063BODE01-Body-mass IndexBody-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index - Body-mass index.BODE Index - Body-mass Index
BODE0102C121064BODE01-FEV1 % PredictedBody-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index - FEV1 (% of predicted).BODE Index - FEV1 Percent Predicted
BODE0103C121065BODE01-MMRC Dyspnea ScaleBody-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index - MMRC dyspnea scale.BODE Index - MMRC Dyspnea Scale
BODE0104C121066BODE01-Distance Walked in 6 MinutesBody-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index - Distance walked in 6 min (in meter).BODE Index - Distance Walked in 6 Minutes
BODE0105C121067BODE01-BODE ScoreBody-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index - BODE score.BODE Index - Score
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CL.C120986.BODE01TNThe Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index Clinical Classification Test Name
(BODE01TN)
text
Extensible: No
C120986The Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index Clinical Classification Test NameThe Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index test name.CDISC Clinical Classification BODE Index Test Name Terminology
BODE01-BODE ScoreC121067BODE01-BODE ScoreBody-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index - BODE score.BODE Index - Score
BODE01-Body-mass IndexC121063BODE01-Body-mass IndexBody-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index - Body-mass index.BODE Index - Body-mass Index
BODE01-Distance Walked in 6 MinutesC121066BODE01-Distance Walked in 6 MinutesBody-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index - Distance walked in 6 min (in meter).BODE Index - Distance Walked in 6 Minutes
BODE01-FEV1 % PredictedC121064BODE01-FEV1 % PredictedBody-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index - FEV1 (% of predicted).BODE Index - FEV1 Percent Predicted
BODE01-MMRC Dyspnea ScaleC121065BODE01-MMRC Dyspnea ScaleBody-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index - MMRC dyspnea scale.BODE Index - MMRC Dyspnea Scale
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CL.C127352.EPIC2TCThe Expanded Prostate Cancer Index Composite for Clinical Practice Questionnaire Test Code
(EPIC2TC)
text
Extensible: No
C127352The Expanded Prostate Cancer Index Composite for Clinical Practice Questionnaire Test CodeThe Expanded Prostate Cancer Index Composite for Clinical Practice test code.CDISC Questionnaire EPIC-CP Test Code Terminology
EPIC201C127399EPIC2-Overall Problem Urinary FunctionExpanded Prostate Cancer Index Composite for Clinical Practice - Overall, how much of a problem has your urinary function been for you?EPIC-CP - Overall Problem Urinary Function
EPIC202C127400EPIC2-Best Describes Urinary ControlExpanded Prostate Cancer Index Composite for Clinical Practice - Which of the following best describes your urinary control?EPIC-CP - Best Describes Urinary Control
EPIC203C127401EPIC2-Pads or Adult Diapers per DayExpanded Prostate Cancer Index Composite for Clinical Practice - How many pads or adult diapers per day have you been using for urinary leakage?EPIC-CP - Adult Diapers Used per Day
EPIC204C127402EPIC2-Problem Urinary Dripping/LeakageExpanded Prostate Cancer Index Composite for Clinical Practice - How big a problem, if any, has urinary dripping or leakage been for you?EPIC-CP - Problem Urinary Dripping/Leakage
EPIC205AC127403EPIC2-Problem Pain/Burning w/UrinationExpanded Prostate Cancer Index Composite for Clinical Practice - How big a problem, if any, has each of the following been for you? Pain or burning with urination.EPIC-CP - Pain or Burning With Urination
EPIC205BC127404EPIC2-Problem Weak Stream/Incompl EmptyExpanded Prostate Cancer Index Composite for Clinical Practice - How big a problem, if any, has each of the following been for you? Weak urine stream/incomplete bladder emptying.EPIC-CP - Weak Urine Stream or Incomplete Bladder Emptying
EPIC205CC127405EPIC2-Problem Need to Urinate FrequentlyExpanded Prostate Cancer Index Composite for Clinical Practice - How big a problem, if any, has each of the following been for you? Need to urinate frequently.EPIC-CP - Need to Urinate Frequently
EPIC206AC127406EPIC2-Problem Rectal Pain/Urgent BowelExpanded Prostate Cancer Index Composite for Clinical Practice - How big a problem, if any, has each of the following been for you? Rectal pain or urgency of bowel movements.EPIC-CP - Rectal Pain or Urgency of Bowel Movements
EPIC206BC127407EPIC2-Problem Increased Freq Bowel MoveExpanded Prostate Cancer Index Composite for Clinical Practice - How big a problem, if any, has each of the following been for you? Increased frequency of your bowel movements.EPIC-CP - Increased Frequency of Bowel Movements
EPIC206CC127408EPIC2-Overall Problem Bowel HabitsExpanded Prostate Cancer Index Composite for Clinical Practice - How big a problem, if any, has each of the following been for you? Overall problems with your bowel habits.EPIC-CP - Overall Problems With Bowel Habits
EPIC207C127409EPIC2-Rate Ability to Reach OrgasmExpanded Prostate Cancer Index Composite for Clinical Practice - How would you rate your ability to reach orgasm (climax)?EPIC-CP - Rate Ability to Reach Orgasm
EPIC208C127410EPIC2-Quality of Your ErectionsExpanded Prostate Cancer Index Composite for Clinical Practice - How would you describe the usual quality of your erections?EPIC-CP - Quality of Erections
EPIC209C127411EPIC2-Overall Problem Sexual FunctionExpanded Prostate Cancer Index Composite for Clinical Practice - Overall, how much of a problem has your sexual function or lack of sexual function been for you?EPIC-CP - Problem Lack of Sexual Function
EPIC210AC127412EPIC2-Problem Hot Flash/Breast TenderExpanded Prostate Cancer Index Composite for Clinical Practice - How big a problem, if any, has each of the following been for you? Hot flashes or breast tenderness/enlargement.EPIC-CP - Hot Flashes or Breast Tenderness
EPIC210BC127413EPIC2-Problem Feeling DepressedExpanded Prostate Cancer Index Composite for Clinical Practice - How big a problem, if any, has each of the following been for you? Feeling depressed.EPIC-CP - Feeling Depressed
EPIC210CC127414EPIC2-Problem Lack of EnergyExpanded Prostate Cancer Index Composite for Clinical Practice - How big a problem, if any, has each of the following been for you? Lack of energy.EPIC-CP - Lack of Energy
EPIC211C127415EPIC2-Urinary Incontinence Symptom ScoreExpanded Prostate Cancer Index Composite for Clinical Practice - Urinary incontinence symptom score.EPIC-CP - Urinary Incontinence Symptom Score
EPIC212C127416EPIC2-Urinary Irrit/Obstr Symptom ScoreExpanded Prostate Cancer Index Composite for Clinical Practice - Urinary irritation/obstruction symptom score.EPIC-CP - Urinary Irritation/Obstruction Symptom Score
EPIC213C127417EPIC2-Bowel Symptom ScoreExpanded Prostate Cancer Index Composite for Clinical Practice - Bowel symptom score.EPIC-CP - Bowel Symptom Score
EPIC214C127418EPIC2-Sexual Symptom ScoreExpanded Prostate Cancer Index Composite for Clinical Practice - Sexual symptom score.EPIC-CP - Sexual Symptom Score
EPIC215C127419EPIC2-Vitality/Hormonal Symptom ScoreExpanded Prostate Cancer Index Composite for Clinical Practice - Vitality/hormonal symptom score.EPIC-CP - Vitality/Hormonal Symptom Score
EPIC216C127420EPIC2-Overall Prostate Cancer QOL ScoreExpanded Prostate Cancer Index Composite for Clinical Practice - Overall prostate cancer QOL score.EPIC-CP - Overall Score
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CL.C127351.EPIC2TNThe Expanded Prostate Cancer Index Composite for Clinical Practice Questionnaire Test Name
(EPIC2TN)
text
Extensible: No
C127351The Expanded Prostate Cancer Index Composite for Clinical Practice Questionnaire Test NameThe Expanded Prostate Cancer Index Composite for Clinical Practice test name.CDISC Questionnaire EPIC-CP Test Name Terminology
EPIC2-Best Describes Urinary ControlC127400EPIC2-Best Describes Urinary ControlExpanded Prostate Cancer Index Composite for Clinical Practice - Which of the following best describes your urinary control?EPIC-CP - Best Describes Urinary Control
EPIC2-Bowel Symptom ScoreC127417EPIC2-Bowel Symptom ScoreExpanded Prostate Cancer Index Composite for Clinical Practice - Bowel symptom score.EPIC-CP - Bowel Symptom Score
EPIC2-Overall Problem Bowel HabitsC127408EPIC2-Overall Problem Bowel HabitsExpanded Prostate Cancer Index Composite for Clinical Practice - How big a problem, if any, has each of the following been for you? Overall problems with your bowel habits.EPIC-CP - Overall Problems With Bowel Habits
EPIC2-Overall Problem Sexual FunctionC127411EPIC2-Overall Problem Sexual FunctionExpanded Prostate Cancer Index Composite for Clinical Practice - Overall, how much of a problem has your sexual function or lack of sexual function been for you?EPIC-CP - Problem Lack of Sexual Function
EPIC2-Overall Problem Urinary FunctionC127399EPIC2-Overall Problem Urinary FunctionExpanded Prostate Cancer Index Composite for Clinical Practice - Overall, how much of a problem has your urinary function been for you?EPIC-CP - Overall Problem Urinary Function
EPIC2-Overall Prostate Cancer QOL ScoreC127420EPIC2-Overall Prostate Cancer QOL ScoreExpanded Prostate Cancer Index Composite for Clinical Practice - Overall prostate cancer QOL score.EPIC-CP - Overall Score
EPIC2-Pads or Adult Diapers per DayC127401EPIC2-Pads or Adult Diapers per DayExpanded Prostate Cancer Index Composite for Clinical Practice - How many pads or adult diapers per day have you been using for urinary leakage?EPIC-CP - Adult Diapers Used per Day
EPIC2-Problem Feeling DepressedC127413EPIC2-Problem Feeling DepressedExpanded Prostate Cancer Index Composite for Clinical Practice - How big a problem, if any, has each of the following been for you? Feeling depressed.EPIC-CP - Feeling Depressed
EPIC2-Problem Hot Flash/Breast TenderC127412EPIC2-Problem Hot Flash/Breast TenderExpanded Prostate Cancer Index Composite for Clinical Practice - How big a problem, if any, has each of the following been for you? Hot flashes or breast tenderness/enlargement.EPIC-CP - Hot Flashes or Breast Tenderness
EPIC2-Problem Increased Freq Bowel MoveC127407EPIC2-Problem Increased Freq Bowel MoveExpanded Prostate Cancer Index Composite for Clinical Practice - How big a problem, if any, has each of the following been for you? Increased frequency of your bowel movements.EPIC-CP - Increased Frequency of Bowel Movements
EPIC2-Problem Lack of EnergyC127414EPIC2-Problem Lack of EnergyExpanded Prostate Cancer Index Composite for Clinical Practice - How big a problem, if any, has each of the following been for you? Lack of energy.EPIC-CP - Lack of Energy
EPIC2-Problem Need to Urinate FrequentlyC127405EPIC2-Problem Need to Urinate FrequentlyExpanded Prostate Cancer Index Composite for Clinical Practice - How big a problem, if any, has each of the following been for you? Need to urinate frequently.EPIC-CP - Need to Urinate Frequently
EPIC2-Problem Pain/Burning w/UrinationC127403EPIC2-Problem Pain/Burning w/UrinationExpanded Prostate Cancer Index Composite for Clinical Practice - How big a problem, if any, has each of the following been for you? Pain or burning with urination.EPIC-CP - Pain or Burning With Urination
EPIC2-Problem Rectal Pain/Urgent BowelC127406EPIC2-Problem Rectal Pain/Urgent BowelExpanded Prostate Cancer Index Composite for Clinical Practice - How big a problem, if any, has each of the following been for you? Rectal pain or urgency of bowel movements.EPIC-CP - Rectal Pain or Urgency of Bowel Movements
EPIC2-Problem Urinary Dripping/LeakageC127402EPIC2-Problem Urinary Dripping/LeakageExpanded Prostate Cancer Index Composite for Clinical Practice - How big a problem, if any, has urinary dripping or leakage been for you?EPIC-CP - Problem Urinary Dripping/Leakage
EPIC2-Problem Weak Stream/Incompl EmptyC127404EPIC2-Problem Weak Stream/Incompl EmptyExpanded Prostate Cancer Index Composite for Clinical Practice - How big a problem, if any, has each of the following been for you? Weak urine stream/incomplete bladder emptying.EPIC-CP - Weak Urine Stream or Incomplete Bladder Emptying
EPIC2-Quality of Your ErectionsC127410EPIC2-Quality of Your ErectionsExpanded Prostate Cancer Index Composite for Clinical Practice - How would you describe the usual quality of your erections?EPIC-CP - Quality of Erections
EPIC2-Rate Ability to Reach OrgasmC127409EPIC2-Rate Ability to Reach OrgasmExpanded Prostate Cancer Index Composite for Clinical Practice - How would you rate your ability to reach orgasm (climax)?EPIC-CP - Rate Ability to Reach Orgasm
EPIC2-Sexual Symptom ScoreC127418EPIC2-Sexual Symptom ScoreExpanded Prostate Cancer Index Composite for Clinical Practice - Sexual symptom score.EPIC-CP - Sexual Symptom Score
EPIC2-Urinary Incontinence Symptom ScoreC127415EPIC2-Urinary Incontinence Symptom ScoreExpanded Prostate Cancer Index Composite for Clinical Practice - Urinary incontinence symptom score.EPIC-CP - Urinary Incontinence Symptom Score
EPIC2-Urinary Irrit/Obstr Symptom ScoreC127416EPIC2-Urinary Irrit/Obstr Symptom ScoreExpanded Prostate Cancer Index Composite for Clinical Practice - Urinary irritation/obstruction symptom score.EPIC-CP - Urinary Irritation/Obstruction Symptom Score
EPIC2-Vitality/Hormonal Symptom ScoreC127419EPIC2-Vitality/Hormonal Symptom ScoreExpanded Prostate Cancer Index Composite for Clinical Practice - Vitality/hormonal symptom score.EPIC-CP - Vitality/Hormonal Symptom Score
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CL.C127350.EPIC1TCThe Expanded Prostate Cancer Index Composite Short Form Questionnaire Test Code
(EPIC1TC)
text
Extensible: No
C127350The Expanded Prostate Cancer Index Composite Short Form Questionnaire Test CodeThe Expanded Prostate Cancer Index Composite Short Form test code.CDISC Questionnaire EPIC-26 Test Code Terminology
EPIC101C127373EPIC1-How Often Have You Leaked UrineThe Expanded Prostate Cancer Index Composite Short Form - Over the past 4 weeks, how often have you leaked urine?EPIC-26 - How Often Have You Leaked Urine
EPIC102C127374EPIC1-Best Describes Urinary ControlThe Expanded Prostate Cancer Index Composite Short Form - Which of the following best describes your urinary control during the last 4 weeks?EPIC-26 - Best Describes Urinary Control
EPIC103C127375EPIC1-Pads or Adult Diapers per DayThe Expanded Prostate Cancer Index Composite Short Form - How many pads or adult diapers per day did you usually use to control leakage during the last 4 weeks?EPIC-26 - Pads or Adult Diapers per Day
EPIC104AC127376EPIC1-Problem Dripping or Leaking UrineThe Expanded Prostate Cancer Index Composite Short Form - How big a problem, if any, has each of the following been for you during the last 4 weeks? Dripping or leaking urine.EPIC-26 - Dripping or Leaking Urine
EPIC104BC127377EPIC1-Problem Pain/Burning on UrinationThe Expanded Prostate Cancer Index Composite Short Form - How big a problem, if any, has each of the following been for you during the last 4 weeks? Pain or burning on urination.EPIC-26 - Pain or Burning on Urination
EPIC104CC127378EPIC1-Problem Bleeding With UrinationThe Expanded Prostate Cancer Index Composite Short Form - How big a problem, if any, has each of the following been for you during the last 4 weeks? Bleeding with urination.EPIC-26 - Bleeding With Urination
EPIC104DC127379EPIC1-Problem Weak Urine Stream/EmptyingThe Expanded Prostate Cancer Index Composite Short Form - How big a problem, if any, has each of the following been for you during the last 4 weeks? Weak urine stream or incomplete emptying.EPIC-26 - Weak Urine Stream or Incomplete Emptying
EPIC104EC127380EPIC1-Problem Need to Urinate FrequentlyThe Expanded Prostate Cancer Index Composite Short Form - How big a problem, if any, has each of the following been for you during the last 4 weeks? Need to urinate frequently during the day.EPIC-26 - Urinate Frequently During the Day
EPIC105C127381EPIC1-Overall Problem Urinary FunctionThe Expanded Prostate Cancer Index Composite Short Form - Overall, how big a problem has your urinary function been for you during the last 4 weeks?EPIC-26 - Overall Problem Urinary Function
EPIC106AC127382EPIC1-Problem Urgency of Bowel MovementThe Expanded Prostate Cancer Index Composite Short Form - How big a problem, if any, has each of the following been for you? Urgency to have a bowel movement.EPIC-26 - Urgency to Have a Bowel Movement
EPIC106BC127383EPIC1-Problem Increased Freq Bowel MoveThe Expanded Prostate Cancer Index Composite Short Form - How big a problem, if any, has each of the following been for you? Increased frequency of bowel movements.EPIC-26 - Increased Frequency of Bowel Movements
EPIC106CC127384EPIC1-Problem Losing Control of StoolsThe Expanded Prostate Cancer Index Composite Short Form - How big a problem, if any, has each of the following been for you? Losing control of your stools.EPIC-26 - Losing Control of Stools
EPIC106DC127385EPIC1-Problem Bloody StoolsThe Expanded Prostate Cancer Index Composite Short Form - How big a problem, if any, has each of the following been for you? Bloody stools.EPIC-26 - Bloody Stools
EPIC106EC127386EPIC1-Problem Abdom/Pelvic/Rectal PainThe Expanded Prostate Cancer Index Composite Short Form - How big a problem, if any, has each of the following been for you? Abdominal/pelvic/rectal pain.EPIC-26 - Abdominal or Pelvic or Rectal Pain
EPIC107C127387EPIC1-Overall Problem Bowel HabitsThe Expanded Prostate Cancer Index Composite Short Form - Overall, how big a problem have your bowel habits been for you during the last 4 weeks?EPIC-26 - Overall Problem Bowel Habits
EPIC108AC127388EPIC1-Rate Ability to Have an ErectionThe Expanded Prostate Cancer Index Composite Short Form - How would you rate each of the following during the last 4 weeks? Your ability to have an erection?EPIC-26 - Ability to Have an Erection
EPIC108BC127389EPIC1-Rate Ability to Reach OrgasmThe Expanded Prostate Cancer Index Composite Short Form - How would you rate each of the following during the last 4 weeks? Your ability to reach orgasm (climax)?EPIC-26 - Ability to Reach Orgasm
EPIC109C127390EPIC1-Quality of Your ErectionsThe Expanded Prostate Cancer Index Composite Short Form - How would you describe the usual quality of your erections during the last 4 weeks?EPIC-26 - Quality of Erections
EPIC110C127391EPIC1-Frequency of Your ErectionsThe Expanded Prostate Cancer Index Composite Short Form - How would you describe the frequency of your erections during the last 4 weeks?EPIC-26 - Frequency of Erections
EPIC111C127392EPIC1-Rate Ability to Function SexuallyThe Expanded Prostate Cancer Index Composite Short Form - Overall, how would you rate your ability to function sexually during the last 4 weeks?EPIC-26 - Ability to Function Sexually
EPIC112C127393EPIC1-Overall Problem Sexual FunctionThe Expanded Prostate Cancer Index Composite Short Form - Overall, how big a problem has your sexual function or lack of sexual function been for you during the last 4 weeks?EPIC-26 - Overall Problem Sexual Function
EPIC113AC127394EPIC1-Problem Hot FlashesThe Expanded Prostate Cancer Index Composite Short Form - How big a problem during the last 4 weeks, if any, has each of the following been for you? Hot flashes.EPIC-26 - Hot Flashes
EPIC113BC127395EPIC1-Problem Breast Tender/EnlargementThe Expanded Prostate Cancer Index Composite Short Form - How big a problem during the last 4 weeks, if any, has each of the following been for you? Breast tenderness/enlargement.EPIC-26 - Breast Tender or Enlargement
EPIC113CC127396EPIC1-Problem Feeling DepressedThe Expanded Prostate Cancer Index Composite Short Form - How big a problem during the last 4 weeks, if any, has each of the following been for you? Feeling depressed.EPIC-26 - Feeling Depressed
EPIC113DC127397EPIC1-Problem Lack of EnergyThe Expanded Prostate Cancer Index Composite Short Form - How big a problem during the last 4 weeks, if any, has each of the following been for you? Lack of energy.EPIC-26 - Lack of Energy
EPIC113EC127398EPIC1-Problem Change in Body WeightThe Expanded Prostate Cancer Index Composite Short Form - How big a problem during the last 4 weeks, if any, has each of the following been for you? Change in body weight.EPIC-26 - Change in Body Weight
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CL.C127349.EPIC1TNThe Expanded Prostate Cancer Index Composite Short Form Questionnaire Test Name
(EPIC1TN)
text
Extensible: No
C127349The Expanded Prostate Cancer Index Composite Short Form Questionnaire Test NameThe Expanded Prostate Cancer Index Composite Short Form test name.CDISC Questionnaire EPIC-26 Test Name Terminology
EPIC1-Best Describes Urinary ControlC127374EPIC1-Best Describes Urinary ControlThe Expanded Prostate Cancer Index Composite Short Form - Which of the following best describes your urinary control during the last 4 weeks?EPIC-26 - Best Describes Urinary Control
EPIC1-Frequency of Your ErectionsC127391EPIC1-Frequency of Your ErectionsThe Expanded Prostate Cancer Index Composite Short Form - How would you describe the frequency of your erections during the last 4 weeks?EPIC-26 - Frequency of Erections
EPIC1-How Often Have You Leaked UrineC127373EPIC1-How Often Have You Leaked UrineThe Expanded Prostate Cancer Index Composite Short Form - Over the past 4 weeks, how often have you leaked urine?EPIC-26 - How Often Have You Leaked Urine
EPIC1-Overall Problem Bowel HabitsC127387EPIC1-Overall Problem Bowel HabitsThe Expanded Prostate Cancer Index Composite Short Form - Overall, how big a problem have your bowel habits been for you during the last 4 weeks?EPIC-26 - Overall Problem Bowel Habits
EPIC1-Overall Problem Sexual FunctionC127393EPIC1-Overall Problem Sexual FunctionThe Expanded Prostate Cancer Index Composite Short Form - Overall, how big a problem has your sexual function or lack of sexual function been for you during the last 4 weeks?EPIC-26 - Overall Problem Sexual Function
EPIC1-Overall Problem Urinary FunctionC127381EPIC1-Overall Problem Urinary FunctionThe Expanded Prostate Cancer Index Composite Short Form - Overall, how big a problem has your urinary function been for you during the last 4 weeks?EPIC-26 - Overall Problem Urinary Function
EPIC1-Pads or Adult Diapers per DayC127375EPIC1-Pads or Adult Diapers per DayThe Expanded Prostate Cancer Index Composite Short Form - How many pads or adult diapers per day did you usually use to control leakage during the last 4 weeks?EPIC-26 - Pads or Adult Diapers per Day
EPIC1-Problem Abdom/Pelvic/Rectal PainC127386EPIC1-Problem Abdom/Pelvic/Rectal PainThe Expanded Prostate Cancer Index Composite Short Form - How big a problem, if any, has each of the following been for you? Abdominal/pelvic/rectal pain.EPIC-26 - Abdominal or Pelvic or Rectal Pain
EPIC1-Problem Bleeding With UrinationC127378EPIC1-Problem Bleeding With UrinationThe Expanded Prostate Cancer Index Composite Short Form - How big a problem, if any, has each of the following been for you during the last 4 weeks? Bleeding with urination.EPIC-26 - Bleeding With Urination
EPIC1-Problem Bloody StoolsC127385EPIC1-Problem Bloody StoolsThe Expanded Prostate Cancer Index Composite Short Form - How big a problem, if any, has each of the following been for you? Bloody stools.EPIC-26 - Bloody Stools
EPIC1-Problem Breast Tender/EnlargementC127395EPIC1-Problem Breast Tender/EnlargementThe Expanded Prostate Cancer Index Composite Short Form - How big a problem during the last 4 weeks, if any, has each of the following been for you? Breast tenderness/enlargement.EPIC-26 - Breast Tender or Enlargement
EPIC1-Problem Change in Body WeightC127398EPIC1-Problem Change in Body WeightThe Expanded Prostate Cancer Index Composite Short Form - How big a problem during the last 4 weeks, if any, has each of the following been for you? Change in body weight.EPIC-26 - Change in Body Weight
EPIC1-Problem Dripping or Leaking UrineC127376EPIC1-Problem Dripping or Leaking UrineThe Expanded Prostate Cancer Index Composite Short Form - How big a problem, if any, has each of the following been for you during the last 4 weeks? Dripping or leaking urine.EPIC-26 - Dripping or Leaking Urine
EPIC1-Problem Feeling DepressedC127396EPIC1-Problem Feeling DepressedThe Expanded Prostate Cancer Index Composite Short Form - How big a problem during the last 4 weeks, if any, has each of the following been for you? Feeling depressed.EPIC-26 - Feeling Depressed
EPIC1-Problem Hot FlashesC127394EPIC1-Problem Hot FlashesThe Expanded Prostate Cancer Index Composite Short Form - How big a problem during the last 4 weeks, if any, has each of the following been for you? Hot flashes.EPIC-26 - Hot Flashes
EPIC1-Problem Increased Freq Bowel MoveC127383EPIC1-Problem Increased Freq Bowel MoveThe Expanded Prostate Cancer Index Composite Short Form - How big a problem, if any, has each of the following been for you? Increased frequency of bowel movements.EPIC-26 - Increased Frequency of Bowel Movements
EPIC1-Problem Lack of EnergyC127397EPIC1-Problem Lack of EnergyThe Expanded Prostate Cancer Index Composite Short Form - How big a problem during the last 4 weeks, if any, has each of the following been for you? Lack of energy.EPIC-26 - Lack of Energy
EPIC1-Problem Losing Control of StoolsC127384EPIC1-Problem Losing Control of StoolsThe Expanded Prostate Cancer Index Composite Short Form - How big a problem, if any, has each of the following been for you? Losing control of your stools.EPIC-26 - Losing Control of Stools
EPIC1-Problem Need to Urinate FrequentlyC127380EPIC1-Problem Need to Urinate FrequentlyThe Expanded Prostate Cancer Index Composite Short Form - How big a problem, if any, has each of the following been for you during the last 4 weeks? Need to urinate frequently during the day.EPIC-26 - Urinate Frequently During the Day
EPIC1-Problem Pain/Burning on UrinationC127377EPIC1-Problem Pain/Burning on UrinationThe Expanded Prostate Cancer Index Composite Short Form - How big a problem, if any, has each of the following been for you during the last 4 weeks? Pain or burning on urination.EPIC-26 - Pain or Burning on Urination
EPIC1-Problem Urgency of Bowel MovementC127382EPIC1-Problem Urgency of Bowel MovementThe Expanded Prostate Cancer Index Composite Short Form - How big a problem, if any, has each of the following been for you? Urgency to have a bowel movement.EPIC-26 - Urgency to Have a Bowel Movement
EPIC1-Problem Weak Urine Stream/EmptyingC127379EPIC1-Problem Weak Urine Stream/EmptyingThe Expanded Prostate Cancer Index Composite Short Form - How big a problem, if any, has each of the following been for you during the last 4 weeks? Weak urine stream or incomplete emptying.EPIC-26 - Weak Urine Stream or Incomplete Emptying
EPIC1-Quality of Your ErectionsC127390EPIC1-Quality of Your ErectionsThe Expanded Prostate Cancer Index Composite Short Form - How would you describe the usual quality of your erections during the last 4 weeks?EPIC-26 - Quality of Erections
EPIC1-Rate Ability to Function SexuallyC127392EPIC1-Rate Ability to Function SexuallyThe Expanded Prostate Cancer Index Composite Short Form - Overall, how would you rate your ability to function sexually during the last 4 weeks?EPIC-26 - Ability to Function Sexually
EPIC1-Rate Ability to Have an ErectionC127388EPIC1-Rate Ability to Have an ErectionThe Expanded Prostate Cancer Index Composite Short Form - How would you rate each of the following during the last 4 weeks? Your ability to have an erection?EPIC-26 - Ability to Have an Erection
EPIC1-Rate Ability to Reach OrgasmC127389EPIC1-Rate Ability to Reach OrgasmThe Expanded Prostate Cancer Index Composite Short Form - How would you rate each of the following during the last 4 weeks? Your ability to reach orgasm (climax)?EPIC-26 - Ability to Reach Orgasm
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CL.C127354.FAC001TCThe Functional Assessment of Cancer Therapy-General Version 4 Questionnaire Test Code
(FAC001TC)
text
Extensible: No
C127354The Functional Assessment of Cancer Therapy-General Version 4 Questionnaire Test CodeThe Functional Assessment of Cancer Therapy-General Version 4 test code.CDISC Questionnaire FACT-G Version 4 Test Code Terminology
FAC00101C127421FAC001-I Have a Lack of EnergyFunctional Assessment of Cancer Therapy-General Version 4 - Physical Well-Being: I have a lack of energy.FACT-G Version 4 - I Have a Lack of Energy
FAC00102C127422FAC001-I Have NauseaFunctional Assessment of Cancer Therapy-General Version 4 - Physical Well-Being: I have nausea.FACT-G Version 4 - I Have Nausea
FAC00103C127423FAC001-Trouble Meeting Needs of FamilyFunctional Assessment of Cancer Therapy-General Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family.FACT-G Version 4 - Trouble Meeting Needs of Family
FAC00104C127424FAC001-I Have PainFunctional Assessment of Cancer Therapy-General Version 4 - Physical Well-Being: I have pain.FACT-G Version 4 - I have pain
FAC00105C127425FAC001-Bothered by Treatment Side EffectFunctional Assessment of Cancer Therapy-General Version 4 - Physical Well-Being: I am bothered by side effects of treatment.FACT-G Version 4 - Bothered by Treatment Side Effect
FAC00106C127426FAC001-I Feel IllFunctional Assessment of Cancer Therapy-General Version 4 - Physical Well-Being: I feel ill.FACT-G Version 4 - I Feel Ill
FAC00107C127427FAC001-I Am Forced to Spend Time in BedFunctional Assessment of Cancer Therapy-General Version 4 - Physical Well-Being: I am forced to spend time in bed.FACT-G Version 4 - I Am Forced to Spend Time in Bed
FAC00108C127428FAC001-I Feel Close to My FriendsFunctional Assessment of Cancer Therapy-General Version 4 - Social/Family Well-Being: I feel close to my friends.FACT-G Version 4 - I Feel Close to My Friends
FAC00109C127429FAC001-Get Emotional Support From FamilyFunctional Assessment of Cancer Therapy-General Version 4 - Social/Family Well-Being: I get emotional support from my family.FACT-G Version 4 - I Get Emotional Support From My Family
FAC00110C127430FAC001-I Get Support From My FriendsFunctional Assessment of Cancer Therapy-General Version 4 - Social/Family Well-Being: I get support from my friends.FACT-G Version 4 - I Get Support From My Friends
FAC00111C127431FAC001-My Family Has Accepted My IllnessFunctional Assessment of Cancer Therapy-General Version 4 - Social/Family Well-Being: My family has accepted my illness.FACT-G Version 4 - My Family Has Accepted My Illness
FAC00112C127432FAC001-Satisfied Communication IllnessFunctional Assessment of Cancer Therapy-General Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness.FACT-G Version 4 - Satisfied With Family Communication
FAC00113C127433FAC001-I Feel Close to My PartnerFunctional Assessment of Cancer Therapy-General Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support).FACT-G Version 4 - I Feel Close to My Partner
FAC00114C127434FAC001-I Am Satisfied With My Sex LifeFunctional Assessment of Cancer Therapy-General Version 4 - Social/Family Well-Being: I am satisfied with my sex life.FACT-G Version 4 - I Am Satisfied With My Sex Life
FAC00115C127435FAC001-I Feel SadFunctional Assessment of Cancer Therapy-General Version 4 - Emotional Well-Being: I feel sad.FACT-G Version 4 - I Feel Sad
FAC00116C127436FAC001-Satisfied With How I Am CopingFunctional Assessment of Cancer Therapy-General Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness.FACT-G Version 4 - Satisfied With How I Am Coping With Illness
FAC00117C127437FAC001-Losing Hope Against IllnessFunctional Assessment of Cancer Therapy-General Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness.FACT-G Version 4 - Losing Hope Against Illness
FAC00118C127438FAC001-I Feel NervousFunctional Assessment of Cancer Therapy-General Version 4 - Emotional Well-Being: I feel nervous.FACT-G Version 4 - I Feel Nervous
FAC00119C127439FAC001-I Worry About DyingFunctional Assessment of Cancer Therapy-General Version 4 - Emotional Well-Being: I worry about dying.FACT-G Version 4 - I Worry About Dying
FAC00120C127440FAC001-Worry My Condition Will Get WorseFunctional Assessment of Cancer Therapy-General Version 4 - Emotional Well-Being: I worry that my condition will get worse.FACT-G Version 4 - Worry My Condition Will Get Worse
FAC00121C127441FAC001-I Am Able to WorkFunctional Assessment of Cancer Therapy-General Version 4 - Functional Well-Being: I am able to work (include work at home).FACT-G Version 4 - I Am Able to Work
FAC00122C127442FAC001-My Work Is FulfillingFunctional Assessment of Cancer Therapy-General Version 4 - Functional Well-Being: My work (include work at home) is fulfilling.FACT-G Version 4 - My Work Is Fulfilling
FAC00123C127443FAC001-I Am Able to Enjoy LifeFunctional Assessment of Cancer Therapy-General Version 4 - Functional Well-Being: I am able to enjoy life.FACT-G Version 4 - I Am Able to Enjoy Life
FAC00124C127444FAC001-I Have Accepted My IllnessFunctional Assessment of Cancer Therapy-General Version 4 - Functional Well-Being: I have accepted my illness.FACT-G Version 4 - I Have Accepted My Illness
FAC00125C127445FAC001-I Am Sleeping WellFunctional Assessment of Cancer Therapy-General Version 4 - Functional Well-Being: I am sleeping well.FACT-G Version 4 - I Am Sleeping Well
FAC00126C127446FAC001-Enjoy Things I Usually Do for FunFunctional Assessment of Cancer Therapy-General Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun.FACT-G Version 4 - Enjoy Things I Usually Do for Fun
FAC00127C127447FAC001-Content With Quality of My LifeFunctional Assessment of Cancer Therapy-General Version 4 - Functional Well-Being: I am content with the quality of my life right now.FACT-G Version 4 - Content With Quality of My Life
FAC00128C180189FAC001-Physical Subscale ScoreFunctional Assessment of Cancer Therapy-General Version 4 - Physical Well-Being: Subscale score.FACT-G Version 4 - Physical Subscale Score
FAC00129C180190FAC001-Social/Family Subscale ScoreFunctional Assessment of Cancer Therapy-General Version 4 - Social/Family Well-Being: Subscale score.FACT-G Version 4 - Social/Family Subscale Score
FAC00130C180191FAC001-Emotional Subscale ScoreFunctional Assessment of Cancer Therapy-General Version 4 - Emotional Well-Being: Subscale score.FACT-G Version 4 - Emotional Subscale Score
FAC00131C180192FAC001-Functional Subscale ScoreFunctional Assessment of Cancer Therapy-General Version 4 - Functional Well-Being: Subscale score.FACT-G Version 4 - Functional Subscale Score
FAC00132C180193FAC001-Total ScoreFunctional Assessment of Cancer Therapy-General Version 4 - FACT-G total score.FACT-G Version 4 - Total Score
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CL.C127353.FAC001TNThe Functional Assessment of Cancer Therapy-General Version 4 Questionnaire Test Name
(FAC001TN)
text
Extensible: No
C127353The Functional Assessment of Cancer Therapy-General Version 4 Questionnaire Test NameThe Functional Assessment of Cancer Therapy-General Version 4 test name.CDISC Questionnaire FACT-G Version 4 Test Name Terminology
FAC001-Bothered by Treatment Side EffectC127425FAC001-Bothered by Treatment Side EffectFunctional Assessment of Cancer Therapy-General Version 4 - Physical Well-Being: I am bothered by side effects of treatment.FACT-G Version 4 - Bothered by Treatment Side Effect
FAC001-Content With Quality of My LifeC127447FAC001-Content With Quality of My LifeFunctional Assessment of Cancer Therapy-General Version 4 - Functional Well-Being: I am content with the quality of my life right now.FACT-G Version 4 - Content With Quality of My Life
FAC001-Emotional Subscale ScoreC180191FAC001-Emotional Subscale ScoreFunctional Assessment of Cancer Therapy-General Version 4 - Emotional Well-Being: Subscale score.FACT-G Version 4 - Emotional Subscale Score
FAC001-Enjoy Things I Usually Do for FunC127446FAC001-Enjoy Things I Usually Do for FunFunctional Assessment of Cancer Therapy-General Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun.FACT-G Version 4 - Enjoy Things I Usually Do for Fun
FAC001-Functional Subscale ScoreC180192FAC001-Functional Subscale ScoreFunctional Assessment of Cancer Therapy-General Version 4 - Functional Well-Being: Subscale score.FACT-G Version 4 - Functional Subscale Score
FAC001-Get Emotional Support From FamilyC127429FAC001-Get Emotional Support From FamilyFunctional Assessment of Cancer Therapy-General Version 4 - Social/Family Well-Being: I get emotional support from my family.FACT-G Version 4 - I Get Emotional Support From My Family
FAC001-I Am Able to Enjoy LifeC127443FAC001-I Am Able to Enjoy LifeFunctional Assessment of Cancer Therapy-General Version 4 - Functional Well-Being: I am able to enjoy life.FACT-G Version 4 - I Am Able to Enjoy Life
FAC001-I Am Able to WorkC127441FAC001-I Am Able to WorkFunctional Assessment of Cancer Therapy-General Version 4 - Functional Well-Being: I am able to work (include work at home).FACT-G Version 4 - I Am Able to Work
FAC001-I Am Forced to Spend Time in BedC127427FAC001-I Am Forced to Spend Time in BedFunctional Assessment of Cancer Therapy-General Version 4 - Physical Well-Being: I am forced to spend time in bed.FACT-G Version 4 - I Am Forced to Spend Time in Bed
FAC001-I Am Satisfied With My Sex LifeC127434FAC001-I Am Satisfied With My Sex LifeFunctional Assessment of Cancer Therapy-General Version 4 - Social/Family Well-Being: I am satisfied with my sex life.FACT-G Version 4 - I Am Satisfied With My Sex Life
FAC001-I Am Sleeping WellC127445FAC001-I Am Sleeping WellFunctional Assessment of Cancer Therapy-General Version 4 - Functional Well-Being: I am sleeping well.FACT-G Version 4 - I Am Sleeping Well
FAC001-I Feel Close to My FriendsC127428FAC001-I Feel Close to My FriendsFunctional Assessment of Cancer Therapy-General Version 4 - Social/Family Well-Being: I feel close to my friends.FACT-G Version 4 - I Feel Close to My Friends
FAC001-I Feel Close to My PartnerC127433FAC001-I Feel Close to My PartnerFunctional Assessment of Cancer Therapy-General Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support).FACT-G Version 4 - I Feel Close to My Partner
FAC001-I Feel IllC127426FAC001-I Feel IllFunctional Assessment of Cancer Therapy-General Version 4 - Physical Well-Being: I feel ill.FACT-G Version 4 - I Feel Ill
FAC001-I Feel NervousC127438FAC001-I Feel NervousFunctional Assessment of Cancer Therapy-General Version 4 - Emotional Well-Being: I feel nervous.FACT-G Version 4 - I Feel Nervous
FAC001-I Feel SadC127435FAC001-I Feel SadFunctional Assessment of Cancer Therapy-General Version 4 - Emotional Well-Being: I feel sad.FACT-G Version 4 - I Feel Sad
FAC001-I Get Support From My FriendsC127430FAC001-I Get Support From My FriendsFunctional Assessment of Cancer Therapy-General Version 4 - Social/Family Well-Being: I get support from my friends.FACT-G Version 4 - I Get Support From My Friends
FAC001-I Have a Lack of EnergyC127421FAC001-I Have a Lack of EnergyFunctional Assessment of Cancer Therapy-General Version 4 - Physical Well-Being: I have a lack of energy.FACT-G Version 4 - I Have a Lack of Energy
FAC001-I Have Accepted My IllnessC127444FAC001-I Have Accepted My IllnessFunctional Assessment of Cancer Therapy-General Version 4 - Functional Well-Being: I have accepted my illness.FACT-G Version 4 - I Have Accepted My Illness
FAC001-I Have NauseaC127422FAC001-I Have NauseaFunctional Assessment of Cancer Therapy-General Version 4 - Physical Well-Being: I have nausea.FACT-G Version 4 - I Have Nausea
FAC001-I Have PainC127424FAC001-I Have PainFunctional Assessment of Cancer Therapy-General Version 4 - Physical Well-Being: I have pain.FACT-G Version 4 - I have pain
FAC001-I Worry About DyingC127439FAC001-I Worry About DyingFunctional Assessment of Cancer Therapy-General Version 4 - Emotional Well-Being: I worry about dying.FACT-G Version 4 - I Worry About Dying
FAC001-Losing Hope Against IllnessC127437FAC001-Losing Hope Against IllnessFunctional Assessment of Cancer Therapy-General Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness.FACT-G Version 4 - Losing Hope Against Illness
FAC001-My Family Has Accepted My IllnessC127431FAC001-My Family Has Accepted My IllnessFunctional Assessment of Cancer Therapy-General Version 4 - Social/Family Well-Being: My family has accepted my illness.FACT-G Version 4 - My Family Has Accepted My Illness
FAC001-My Work Is FulfillingC127442FAC001-My Work Is FulfillingFunctional Assessment of Cancer Therapy-General Version 4 - Functional Well-Being: My work (include work at home) is fulfilling.FACT-G Version 4 - My Work Is Fulfilling
FAC001-Physical Subscale ScoreC180189FAC001-Physical Subscale ScoreFunctional Assessment of Cancer Therapy-General Version 4 - Physical Well-Being: Subscale score.FACT-G Version 4 - Physical Subscale Score
FAC001-Satisfied Communication IllnessC127432FAC001-Satisfied Communication IllnessFunctional Assessment of Cancer Therapy-General Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness.FACT-G Version 4 - Satisfied With Family Communication
FAC001-Satisfied With How I Am CopingC127436FAC001-Satisfied With How I Am CopingFunctional Assessment of Cancer Therapy-General Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness.FACT-G Version 4 - Satisfied With How I Am Coping With Illness
FAC001-Social/Family Subscale ScoreC180190FAC001-Social/Family Subscale ScoreFunctional Assessment of Cancer Therapy-General Version 4 - Social/Family Well-Being: Subscale score.FACT-G Version 4 - Social/Family Subscale Score
FAC001-Total ScoreC180193FAC001-Total ScoreFunctional Assessment of Cancer Therapy-General Version 4 - FACT-G total score.FACT-G Version 4 - Total Score
FAC001-Trouble Meeting Needs of FamilyC127423FAC001-Trouble Meeting Needs of FamilyFunctional Assessment of Cancer Therapy-General Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family.FACT-G Version 4 - Trouble Meeting Needs of Family
FAC001-Worry My Condition Will Get WorseC127440FAC001-Worry My Condition Will Get WorseFunctional Assessment of Cancer Therapy-General Version 4 - Emotional Well-Being: I worry that my condition will get worse.FACT-G Version 4 - Worry My Condition Will Get Worse
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CL.C127358.FAC023TCThe Functional Assessment of Cancer Therapy-Prostate Version 4 Questionnaire Test Code
(FAC023TC)
text
Extensible: No
C127358The Functional Assessment of Cancer Therapy-Prostate Version 4 Questionnaire Test CodeThe Functional Assessment of Cancer Therapy-Prostate Version 4 test code.CDISC Questionnaire FACT-P Version 4 Test Code Terminology
FAC02301C127465FAC023-I Have a Lack of EnergyFunctional Assessment of Cancer Therapy-Prostate Version 4 - Physical Well-Being: I have a lack of energy.FACT-P Version 4 - I Have a Lack of Energy
FAC02302C127466FAC023-I Have NauseaFunctional Assessment of Cancer Therapy-Prostate Version 4 - Physical Well-Being: I have nausea.FACT-P Version 4 - I Have Nausea
FAC02303C127467FAC023-Trouble Meeting Needs of FamilyFunctional Assessment of Cancer Therapy-Prostate Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family.FACT-P Version 4 - Trouble Meeting Needs of Family
FAC02304C127468FAC023-I Have PainFunctional Assessment of Cancer Therapy-Prostate Version 4 - Physical Well-Being: I have pain.FACT-P Version 4 - I Have Pain
FAC02305C127469FAC023-Bothered by Treatment Side EffectFunctional Assessment of Cancer Therapy-Prostate Version 4 - Physical Well-Being: I am bothered by side effects of treatment.FACT-P Version 4 - Bothered by Treatment Side Effect
FAC02306C127470FAC023-I Feel IllFunctional Assessment of Cancer Therapy-Prostate Version 4 - Physical Well-Being: I feel ill.FACT-P Version 4 - I Feel Ill
FAC02307C127471FAC023-I Am Forced to Spend Time in BedFunctional Assessment of Cancer Therapy-Prostate Version 4 - Physical Well-Being: I am forced to spend time in bed.FACT-P Version 4 - I Am Forced to Spend Time in Bed
FAC02308C127472FAC023-I Feel Close to My FriendsFunctional Assessment of Cancer Therapy-Prostate Version 4 - Social/Family Well-Being: I feel close to my friends.FACT-P Version 4 - I Feel Close to My Friends
FAC02309C127473FAC023-Get Emotional Support From FamilyFunctional Assessment of Cancer Therapy-Prostate Version 4 - Social/Family Well-Being: I get emotional support from my family.FACT-P Version 4 - Get Emotional Support From Family
FAC02310C127474FAC023-I Get Support From My FriendsFunctional Assessment of Cancer Therapy-Prostate Version 4 - Social/Family Well-Being: I get support from my friends.FACT-P Version 4 - I Get Support From My Friends
FAC02311C127475FAC023-My Family Has Accepted My IllnessFunctional Assessment of Cancer Therapy-Prostate Version 4 - Social/Family Well-Being: My family has accepted my illness.FACT-P Version 4 - My Family Has Accepted My Illness
FAC02312C127476FAC023-Satisfied Communication IllnessFunctional Assessment of Cancer Therapy-Prostate Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness.FACT-P Version 4 - Satisfied With Family Communication
FAC02313C127477FAC023-I Feel Close to My PartnerFunctional Assessment of Cancer Therapy-Prostate Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support).FACT-P Version 4 - I Feel Close to My Partner
FAC02314C127478FAC023-I Am Satisfied With My Sex LifeFunctional Assessment of Cancer Therapy-Prostate Version 4 - Social/Family Well-Being: I am satisfied with my sex life.FACT-P Version 4 - I Am Satisfied With My Sex Life
FAC02315C127479FAC023-I Feel SadFunctional Assessment of Cancer Therapy-Prostate Version 4 - Emotional Well-Being: I feel sad.FACT-P Version 4 - I Feel Sad
FAC02316C127480FAC023-Satisfied With How I Am CopingFunctional Assessment of Cancer Therapy-Prostate Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness.FACT-P Version 4 - Satisfied With How I Am Coping
FAC02317C127481FAC023-Losing Hope Against IllnessFunctional Assessment of Cancer Therapy-Prostate Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness.FACT-P Version 4 - Losing Hope Against Illness
FAC02318C127482FAC023-I Feel NervousFunctional Assessment of Cancer Therapy-Prostate Version 4 - Emotional Well-Being: I feel nervous.FACT-P Version 4 - I Feel Nervous
FAC02319C127483FAC023-I Worry About DyingFunctional Assessment of Cancer Therapy-Prostate Version 4 - Emotional Well-Being: I worry about dying.FACT-P Version 4 - I Worry About Dying
FAC02320C127484FAC023-Worry My Condition Will Get WorseFunctional Assessment of Cancer Therapy-Prostate Version 4 - Emotional Well-Being: I worry that my condition will get worse.FACT-P Version 4 - Worry My Condition Will Get Worse
FAC02321C127485FAC023-I Am Able to WorkFunctional Assessment of Cancer Therapy-Prostate Version 4 - Functional Well-Being: I am able to work (include work at home).FACT-P Version 4 - I Am Able to Work
FAC02322C127486FAC023-My Work Is FulfillingFunctional Assessment of Cancer Therapy-Prostate Version 4 - Functional Well-Being: My work (include work at home) is fulfilling.FACT-P Version 4 - My Work Is Fulfilling
FAC02323C127487FAC023-I Am Able to Enjoy LifeFunctional Assessment of Cancer Therapy-Prostate Version 4 - Functional Well-Being: I am able to enjoy life.FACT-P Version 4 - I Am Able to Enjoy Life
FAC02324C127488FAC023-I Have Accepted My IllnessFunctional Assessment of Cancer Therapy-Prostate Version 4 - Functional Well-Being: I have accepted my illness.FACT-P Version 4 - I Have Accepted My Illness
FAC02325C127489FAC023-I Am Sleeping WellFunctional Assessment of Cancer Therapy-Prostate Version 4 - Functional Well-Being: I am sleeping well.FACT-P Version 4 - I Am Sleeping Well
FAC02326C127490FAC023-Enjoy Things I Usually Do for FunFunctional Assessment of Cancer Therapy-Prostate Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun.FACT-P Version 4 - Enjoy Things I Usually Do for Fun
FAC02327C127491FAC023-Content With Quality of My LifeFunctional Assessment of Cancer Therapy-Prostate Version 4 - Functional Well-Being: I am content with the quality of my life right now.FACT-P Version 4 - Content With Quality of My Life
FAC02328C127492FAC023-I Am Losing WeightFunctional Assessment of Cancer Therapy-Prostate Version 4 - Additional Concerns: I am losing weight.FACT-P Version 4 - I Am Losing Weight
FAC02329C127493FAC023-I Have a Good AppetiteFunctional Assessment of Cancer Therapy-Prostate Version 4 - Additional Concerns: I have a good appetite.FACT-P Version 4 - I Have a Good Appetite
FAC02330C127494FAC023-Have Aches/Pains That Bother MeFunctional Assessment of Cancer Therapy-Prostate Version 4 - Additional Concerns: I have aches and pains that bother me.FACT-P Version 4 - Have Aches and Pains That Bother Me
FAC02331C127495FAC023-Certain Parts of Body Have PainFunctional Assessment of Cancer Therapy-Prostate Version 4 - Additional Concerns: I have certain parts of my body where I experience pain.FACT-P Version 4 - Certain Parts of Body Experience Pain
FAC02332C127496FAC023-Pain Keeps Me From Doing ThingsFunctional Assessment of Cancer Therapy-Prostate Version 4 - Additional Concerns: My pain keeps me from doing things I want to do.FACT-P Version 4 - Pain Keeps Me From Doing Things
FAC02333C127497FAC023-Satisfied With Comfort LevelFunctional Assessment of Cancer Therapy-Prostate Version 4 - Additional Concerns: I am satisfied with my present comfort level.FACT-P Version 4 - Satisfied With Comfort Level
FAC02334C127498FAC023-I Am Able to Feel Like a ManFunctional Assessment of Cancer Therapy-Prostate Version 4 - Additional Concerns: I am able to feel like a man.FACT-P Version 4 - I Am Able to Feel Like a Man
FAC02335C127499FAC023-I Have Trouble Moving My BowelsFunctional Assessment of Cancer Therapy-Prostate Version 4 - Additional Concerns: I have trouble moving my bowels.FACT-P Version 4 - I Have Trouble Moving My Bowels
FAC02336C127500FAC023-I Have Difficulty UrinatingFunctional Assessment of Cancer Therapy-Prostate Version 4 - Additional Concerns: I have difficulty urinating.FACT-P Version 4 - I Have Difficulty Urinating
FAC02337C127501FAC023-I Urinate More FrequentlyFunctional Assessment of Cancer Therapy-Prostate Version 4 - Additional Concerns: I urinate more frequently than usual.FACT-P Version 4 - I Urinate More Frequently
FAC02338C127502FAC023-Problem Urinating Limits ActivityFunctional Assessment of Cancer Therapy-Prostate Version 4 - Additional Concerns: My problems with urinating limit my activities.FACT-P Version 4 - Problem Urinating Limits Activity
FAC02339C127503FAC023-Able to Have/Maintain ErectionFunctional Assessment of Cancer Therapy-Prostate Version 4 - Additional Concerns: I am able to have and maintain an erection.FACT-P Version 4 - Able to Have and Maintain an Erection
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CL.C127357.FAC023TNThe Functional Assessment of Cancer Therapy-Prostate Version 4 Questionnaire Test Name
(FAC023TN)
text
Extensible: No
C127357The Functional Assessment of Cancer Therapy-Prostate Version 4 Questionnaire Test NameThe Functional Assessment of Cancer Therapy-Prostate Version 4 test name.CDISC Questionnaire FACT-P Version 4 Test Name Terminology
FAC023-Able to Have/Maintain ErectionC127503FAC023-Able to Have/Maintain ErectionFunctional Assessment of Cancer Therapy-Prostate Version 4 - Additional Concerns: I am able to have and maintain an erection.FACT-P Version 4 - Able to Have and Maintain an Erection
FAC023-Bothered by Treatment Side EffectC127469FAC023-Bothered by Treatment Side EffectFunctional Assessment of Cancer Therapy-Prostate Version 4 - Physical Well-Being: I am bothered by side effects of treatment.FACT-P Version 4 - Bothered by Treatment Side Effect
FAC023-Certain Parts of Body Have PainC127495FAC023-Certain Parts of Body Have PainFunctional Assessment of Cancer Therapy-Prostate Version 4 - Additional Concerns: I have certain parts of my body where I experience pain.FACT-P Version 4 - Certain Parts of Body Experience Pain
FAC023-Content With Quality of My LifeC127491FAC023-Content With Quality of My LifeFunctional Assessment of Cancer Therapy-Prostate Version 4 - Functional Well-Being: I am content with the quality of my life right now.FACT-P Version 4 - Content With Quality of My Life
FAC023-Enjoy Things I Usually Do for FunC127490FAC023-Enjoy Things I Usually Do for FunFunctional Assessment of Cancer Therapy-Prostate Version 4 - Functional Well-Being: I am enjoying the things I usually do for fun.FACT-P Version 4 - Enjoy Things I Usually Do for Fun
FAC023-Get Emotional Support From FamilyC127473FAC023-Get Emotional Support From FamilyFunctional Assessment of Cancer Therapy-Prostate Version 4 - Social/Family Well-Being: I get emotional support from my family.FACT-P Version 4 - Get Emotional Support From Family
FAC023-Have Aches/Pains That Bother MeC127494FAC023-Have Aches/Pains That Bother MeFunctional Assessment of Cancer Therapy-Prostate Version 4 - Additional Concerns: I have aches and pains that bother me.FACT-P Version 4 - Have Aches and Pains That Bother Me
FAC023-I Am Able to Enjoy LifeC127487FAC023-I Am Able to Enjoy LifeFunctional Assessment of Cancer Therapy-Prostate Version 4 - Functional Well-Being: I am able to enjoy life.FACT-P Version 4 - I Am Able to Enjoy Life
FAC023-I Am Able to Feel Like a ManC127498FAC023-I Am Able to Feel Like a ManFunctional Assessment of Cancer Therapy-Prostate Version 4 - Additional Concerns: I am able to feel like a man.FACT-P Version 4 - I Am Able to Feel Like a Man
FAC023-I Am Able to WorkC127485FAC023-I Am Able to WorkFunctional Assessment of Cancer Therapy-Prostate Version 4 - Functional Well-Being: I am able to work (include work at home).FACT-P Version 4 - I Am Able to Work
FAC023-I Am Forced to Spend Time in BedC127471FAC023-I Am Forced to Spend Time in BedFunctional Assessment of Cancer Therapy-Prostate Version 4 - Physical Well-Being: I am forced to spend time in bed.FACT-P Version 4 - I Am Forced to Spend Time in Bed
FAC023-I Am Losing WeightC127492FAC023-I Am Losing WeightFunctional Assessment of Cancer Therapy-Prostate Version 4 - Additional Concerns: I am losing weight.FACT-P Version 4 - I Am Losing Weight
FAC023-I Am Satisfied With My Sex LifeC127478FAC023-I Am Satisfied With My Sex LifeFunctional Assessment of Cancer Therapy-Prostate Version 4 - Social/Family Well-Being: I am satisfied with my sex life.FACT-P Version 4 - I Am Satisfied With My Sex Life
FAC023-I Am Sleeping WellC127489FAC023-I Am Sleeping WellFunctional Assessment of Cancer Therapy-Prostate Version 4 - Functional Well-Being: I am sleeping well.FACT-P Version 4 - I Am Sleeping Well
FAC023-I Feel Close to My FriendsC127472FAC023-I Feel Close to My FriendsFunctional Assessment of Cancer Therapy-Prostate Version 4 - Social/Family Well-Being: I feel close to my friends.FACT-P Version 4 - I Feel Close to My Friends
FAC023-I Feel Close to My PartnerC127477FAC023-I Feel Close to My PartnerFunctional Assessment of Cancer Therapy-Prostate Version 4 - Social/Family Well-Being: I feel close to my partner (or the person who is my main support).FACT-P Version 4 - I Feel Close to My Partner
FAC023-I Feel IllC127470FAC023-I Feel IllFunctional Assessment of Cancer Therapy-Prostate Version 4 - Physical Well-Being: I feel ill.FACT-P Version 4 - I Feel Ill
FAC023-I Feel NervousC127482FAC023-I Feel NervousFunctional Assessment of Cancer Therapy-Prostate Version 4 - Emotional Well-Being: I feel nervous.FACT-P Version 4 - I Feel Nervous
FAC023-I Feel SadC127479FAC023-I Feel SadFunctional Assessment of Cancer Therapy-Prostate Version 4 - Emotional Well-Being: I feel sad.FACT-P Version 4 - I Feel Sad
FAC023-I Get Support From My FriendsC127474FAC023-I Get Support From My FriendsFunctional Assessment of Cancer Therapy-Prostate Version 4 - Social/Family Well-Being: I get support from my friends.FACT-P Version 4 - I Get Support From My Friends
FAC023-I Have a Good AppetiteC127493FAC023-I Have a Good AppetiteFunctional Assessment of Cancer Therapy-Prostate Version 4 - Additional Concerns: I have a good appetite.FACT-P Version 4 - I Have a Good Appetite
FAC023-I Have a Lack of EnergyC127465FAC023-I Have a Lack of EnergyFunctional Assessment of Cancer Therapy-Prostate Version 4 - Physical Well-Being: I have a lack of energy.FACT-P Version 4 - I Have a Lack of Energy
FAC023-I Have Accepted My IllnessC127488FAC023-I Have Accepted My IllnessFunctional Assessment of Cancer Therapy-Prostate Version 4 - Functional Well-Being: I have accepted my illness.FACT-P Version 4 - I Have Accepted My Illness
FAC023-I Have Difficulty UrinatingC127500FAC023-I Have Difficulty UrinatingFunctional Assessment of Cancer Therapy-Prostate Version 4 - Additional Concerns: I have difficulty urinating.FACT-P Version 4 - I Have Difficulty Urinating
FAC023-I Have NauseaC127466FAC023-I Have NauseaFunctional Assessment of Cancer Therapy-Prostate Version 4 - Physical Well-Being: I have nausea.FACT-P Version 4 - I Have Nausea
FAC023-I Have PainC127468FAC023-I Have PainFunctional Assessment of Cancer Therapy-Prostate Version 4 - Physical Well-Being: I have pain.FACT-P Version 4 - I Have Pain
FAC023-I Have Trouble Moving My BowelsC127499FAC023-I Have Trouble Moving My BowelsFunctional Assessment of Cancer Therapy-Prostate Version 4 - Additional Concerns: I have trouble moving my bowels.FACT-P Version 4 - I Have Trouble Moving My Bowels
FAC023-I Urinate More FrequentlyC127501FAC023-I Urinate More FrequentlyFunctional Assessment of Cancer Therapy-Prostate Version 4 - Additional Concerns: I urinate more frequently than usual.FACT-P Version 4 - I Urinate More Frequently
FAC023-I Worry About DyingC127483FAC023-I Worry About DyingFunctional Assessment of Cancer Therapy-Prostate Version 4 - Emotional Well-Being: I worry about dying.FACT-P Version 4 - I Worry About Dying
FAC023-Losing Hope Against IllnessC127481FAC023-Losing Hope Against IllnessFunctional Assessment of Cancer Therapy-Prostate Version 4 - Emotional Well-Being: I am losing hope in the fight against my illness.FACT-P Version 4 - Losing Hope Against Illness
FAC023-My Family Has Accepted My IllnessC127475FAC023-My Family Has Accepted My IllnessFunctional Assessment of Cancer Therapy-Prostate Version 4 - Social/Family Well-Being: My family has accepted my illness.FACT-P Version 4 - My Family Has Accepted My Illness
FAC023-My Work Is FulfillingC127486FAC023-My Work Is FulfillingFunctional Assessment of Cancer Therapy-Prostate Version 4 - Functional Well-Being: My work (include work at home) is fulfilling.FACT-P Version 4 - My Work Is Fulfilling
FAC023-Pain Keeps Me From Doing ThingsC127496FAC023-Pain Keeps Me From Doing ThingsFunctional Assessment of Cancer Therapy-Prostate Version 4 - Additional Concerns: My pain keeps me from doing things I want to do.FACT-P Version 4 - Pain Keeps Me From Doing Things
FAC023-Problem Urinating Limits ActivityC127502FAC023-Problem Urinating Limits ActivityFunctional Assessment of Cancer Therapy-Prostate Version 4 - Additional Concerns: My problems with urinating limit my activities.FACT-P Version 4 - Problem Urinating Limits Activity
FAC023-Satisfied Communication IllnessC127476FAC023-Satisfied Communication IllnessFunctional Assessment of Cancer Therapy-Prostate Version 4 - Social/Family Well-Being: I am satisfied with family communication about my illness.FACT-P Version 4 - Satisfied With Family Communication
FAC023-Satisfied With Comfort LevelC127497FAC023-Satisfied With Comfort LevelFunctional Assessment of Cancer Therapy-Prostate Version 4 - Additional Concerns: I am satisfied with my present comfort level.FACT-P Version 4 - Satisfied With Comfort Level
FAC023-Satisfied With How I Am CopingC127480FAC023-Satisfied With How I Am CopingFunctional Assessment of Cancer Therapy-Prostate Version 4 - Emotional Well-Being: I am satisfied with how I am coping with my illness.FACT-P Version 4 - Satisfied With How I Am Coping
FAC023-Trouble Meeting Needs of FamilyC127467FAC023-Trouble Meeting Needs of FamilyFunctional Assessment of Cancer Therapy-Prostate Version 4 - Physical Well-Being: Because of my physical condition, I have trouble meeting the needs of my family.FACT-P Version 4 - Trouble Meeting Needs of Family
FAC023-Worry My Condition Will Get WorseC127484FAC023-Worry My Condition Will Get WorseFunctional Assessment of Cancer Therapy-Prostate Version 4 - Emotional Well-Being: I worry that my condition will get worse.FACT-P Version 4 - Worry My Condition Will Get Worse
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CL.C163391.GMSS01TCThe Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes Questionnaire Test Code
(GMSS01TC)
text
Extensible: No
C163391The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes Questionnaire Test CodeThe Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes test code.CDISC Questionnaire GMSS Version Type 1 Diabetes Test Code Terminology
GMSS0101C163840GMSS01-More Satisfied With My DiabetesThe Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Helps me feel more satisfied with how things are going with my diabetes.GMSS Version Type 1 Diabetes - More Satisfied With My Diabetes
GMSS0102C163841GMSS01-Think About Diabetes MoreThe Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Makes me think about diabetes more than I want to.GMSS Version Type 1 Diabetes - Think About Diabetes More
GMSS0103C163842GMSS01-Takes Too Much Time to UseThe Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Takes too much time to use.GMSS Version Type 1 Diabetes - Takes Too Much Time to Use
GMSS0104C163843GMSS01-Doesn't Seem as AccurateThe Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Doesn't seem to be as accurate as I would like it to be.GMSS Version Type 1 Diabetes - Doesn't Seem as Accurate
GMSS0105C163844GMSS01-Makes Me Worry a LotThe Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Makes me worry a lot.GMSS Version Type 1 Diabetes - Makes Me Worry a Lot
GMSS0106C163845GMSS01-Is Too Much of a Hassle to UseThe Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Is too much of a hassle to use.GMSS Version Type 1 Diabetes - Is Too Much of a Hassle to Use
GMSS0107C163846GMSS01-Gives Me Numbers I Don't TrustThe Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Gives me numbers that I don't entirely trust.GMSS Version Type 1 Diabetes - Gives Me Numbers I Don't Trust
GMSS0108C163847GMSS01-Feel Less Restricted by DiabetesThe Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Helps me feel less restricted by diabetes.GMSS Version Type 1 Diabetes - Feel Less Restricted by Diabetes
GMSS0109C163848GMSS01-More Frustrated With My DiabetesThe Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Makes me feel more frustrated with my diabetes.GMSS Version Type 1 Diabetes - More Frustrated With My Diabetes
GMSS0110C163849GMSS01-Be More Spontaneous in My LifeThe Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Helps me be more spontaneous in my life.GMSS Version Type 1 Diabetes - Be More Spontaneous in My Life
GMSS0111C163850GMSS01-Too Many Skin Irritations/BruisesThe Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Causes too many skin irritations or bruises.GMSS Version Type 1 Diabetes - Too Many Skin Irritations/Bruises
GMSS0112C163851GMSS01-Gives Me Results Don't Make SenseThe Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Often gives me results that don't make sense.GMSS Version Type 1 Diabetes - Gives Me Results Don't Make Sense
GMSS0113C163852GMSS01-Feel More Down and DepressedThe Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Makes me feel more down and depressed.GMSS Version Type 1 Diabetes - Feel More Down and Depressed
GMSS0114C163853GMSS01-More Open to New ExperiencesThe Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Helps me be more open to new experiences in life.GMSS Version Type 1 Diabetes - More Open to New Experiences
GMSS0115C163854GMSS01-Is Too Painful to UseThe Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Is too painful to use.GMSS Version Type 1 Diabetes - Is Too Painful to Use
GMSS0116C163855GMSS01-Subscale: OpennessThe Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - Subscale: Openness.GMSS Version Type 1 Diabetes - Subscale: Openness
GMSS0117C163856GMSS01-Subscale: Emotional BurdenThe Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - Subscale: Emotional burden.GMSS Version Type 1 Diabetes - Subscale: Emotional Burden
GMSS0118C163857GMSS01-Subscale: Behavioral BurdenThe Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - Subscale: Behavioral burden.GMSS Version Type 1 Diabetes - Subscale: Behavioral Burden
GMSS0119C163858GMSS01-Subscale: TrustThe Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - Subscale: Trust.GMSS Version Type 1 Diabetes - Subscale: Trust
GMSS0120C163859GMSS01-Total ScaleThe Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - Total scale.GMSS Version Type 1 Diabetes - Total Scale
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CL.C163390.GMSS01TNThe Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes Questionnaire Test Name
(GMSS01TN)
text
Extensible: No
C163390The Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes Questionnaire Test NameThe Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes test name.CDISC Questionnaire GMSS Version Type 1 Diabetes Test Name Terminology
GMSS01-Be More Spontaneous in My LifeC163849GMSS01-Be More Spontaneous in My LifeThe Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Helps me be more spontaneous in my life.GMSS Version Type 1 Diabetes - Be More Spontaneous in My Life
GMSS01-Doesn't Seem as AccurateC163843GMSS01-Doesn't Seem as AccurateThe Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Doesn't seem to be as accurate as I would like it to be.GMSS Version Type 1 Diabetes - Doesn't Seem as Accurate
GMSS01-Feel Less Restricted by DiabetesC163847GMSS01-Feel Less Restricted by DiabetesThe Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Helps me feel less restricted by diabetes.GMSS Version Type 1 Diabetes - Feel Less Restricted by Diabetes
GMSS01-Feel More Down and DepressedC163852GMSS01-Feel More Down and DepressedThe Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Makes me feel more down and depressed.GMSS Version Type 1 Diabetes - Feel More Down and Depressed
GMSS01-Gives Me Numbers I Don't TrustC163846GMSS01-Gives Me Numbers I Don't TrustThe Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Gives me numbers that I don't entirely trust.GMSS Version Type 1 Diabetes - Gives Me Numbers I Don't Trust
GMSS01-Gives Me Results Don't Make SenseC163851GMSS01-Gives Me Results Don't Make SenseThe Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Often gives me results that don't make sense.GMSS Version Type 1 Diabetes - Gives Me Results Don't Make Sense
GMSS01-Is Too Much of a Hassle to UseC163845GMSS01-Is Too Much of a Hassle to UseThe Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Is too much of a hassle to use.GMSS Version Type 1 Diabetes - Is Too Much of a Hassle to Use
GMSS01-Is Too Painful to UseC163854GMSS01-Is Too Painful to UseThe Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Is too painful to use.GMSS Version Type 1 Diabetes - Is Too Painful to Use
GMSS01-Makes Me Worry a LotC163844GMSS01-Makes Me Worry a LotThe Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Makes me worry a lot.GMSS Version Type 1 Diabetes - Makes Me Worry a Lot
GMSS01-More Frustrated With My DiabetesC163848GMSS01-More Frustrated With My DiabetesThe Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Makes me feel more frustrated with my diabetes.GMSS Version Type 1 Diabetes - More Frustrated With My Diabetes
GMSS01-More Open to New ExperiencesC163853GMSS01-More Open to New ExperiencesThe Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Helps me be more open to new experiences in life.GMSS Version Type 1 Diabetes - More Open to New Experiences
GMSS01-More Satisfied With My DiabetesC163840GMSS01-More Satisfied With My DiabetesThe Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Helps me feel more satisfied with how things are going with my diabetes.GMSS Version Type 1 Diabetes - More Satisfied With My Diabetes
GMSS01-Subscale: Behavioral BurdenC163857GMSS01-Subscale: Behavioral BurdenThe Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - Subscale: Behavioral burden.GMSS Version Type 1 Diabetes - Subscale: Behavioral Burden
GMSS01-Subscale: Emotional BurdenC163856GMSS01-Subscale: Emotional BurdenThe Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - Subscale: Emotional burden.GMSS Version Type 1 Diabetes - Subscale: Emotional Burden
GMSS01-Subscale: OpennessC163855GMSS01-Subscale: OpennessThe Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - Subscale: Openness.GMSS Version Type 1 Diabetes - Subscale: Openness
GMSS01-Subscale: TrustC163858GMSS01-Subscale: TrustThe Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - Subscale: Trust.GMSS Version Type 1 Diabetes - Subscale: Trust
GMSS01-Takes Too Much Time to UseC163842GMSS01-Takes Too Much Time to UseThe Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Takes too much time to use.GMSS Version Type 1 Diabetes - Takes Too Much Time to Use
GMSS01-Think About Diabetes MoreC163841GMSS01-Think About Diabetes MoreThe Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Makes me think about diabetes more than I want to.GMSS Version Type 1 Diabetes - Think About Diabetes More
GMSS01-Too Many Skin Irritations/BruisesC163850GMSS01-Too Many Skin Irritations/BruisesThe Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - My current monitor: Causes too many skin irritations or bruises.GMSS Version Type 1 Diabetes - Too Many Skin Irritations/Bruises
GMSS01-Total ScaleC163859GMSS01-Total ScaleThe Glucose Monitoring System Satisfaction Survey Version: Type 1 Diabetes - Total scale.GMSS Version Type 1 Diabetes - Total Scale
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CL.C127356.FAC052TCThe National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 Questionnaire Test Code
(FAC052TC)
text
Extensible: No
C127356The National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 Questionnaire Test CodeThe National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 test code.CDISC Questionnaire NCCN-FACT-FPSI 17 Version 2 Test Code Terminology
FAC05201C127448FAC052-I Have a Lack of EnergyNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I have a lack of energy.NCCN-FACT-FPSI 17 Version 2 - I Have a Lack of Energy
FAC05202C127449FAC052-I Have PainNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I have pain.NCCN-FACT-FPSI 17 Version 2 - I Have Pain
FAC05203C127450FAC052-I Have Difficulty UrinatingNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I have difficulty urinating.NCCN-FACT-FPSI 17 Version 2 - I Have Difficulty Urinating
FAC05204C127451FAC052-I Am Losing WeightNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I am losing weight.NCCN-FACT-FPSI 17 Version 2 - I Am Losing Weight
FAC05205C127452FAC052-I Have Bone PainNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I have bone pain.NCCN-FACT-FPSI 17 Version 2 - I Have Bone Pain
FAC05206C127453FAC052-I Feel FatiguedNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I feel fatigued.NCCN-FACT-FPSI 17 Version 2 - I Feel Fatigued
FAC05207C127454FAC052-I Have Weakness in My LegsNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I have weakness in my legs.NCCN-FACT-FPSI 17 Version 2 - I Have Weakness in My Legs
FAC05208C127455FAC052-Pain Keeps Me From Doing ThingsNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - My pain keeps me from doing things I want to do.NCCN-FACT-FPSI 17 Version 2 - Pain Keeps Me From Doing Things
FAC05209C127456FAC052-I Have a Good AppetiteNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I have a good appetite.NCCN-FACT-FPSI 17 Version 2 - I Have a Good Appetite
FAC05210C127457FAC052-I Am Sleeping WellNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I am sleeping well.NCCN-FACT-FPSI 17 Version 2 - I Am Sleeping Well
FAC05211C127458FAC052-Worry My Condition Will Get WorseNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I worry that my condition will get worse.NCCN-FACT-FPSI 17 Version 2 - Worry My Condition Will Get Worse
FAC05212C127459FAC052-I Have NauseaNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I have nausea.NCCN-FACT-FPSI 17 Version 2 - I Have Nausea
FAC05213C127460FAC052-I Have Trouble Moving My BowelsNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I have trouble moving my bowels.NCCN-FACT-FPSI 17 Version 2 - I Have Trouble Moving My Bowels
FAC05214C127461FAC052-I Am Satisfied With My Sex LifeNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I am satisfied with my sex life.NCCN-FACT-FPSI 17 Version 2 - I Am Satisfied With My Sex Life
FAC05215C127462FAC052-Bothered by Treatment Side EffectNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I am bothered by side effects of treatment.NCCN-FACT-FPSI 17 Version 2 - Bothered by Treatment Side Effect
FAC05216C127463FAC052-I Am Able to Enjoy LifeNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I am able to enjoy life.NCCN-FACT-FPSI 17 Version 2 - I Am Able to Enjoy Life
FAC05217C127464FAC052-Content With Quality of My LifeNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I am content with the quality of my life right now.NCCN-FACT-FPSI 17 Version 2 - Content With Quality of My Life
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CL.C127355.FAC052TNThe National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 Questionnaire Test Name
(FAC052TN)
text
Extensible: No
C127355The National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 Questionnaire Test NameThe National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 test name.CDISC Questionnaire NCCN-FACT-FPSI 17 Version 2 Test Name Terminology
FAC052-Bothered by Treatment Side EffectC127462FAC052-Bothered by Treatment Side EffectNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I am bothered by side effects of treatment.NCCN-FACT-FPSI 17 Version 2 - Bothered by Treatment Side Effect
FAC052-Content With Quality of My LifeC127464FAC052-Content With Quality of My LifeNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I am content with the quality of my life right now.NCCN-FACT-FPSI 17 Version 2 - Content With Quality of My Life
FAC052-I Am Able to Enjoy LifeC127463FAC052-I Am Able to Enjoy LifeNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I am able to enjoy life.NCCN-FACT-FPSI 17 Version 2 - I Am Able to Enjoy Life
FAC052-I Am Losing WeightC127451FAC052-I Am Losing WeightNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I am losing weight.NCCN-FACT-FPSI 17 Version 2 - I Am Losing Weight
FAC052-I Am Satisfied With My Sex LifeC127461FAC052-I Am Satisfied With My Sex LifeNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I am satisfied with my sex life.NCCN-FACT-FPSI 17 Version 2 - I Am Satisfied With My Sex Life
FAC052-I Am Sleeping WellC127457FAC052-I Am Sleeping WellNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I am sleeping well.NCCN-FACT-FPSI 17 Version 2 - I Am Sleeping Well
FAC052-I Feel FatiguedC127453FAC052-I Feel FatiguedNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I feel fatigued.NCCN-FACT-FPSI 17 Version 2 - I Feel Fatigued
FAC052-I Have a Good AppetiteC127456FAC052-I Have a Good AppetiteNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I have a good appetite.NCCN-FACT-FPSI 17 Version 2 - I Have a Good Appetite
FAC052-I Have a Lack of EnergyC127448FAC052-I Have a Lack of EnergyNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I have a lack of energy.NCCN-FACT-FPSI 17 Version 2 - I Have a Lack of Energy
FAC052-I Have Bone PainC127452FAC052-I Have Bone PainNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I have bone pain.NCCN-FACT-FPSI 17 Version 2 - I Have Bone Pain
FAC052-I Have Difficulty UrinatingC127450FAC052-I Have Difficulty UrinatingNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I have difficulty urinating.NCCN-FACT-FPSI 17 Version 2 - I Have Difficulty Urinating
FAC052-I Have NauseaC127459FAC052-I Have NauseaNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I have nausea.NCCN-FACT-FPSI 17 Version 2 - I Have Nausea
FAC052-I Have PainC127449FAC052-I Have PainNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I have pain.NCCN-FACT-FPSI 17 Version 2 - I Have Pain
FAC052-I Have Trouble Moving My BowelsC127460FAC052-I Have Trouble Moving My BowelsNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I have trouble moving my bowels.NCCN-FACT-FPSI 17 Version 2 - I Have Trouble Moving My Bowels
FAC052-I Have Weakness in My LegsC127454FAC052-I Have Weakness in My LegsNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I have weakness in my legs.NCCN-FACT-FPSI 17 Version 2 - I Have Weakness in My Legs
FAC052-Pain Keeps Me From Doing ThingsC127455FAC052-Pain Keeps Me From Doing ThingsNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - My pain keeps me from doing things I want to do.NCCN-FACT-FPSI 17 Version 2 - Pain Keeps Me From Doing Things
FAC052-Worry My Condition Will Get WorseC127458FAC052-Worry My Condition Will Get WorseNational Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Prostate Symptom Index 17 Version 2 - I worry that my condition will get worse.NCCN-FACT-FPSI 17 Version 2 - Worry My Condition Will Get Worse
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CL.C103479.ODI01TCThe Oswestry Disability Index Version 2.1a Questionnaire Test Code
(ODI01TC)
text
Extensible: No
C103479The Oswestry Disability Index Version 2.1a Questionnaire Test CodeThe Oswestry Disability Index Version 2.1a test code.CDISC Questionnaire ODI v2.1a Test Code Terminology
ODI0101C103762ODI01-Pain IntensityThe Oswestry Disability Index Version 2.1a - Section 1 - Pain intensity.ODI v2.1a - Pain Intensity
ODI0102C103763ODI01-Personal CareThe Oswestry Disability Index Version 2.1a - Section 2 - Personal care (washing, dressing, etc.).ODI v2.1a - Personal Care
ODI0103C103764ODI01-LiftingThe Oswestry Disability Index Version 2.1a - Section 3 - Lifting.ODI v2.1a - Lifting
ODI0104C103765ODI01-WalkingThe Oswestry Disability Index Version 2.1a - Section 4 - Walking.ODI v2.1a - Walking
ODI0105C103766ODI01-SittingThe Oswestry Disability Index Version 2.1a - Section 5 - Sitting.ODI v2.1a - Sitting
ODI0106C103767ODI01-StandingThe Oswestry Disability Index Version 2.1a - Section 6 - Standing.ODI v2.1a - Standing
ODI0107C103768ODI01-SleepingThe Oswestry Disability Index Version 2.1a - Section 7 - Sleeping.ODI v2.1a - Sleeping
ODI0108C103769ODI01-Sex LifeThe Oswestry Disability Index Version 2.1a - Section 8 - Sex life (if applicable).ODI v2.1a - Sex Life
ODI0109C103770ODI01-Social LifeThe Oswestry Disability Index Version 2.1a - Section 9 - Social life.ODI v2.1a - Social Life
ODI0110C103771ODI01-TravellingThe Oswestry Disability Index Version 2.1a - Section 10 - Travelling.ODI v2.1a - Travelling
ODI0111C125762ODI01-Oswestry Disability IndexThe Oswestry Disability Index Version 2.1a - Your ODI.ODI v2.1a - Oswestry Disability Index
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CL.C103478.ODI01TNThe Oswestry Disability Index Version 2.1a Questionnaire Test Name
(ODI01TN)
text
Extensible: No
C103478The Oswestry Disability Index Version 2.1a Questionnaire Test NameThe Oswestry Disability Index Version 2.1a test name.CDISC Questionnaire ODI v2.1a Test Name Terminology
ODI01-LiftingC103764ODI01-LiftingThe Oswestry Disability Index Version 2.1a - Section 3 - Lifting.ODI v2.1a - Lifting
ODI01-Oswestry Disability IndexC125762ODI01-Oswestry Disability IndexThe Oswestry Disability Index Version 2.1a - Your ODI.ODI v2.1a - Oswestry Disability Index
ODI01-Pain IntensityC103762ODI01-Pain IntensityThe Oswestry Disability Index Version 2.1a - Section 1 - Pain intensity.ODI v2.1a - Pain Intensity
ODI01-Personal CareC103763ODI01-Personal CareThe Oswestry Disability Index Version 2.1a - Section 2 - Personal care (washing, dressing, etc.).ODI v2.1a - Personal Care
ODI01-Sex LifeC103769ODI01-Sex LifeThe Oswestry Disability Index Version 2.1a - Section 8 - Sex life (if applicable).ODI v2.1a - Sex Life
ODI01-SittingC103766ODI01-SittingThe Oswestry Disability Index Version 2.1a - Section 5 - Sitting.ODI v2.1a - Sitting
ODI01-SleepingC103768ODI01-SleepingThe Oswestry Disability Index Version 2.1a - Section 7 - Sleeping.ODI v2.1a - Sleeping
ODI01-Social LifeC103770ODI01-Social LifeThe Oswestry Disability Index Version 2.1a - Section 9 - Social life.ODI v2.1a - Social Life
ODI01-StandingC103767ODI01-StandingThe Oswestry Disability Index Version 2.1a - Section 6 - Standing.ODI v2.1a - Standing
ODI01-TravellingC103771ODI01-TravellingThe Oswestry Disability Index Version 2.1a - Section 10 - Travelling.ODI v2.1a - Travelling
ODI01-WalkingC103765ODI01-WalkingThe Oswestry Disability Index Version 2.1a - Section 4 - Walking.ODI v2.1a - Walking
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CL.C103475.OABQ01TCThe Overactive Bladder Questionnaire Questionnaire Test Code
(OABQ01TC)
text
Extensible: No
C103475The Overactive Bladder Questionnaire Questionnaire Test CodeThe Overactive Bladder Questionnaire test code.CDISC Questionnaire OAB-q Test Code Terminology
OABQ0101C103653OABQ01-Frequent Urination During DaytimeThe Overactive Bladder Questionnaire - Frequent urination during the daytime hours?OAB-q - Frequent Urination During the Daytime
OABQ0102C103654OABQ01-Uncomfortable Urge to UrinateThe Overactive Bladder Questionnaire - An uncomfortable urge to urinate?OAB-q - Uncomfortable Urge to Urinate
OABQ0103C103655OABQ01-Sudden Urge to Urinate No WarningThe Overactive Bladder Questionnaire - A sudden urge to urinate with little or no warning?OAB-q - Sudden Urge to Urinate with Little or No Warning
OABQ0104C103656OABQ01-Accidental Loss of UrineThe Overactive Bladder Questionnaire - Accidental loss of small amounts of urine?OAB-q - Accidental Loss of Urine
OABQ0105C103657OABQ01-Nighttime UrinationThe Overactive Bladder Questionnaire - Nighttime urination?OAB-q - Nighttime Urination
OABQ0106C103658OABQ01-Waking Up at Night had to UrinateThe Overactive Bladder Questionnaire - Waking up at night because you had to urinate?OAB-q - Waking Up at Night Because You had to Urinate
OABQ0107C103659OABQ01-Uncontrollable Urge to UrinateThe Overactive Bladder Questionnaire - An uncontrollable urge to urinate?OAB-q - Uncontrollable Urge to Urinate
OABQ0108C103660OABQ01-Urine Loss Strong Desire UrinateThe Overactive Bladder Questionnaire - Urine loss associated with a strong desire to urinate?OAB-q - Urine Loss Associated with a Strong Desire to Urinate
OABQ0109C103661OABQ01-Carefully Plan Your CommuteThe Overactive Bladder Questionnaire - Made you carefully plan your commute?OAB-q - Carefully Plan Your Commute
OABQ0110C103662OABQ01-Feel Drowsy or Sleepy During DayThe Overactive Bladder Questionnaire - Caused you to feel drowsy or sleepy during the day?OAB-q - Feel Drowsy or Sleepy During the Day
OABQ0111C103663OABQ01-Plan 'Escape Routes' to RestroomsThe Overactive Bladder Questionnaire - Caused you to plan "escape routes" to restrooms in public places?OAB-q - Plan 'Escape Routes' to Restrooms
OABQ0112C103664OABQ01-Caused You DistressThe Overactive Bladder Questionnaire - Caused you distress?OAB-q - Caused You Distress
OABQ0113C103665OABQ01-Frustrated YouThe Overactive Bladder Questionnaire - Frustrated you?OAB-q - Frustrated You
OABQ0114C103666OABQ01-Feel Something Wrong with YouThe Overactive Bladder Questionnaire - Made you feel like there is something wrong with you?OAB-q - Feel Like There is Something Wrong with You
OABQ0115C103667OABQ01-Interfered with Good Night's RestThe Overactive Bladder Questionnaire - Interfered with your ability to get a good night's rest?OAB-q - Interfered with a Good Night's Rest
OABQ0116C103668OABQ01-Decrease Your Physical ActivitiesThe Overactive Bladder Questionnaire - Caused you to decrease your physical activities (exercising, sports, etc.)?OAB-q - Decrease Your Physical Activities
OABQ0117C103669OABQ01-Prevented From Feeling RestedThe Overactive Bladder Questionnaire - Prevented you from feeling rested upon waking in the morning?OAB-q - Prevented You From Feeling Rested Upon Waking
OABQ0118C103670OABQ01-Frustrated Family and FriendsThe Overactive Bladder Questionnaire - Frustrated your family and friends?OAB-q - Frustrated Your Family and Friends
OABQ0119C103671OABQ01-Caused You Anxiety or WorryThe Overactive Bladder Questionnaire - Caused you anxiety or worry?OAB-q - Caused You Anxiety or Worry
OABQ0120C103672OABQ01-Stay Home More Often Than PreferThe Overactive Bladder Questionnaire - Caused you to stay home more often than you would prefer?OAB-q - Stay Home More Often Than You Would Prefer
OABQ0121C103673OABQ01-Adjust Travel Plans Near RestroomThe Overactive Bladder Questionnaire - Caused you to adjust your travel plans so that you are always near a restroom?OAB-q - Adjust Your Travel Plans so That You are Always Near a Restroom
OABQ0122C103674OABQ01-Avoid Act Away From RestroomThe Overactive Bladder Questionnaire - Made you avoid activities away from restrooms (i.e., walks, running, hiking)?OAB-q - Avoid Activities Away From Restrooms
OABQ0123C103675OABQ01-Amount of Time Spend in RestroomThe Overactive Bladder Questionnaire - Made you frustrated or annoyed about the amount of time you spend in the restroom?OAB-q - Frustrated or Annoyed About the Amount of Time You Spend in the Restroom
OABQ0124C103676OABQ01-Awakened You During SleepThe Overactive Bladder Questionnaire - Awakened you during sleep?OAB-q - Awakened You During Sleep
OABQ0125C103677OABQ01-Worry About Odor or HygieneThe Overactive Bladder Questionnaire - Made you worry about odor or hygiene?OAB-q - Made You Worry About Odor or Hygiene
OABQ0126C103678OABQ01-Uncomfortable Travel with OthersThe Overactive Bladder Questionnaire - Made you uncomfortable while traveling with others because of needing to stop for a restroom?OAB-q - Uncomfortable While Traveling With Others
OABQ0127C103679OABQ01-Affected RelationshipsThe Overactive Bladder Questionnaire - Affected your relationships with family and friends?OAB-q - Affected Your Relationships with Family and Friends
OABQ0128C103680OABQ01-Decrease Participating GatheringsThe Overactive Bladder Questionnaire - Caused you to decrease participating in social gatherings, such as parties or visits with family or friends?OAB-q - Decrease Participating in Social Gatherings
OABQ0129C103681OABQ01-Caused You EmbarrassmentThe Overactive Bladder Questionnaire - Caused you embarrassment?OAB-q - Caused You Embarrassment
OABQ0130C103682OABQ01-Interfered with Getting SleepThe Overactive Bladder Questionnaire - Interfered with getting the amount of sleep you needed?OAB-q - Interfered with Getting Sleep
OABQ0131C103683OABQ01-Caused Problems Partner/SpouseThe Overactive Bladder Questionnaire - Caused you to have problems with your partner or spouse?OAB-q - Caused Problems with Your Partner or Spouse
OABQ0132C103684OABQ01-Plan Activities More CarefullyThe Overactive Bladder Questionnaire - Caused you to plan activities more carefully?OAB-q - Plan Activities More Carefully
OABQ0133C103685OABQ01-Locate Closest RestroomThe Overactive Bladder Questionnaire - Caused you to locate the closest restroom as soon as you arrive at a place you have never been?OAB-q - Locate Closest Restroom as Soon as You Arrive
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CL.C103474.OABQ01TNThe Overactive Bladder Questionnaire Questionnaire Test Name
(OABQ01TN)
text
Extensible: No
C103474The Overactive Bladder Questionnaire Questionnaire Test NameThe Overactive Bladder Questionnaire test name.CDISC Questionnaire OAB-q Test Name Terminology
OABQ01-Accidental Loss of UrineC103656OABQ01-Accidental Loss of UrineThe Overactive Bladder Questionnaire - Accidental loss of small amounts of urine?OAB-q - Accidental Loss of Urine
OABQ01-Adjust Travel Plans Near RestroomC103673OABQ01-Adjust Travel Plans Near RestroomThe Overactive Bladder Questionnaire - Caused you to adjust your travel plans so that you are always near a restroom?OAB-q - Adjust Your Travel Plans so That You are Always Near a Restroom
OABQ01-Affected RelationshipsC103679OABQ01-Affected RelationshipsThe Overactive Bladder Questionnaire - Affected your relationships with family and friends?OAB-q - Affected Your Relationships with Family and Friends
OABQ01-Amount of Time Spend in RestroomC103675OABQ01-Amount of Time Spend in RestroomThe Overactive Bladder Questionnaire - Made you frustrated or annoyed about the amount of time you spend in the restroom?OAB-q - Frustrated or Annoyed About the Amount of Time You Spend in the Restroom
OABQ01-Avoid Act Away From RestroomC103674OABQ01-Avoid Act Away From RestroomThe Overactive Bladder Questionnaire - Made you avoid activities away from restrooms (i.e., walks, running, hiking)?OAB-q - Avoid Activities Away From Restrooms
OABQ01-Awakened You During SleepC103676OABQ01-Awakened You During SleepThe Overactive Bladder Questionnaire - Awakened you during sleep?OAB-q - Awakened You During Sleep
OABQ01-Carefully Plan Your CommuteC103661OABQ01-Carefully Plan Your CommuteThe Overactive Bladder Questionnaire - Made you carefully plan your commute?OAB-q - Carefully Plan Your Commute
OABQ01-Caused Problems Partner/SpouseC103683OABQ01-Caused Problems Partner/SpouseThe Overactive Bladder Questionnaire - Caused you to have problems with your partner or spouse?OAB-q - Caused Problems with Your Partner or Spouse
OABQ01-Caused You Anxiety or WorryC103671OABQ01-Caused You Anxiety or WorryThe Overactive Bladder Questionnaire - Caused you anxiety or worry?OAB-q - Caused You Anxiety or Worry
OABQ01-Caused You DistressC103664OABQ01-Caused You DistressThe Overactive Bladder Questionnaire - Caused you distress?OAB-q - Caused You Distress
OABQ01-Caused You EmbarrassmentC103681OABQ01-Caused You EmbarrassmentThe Overactive Bladder Questionnaire - Caused you embarrassment?OAB-q - Caused You Embarrassment
OABQ01-Decrease Participating GatheringsC103680OABQ01-Decrease Participating GatheringsThe Overactive Bladder Questionnaire - Caused you to decrease participating in social gatherings, such as parties or visits with family or friends?OAB-q - Decrease Participating in Social Gatherings
OABQ01-Decrease Your Physical ActivitiesC103668OABQ01-Decrease Your Physical ActivitiesThe Overactive Bladder Questionnaire - Caused you to decrease your physical activities (exercising, sports, etc.)?OAB-q - Decrease Your Physical Activities
OABQ01-Feel Drowsy or Sleepy During DayC103662OABQ01-Feel Drowsy or Sleepy During DayThe Overactive Bladder Questionnaire - Caused you to feel drowsy or sleepy during the day?OAB-q - Feel Drowsy or Sleepy During the Day
OABQ01-Feel Something Wrong with YouC103666OABQ01-Feel Something Wrong with YouThe Overactive Bladder Questionnaire - Made you feel like there is something wrong with you?OAB-q - Feel Like There is Something Wrong with You
OABQ01-Frequent Urination During DaytimeC103653OABQ01-Frequent Urination During DaytimeThe Overactive Bladder Questionnaire - Frequent urination during the daytime hours?OAB-q - Frequent Urination During the Daytime
OABQ01-Frustrated Family and FriendsC103670OABQ01-Frustrated Family and FriendsThe Overactive Bladder Questionnaire - Frustrated your family and friends?OAB-q - Frustrated Your Family and Friends
OABQ01-Frustrated YouC103665OABQ01-Frustrated YouThe Overactive Bladder Questionnaire - Frustrated you?OAB-q - Frustrated You
OABQ01-Interfered with Getting SleepC103682OABQ01-Interfered with Getting SleepThe Overactive Bladder Questionnaire - Interfered with getting the amount of sleep you needed?OAB-q - Interfered with Getting Sleep
OABQ01-Interfered with Good Night's RestC103667OABQ01-Interfered with Good Night's RestThe Overactive Bladder Questionnaire - Interfered with your ability to get a good night's rest?OAB-q - Interfered with a Good Night's Rest
OABQ01-Locate Closest RestroomC103685OABQ01-Locate Closest RestroomThe Overactive Bladder Questionnaire - Caused you to locate the closest restroom as soon as you arrive at a place you have never been?OAB-q - Locate Closest Restroom as Soon as You Arrive
OABQ01-Nighttime UrinationC103657OABQ01-Nighttime UrinationThe Overactive Bladder Questionnaire - Nighttime urination?OAB-q - Nighttime Urination
OABQ01-Plan 'Escape Routes' to RestroomsC103663OABQ01-Plan 'Escape Routes' to RestroomsThe Overactive Bladder Questionnaire - Caused you to plan "escape routes" to restrooms in public places?OAB-q - Plan 'Escape Routes' to Restrooms
OABQ01-Plan Activities More CarefullyC103684OABQ01-Plan Activities More CarefullyThe Overactive Bladder Questionnaire - Caused you to plan activities more carefully?OAB-q - Plan Activities More Carefully
OABQ01-Prevented From Feeling RestedC103669OABQ01-Prevented From Feeling RestedThe Overactive Bladder Questionnaire - Prevented you from feeling rested upon waking in the morning?OAB-q - Prevented You From Feeling Rested Upon Waking
OABQ01-Stay Home More Often Than PreferC103672OABQ01-Stay Home More Often Than PreferThe Overactive Bladder Questionnaire - Caused you to stay home more often than you would prefer?OAB-q - Stay Home More Often Than You Would Prefer
OABQ01-Sudden Urge to Urinate No WarningC103655OABQ01-Sudden Urge to Urinate No WarningThe Overactive Bladder Questionnaire - A sudden urge to urinate with little or no warning?OAB-q - Sudden Urge to Urinate with Little or No Warning
OABQ01-Uncomfortable Travel with OthersC103678OABQ01-Uncomfortable Travel with OthersThe Overactive Bladder Questionnaire - Made you uncomfortable while traveling with others because of needing to stop for a restroom?OAB-q - Uncomfortable While Traveling With Others
OABQ01-Uncomfortable Urge to UrinateC103654OABQ01-Uncomfortable Urge to UrinateThe Overactive Bladder Questionnaire - An uncomfortable urge to urinate?OAB-q - Uncomfortable Urge to Urinate
OABQ01-Uncontrollable Urge to UrinateC103659OABQ01-Uncontrollable Urge to UrinateThe Overactive Bladder Questionnaire - An uncontrollable urge to urinate?OAB-q - Uncontrollable Urge to Urinate
OABQ01-Urine Loss Strong Desire UrinateC103660OABQ01-Urine Loss Strong Desire UrinateThe Overactive Bladder Questionnaire - Urine loss associated with a strong desire to urinate?OAB-q - Urine Loss Associated with a Strong Desire to Urinate
OABQ01-Waking Up at Night had to UrinateC103658OABQ01-Waking Up at Night had to UrinateThe Overactive Bladder Questionnaire - Waking up at night because you had to urinate?OAB-q - Waking Up at Night Because You had to Urinate
OABQ01-Worry About Odor or HygieneC103677OABQ01-Worry About Odor or HygieneThe Overactive Bladder Questionnaire - Made you worry about odor or hygiene?OAB-q - Made You Worry About Odor or Hygiene
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CL.C103477.OABQ02TCThe Overactive Bladder Questionnaire Short Form Questionnaire Test Code
(OABQ02TC)
text
Extensible: No
C103477The Overactive Bladder Questionnaire Short Form Questionnaire Test CodeThe Overactive Bladder Questionnaire Short Form test code.CDISC Questionnaire OAB-q Short Form Test Code Terminology
OABQ0201C103686OABQ02-Uncomfortable Urge to UrinateThe Overactive Bladder Questionnaire Short Form - An uncomfortable urge to urinate?OAB-q Short Form - Uncomfortable Urge to Urinate
OABQ0202C103687OABQ02-Sudden Urge to Urinate No WarningThe Overactive Bladder Questionnaire Short Form - A sudden urge to urinate with little or no warning?OAB-q Short Form - Sudden Urge to Urinate with Little or No Warning
OABQ0203C103688OABQ02-Accidental Loss of UrineThe Overactive Bladder Questionnaire Short Form - Accidental loss of small amounts of urine?OAB-q Short Form - Accidental Loss of Urine
OABQ0204C103689OABQ02-Nighttime UrinationThe Overactive Bladder Questionnaire Short Form - Nighttime urination?OAB-q Short Form - Nighttime Urination
OABQ0205C103690OABQ02-Waking Up at Night had to UrinateThe Overactive Bladder Questionnaire Short Form - Waking up at night because you had to urinate?OAB-q Short Form - Waking Up at Night Because You had to Urinate
OABQ0206C103691OABQ02-Urine Loss Strong Desire UrinateThe Overactive Bladder Questionnaire Short Form - Urine loss associated with strong desire to urinate?OAB-q Short Form - Urine Loss Associated with a Strong Desire to Urinate
OABQ0207C103692OABQ02-Plan 'Escape Routes' to RestroomsThe Overactive Bladder Questionnaire Short Form - Caused you to plan "escape routes" to restrooms in public places?OAB-q Short Form - Plan 'Escape Routes' to Restrooms
OABQ0208C103693OABQ02-Feel Something is Wrong with YouThe Overactive Bladder Questionnaire Short Form - Made you feel like there is something wrong with you?OAB-q Short Form - Feel Like There is Something Wrong with You
OABQ0209C103694OABQ02-Interfered with Good Night's RestThe Overactive Bladder Questionnaire Short Form - Interfered with your ability to get a good night's rest?OAB-q Short Form - Interfered with a Good Night's Rest
OABQ0210C103695OABQ02-Frustrated about Time in RestroomThe Overactive Bladder Questionnaire Short Form - Made you frustrated or annoyed about the amount of time you spend in the restroom?OAB-q Short Form - Frustrated or Annoyed About the Amount of Time You Spend in the Restroom
OABQ0211C103696OABQ02-Avoid Activ Away From RestroomThe Overactive Bladder Questionnaire Short Form - Made you avoid activities away from restrooms (i.e., walks, running, hiking)?OAB-q Short Form - Avoid Activities Away From Restrooms
OABQ0212C103697OABQ02-Awakened You During SleepThe Overactive Bladder Questionnaire Short Form - Awakened you during sleep?OAB-q Short Form - Awakened You During Sleep
OABQ0213C103698OABQ02-Decrease Physical ActivitiesThe Overactive Bladder Questionnaire Short Form - Caused you to decrease your physical activities (exercising, sports, etc.)?OAB-q Short Form - Decrease Your Physical Activities
OABQ0214C103699OABQ02-Caused Problems Partner/SpouseThe Overactive Bladder Questionnaire Short Form - Caused you to have problems with your partner or spouse?OAB-q Short Form - Caused Problems with Your Partner or Spouse
OABQ0215C103700OABQ02-Uncomfortable Travel with OthersThe Overactive Bladder Questionnaire Short Form - Made you uncomfortable while travelling with others because of needing to stop for a restroom?OAB-q Short Form - Uncomfortable While Traveling With Others
OABQ0216C103701OABQ02-Affected RelationshipsThe Overactive Bladder Questionnaire Short Form - Affected your relationships with family and friends?OAB-q Short Form - Affected Your Relationships with Family and Friends
OABQ0217C103702OABQ02-Interfered with Getting SleepThe Overactive Bladder Questionnaire Short Form - Interfered with getting the amount of sleep you needed?OAB-q Short Form - Interfered with Getting Sleep
OABQ0218C103703OABQ02-Caused You EmbarrassmentThe Overactive Bladder Questionnaire Short Form - Caused you embarrassment?OAB-q Short Form - Caused You Embarrassment
OABQ0219C103704OABQ02-Locate Closest RestroomThe Overactive Bladder Questionnaire Short Form - Caused you to locate the closest restroom as soon as you arrive at a place you have never been?OAB-q Short Form - Locate Closest Restroom as Soon as You Arrive
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CL.C103476.OABQ02TNThe Overactive Bladder Questionnaire Short Form Questionnaire Test Name
(OABQ02TN)
text
Extensible: No
C103476The Overactive Bladder Questionnaire Short Form Questionnaire Test NameThe Overactive Bladder Questionnaire Short Form test name.CDISC Questionnaire OAB-q Short Form Test Name Terminology
OABQ02-Accidental Loss of UrineC103688OABQ02-Accidental Loss of UrineThe Overactive Bladder Questionnaire Short Form - Accidental loss of small amounts of urine?OAB-q Short Form - Accidental Loss of Urine
OABQ02-Affected RelationshipsC103701OABQ02-Affected RelationshipsThe Overactive Bladder Questionnaire Short Form - Affected your relationships with family and friends?OAB-q Short Form - Affected Your Relationships with Family and Friends
OABQ02-Avoid Activ Away From RestroomC103696OABQ02-Avoid Activ Away From RestroomThe Overactive Bladder Questionnaire Short Form - Made you avoid activities away from restrooms (i.e., walks, running, hiking)?OAB-q Short Form - Avoid Activities Away From Restrooms
OABQ02-Awakened You During SleepC103697OABQ02-Awakened You During SleepThe Overactive Bladder Questionnaire Short Form - Awakened you during sleep?OAB-q Short Form - Awakened You During Sleep
OABQ02-Caused Problems Partner/SpouseC103699OABQ02-Caused Problems Partner/SpouseThe Overactive Bladder Questionnaire Short Form - Caused you to have problems with your partner or spouse?OAB-q Short Form - Caused Problems with Your Partner or Spouse
OABQ02-Caused You EmbarrassmentC103703OABQ02-Caused You EmbarrassmentThe Overactive Bladder Questionnaire Short Form - Caused you embarrassment?OAB-q Short Form - Caused You Embarrassment
OABQ02-Decrease Physical ActivitiesC103698OABQ02-Decrease Physical ActivitiesThe Overactive Bladder Questionnaire Short Form - Caused you to decrease your physical activities (exercising, sports, etc.)?OAB-q Short Form - Decrease Your Physical Activities
OABQ02-Feel Something is Wrong with YouC103693OABQ02-Feel Something is Wrong with YouThe Overactive Bladder Questionnaire Short Form - Made you feel like there is something wrong with you?OAB-q Short Form - Feel Like There is Something Wrong with You
OABQ02-Frustrated about Time in RestroomC103695OABQ02-Frustrated about Time in RestroomThe Overactive Bladder Questionnaire Short Form - Made you frustrated or annoyed about the amount of time you spend in the restroom?OAB-q Short Form - Frustrated or Annoyed About the Amount of Time You Spend in the Restroom
OABQ02-Interfered with Getting SleepC103702OABQ02-Interfered with Getting SleepThe Overactive Bladder Questionnaire Short Form - Interfered with getting the amount of sleep you needed?OAB-q Short Form - Interfered with Getting Sleep
OABQ02-Interfered with Good Night's RestC103694OABQ02-Interfered with Good Night's RestThe Overactive Bladder Questionnaire Short Form - Interfered with your ability to get a good night's rest?OAB-q Short Form - Interfered with a Good Night's Rest
OABQ02-Locate Closest RestroomC103704OABQ02-Locate Closest RestroomThe Overactive Bladder Questionnaire Short Form - Caused you to locate the closest restroom as soon as you arrive at a place you have never been?OAB-q Short Form - Locate Closest Restroom as Soon as You Arrive
OABQ02-Nighttime UrinationC103689OABQ02-Nighttime UrinationThe Overactive Bladder Questionnaire Short Form - Nighttime urination?OAB-q Short Form - Nighttime Urination
OABQ02-Plan 'Escape Routes' to RestroomsC103692OABQ02-Plan 'Escape Routes' to RestroomsThe Overactive Bladder Questionnaire Short Form - Caused you to plan "escape routes" to restrooms in public places?OAB-q Short Form - Plan 'Escape Routes' to Restrooms
OABQ02-Sudden Urge to Urinate No WarningC103687OABQ02-Sudden Urge to Urinate No WarningThe Overactive Bladder Questionnaire Short Form - A sudden urge to urinate with little or no warning?OAB-q Short Form - Sudden Urge to Urinate with Little or No Warning
OABQ02-Uncomfortable Travel with OthersC103700OABQ02-Uncomfortable Travel with OthersThe Overactive Bladder Questionnaire Short Form - Made you uncomfortable while travelling with others because of needing to stop for a restroom?OAB-q Short Form - Uncomfortable While Traveling With Others
OABQ02-Uncomfortable Urge to UrinateC103686OABQ02-Uncomfortable Urge to UrinateThe Overactive Bladder Questionnaire Short Form - An uncomfortable urge to urinate?OAB-q Short Form - Uncomfortable Urge to Urinate
OABQ02-Urine Loss Strong Desire UrinateC103691OABQ02-Urine Loss Strong Desire UrinateThe Overactive Bladder Questionnaire Short Form - Urine loss associated with strong desire to urinate?OAB-q Short Form - Urine Loss Associated with a Strong Desire to Urinate
OABQ02-Waking Up at Night had to UrinateC103690OABQ02-Waking Up at Night had to UrinateThe Overactive Bladder Questionnaire Short Form - Waking up at night because you had to urinate?OAB-q Short Form - Waking Up at Night Because You had to Urinate
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CL.C127360.PROS01TCThe Prostate Cancer Specific Quality of Life Instrument Questionnaire Test Code
(PROS01TC)
text
Extensible: No
C127360The Prostate Cancer Specific Quality of Life Instrument Questionnaire Test CodeThe Prostate Cancer Specific Quality of Life Instrument test code.CDISC Questionnaire PROSQOLI Test Code Terminology
PROS0101C127504PROS01-PainProstate Cancer Specific Quality of Life Instrument - Pain.PROSQOLI - Pain
PROS0102C127505PROS01-Physical ActivityProstate Cancer Specific Quality of Life Instrument - Physical activity.PROSQOLI - Physical Activity
PROS0103C127506PROS01-FatigueProstate Cancer Specific Quality of Life Instrument - Fatigue.PROSQOLI - Fatigue
PROS0104C127507PROS01-AppetiteProstate Cancer Specific Quality of Life Instrument - Appetite.PROSQOLI - Appetite
PROS0105C127508PROS01-ConstipationProstate Cancer Specific Quality of Life Instrument - Constipation.PROSQOLI - Constipation
PROS0106C127509PROS01-Urinary ProblemsProstate Cancer Specific Quality of Life Instrument - Urinary problems.PROSQOLI - Urinary Problems
PROS0107C127510PROS01-Enjoying Time Friends/FamilyProstate Cancer Specific Quality of Life Instrument - Enjoying time with friends and family.PROSQOLI - Enjoying Time with Friends and Family
PROS0108C127511PROS01-MoodProstate Cancer Specific Quality of Life Instrument - Mood.PROSQOLI - Mood
PROS0109C127512PROS01-Overall Well-BeingProstate Cancer Specific Quality of Life Instrument - Overall Well-Being (How do you feel?).PROSQOLI - Overall Well-Being
PROS0110C127513PROS01-Present Pain IntensityProstate Cancer Specific Quality of Life Instrument - Present pain intensity: Please circle the appropriate number according to how much pain you felt on average during the past 24 hours.PROSQOLI - Present Pain Intensity
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CL.C127359.PROS01TNThe Prostate Cancer Specific Quality of Life Instrument Questionnaire Test Name
(PROS01TN)
text
Extensible: No
C127359The Prostate Cancer Specific Quality of Life Instrument Questionnaire Test NameThe Prostate Cancer Specific Quality of Life Instrument test name.CDISC Questionnaire PROSQOLI Test Name Terminology
PROS01-AppetiteC127507PROS01-AppetiteProstate Cancer Specific Quality of Life Instrument - Appetite.PROSQOLI - Appetite
PROS01-ConstipationC127508PROS01-ConstipationProstate Cancer Specific Quality of Life Instrument - Constipation.PROSQOLI - Constipation
PROS01-Enjoying Time Friends/FamilyC127510PROS01-Enjoying Time Friends/FamilyProstate Cancer Specific Quality of Life Instrument - Enjoying time with friends and family.PROSQOLI - Enjoying Time with Friends and Family
PROS01-FatigueC127506PROS01-FatigueProstate Cancer Specific Quality of Life Instrument - Fatigue.PROSQOLI - Fatigue
PROS01-MoodC127511PROS01-MoodProstate Cancer Specific Quality of Life Instrument - Mood.PROSQOLI - Mood
PROS01-Overall Well-BeingC127512PROS01-Overall Well-BeingProstate Cancer Specific Quality of Life Instrument - Overall Well-Being (How do you feel?).PROSQOLI - Overall Well-Being
PROS01-PainC127504PROS01-PainProstate Cancer Specific Quality of Life Instrument - Pain.PROSQOLI - Pain
PROS01-Physical ActivityC127505PROS01-Physical ActivityProstate Cancer Specific Quality of Life Instrument - Physical activity.PROSQOLI - Physical Activity
PROS01-Present Pain IntensityC127513PROS01-Present Pain IntensityProstate Cancer Specific Quality of Life Instrument - Present pain intensity: Please circle the appropriate number according to how much pain you felt on average during the past 24 hours.PROSQOLI - Present Pain Intensity
PROS01-Urinary ProblemsC127509PROS01-Urinary ProblemsProstate Cancer Specific Quality of Life Instrument - Urinary problems.PROSQOLI - Urinary Problems
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CL.C135692.PCL01TCThe PTSD Checklist for DSM-5 Questionnaire Test Code
(PCL01TC)
text
Extensible: No
C135692The PTSD Checklist for DSM-5 Questionnaire Test CodeThe PTSD Checklist for DSM-5 test code.CDISC Questionnaire PCL-5 Test Code Terminology
PCL0101C135922PCL01-Repeated Disturbing MemoriesThe PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Repeated, disturbing, and unwanted memories of the stressful experience?PCL-5 - Repeated Disturbing Memories
PCL0102C135923PCL01-Repeated Disturbing DreamsThe PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Repeated, disturbing dreams of the stressful experience?PCL-5 - Repeated Disturbing Dreams
PCL0103C135924PCL01-Suddenly Feeling Happening AgainThe PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Suddenly feeling or acting as if the stressful experience were actually happening again (as if you were actually back there reliving it)?PCL-5 - Suddenly Feeling Happening Again
PCL0104C135925PCL01-Feel Upset When RemindedThe PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Feeling very upset when something reminded you of the stressful experience?PCL-5 - Feel Upset When Reminded
PCL0105C135926PCL01-Strong Physical ReactionsThe PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Having strong physical reactions when something reminded you of the stressful experience (for example, heart pounding, trouble breathing, sweating)?PCL-5 - Strong Physical Reactions
PCL0106C135927PCL01-Avoid Memories/Thoughts/FeelingsThe PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Avoiding memories, thoughts, or feelings related to the stressful experience?PCL-5 - Avoid Memories, Thoughts or Feelings
PCL0107C135928PCL01-Avoid External RemindersThe PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Avoiding external reminders of the stressful experience (for example, people, places, conversations, activities, objects, or situations)?PCL-5 - Avoid External Reminders
PCL0108C135929PCL01-Trouble Remembering Important PartThe PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Trouble remembering important parts of the stressful experience?PCL-5 - Trouble Remembering Important Parts
PCL0109C135930PCL01-Strong Negative BeliefsThe PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Having strong negative beliefs about yourself, other people, or the world (for example, having thoughts such as: I am bad, there is something seriously wrong with me, no one can be trusted, the world is completely dangerous)?PCL-5 - Strong Negative Beliefs
PCL0110C135931PCL01-Blaming Yourself/Someone ElseThe PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Blaming yourself or someone else for the stressful experience or what happened after it?PCL-5 - Blaming Yourself or Someone Else
PCL0111C135932PCL01-Strong Negative FeelingsThe PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Having strong negative feelings such as fear, horror, anger, guilt, or shame?PCL-5 - Strong Negative Feelings
PCL0112C135933PCL01-Loss of Interest in ActivitiesThe PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Loss of interest in activities that you used to enjoy?PCL-5 - Loss of Interest in Activities
PCL0113C135934PCL01-Feeling Distant From PeopleThe PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Feeling distant or cut off from other people?PCL-5 - Feeling Distant From People
PCL0114C135935PCL01-Trouble Experiencing Pos FeelingsThe PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Trouble experiencing positive feelings (for example, being unable to feel happiness or have loving feelings for people close to you)?PCL-5 - Trouble Experiencing Positive Feelings
PCL0115C135936PCL01-Irritable Behavior/Angry OutburstsThe PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Irritable behavior, angry outbursts, or acting aggressively?PCL-5 - Irritable Behavior or Angry Outbursts
PCL0116C135937PCL01-Taking Too Many Risks/Cause HarmThe PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Taking too many risks or doing things that could cause you harm?PCL-5 - Taking Too Many Risks or Cause Harm
PCL0117C135938PCL01-Being Superalert/Watchful/on GuardThe PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Being "superalert" or watchful or on guard?PCL-5 - Being Super Alert or Watchful
PCL0118C135939PCL01-Feeling Jumpy or Easily StartledThe PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Feeling jumpy or easily startled?PCL-5 - Feeling Jumpy or Easily Startled
PCL0119C135940PCL01-Having Difficulty ConcentratingThe PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Having difficulty concentrating?PCL-5 - Having Difficulty Concentrating
PCL0120C135941PCL01-Trouble Falling or Staying AsleepThe PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Trouble falling or staying asleep?PCL-5 - Trouble Falling or Staying Asleep
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CL.C135691.PCL01TNThe PTSD Checklist for DSM-5 Questionnaire Test Name
(PCL01TN)
text
Extensible: No
C135691The PTSD Checklist for DSM-5 Questionnaire Test NameThe PTSD Checklist for DSM-5 test name.CDISC Questionnaire PCL-5 Test Name Terminology
PCL01-Avoid External RemindersC135928PCL01-Avoid External RemindersThe PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Avoiding external reminders of the stressful experience (for example, people, places, conversations, activities, objects, or situations)?PCL-5 - Avoid External Reminders
PCL01-Avoid Memories/Thoughts/FeelingsC135927PCL01-Avoid Memories/Thoughts/FeelingsThe PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Avoiding memories, thoughts, or feelings related to the stressful experience?PCL-5 - Avoid Memories, Thoughts or Feelings
PCL01-Being Superalert/Watchful/on GuardC135938PCL01-Being Superalert/Watchful/on GuardThe PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Being "superalert" or watchful or on guard?PCL-5 - Being Super Alert or Watchful
PCL01-Blaming Yourself/Someone ElseC135931PCL01-Blaming Yourself/Someone ElseThe PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Blaming yourself or someone else for the stressful experience or what happened after it?PCL-5 - Blaming Yourself or Someone Else
PCL01-Feel Upset When RemindedC135925PCL01-Feel Upset When RemindedThe PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Feeling very upset when something reminded you of the stressful experience?PCL-5 - Feel Upset When Reminded
PCL01-Feeling Distant From PeopleC135934PCL01-Feeling Distant From PeopleThe PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Feeling distant or cut off from other people?PCL-5 - Feeling Distant From People
PCL01-Feeling Jumpy or Easily StartledC135939PCL01-Feeling Jumpy or Easily StartledThe PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Feeling jumpy or easily startled?PCL-5 - Feeling Jumpy or Easily Startled
PCL01-Having Difficulty ConcentratingC135940PCL01-Having Difficulty ConcentratingThe PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Having difficulty concentrating?PCL-5 - Having Difficulty Concentrating
PCL01-Irritable Behavior/Angry OutburstsC135936PCL01-Irritable Behavior/Angry OutburstsThe PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Irritable behavior, angry outbursts, or acting aggressively?PCL-5 - Irritable Behavior or Angry Outbursts
PCL01-Loss of Interest in ActivitiesC135933PCL01-Loss of Interest in ActivitiesThe PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Loss of interest in activities that you used to enjoy?PCL-5 - Loss of Interest in Activities
PCL01-Repeated Disturbing DreamsC135923PCL01-Repeated Disturbing DreamsThe PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Repeated, disturbing dreams of the stressful experience?PCL-5 - Repeated Disturbing Dreams
PCL01-Repeated Disturbing MemoriesC135922PCL01-Repeated Disturbing MemoriesThe PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Repeated, disturbing, and unwanted memories of the stressful experience?PCL-5 - Repeated Disturbing Memories
PCL01-Strong Negative BeliefsC135930PCL01-Strong Negative BeliefsThe PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Having strong negative beliefs about yourself, other people, or the world (for example, having thoughts such as: I am bad, there is something seriously wrong with me, no one can be trusted, the world is completely dangerous)?PCL-5 - Strong Negative Beliefs
PCL01-Strong Negative FeelingsC135932PCL01-Strong Negative FeelingsThe PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Having strong negative feelings such as fear, horror, anger, guilt, or shame?PCL-5 - Strong Negative Feelings
PCL01-Strong Physical ReactionsC135926PCL01-Strong Physical ReactionsThe PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Having strong physical reactions when something reminded you of the stressful experience (for example, heart pounding, trouble breathing, sweating)?PCL-5 - Strong Physical Reactions
PCL01-Suddenly Feeling Happening AgainC135924PCL01-Suddenly Feeling Happening AgainThe PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Suddenly feeling or acting as if the stressful experience were actually happening again (as if you were actually back there reliving it)?PCL-5 - Suddenly Feeling Happening Again
PCL01-Taking Too Many Risks/Cause HarmC135937PCL01-Taking Too Many Risks/Cause HarmThe PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Taking too many risks or doing things that could cause you harm?PCL-5 - Taking Too Many Risks or Cause Harm
PCL01-Trouble Experiencing Pos FeelingsC135935PCL01-Trouble Experiencing Pos FeelingsThe PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Trouble experiencing positive feelings (for example, being unable to feel happiness or have loving feelings for people close to you)?PCL-5 - Trouble Experiencing Positive Feelings
PCL01-Trouble Falling or Staying AsleepC135941PCL01-Trouble Falling or Staying AsleepThe PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Trouble falling or staying asleep?PCL-5 - Trouble Falling or Staying Asleep
PCL01-Trouble Remembering Important PartC135929PCL01-Trouble Remembering Important PartThe PTSD Checklist for DSM-5 - In the past month, how much were you bothered by: Trouble remembering important parts of the stressful experience?PCL-5 - Trouble Remembering Important Parts
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CL.C101823.SF362TCThe Short Form 36 Health Survey Acute, US Version 1.0 Questionnaire Test Code
(SF362TC)
text
Extensible: No
C101823The Short Form 36 Health Survey Acute, US Version 1.0 Questionnaire Test CodeThe Short Form 36 Health Survey Acute, US Version 1.0 test code.CDISC Questionnaire SF36 v1.0 Acute Test Code Terminology
SF36201C102125SF362-In General You Say Your Health IsThe Short Form 36 Health Survey Acute, US Version 1.0 - In general, would you say your health is.SF-36 v1.0 Acute - In General You Say Your Health Is
SF36202C102126SF362-Comp Week Ago Rate Gen Health NowThe Short Form 36 Health Survey Acute, US Version 1.0 - Compared to one week ago, how would you rate your health in general now?SF-36 v1.0 Acute - Comp Week Ago Rate Gen Health Now
SF36203AC102127SF362-Limit Vigorous ActivitiesThe Short Form 36 Health Survey Acute, US Version 1.0 - How much does your health now limit you in - vigorous activities, such as running, lifting heavy objects, participating in strenuous sports.SF-36 v1.0 Acute - Limit Vigorous Activities
SF36203BC102128SF362-Limit Moderate ActivitiesThe Short Form 36 Health Survey Acute, US Version 1.0 - How much does your health now limit you in - moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf.SF-36 v1.0 Acute - Limit Moderate Activities
SF36203CC102129SF362-Limit Lifting or CarryingThe Short Form 36 Health Survey Acute, US Version 1.0 - How much does your health now limit you in - lifting or carrying groceries.SF-36 v1.0 Acute - Limit Lifting or Carrying
SF36203DC102130SF362-Limit Climbing Several FlightsThe Short Form 36 Health Survey Acute, US Version 1.0 - How much does your health now limit you in - climbing several flights of stairs.SF-36 v1.0 Acute - Limit Climbing Several Flights
SF36203EC102131SF362-Limit Climbing One Flight StairsThe Short Form 36 Health Survey Acute, US Version 1.0 - How much does your health now limit you in - climbing one flight of stairs.SF-36 v1.0 Acute - Limit Climbing One Flight Stairs
SF36203FC102132SF362-Limit Bending/Kneeling/StoopingThe Short Form 36 Health Survey Acute, US Version 1.0 - How much does your health now limit you in - bending, kneeling, or stooping.SF-36 v1.0 Acute - Limit Bending/Kneeling/Stooping
SF36203GC102133SF362-Limit Walking More Than a MileThe Short Form 36 Health Survey Acute, US Version 1.0 - How much does your health now limit you in - walking more than a mile.SF-36 v1.0 Acute - Limit Walking More Than a Mile
SF36203HC102134SF362-Limit Walking Several BlocksThe Short Form 36 Health Survey Acute, US Version 1.0 - How much does your health now limit you in - walking several blocks.SF-36 v1.0 Acute - Limit Walking Several Blocks
SF36203IC102135SF362-Limit Walking One BlockThe Short Form 36 Health Survey Acute, US Version 1.0 - How much does your health now limit you in - walking one block.SF-36 v1.0 Acute - Limit Walking One Block
SF36203JC102136SF362-Limit Bathing or Dressing YourselfThe Short Form 36 Health Survey Acute, US Version 1.0 - How much does your health now limit you in - bathing or dressing yourself.SF-36 v1.0 Acute - Limit Bathing or Dressing Yourself
SF36204AC102137SF362-Physical: Cut Down Time on WorkThe Short Form 36 Health Survey Acute, US Version 1.0 (SF36 V1.0 ACUTE) -During the past week, have you had any of the following problems with your work or other regular daily activities as a result of your physical health - cut down on the amount of time you spent on work or other activities.SF-36 v1.0 Acute - Physical: Cut Down Time on Work
SF36204BC102138SF362-Physical: Accomplished LessThe Short Form 36 Health Survey Acute, US Version 1.0 - During the past week, have you had any of the following problems with your work or other regular daily activities as a result of your physical health - accomplished less than you would like.SF-36 v1.0 Acute - Physical: Accomplished Less
SF36204CC102139SF362-Physical: Limited Kind of WorkThe Short Form 36 Health Survey Acute, US Version 1.0 - During the past week, have you had any of the following problems with your work or other regular daily activities as a result of your physical health - were limited in the kind of work or other activities.SF-36 v1.0 Acute - Physical: Limited Kind of Work
SF36204DC102140SF362-Physical: Difficulty Perform WorkThe Short Form 36 Health Survey Acute, US Version 1.0 - During the past week, have you had any of the following problems with your work or other regular daily activities as a result of your physical health - had difficulty performing the work or other activities (for example, it took extra effort).SF-36 v1.0 Acute - Physical: Difficulty Perform Work
SF36205AC102141SF362-Emotional: Cut Down Time on WorkThe Short Form 36 Health Survey Acute, US Version 1.0 - During the past week, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - cut down on the amount of time you spent on work or other activities.SF-36 v1.0 Acute - Emotional: Cut Down Time on Work
SF36205BC102142SF362-Emotional: Accomplished LessThe Short Form 36 Health Survey Acute, US Version 1.0 - During the past week, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - accomplished less than you would like.SF-36 v1.0 Acute - Emotional: Accomplished Less
SF36205CC102143SF362-Emotional: Did Work Less CarefullyThe Short Form 36 Health Survey Acute, US Version 1.0 - During the past week, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - did work or other activities less carefully than usual.SF-36 v1.0 Acute - Emotional: Did Work Less Carefully
SF36206C102144SF362-Extent Phys/Emotional InterferedThe Short Form 36 Health Survey Acute, US Version 1.0 - During the past week, to what extent has your physical health or emotional problems interfered with your normal social activities with family, friends, neighbors, or groups?SF-36 v1.0 Acute - Extent Phys/Emotional Interfered
SF36207C102145SF362-How Much Bodily Pain Have You HadThe Short Form 36 Health Survey Acute, US Version 1.0 - How much bodily pain have you had during the past week?SF-36 v1.0 Acute - How Much Bodily Pain Have You Had
SF36208C102146SF362-Pain Interfere With Normal WorkThe Short Form 36 Health Survey Acute, US Version 1.0 - During the past week, how much did pain interfere with your normal work (including both work outside the home and housework)?SF-36 v1.0 Acute - Pain Interfere With Normal Work
SF36209AC102147SF362-Did You Feel Full of PepThe Short Form 36 Health Survey Acute, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - did you feel full of pep.SF-36 v1.0 Acute - Did You Feel Full of Pep
SF36209BC102148SF362-Have You Been Very Nervous PersonThe Short Form 36 Health Survey Acute, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you been a very nervous person.SF-36 v1.0 Acute - Have You Been Very Nervous Person
SF36209CC102149SF362-Felt Down Nothing Cheer You UpThe Short Form 36 Health Survey Acute, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you felt so down in the dumps that nothing could cheer you up.SF-36 v1.0 Acute - Felt Down Nothing Cheer You Up
SF36209DC102150SF362-Have You Felt Calm and PeacefulThe Short Form 36 Health Survey Acute, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you felt calm and peaceful.SF-36 v1.0 Acute - Have You Felt Calm and Peaceful
SF36209EC102151SF362-Did You Have a Lot of EnergyThe Short Form 36 Health Survey Acute, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - did you have a lot of energy.SF-36 v1.0 Acute - Did You Have a Lot of Energy
SF36209FC102152SF362-You Felt Downhearted and BlueThe Short Form 36 Health Survey Acute, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you felt downhearted and blue.SF-36 v1.0 Acute - You Felt Downhearted and Blue
SF36209GC102153SF362-Did You Feel Worn OutThe Short Form 36 Health Survey Acute, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - did you feel worn out.SF-36 v1.0 Acute - Did You Feel Worn Out
SF36209HC102154SF362-Have You Been a Happy PersonThe Short Form 36 Health Survey Acute, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you been a happy person.SF-36 v1.0 Acute - Have You Been a Happy Person
SF36209IC102155SF362-Did You Feel TiredThe Short Form 36 Health Survey Acute, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - did you feel tired.SF-36 v1.0 Acute - Did You Feel Tired
SF36210C102156SF362-Time Phys/Emotional InterferedThe Short Form 36 Health Survey Acute, US Version 1.0 - During the past week, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting friends, relatives, etc.)?SF-36 v1.0 Acute - Time Phys/Emotional Interfered
SF36211AC102157SF362-Get Sick Little Easier Than OtherThe Short Form 36 Health Survey Acute, US Version 1.0 - How TRUE or FALSE is the following statement for you - I seem to get sick a little easier than other people.SF-36 v1.0 Acute - Get Sick Little Easier Than Other
SF36211BC102158SF362-I Am as Healthy as Anybody I KnowThe Short Form 36 Health Survey Acute, US Version 1.0 - How TRUE or FALSE is the following statement for you - I am as healthy as anybody I know.SF-36 v1.0 Acute - I Am as Healthy as Anybody I Know
SF36211CC102159SF362-I Expect My Health to Get WorseThe Short Form 36 Health Survey Acute, US Version 1.0 - How TRUE or FALSE is the following statement for you - I expect my health to get worse.SF-36 v1.0 Acute - I Expect My Health to Get Worse
SF36211DC102160SF362-My Health is ExcellentThe Short Form 36 Health Survey Acute, US Version 1.0 - How TRUE or FALSE is the following statement for you - my health is excellentSF-36 v1.0 Acute - My Health is Excellent
SF36212C176121SF362-Physical Functioning 0-100 ScoreThe Short Form 36 Health Survey Acute, US Version 1.0 - Physical functioning 0-100 score.SF-36 v1.0 Acute - Physical Functioning 0-100 Score
SF36213C176122SF362-Role Physical 0-100 ScoreThe Short Form 36 Health Survey Acute, US Version 1.0 - Role physical 0-100 score.SF-36 v1.0 Acute - Role Physical 0-100 Score
SF36214C176123SF362-Bodily Pain 0-100 ScoreThe Short Form 36 Health Survey Acute, US Version 1.0 - Bodily pain 0-100 score.SF-36 v1.0 Acute - Bodily Pain 0-100 Score
SF36215C176124SF362-General Health 0-100 ScoreThe Short Form 36 Health Survey Acute, US Version 1.0 - General health 0-100 score.SF-36 v1.0 Acute - General Health 0-100 Score
SF36216C176125SF362-Vitality 0-100 ScoreThe Short Form 36 Health Survey Acute, US Version 1.0 - Vitality 0-100 score.SF-36 v1.0 Acute - Vitality 0-100 Score
SF36217C176126SF362-Social Functioning 0-100 ScoreThe Short Form 36 Health Survey Acute, US Version 1.0 - Social functioning 0-100 score.SF-36 v1.0 Acute - Social Functioning 0-100 Score
SF36218C176127SF362-Role Emotional 0-100 ScoreThe Short Form 36 Health Survey Acute, US Version 1.0 - Role emotional 0-100 score.SF-36 v1.0 Acute - Role Emotional 0-100 Score
SF36219C176128SF362-Mental Health 0-100 ScoreThe Short Form 36 Health Survey Acute, US Version 1.0 - Mental health 0-100 score.SF-36 v1.0 Acute - Mental Health 0-100 Score
SF36220C176129SF362-Phys Functioning Norm-Based ScoreThe Short Form 36 Health Survey Acute, US Version 1.0 - Phys functioning norm-based score.SF-36 v1.0 Acute - Phys Functioning Norm-Based Score
SF36221C176130SF362-Role Physical Norm-Based ScoreThe Short Form 36 Health Survey Acute, US Version 1.0 - Role physical norm-based score.SF-36 v1.0 Acute - Role Physical Norm-Based Score
SF36222C176131SF362-Bodily Pain Norm-Based ScoreThe Short Form 36 Health Survey Acute, US Version 1.0 - Bodily pain norm-based score.SF-36 v1.0 Acute - Bodily Pain Norm-Based Score
SF36223C176132SF362-General Health Norm-Based ScoreThe Short Form 36 Health Survey Acute, US Version 1.0 - General health norm-based score.SF-36 v1.0 Acute - General Health Norm-Based Score
SF36224C176133SF362-Vitality Norm-Based ScoreThe Short Form 36 Health Survey Acute, US Version 1.0 - Vitality norm-based score.SF-36 v1.0 Acute - Vitality Norm-Based Score
SF36225C176134SF362-Social Function Norm-Based ScoreThe Short Form 36 Health Survey Acute, US Version 1.0 - Social function norm-based score.SF-36 v1.0 Acute - Social Function Norm-Based Score
SF36226C176135SF362-Role Emotional Norm-Based ScoreThe Short Form 36 Health Survey Acute, US Version 1.0 - Role emotional norm-based score.SF-36 v1.0 Acute - Role Emotional Norm-Based Score
SF36227C176136SF362-Mental Health Norm-Based ScoreThe Short Form 36 Health Survey Acute, US Version 1.0 - Mental health norm-based score.SF-36 v1.0 Acute - Mental Health Norm-Based Score
SF36228C176137SF362-Physical Component ScoreThe Short Form 36 Health Survey Acute, US Version 1.0 - Physical component score.SF-36 v1.0 Acute - Physical Component Score
SF36229C176138SF362-Mental Component ScoreThe Short Form 36 Health Survey Acute, US Version 1.0 - Mental component score.SF-36 v1.0 Acute - Mental Component Score
SF36230C176139SF362-SF-6D (Utility Index) ScoreThe Short Form 36 Health Survey Acute, US Version 1.0 - 6D (utility index) score.SF-36 v1.0 Acute - SF-6D (Utility Index) Score
SF36231C176140SF362-SF-6D_R2 (Util Index Rel 2) ScoreThe Short Form 36 Health Survey Acute, US Version 1.0 - 6D_R2 (util index rel 2) score.SF-36 v1.0 Acute - SF-6D_R2 (Util Index Rel 2) Score
SF36232C176141SF362-Response Consistency ScoreThe Short Form 36 Health Survey Acute, US Version 1.0 - Response consistency score.SF-36 v1.0 Acute - Response Consistency Score
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CL.C101824.SF362TNThe Short Form 36 Health Survey Acute, US Version 1.0 Questionnaire Test Name
(SF362TN)
text
Extensible: No
C101824The Short Form 36 Health Survey Acute, US Version 1.0 Questionnaire Test NameThe Short Form 36 Health Survey Acute, US Version 1.0 test name.CDISC Questionnaire SF36 v1.0 Acute Test Name Terminology
SF362-Bodily Pain 0-100 ScoreC176123SF362-Bodily Pain 0-100 ScoreThe Short Form 36 Health Survey Acute, US Version 1.0 - Bodily pain 0-100 score.SF-36 v1.0 Acute - Bodily Pain 0-100 Score
SF362-Bodily Pain Norm-Based ScoreC176131SF362-Bodily Pain Norm-Based ScoreThe Short Form 36 Health Survey Acute, US Version 1.0 - Bodily pain norm-based score.SF-36 v1.0 Acute - Bodily Pain Norm-Based Score
SF362-Comp Week Ago Rate Gen Health NowC102126SF362-Comp Week Ago Rate Gen Health NowThe Short Form 36 Health Survey Acute, US Version 1.0 - Compared to one week ago, how would you rate your health in general now?SF-36 v1.0 Acute - Comp Week Ago Rate Gen Health Now
SF362-Did You Feel Full of PepC102147SF362-Did You Feel Full of PepThe Short Form 36 Health Survey Acute, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - did you feel full of pep.SF-36 v1.0 Acute - Did You Feel Full of Pep
SF362-Did You Feel TiredC102155SF362-Did You Feel TiredThe Short Form 36 Health Survey Acute, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - did you feel tired.SF-36 v1.0 Acute - Did You Feel Tired
SF362-Did You Feel Worn OutC102153SF362-Did You Feel Worn OutThe Short Form 36 Health Survey Acute, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - did you feel worn out.SF-36 v1.0 Acute - Did You Feel Worn Out
SF362-Did You Have a Lot of EnergyC102151SF362-Did You Have a Lot of EnergyThe Short Form 36 Health Survey Acute, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - did you have a lot of energy.SF-36 v1.0 Acute - Did You Have a Lot of Energy
SF362-Emotional: Accomplished LessC102142SF362-Emotional: Accomplished LessThe Short Form 36 Health Survey Acute, US Version 1.0 - During the past week, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - accomplished less than you would like.SF-36 v1.0 Acute - Emotional: Accomplished Less
SF362-Emotional: Cut Down Time on WorkC102141SF362-Emotional: Cut Down Time on WorkThe Short Form 36 Health Survey Acute, US Version 1.0 - During the past week, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - cut down on the amount of time you spent on work or other activities.SF-36 v1.0 Acute - Emotional: Cut Down Time on Work
SF362-Emotional: Did Work Less CarefullyC102143SF362-Emotional: Did Work Less CarefullyThe Short Form 36 Health Survey Acute, US Version 1.0 - During the past week, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - did work or other activities less carefully than usual.SF-36 v1.0 Acute - Emotional: Did Work Less Carefully
SF362-Extent Phys/Emotional InterferedC102144SF362-Extent Phys/Emotional InterferedThe Short Form 36 Health Survey Acute, US Version 1.0 - During the past week, to what extent has your physical health or emotional problems interfered with your normal social activities with family, friends, neighbors, or groups?SF-36 v1.0 Acute - Extent Phys/Emotional Interfered
SF362-Felt Down Nothing Cheer You UpC102149SF362-Felt Down Nothing Cheer You UpThe Short Form 36 Health Survey Acute, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you felt so down in the dumps that nothing could cheer you up.SF-36 v1.0 Acute - Felt Down Nothing Cheer You Up
SF362-General Health 0-100 ScoreC176124SF362-General Health 0-100 ScoreThe Short Form 36 Health Survey Acute, US Version 1.0 - General health 0-100 score.SF-36 v1.0 Acute - General Health 0-100 Score
SF362-General Health Norm-Based ScoreC176132SF362-General Health Norm-Based ScoreThe Short Form 36 Health Survey Acute, US Version 1.0 - General health norm-based score.SF-36 v1.0 Acute - General Health Norm-Based Score
SF362-Get Sick Little Easier Than OtherC102157SF362-Get Sick Little Easier Than OtherThe Short Form 36 Health Survey Acute, US Version 1.0 - How TRUE or FALSE is the following statement for you - I seem to get sick a little easier than other people.SF-36 v1.0 Acute - Get Sick Little Easier Than Other
SF362-Have You Been a Happy PersonC102154SF362-Have You Been a Happy PersonThe Short Form 36 Health Survey Acute, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you been a happy person.SF-36 v1.0 Acute - Have You Been a Happy Person
SF362-Have You Been Very Nervous PersonC102148SF362-Have You Been Very Nervous PersonThe Short Form 36 Health Survey Acute, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you been a very nervous person.SF-36 v1.0 Acute - Have You Been Very Nervous Person
SF362-Have You Felt Calm and PeacefulC102150SF362-Have You Felt Calm and PeacefulThe Short Form 36 Health Survey Acute, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you felt calm and peaceful.SF-36 v1.0 Acute - Have You Felt Calm and Peaceful
SF362-How Much Bodily Pain Have You HadC102145SF362-How Much Bodily Pain Have You HadThe Short Form 36 Health Survey Acute, US Version 1.0 - How much bodily pain have you had during the past week?SF-36 v1.0 Acute - How Much Bodily Pain Have You Had
SF362-I Am as Healthy as Anybody I KnowC102158SF362-I Am as Healthy as Anybody I KnowThe Short Form 36 Health Survey Acute, US Version 1.0 - How TRUE or FALSE is the following statement for you - I am as healthy as anybody I know.SF-36 v1.0 Acute - I Am as Healthy as Anybody I Know
SF362-I Expect My Health to Get WorseC102159SF362-I Expect My Health to Get WorseThe Short Form 36 Health Survey Acute, US Version 1.0 - How TRUE or FALSE is the following statement for you - I expect my health to get worse.SF-36 v1.0 Acute - I Expect My Health to Get Worse
SF362-In General You Say Your Health IsC102125SF362-In General You Say Your Health IsThe Short Form 36 Health Survey Acute, US Version 1.0 - In general, would you say your health is.SF-36 v1.0 Acute - In General You Say Your Health Is
SF362-Limit Bathing or Dressing YourselfC102136SF362-Limit Bathing or Dressing YourselfThe Short Form 36 Health Survey Acute, US Version 1.0 - How much does your health now limit you in - bathing or dressing yourself.SF-36 v1.0 Acute - Limit Bathing or Dressing Yourself
SF362-Limit Bending/Kneeling/StoopingC102132SF362-Limit Bending/Kneeling/StoopingThe Short Form 36 Health Survey Acute, US Version 1.0 - How much does your health now limit you in - bending, kneeling, or stooping.SF-36 v1.0 Acute - Limit Bending/Kneeling/Stooping
SF362-Limit Climbing One Flight StairsC102131SF362-Limit Climbing One Flight StairsThe Short Form 36 Health Survey Acute, US Version 1.0 - How much does your health now limit you in - climbing one flight of stairs.SF-36 v1.0 Acute - Limit Climbing One Flight Stairs
SF362-Limit Climbing Several FlightsC102130SF362-Limit Climbing Several FlightsThe Short Form 36 Health Survey Acute, US Version 1.0 - How much does your health now limit you in - climbing several flights of stairs.SF-36 v1.0 Acute - Limit Climbing Several Flights
SF362-Limit Lifting or CarryingC102129SF362-Limit Lifting or CarryingThe Short Form 36 Health Survey Acute, US Version 1.0 - How much does your health now limit you in - lifting or carrying groceries.SF-36 v1.0 Acute - Limit Lifting or Carrying
SF362-Limit Moderate ActivitiesC102128SF362-Limit Moderate ActivitiesThe Short Form 36 Health Survey Acute, US Version 1.0 - How much does your health now limit you in - moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf.SF-36 v1.0 Acute - Limit Moderate Activities
SF362-Limit Vigorous ActivitiesC102127SF362-Limit Vigorous ActivitiesThe Short Form 36 Health Survey Acute, US Version 1.0 - How much does your health now limit you in - vigorous activities, such as running, lifting heavy objects, participating in strenuous sports.SF-36 v1.0 Acute - Limit Vigorous Activities
SF362-Limit Walking More Than a MileC102133SF362-Limit Walking More Than a MileThe Short Form 36 Health Survey Acute, US Version 1.0 - How much does your health now limit you in - walking more than a mile.SF-36 v1.0 Acute - Limit Walking More Than a Mile
SF362-Limit Walking One BlockC102135SF362-Limit Walking One BlockThe Short Form 36 Health Survey Acute, US Version 1.0 - How much does your health now limit you in - walking one block.SF-36 v1.0 Acute - Limit Walking One Block
SF362-Limit Walking Several BlocksC102134SF362-Limit Walking Several BlocksThe Short Form 36 Health Survey Acute, US Version 1.0 - How much does your health now limit you in - walking several blocks.SF-36 v1.0 Acute - Limit Walking Several Blocks
SF362-Mental Component ScoreC176138SF362-Mental Component ScoreThe Short Form 36 Health Survey Acute, US Version 1.0 - Mental component score.SF-36 v1.0 Acute - Mental Component Score
SF362-Mental Health 0-100 ScoreC176128SF362-Mental Health 0-100 ScoreThe Short Form 36 Health Survey Acute, US Version 1.0 - Mental health 0-100 score.SF-36 v1.0 Acute - Mental Health 0-100 Score
SF362-Mental Health Norm-Based ScoreC176136SF362-Mental Health Norm-Based ScoreThe Short Form 36 Health Survey Acute, US Version 1.0 - Mental health norm-based score.SF-36 v1.0 Acute - Mental Health Norm-Based Score
SF362-My Health is ExcellentC102160SF362-My Health is ExcellentThe Short Form 36 Health Survey Acute, US Version 1.0 - How TRUE or FALSE is the following statement for you - my health is excellentSF-36 v1.0 Acute - My Health is Excellent
SF362-Pain Interfere With Normal WorkC102146SF362-Pain Interfere With Normal WorkThe Short Form 36 Health Survey Acute, US Version 1.0 - During the past week, how much did pain interfere with your normal work (including both work outside the home and housework)?SF-36 v1.0 Acute - Pain Interfere With Normal Work
SF362-Phys Functioning Norm-Based ScoreC176129SF362-Phys Functioning Norm-Based ScoreThe Short Form 36 Health Survey Acute, US Version 1.0 - Phys functioning norm-based score.SF-36 v1.0 Acute - Phys Functioning Norm-Based Score
SF362-Physical Component ScoreC176137SF362-Physical Component ScoreThe Short Form 36 Health Survey Acute, US Version 1.0 - Physical component score.SF-36 v1.0 Acute - Physical Component Score
SF362-Physical Functioning 0-100 ScoreC176121SF362-Physical Functioning 0-100 ScoreThe Short Form 36 Health Survey Acute, US Version 1.0 - Physical functioning 0-100 score.SF-36 v1.0 Acute - Physical Functioning 0-100 Score
SF362-Physical: Accomplished LessC102138SF362-Physical: Accomplished LessThe Short Form 36 Health Survey Acute, US Version 1.0 - During the past week, have you had any of the following problems with your work or other regular daily activities as a result of your physical health - accomplished less than you would like.SF-36 v1.0 Acute - Physical: Accomplished Less
SF362-Physical: Cut Down Time on WorkC102137SF362-Physical: Cut Down Time on WorkThe Short Form 36 Health Survey Acute, US Version 1.0 (SF36 V1.0 ACUTE) -During the past week, have you had any of the following problems with your work or other regular daily activities as a result of your physical health - cut down on the amount of time you spent on work or other activities.SF-36 v1.0 Acute - Physical: Cut Down Time on Work
SF362-Physical: Difficulty Perform WorkC102140SF362-Physical: Difficulty Perform WorkThe Short Form 36 Health Survey Acute, US Version 1.0 - During the past week, have you had any of the following problems with your work or other regular daily activities as a result of your physical health - had difficulty performing the work or other activities (for example, it took extra effort).SF-36 v1.0 Acute - Physical: Difficulty Perform Work
SF362-Physical: Limited Kind of WorkC102139SF362-Physical: Limited Kind of WorkThe Short Form 36 Health Survey Acute, US Version 1.0 - During the past week, have you had any of the following problems with your work or other regular daily activities as a result of your physical health - were limited in the kind of work or other activities.SF-36 v1.0 Acute - Physical: Limited Kind of Work
SF362-Response Consistency ScoreC176141SF362-Response Consistency ScoreThe Short Form 36 Health Survey Acute, US Version 1.0 - Response consistency score.SF-36 v1.0 Acute - Response Consistency Score
SF362-Role Emotional 0-100 ScoreC176127SF362-Role Emotional 0-100 ScoreThe Short Form 36 Health Survey Acute, US Version 1.0 - Role emotional 0-100 score.SF-36 v1.0 Acute - Role Emotional 0-100 Score
SF362-Role Emotional Norm-Based ScoreC176135SF362-Role Emotional Norm-Based ScoreThe Short Form 36 Health Survey Acute, US Version 1.0 - Role emotional norm-based score.SF-36 v1.0 Acute - Role Emotional Norm-Based Score
SF362-Role Physical 0-100 ScoreC176122SF362-Role Physical 0-100 ScoreThe Short Form 36 Health Survey Acute, US Version 1.0 - Role physical 0-100 score.SF-36 v1.0 Acute - Role Physical 0-100 Score
SF362-Role Physical Norm-Based ScoreC176130SF362-Role Physical Norm-Based ScoreThe Short Form 36 Health Survey Acute, US Version 1.0 - Role physical norm-based score.SF-36 v1.0 Acute - Role Physical Norm-Based Score
SF362-SF-6D (Utility Index) ScoreC176139SF362-SF-6D (Utility Index) ScoreThe Short Form 36 Health Survey Acute, US Version 1.0 - 6D (utility index) score.SF-36 v1.0 Acute - SF-6D (Utility Index) Score
SF362-SF-6D_R2 (Util Index Rel 2) ScoreC176140SF362-SF-6D_R2 (Util Index Rel 2) ScoreThe Short Form 36 Health Survey Acute, US Version 1.0 - 6D_R2 (util index rel 2) score.SF-36 v1.0 Acute - SF-6D_R2 (Util Index Rel 2) Score
SF362-Social Function Norm-Based ScoreC176134SF362-Social Function Norm-Based ScoreThe Short Form 36 Health Survey Acute, US Version 1.0 - Social function norm-based score.SF-36 v1.0 Acute - Social Function Norm-Based Score
SF362-Social Functioning 0-100 ScoreC176126SF362-Social Functioning 0-100 ScoreThe Short Form 36 Health Survey Acute, US Version 1.0 - Social functioning 0-100 score.SF-36 v1.0 Acute - Social Functioning 0-100 Score
SF362-Time Phys/Emotional InterferedC102156SF362-Time Phys/Emotional InterferedThe Short Form 36 Health Survey Acute, US Version 1.0 - During the past week, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting friends, relatives, etc.)?SF-36 v1.0 Acute - Time Phys/Emotional Interfered
SF362-Vitality 0-100 ScoreC176125SF362-Vitality 0-100 ScoreThe Short Form 36 Health Survey Acute, US Version 1.0 - Vitality 0-100 score.SF-36 v1.0 Acute - Vitality 0-100 Score
SF362-Vitality Norm-Based ScoreC176133SF362-Vitality Norm-Based ScoreThe Short Form 36 Health Survey Acute, US Version 1.0 - Vitality norm-based score.SF-36 v1.0 Acute - Vitality Norm-Based Score
SF362-You Felt Downhearted and BlueC102152SF362-You Felt Downhearted and BlueThe Short Form 36 Health Survey Acute, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you felt downhearted and blue.SF-36 v1.0 Acute - You Felt Downhearted and Blue
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CL.C101884.SF364TCThe Short Form 36 Health Survey Acute, US Version 2.0 Questionnaire Test Code
(SF364TC)
text
Extensible: No
C101884The Short Form 36 Health Survey Acute, US Version 2.0 Questionnaire Test CodeThe Short Form 36 Health Survey Acute, US Version 2.0 test code.CDISC Questionnaire SF36 v2.0 Acute Test Code Terminology
SF36401C102161SF364-In General You Say Your Health IsThe Short Form 36 Health Survey Acute, US Version 2.0 - In general, would you say your health is.SF-36 v2.0 Acute - In General You Say Your Health Is
SF36402C102162SF364-Comp Week Ago Rate Gen Health NowThe Short Form 36 Health Survey Acute, US Version 2.0 - Compared to one week ago, how would you rate your health in general now?SF-36 v2.0 Acute - Comp Week Ago Rate Gen Health Now
SF36403AC102163SF364-Limit Vigorous ActivitiesThe Short Form 36 Health Survey Acute, US Version 2.0 - How much does your health now limit you in - vigorous activities, such as running, lifting heavy objects, participating in strenuous sports.SF-36 v2.0 Acute - Limit Vigorous Activities
SF36403BC102164SF364-Limit Moderate ActivitiesThe Short Form 36 Health Survey Acute, US Version 2.0 - How much does your health now limit you in - moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf.SF-36 v2.0 Acute - Limit Moderate Activities
SF36403CC102165SF364-Limit Lifting or CarryingThe Short Form 36 Health Survey Acute, US Version 2.0 - How much does your health now limit you in - lifting or carrying groceries.SF-36 v2.0 Acute - Limit Lifting or Carrying
SF36403DC102166SF364-Limit Climbing Several FlightsThe Short Form 36 Health Survey Acute, US Version 2.0 - How much does your health now limit you in - climbing several flights of stairs.SF-36 v2.0 Acute - Limit Climbing Several Flights
SF36403EC102167SF364-Limit Climbing One Flight StairsThe Short Form 36 Health Survey Acute, US Version 2.0 - How much does your health now limit you in - climbing one flight of stairs.SF-36 v2.0 Acute - Limit Climbing One Flight Stairs
SF36403FC102168SF364-Limit Bending/Kneeling/StoopingThe Short Form 36 Health Survey Acute, US Version 2.0 - How much does your health now limit you in - bending, kneeling, or stooping.SF-36 v2.0 Acute - Limit Bending/Kneeling/Stooping
SF36403GC102169SF364-Limit Walking More Than a MileThe Short Form 36 Health Survey Acute, US Version 2.0 - How much does your health now limit you in - walking more than a mile.SF-36 v2.0 Acute - Limit Walking More Than a Mile
SF36403HC102170SF364-Limit Walking Several Hundred YdsThe Short Form 36 Health Survey Acute, US Version 2.0 - How much does your health now limit you in - walking several hundred yards.SF-36 v2.0 Acute - Limit Walking Several Hundred Yds
SF36403IC102171SF364-Limit Walking One Hundred YardsThe Short Form 36 Health Survey Acute, US Version 2.0 - How much does your health now limit you in - walking one hundred yards.SF-36 v2.0 Acute - Limit Walking One Hundred Yards
SF36403JC102172SF364-Limit Bathing or Dressing YourselfThe Short Form 36 Health Survey Acute, US Version 2.0 - How much does your health now limit you in - bathing or dressing yourself.SF-36 v2.0 Acute - Limit Bathing or Dressing Yourself
SF36404AC102173SF364-Physical: Cut Down Time on WorkThe Short Form 36 Health Survey Acute, US Version 2.0 - During the past week, how much of the time have you had any problems with your work or other regular daily activities as a result of your physical health - cut down on the amount of time you spent on work or other activities.SF-36 v2.0 Acute - Physical: Cut Down Time on Work
SF36404BC102174SF364-Physical: Accomplished LessThe Short Form 36 Health Survey Acute, US Version 2.0 - During the past week, how much of the time have you had any problems with your work or other regular daily activities as a result of your physical health - accomplished less than you would like.SF-36 v2.0 Acute - Physical: Accomplished Less
SF36404CC102175SF364-Physical: Limited Kind of WorkThe Short Form 36 Health Survey Acute, US Version 2.0 - During the past week, how much of the time have you had any problems with your work or other regular daily activities as a result of your physical health - were limited in the kind of work or other activities.SF-36 v2.0 Acute - Physical: Limited Kind of Work
SF36404DC102176SF364-Physical: Difficulty Perform WorkThe Short Form 36 Health Survey Acute, US Version 2.0 - During the past week, how much of the time have you had any problems with your work or other regular daily activities as a result of your physical health - had difficulty performing the work or other activities (for example, it took extra effort).SF-36 v2.0 Acute - Physical: Difficulty Perform Work
SF36405AC102177SF364-Emotional: Cut Down Time on WorkThe Short Form 36 Health Survey Acute, US Version 2.0 - During the past week, how much of the time have you had problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - cut down on the amount of time you spent on work or other activities.SF-36 v2.0 Acute - Emotional: Cut Down Time on Work
SF36405BC102178SF364-Emotional: Accomplished LessThe Short Form 36 Health Survey Acute, US Version 2.0 - During the past week, how much of the time have you had problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - accomplished less than you would like.SF-36 v2.0 Acute - Emotional: Accomplished Less
SF36405CC102179SF364-Emotional: Did Work Less CarefullyThe Short Form 36 Health Survey Acute, US Version 2.0 - During the past week, how much of the time have you had problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - did work or other activities less carefully than usual.SF-36 v2.0 Acute - Emotional: Did Work Less Carefully
SF36406C102180SF364-Extent Phys/Emotional InterferedThe Short Form 36 Health Survey Acute, US Version 2.0 - During the past week, to what extent has your physical health or emotional problems interfered with your normal social activities with family, friends, neighbors, or groups?SF-36 v2.0 Acute - Extent Phys/Emotional Interfered
SF36407C102181SF364-How Much Bodily Pain Have You HadThe Short Form 36 Health Survey Acute, US Version 2.0 - How much bodily pain have you had during the past week?SF-36 v2.0 Acute - How Much Bodily Pain Have You Had
SF36408C102182SF364-Pain Interfere With Normal WorkThe Short Form 36 Health Survey Acute, US Version 2.0 - During the past week, how much did pain interfere with your normal work (including both work outside the home and housework)?SF-36 v2.0 Acute - Pain Interfere With Normal Work
SF36409AC102183SF364-Did You Feel Full of LifeThe Short Form 36 Health Survey Acute, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - did you feel full of life.SF-36 v2.0 Acute - Did You Feel Full of Life
SF36409BC102184SF364-Have You Been Very NervousThe Short Form 36 Health Survey Acute, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you been very nervous.SF-36 v2.0 Acute - Have You Been Very Nervous
SF36409CC102185SF364-Felt Down Nothing Cheer You UpThe Short Form 36 Health Survey Acute, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you felt so down in the dumps that nothing could cheer you up.SF-36 v2.0 Acute - Felt Down Nothing Cheer You Up
SF36409DC102186SF364-Have You Felt Calm and PeacefulThe Short Form 36 Health Survey Acute, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you felt calm and peaceful.SF-36 v2.0 Acute - Have You Felt Calm and Peaceful
SF36409EC102187SF364-Did You Have a Lot of EnergyThe Short Form 36 Health Survey Acute, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - did you have a lot of energy.SF-36 v2.0 Acute - Did You Have a Lot of Energy
SF36409FC102188SF364-You Felt Downhearted and DepressedThe Short Form 36 Health Survey Acute, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you felt downhearted and depressed.SF-36 v2.0 Acute - You Felt Downhearted and Depressed
SF36409GC102189SF364-Did You Feel Worn OutThe Short Form 36 Health Survey Acute, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - did you feel worn out.SF-36 v2.0 Acute - Did You Feel Worn Out
SF36409HC102190SF364-Have You Been HappyThe Short Form 36 Health Survey Acute, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you been happy.SF-36 v2.0 Acute - Have You Been Happy
SF36409IC102191SF364-Did You Feel TiredThe Short Form 36 Health Survey Acute, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - did you feel tired.SF-36 v2.0 Acute - Did You Feel Tired
SF36410C102192SF364-Time Phys/Emotional InterferedThe Short Form 36 Health Survey Acute, US Version 2.0 - During the past week, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting friends, relatives, etc.)?SF-36 v2.0 Acute - Time Phys/Emotional Interfered
SF36411AC102193SF364-Get Sick Little Easier Than OtherThe Short Form 36 Health Survey Acute, US Version 2.0 - How TRUE or FALSE is the following statement for you - I seem to get sick a little easier than other people.SF-36 v2.0 Acute - Get Sick Little Easier Than Other
SF36411BC102194SF364-I Am as Healthy as Anybody I KnowThe Short Form 36 Health Survey Acute, US Version 2.0 - How TRUE or FALSE is the following statement for you - I am as healthy as anybody I know.SF-36 v2.0 Acute - I Am as Healthy as Anybody I Know
SF36411CC102195SF364-I Expect My Health to Get WorseThe Short Form 36 Health Survey Acute, US Version 2.0 - How TRUE or FALSE is the following statement for you - I expect my health to get worse.SF-36 v2.0 Acute - I Expect My Health to Get Worse
SF36411DC102196SF364-My Health is ExcellentThe Short Form 36 Health Survey Acute, US Version 2.0 - How TRUE or FALSE is the following statement for you - my health is excellentSF-36 v2.0 Acute - My Health is Excellent
SF36412C176163SF364-Physical Functioning 0-100 ScoreThe Short Form 36 Health Survey Acute, US Version 2.0 - Physical functioning 0-100 score.SF-36 v2.0 Acute - Physical Functioning 0-100 Score
SF36413C176164SF364-Role Physical 0-100 ScoreThe Short Form 36 Health Survey Acute, US Version 2.0 - Role physical 0-100 score.SF-36 v2.0 Acute - Role Physical 0-100 Score
SF36414C176165SF364-Bodily Pain 0-100 ScoreThe Short Form 36 Health Survey Acute, US Version 2.0 - Bodily pain 0-100 score.SF-36 v2.0 Acute - Bodily Pain 0-100 Score
SF36415C176166SF364-General Health 0-100 ScoreThe Short Form 36 Health Survey Acute, US Version 2.0 - General health 0-100 score.SF-36 v2.0 Acute - General Health 0-100 Score
SF36416C176167SF364-Vitality 0-100 ScoreThe Short Form 36 Health Survey Acute, US Version 2.0 - Vitality 0-100 score.SF-36 v2.0 Acute - Vitality 0-100 Score
SF36417C176168SF364-Social Functioning 0-100 ScoreThe Short Form 36 Health Survey Acute, US Version 2.0 - Social functioning 0-100 score.SF-36 v2.0 Acute - Social Functioning 0-100 Score
SF36418C176169SF364-Role Emotional 0-100 ScoreThe Short Form 36 Health Survey Acute, US Version 2.0 - Role emotional 0-100 score.SF-36 v2.0 Acute - Role Emotional 0-100 Score
SF36419C176170SF364-Mental Health 0-100 ScoreThe Short Form 36 Health Survey Acute, US Version 2.0 - Mental health 0-100 score.SF-36 v2.0 Acute - Mental Health 0-100 Score
SF36420C176171SF364-Phys Functioning Norm-Based ScoreThe Short Form 36 Health Survey Acute, US Version 2.0 - Phys functioning norm-based score.SF-36 v2.0 Acute - Phys Functioning Norm-Based Score
SF36421C176172SF364-Role Physical Norm-Based ScoreThe Short Form 36 Health Survey Acute, US Version 2.0 - Role physical norm-based score.SF-36 v2.0 Acute - Role Physical Norm-Based Score
SF36422C176173SF364-Bodily Pain Norm-Based ScoreThe Short Form 36 Health Survey Acute, US Version 2.0 - Bodily pain norm-based score.SF-36 v2.0 Acute - Bodily Pain Norm-Based Score
SF36423C176174SF364-General Health Norm-Based ScoreThe Short Form 36 Health Survey Acute, US Version 2.0 - General health norm-based score.SF-36 v2.0 Acute - General Health Norm-Based Score
SF36424C176175SF364-Vitality Norm-Based ScoreThe Short Form 36 Health Survey Acute, US Version 2.0 - Vitality norm-based score.SF-36 v2.0 Acute - Vitality Norm-Based Score
SF36425C176176SF364-Social Function Norm-Based ScoreThe Short Form 36 Health Survey Acute, US Version 2.0 - Social function norm-based score.SF-36 v2.0 Acute - Social Function Norm-Based Score
SF36426C176177SF364-Role Emotional Norm-Based ScoreThe Short Form 36 Health Survey Acute, US Version 2.0 - Role emotional norm-based score.SF-36 v2.0 Acute - Role Emotional Norm-Based Score
SF36427C176178SF364-Mental Health Norm-Based ScoreThe Short Form 36 Health Survey Acute, US Version 2.0 - Mental health norm-based score.SF-36 v2.0 Acute - Mental Health Norm-Based Score
SF36428C176179SF364-Physical Component ScoreThe Short Form 36 Health Survey Acute, US Version 2.0 - Physical component score.SF-36 v2.0 Acute - Physical Component Score
SF36429C176180SF364-Mental Component ScoreThe Short Form 36 Health Survey Acute, US Version 2.0 - Mental component score.SF-36 v2.0 Acute - Mental Component Score
SF36430C176181SF364-SF-6D (Utility Index) ScoreThe Short Form 36 Health Survey Acute, US Version 2.0 - 6D (utility index) score.SF-36 v2.0 Acute - SF-6D (Utility Index) Score
SF36431C176182SF364-SF-6D_R2 (Util Index Rel 2) ScoreThe Short Form 36 Health Survey Acute, US Version 2.0 - 6D_R2 (util index rel 2) score.SF-36 v2.0 Acute - SF-6D_R2 (Util Index Rel 2) Score
SF36432C176183SF364-Mental Health Enhanced ScoreThe Short Form 36 Health Survey Acute, US Version 2.0 - Mental health enhanced score.SF-36 v2.0 Acute - Mental Health Enhanced Score
SF36433C180247SF364-Response Consistency ScoreThe Short Form 36 Health Survey Acute, US Version 2.0 - Response consistency score.SF-36 v2.0 Acute - Response Consistency Score
SF36434C185783SF364-Utility Index Score UK WeightsThe Short Form 36 Health Survey Acute, US Version 2.0 - Utility index score United Kingdom weights.SF-36 v2.0 Acute - Utility Index Score UK Weights
SF36435C185784SF364-Utility Index Score CN WeightsThe Short Form 36 Health Survey Acute, US Version 2.0 - Utility index score Canada weights.SF-36 v2.0 Acute - Utility Index Score CN Weights
SF36436C185785SF364-Utility Index Score AU WeightsThe Short Form 36 Health Survey Acute, US Version 2.0 - Utility index score Australia weights.SF-36 v2.0 Acute - Utility Index Score AU Weights
SF36437C185786SF364-Utility Index Score US WeightsThe Short Form 36 Health Survey Acute, US Version 2.0 - Utility index score United States weights.SF-36 v2.0 Acute - Utility Index Score US Weights
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CL.C101825.SF364TNThe Short Form 36 Health Survey Acute, US Version 2.0 Questionnaire Test Name
(SF364TN)
text
Extensible: No
C101825The Short Form 36 Health Survey Acute, US Version 2.0 Questionnaire Test NameThe Short Form 36 Health Survey Acute, US Version 2.0 test name.CDISC Questionnaire SF36 v2.0 Acute Test Name Terminology
SF364-Bodily Pain 0-100 ScoreC176165SF364-Bodily Pain 0-100 ScoreThe Short Form 36 Health Survey Acute, US Version 2.0 - Bodily pain 0-100 score.SF-36 v2.0 Acute - Bodily Pain 0-100 Score
SF364-Bodily Pain Norm-Based ScoreC176173SF364-Bodily Pain Norm-Based ScoreThe Short Form 36 Health Survey Acute, US Version 2.0 - Bodily pain norm-based score.SF-36 v2.0 Acute - Bodily Pain Norm-Based Score
SF364-Comp Week Ago Rate Gen Health NowC102162SF364-Comp Week Ago Rate Gen Health NowThe Short Form 36 Health Survey Acute, US Version 2.0 - Compared to one week ago, how would you rate your health in general now?SF-36 v2.0 Acute - Comp Week Ago Rate Gen Health Now
SF364-Did You Feel Full of LifeC102183SF364-Did You Feel Full of LifeThe Short Form 36 Health Survey Acute, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - did you feel full of life.SF-36 v2.0 Acute - Did You Feel Full of Life
SF364-Did You Feel TiredC102191SF364-Did You Feel TiredThe Short Form 36 Health Survey Acute, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - did you feel tired.SF-36 v2.0 Acute - Did You Feel Tired
SF364-Did You Feel Worn OutC102189SF364-Did You Feel Worn OutThe Short Form 36 Health Survey Acute, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - did you feel worn out.SF-36 v2.0 Acute - Did You Feel Worn Out
SF364-Did You Have a Lot of EnergyC102187SF364-Did You Have a Lot of EnergyThe Short Form 36 Health Survey Acute, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - did you have a lot of energy.SF-36 v2.0 Acute - Did You Have a Lot of Energy
SF364-Emotional: Accomplished LessC102178SF364-Emotional: Accomplished LessThe Short Form 36 Health Survey Acute, US Version 2.0 - During the past week, how much of the time have you had problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - accomplished less than you would like.SF-36 v2.0 Acute - Emotional: Accomplished Less
SF364-Emotional: Cut Down Time on WorkC102177SF364-Emotional: Cut Down Time on WorkThe Short Form 36 Health Survey Acute, US Version 2.0 - During the past week, how much of the time have you had problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - cut down on the amount of time you spent on work or other activities.SF-36 v2.0 Acute - Emotional: Cut Down Time on Work
SF364-Emotional: Did Work Less CarefullyC102179SF364-Emotional: Did Work Less CarefullyThe Short Form 36 Health Survey Acute, US Version 2.0 - During the past week, how much of the time have you had problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - did work or other activities less carefully than usual.SF-36 v2.0 Acute - Emotional: Did Work Less Carefully
SF364-Extent Phys/Emotional InterferedC102180SF364-Extent Phys/Emotional InterferedThe Short Form 36 Health Survey Acute, US Version 2.0 - During the past week, to what extent has your physical health or emotional problems interfered with your normal social activities with family, friends, neighbors, or groups?SF-36 v2.0 Acute - Extent Phys/Emotional Interfered
SF364-Felt Down Nothing Cheer You UpC102185SF364-Felt Down Nothing Cheer You UpThe Short Form 36 Health Survey Acute, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you felt so down in the dumps that nothing could cheer you up.SF-36 v2.0 Acute - Felt Down Nothing Cheer You Up
SF364-General Health 0-100 ScoreC176166SF364-General Health 0-100 ScoreThe Short Form 36 Health Survey Acute, US Version 2.0 - General health 0-100 score.SF-36 v2.0 Acute - General Health 0-100 Score
SF364-General Health Norm-Based ScoreC176174SF364-General Health Norm-Based ScoreThe Short Form 36 Health Survey Acute, US Version 2.0 - General health norm-based score.SF-36 v2.0 Acute - General Health Norm-Based Score
SF364-Get Sick Little Easier Than OtherC102193SF364-Get Sick Little Easier Than OtherThe Short Form 36 Health Survey Acute, US Version 2.0 - How TRUE or FALSE is the following statement for you - I seem to get sick a little easier than other people.SF-36 v2.0 Acute - Get Sick Little Easier Than Other
SF364-Have You Been HappyC102190SF364-Have You Been HappyThe Short Form 36 Health Survey Acute, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you been happy.SF-36 v2.0 Acute - Have You Been Happy
SF364-Have You Been Very NervousC102184SF364-Have You Been Very NervousThe Short Form 36 Health Survey Acute, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you been very nervous.SF-36 v2.0 Acute - Have You Been Very Nervous
SF364-Have You Felt Calm and PeacefulC102186SF364-Have You Felt Calm and PeacefulThe Short Form 36 Health Survey Acute, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you felt calm and peaceful.SF-36 v2.0 Acute - Have You Felt Calm and Peaceful
SF364-How Much Bodily Pain Have You HadC102181SF364-How Much Bodily Pain Have You HadThe Short Form 36 Health Survey Acute, US Version 2.0 - How much bodily pain have you had during the past week?SF-36 v2.0 Acute - How Much Bodily Pain Have You Had
SF364-I Am as Healthy as Anybody I KnowC102194SF364-I Am as Healthy as Anybody I KnowThe Short Form 36 Health Survey Acute, US Version 2.0 - How TRUE or FALSE is the following statement for you - I am as healthy as anybody I know.SF-36 v2.0 Acute - I Am as Healthy as Anybody I Know
SF364-I Expect My Health to Get WorseC102195SF364-I Expect My Health to Get WorseThe Short Form 36 Health Survey Acute, US Version 2.0 - How TRUE or FALSE is the following statement for you - I expect my health to get worse.SF-36 v2.0 Acute - I Expect My Health to Get Worse
SF364-In General You Say Your Health IsC102161SF364-In General You Say Your Health IsThe Short Form 36 Health Survey Acute, US Version 2.0 - In general, would you say your health is.SF-36 v2.0 Acute - In General You Say Your Health Is
SF364-Limit Bathing or Dressing YourselfC102172SF364-Limit Bathing or Dressing YourselfThe Short Form 36 Health Survey Acute, US Version 2.0 - How much does your health now limit you in - bathing or dressing yourself.SF-36 v2.0 Acute - Limit Bathing or Dressing Yourself
SF364-Limit Bending/Kneeling/StoopingC102168SF364-Limit Bending/Kneeling/StoopingThe Short Form 36 Health Survey Acute, US Version 2.0 - How much does your health now limit you in - bending, kneeling, or stooping.SF-36 v2.0 Acute - Limit Bending/Kneeling/Stooping
SF364-Limit Climbing One Flight StairsC102167SF364-Limit Climbing One Flight StairsThe Short Form 36 Health Survey Acute, US Version 2.0 - How much does your health now limit you in - climbing one flight of stairs.SF-36 v2.0 Acute - Limit Climbing One Flight Stairs
SF364-Limit Climbing Several FlightsC102166SF364-Limit Climbing Several FlightsThe Short Form 36 Health Survey Acute, US Version 2.0 - How much does your health now limit you in - climbing several flights of stairs.SF-36 v2.0 Acute - Limit Climbing Several Flights
SF364-Limit Lifting or CarryingC102165SF364-Limit Lifting or CarryingThe Short Form 36 Health Survey Acute, US Version 2.0 - How much does your health now limit you in - lifting or carrying groceries.SF-36 v2.0 Acute - Limit Lifting or Carrying
SF364-Limit Moderate ActivitiesC102164SF364-Limit Moderate ActivitiesThe Short Form 36 Health Survey Acute, US Version 2.0 - How much does your health now limit you in - moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf.SF-36 v2.0 Acute - Limit Moderate Activities
SF364-Limit Vigorous ActivitiesC102163SF364-Limit Vigorous ActivitiesThe Short Form 36 Health Survey Acute, US Version 2.0 - How much does your health now limit you in - vigorous activities, such as running, lifting heavy objects, participating in strenuous sports.SF-36 v2.0 Acute - Limit Vigorous Activities
SF364-Limit Walking More Than a MileC102169SF364-Limit Walking More Than a MileThe Short Form 36 Health Survey Acute, US Version 2.0 - How much does your health now limit you in - walking more than a mile.SF-36 v2.0 Acute - Limit Walking More Than a Mile
SF364-Limit Walking One Hundred YardsC102171SF364-Limit Walking One Hundred YardsThe Short Form 36 Health Survey Acute, US Version 2.0 - How much does your health now limit you in - walking one hundred yards.SF-36 v2.0 Acute - Limit Walking One Hundred Yards
SF364-Limit Walking Several Hundred YdsC102170SF364-Limit Walking Several Hundred YdsThe Short Form 36 Health Survey Acute, US Version 2.0 - How much does your health now limit you in - walking several hundred yards.SF-36 v2.0 Acute - Limit Walking Several Hundred Yds
SF364-Mental Component ScoreC176180SF364-Mental Component ScoreThe Short Form 36 Health Survey Acute, US Version 2.0 - Mental component score.SF-36 v2.0 Acute - Mental Component Score
SF364-Mental Health 0-100 ScoreC176170SF364-Mental Health 0-100 ScoreThe Short Form 36 Health Survey Acute, US Version 2.0 - Mental health 0-100 score.SF-36 v2.0 Acute - Mental Health 0-100 Score
SF364-Mental Health Enhanced ScoreC176183SF364-Mental Health Enhanced ScoreThe Short Form 36 Health Survey Acute, US Version 2.0 - Mental health enhanced score.SF-36 v2.0 Acute - Mental Health Enhanced Score
SF364-Mental Health Norm-Based ScoreC176178SF364-Mental Health Norm-Based ScoreThe Short Form 36 Health Survey Acute, US Version 2.0 - Mental health norm-based score.SF-36 v2.0 Acute - Mental Health Norm-Based Score
SF364-My Health is ExcellentC102196SF364-My Health is ExcellentThe Short Form 36 Health Survey Acute, US Version 2.0 - How TRUE or FALSE is the following statement for you - my health is excellentSF-36 v2.0 Acute - My Health is Excellent
SF364-Pain Interfere With Normal WorkC102182SF364-Pain Interfere With Normal WorkThe Short Form 36 Health Survey Acute, US Version 2.0 - During the past week, how much did pain interfere with your normal work (including both work outside the home and housework)?SF-36 v2.0 Acute - Pain Interfere With Normal Work
SF364-Phys Functioning Norm-Based ScoreC176171SF364-Phys Functioning Norm-Based ScoreThe Short Form 36 Health Survey Acute, US Version 2.0 - Phys functioning norm-based score.SF-36 v2.0 Acute - Phys Functioning Norm-Based Score
SF364-Physical Component ScoreC176179SF364-Physical Component ScoreThe Short Form 36 Health Survey Acute, US Version 2.0 - Physical component score.SF-36 v2.0 Acute - Physical Component Score
SF364-Physical Functioning 0-100 ScoreC176163SF364-Physical Functioning 0-100 ScoreThe Short Form 36 Health Survey Acute, US Version 2.0 - Physical functioning 0-100 score.SF-36 v2.0 Acute - Physical Functioning 0-100 Score
SF364-Physical: Accomplished LessC102174SF364-Physical: Accomplished LessThe Short Form 36 Health Survey Acute, US Version 2.0 - During the past week, how much of the time have you had any problems with your work or other regular daily activities as a result of your physical health - accomplished less than you would like.SF-36 v2.0 Acute - Physical: Accomplished Less
SF364-Physical: Cut Down Time on WorkC102173SF364-Physical: Cut Down Time on WorkThe Short Form 36 Health Survey Acute, US Version 2.0 - During the past week, how much of the time have you had any problems with your work or other regular daily activities as a result of your physical health - cut down on the amount of time you spent on work or other activities.SF-36 v2.0 Acute - Physical: Cut Down Time on Work
SF364-Physical: Difficulty Perform WorkC102176SF364-Physical: Difficulty Perform WorkThe Short Form 36 Health Survey Acute, US Version 2.0 - During the past week, how much of the time have you had any problems with your work or other regular daily activities as a result of your physical health - had difficulty performing the work or other activities (for example, it took extra effort).SF-36 v2.0 Acute - Physical: Difficulty Perform Work
SF364-Physical: Limited Kind of WorkC102175SF364-Physical: Limited Kind of WorkThe Short Form 36 Health Survey Acute, US Version 2.0 - During the past week, how much of the time have you had any problems with your work or other regular daily activities as a result of your physical health - were limited in the kind of work or other activities.SF-36 v2.0 Acute - Physical: Limited Kind of Work
SF364-Response Consistency ScoreC180247SF364-Response Consistency ScoreThe Short Form 36 Health Survey Acute, US Version 2.0 - Response consistency score.SF-36 v2.0 Acute - Response Consistency Score
SF364-Role Emotional 0-100 ScoreC176169SF364-Role Emotional 0-100 ScoreThe Short Form 36 Health Survey Acute, US Version 2.0 - Role emotional 0-100 score.SF-36 v2.0 Acute - Role Emotional 0-100 Score
SF364-Role Emotional Norm-Based ScoreC176177SF364-Role Emotional Norm-Based ScoreThe Short Form 36 Health Survey Acute, US Version 2.0 - Role emotional norm-based score.SF-36 v2.0 Acute - Role Emotional Norm-Based Score
SF364-Role Physical 0-100 ScoreC176164SF364-Role Physical 0-100 ScoreThe Short Form 36 Health Survey Acute, US Version 2.0 - Role physical 0-100 score.SF-36 v2.0 Acute - Role Physical 0-100 Score
SF364-Role Physical Norm-Based ScoreC176172SF364-Role Physical Norm-Based ScoreThe Short Form 36 Health Survey Acute, US Version 2.0 - Role physical norm-based score.SF-36 v2.0 Acute - Role Physical Norm-Based Score
SF364-SF-6D (Utility Index) ScoreC176181SF364-SF-6D (Utility Index) ScoreThe Short Form 36 Health Survey Acute, US Version 2.0 - 6D (utility index) score.SF-36 v2.0 Acute - SF-6D (Utility Index) Score
SF364-SF-6D_R2 (Util Index Rel 2) ScoreC176182SF364-SF-6D_R2 (Util Index Rel 2) ScoreThe Short Form 36 Health Survey Acute, US Version 2.0 - 6D_R2 (util index rel 2) score.SF-36 v2.0 Acute - SF-6D_R2 (Util Index Rel 2) Score
SF364-Social Function Norm-Based ScoreC176176SF364-Social Function Norm-Based ScoreThe Short Form 36 Health Survey Acute, US Version 2.0 - Social function norm-based score.SF-36 v2.0 Acute - Social Function Norm-Based Score
SF364-Social Functioning 0-100 ScoreC176168SF364-Social Functioning 0-100 ScoreThe Short Form 36 Health Survey Acute, US Version 2.0 - Social functioning 0-100 score.SF-36 v2.0 Acute - Social Functioning 0-100 Score
SF364-Time Phys/Emotional InterferedC102192SF364-Time Phys/Emotional InterferedThe Short Form 36 Health Survey Acute, US Version 2.0 - During the past week, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting friends, relatives, etc.)?SF-36 v2.0 Acute - Time Phys/Emotional Interfered
SF364-Utility Index Score AU WeightsC185785SF364-Utility Index Score AU WeightsThe Short Form 36 Health Survey Acute, US Version 2.0 - Utility index score Australia weights.SF-36 v2.0 Acute - Utility Index Score AU Weights
SF364-Utility Index Score CN WeightsC185784SF364-Utility Index Score CN WeightsThe Short Form 36 Health Survey Acute, US Version 2.0 - Utility index score Canada weights.SF-36 v2.0 Acute - Utility Index Score CN Weights
SF364-Utility Index Score UK WeightsC185783SF364-Utility Index Score UK WeightsThe Short Form 36 Health Survey Acute, US Version 2.0 - Utility index score United Kingdom weights.SF-36 v2.0 Acute - Utility Index Score UK Weights
SF364-Utility Index Score US WeightsC185786SF364-Utility Index Score US WeightsThe Short Form 36 Health Survey Acute, US Version 2.0 - Utility index score United States weights.SF-36 v2.0 Acute - Utility Index Score US Weights
SF364-Vitality 0-100 ScoreC176167SF364-Vitality 0-100 ScoreThe Short Form 36 Health Survey Acute, US Version 2.0 - Vitality 0-100 score.SF-36 v2.0 Acute - Vitality 0-100 Score
SF364-Vitality Norm-Based ScoreC176175SF364-Vitality Norm-Based ScoreThe Short Form 36 Health Survey Acute, US Version 2.0 - Vitality norm-based score.SF-36 v2.0 Acute - Vitality Norm-Based Score
SF364-You Felt Downhearted and DepressedC102188SF364-You Felt Downhearted and DepressedThe Short Form 36 Health Survey Acute, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past week - have you felt downhearted and depressed.SF-36 v2.0 Acute - You Felt Downhearted and Depressed
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CL.C100174.SF361TCThe Short Form 36 Health Survey Standard, US Version 1.0 Questionnaire Test Code
(SF361TC)
text
Extensible: No
C100174The Short Form 36 Health Survey Standard, US Version 1.0 Questionnaire Test CodeThe Short Form 36 Health Survey Standard, US Version 1.0 test code.CDISC Questionnaire SF36 v1.0 Standard Test Code Terminology
SF36101C100813SF361-In General You Say Your Health IsThe Short Form 36 Health Survey Standard, US Version 1.0 - In general, would you say your health is.SF36 v1.0 Standard - In General You Say Your Health Is
SF36102C100814SF361-Comp Year Ago Rate Gen Health NowThe Short Form 36 Health Survey Standard, US Version 1.0 - Compared to one year ago, how would you rate your health in general now?SF36 v1.0 Standard - Comp Year Ago Rate Gen Health Now
SF36103AC100815SF361-Limit Vigorous ActivitiesThe Short Form 36 Health Survey Standard, US Version 1.0 - How much does your health now limit you in - vigorous activities, such as running, lifting heavy objects, participating in strenuous sports.SF36 v1.0 Standard - Limit Vigorous Activities
SF36103BC100816SF361-Limit Moderate ActivitiesThe Short Form 36 Health Survey Standard, US Version 1.0 - How much does your health now limit you in - moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf.SF36 v1.0 Standard - Limit Moderate Activities
SF36103CC100817SF361-Limit Lifting or CarryingThe Short Form 36 Health Survey Standard, US Version 1.0 - How much does your health now limit you in - lifting or carrying groceries.SF36 v1.0 Standard - Limit Lifting or Carrying
SF36103DC100818SF361-Limit Climbing Several FlightsThe Short Form 36 Health Survey Standard, US Version 1.0 - How much does your health now limit you in - climbing several flights of stairs.SF36 v1.0 Standard - Limit Climbing Several Flights
SF36103EC100819SF361-Limit Climbing One Flight StairsThe Short Form 36 Health Survey Standard, US Version 1.0 - How much does your health now limit you in - climbing one flight of stairs.SF36 v1.0 Standard - Limit Climbing One Flight Stairs
SF36103FC100820SF361-Limit Bending/Kneeling/StoopingThe Short Form 36 Health Survey Standard, US Version 1.0 - How much does your health now limit you in - bending, kneeling, or stooping.SF36 v1.0 Standard - Limit Bending/Kneeling/Stooping
SF36103GC100821SF361-Limit Walking More Than a MileThe Short Form 36 Health Survey Standard, US Version 1.0 - How much does your health now limit you in - walking more than a mile.SF36 v1.0 Standard - Limit Walking More Than a Mile
SF36103HC100822SF361-Limit Walking Several BlocksThe Short Form 36 Health Survey Standard, US Version 1.0 - How much does your health now limit you in - walking several blocks.SF36 v1.0 Standard - Limit Walking Several Blocks
SF36103IC100823SF361-Limit Walking One BlockThe Short Form 36 Health Survey Standard, US Version 1.0 - How much does your health now limit you in - walking one block.SF36 v1.0 Standard - Limit Walking One Block
SF36103JC100824SF361-Limit Bathing or Dressing YourselfThe Short Form 36 Health Survey Standard, US Version 1.0 - How much does your health now limit you in - bathing or dressing yourself.SF36 v1.0 Standard - Limit Bathing or Dressing Yourself
SF36104AC100825SF361-Physical: Cut Down Time on WorkThe Short Form 36 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much of the time have you had any problems with your work or other regular daily activities as a result of your physical health - cut down on the amount of time you spent on work or other activities.SF36 v1.0 Standard - Physical: Cut Down Time on Work
SF36104BC100826SF361-Physical: Accomplished LessThe Short Form 36 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much of the time have you had any problems with your work or other regular daily activities as a result of your physical health - accomplished less than you would like.SF36 v1.0 Standard - Physical: Accomplished Less
SF36104CC100827SF361-Physical: Limited Kind of WorkThe Short Form 36 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much of the time have you had any problems with your work or other regular daily activities as a result of your physical health - were limited in the kind of work or other activities.SF36 v1.0 Standard - Physical: Limited Kind of Work
SF36104DC100828SF361-Physical: Difficulty Perform WorkThe Short Form 36 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much of the time have you had any problems with your work or other regular daily activities as a result of your physical health - had difficulty performing the work or other activities (for example, it took extra effort).SF36 v1.0 Standard - Physical: Difficulty Perform Work
SF36105AC100829SF361-Emotional: Cut Down Time on WorkThe Short Form 36 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much of the time have you had problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - cut down on the amount of time you spent on work or other activities.SF36 v1.0 Standard - Emotional: Cut Down Time on Work
SF36105BC100830SF361-Emotional: Accomplished LessThe Short Form 36 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much of the time have you had problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - accomplished less than you would like.SF36 v1.0 Standard - Emotional: Accomplished Less
SF36105CC100831SF361-Emotional: Did Work Less CarefullyThe Short Form 36 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much of the time have you had problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - did work or other activities less carefully than usual.SF36 v1.0 Standard - Emotional: Did Work Less Carefully
SF36106C100832SF361-Extent Phys/Emotional InterferedThe Short Form 36 Health Survey Standard, US Version 1.0 - During the past 4 weeks, to what extent has your physical health or emotional problems interfered with your normal social activities with family, friends, neighbors, or groups?SF36 v1.0 Standard - Extent Phys/Emotional Interfered
SF36107C100833SF361-How Much Bodily Pain Have You HadThe Short Form 36 Health Survey Standard, US Version 1.0 - How much bodily pain have you had during the past 4 weeks?SF36 v1.0 Standard - How Much Bodily Pain Have You Had
SF36108C100834SF361-Pain Interfere With Normal WorkThe Short Form 36 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much did pain interfere with your normal work (including both work outside the home and housework)?SF36 v1.0 Standard - Pain Interfere With Normal Work
SF36109AC100835SF361-Did You Feel Full of PepThe Short Form 36 Health Survey Standard, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - did you feel full of pep.SF36 v1.0 Standard - Did You Feel Full of Pep
SF36109BC100836SF361-Have You Been Very Nervous PersonThe Short Form 36 Health Survey Standard, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you been a very nervous person.SF36 v1.0 Standard - Have You Been Very Nervous Person
SF36109CC100837SF361-Felt Down Nothing Cheer You UpThe Short Form 36 Health Survey Standard, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you felt so down in the dumps that nothing could cheer you up.SF36 v1.0 Standard - Felt Down Nothing Cheer You Up
SF36109DC100838SF361-Have You Felt Calm and PeacefulThe Short Form 36 Health Survey Standard, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you felt calm and peaceful.SF36 v1.0 Standard - Have You Felt Calm and Peaceful
SF36109EC100839SF361-Did You Have a Lot of EnergyThe Short Form 36 Health Survey Standard, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - did you have a lot of energy.SF36 v1.0 Standard - Did You Have a Lot of Energy
SF36109FC100840SF361-You Felt Downhearted and BlueThe Short Form 36 Health Survey Standard, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you felt downhearted and blue.SF36 v1.0 Standard - You Felt Downhearted and Blue
SF36109GC100841SF361-Did You Feel Worn OutThe Short Form 36 Health Survey Standard, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - did you feel worn out.SF36 v1.0 Standard - Did You Feel Worn Out
SF36109HC100842SF361-Have You Been Happy PersonThe Short Form 36 Health Survey Standard, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you been a happy person.SF36 v1.0 Standard - Have You Been Happy Person
SF36109IC100843SF361-Did You Feel TiredThe Short Form 36 Health Survey Standard, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - did you feel tired.SF36 v1.0 Standard - Did You Feel Tired
SF36110C100844SF361-Time Phys/Emotional InterferedThe Short Form 36 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting friends, relatives, etc.)?SF36 v1.0 Standard - Time Phys/Emotional Interfered
SF36111AC100845SF361-Get Sick Little Easier Than OtherThe Short Form 36 Health Survey Standard, US Version 1.0 - How TRUE or FALSE is the following statement for you - I seem to get sick a little easier than other people.SF36 v1.0 Standard - Get Sick Little Easier Than Other
SF36111BC100846SF361-I Am as Healthy as Anybody I KnowThe Short Form 36 Health Survey Standard, US Version 1.0 - How TRUE or FALSE is the following statement for you - I am as healthy as anybody I know.SF36 v1.0 Standard - I Am as Healthy as Anybody I Know
SF36111CC100847SF361-I Expect My Health to Get WorseThe Short Form 36 Health Survey Standard, US Version 1.0 - How TRUE or FALSE is the following statement for you - I expect my health to get worse.SF36 v1.0 Standard - I Expect My Health to Get Worse
SF36111DC100848SF361-My Health is ExcellentThe Short Form 36 Health Survey Standard, US Version 1.0 - How TRUE or FALSE is the following statement for you - my health is excellentSF36 v1.0 Standard - My Health is Excellent
SF36112C176142SF361-Physical Functioning 0-100 ScoreThe Short Form 36 Health Survey Standard, US Version 1.0 - Physical functioning 0-100 score.SF36 v1.0 Standard - Physical Functioning 0-100 Score
SF36113C176143SF361-Role Physical 0-100 ScoreThe Short Form 36 Health Survey Standard, US Version 1.0 - Role physical 0-100 score.SF36 v1.0 Standard - Role Physical 0-100 Score
SF36114C176144SF361-Bodily Pain 0-100 ScoreThe Short Form 36 Health Survey Standard, US Version 1.0 - Bodily pain 0-100 score.SF36 v1.0 Standard - Bodily Pain 0-100 Score
SF36115C176145SF361-General Health 0-100 ScoreThe Short Form 36 Health Survey Standard, US Version 1.0 - General health 0-100 score.SF36 v1.0 Standard - General Health 0-100 Score
SF36116C176146SF361-Vitality 0-100 ScoreThe Short Form 36 Health Survey Standard, US Version 1.0 - Vitality 0-100 score.SF36 v1.0 Standard - Vitality 0-100 Score
SF36117C176147SF361-Social Functioning 0-100 ScoreThe Short Form 36 Health Survey Standard, US Version 1.0 - Social functioning 0-100 score.SF36 v1.0 Standard - Social Functioning 0-100 Score
SF36118C176148SF361-Role Emotional 0-100 ScoreThe Short Form 36 Health Survey Standard, US Version 1.0 - Role emotional 0-100 score.SF36 v1.0 Standard - Role Emotional 0-100 Score
SF36119C176149SF361-Mental Health 0-100 ScoreThe Short Form 36 Health Survey Standard, US Version 1.0 - Mental health 0-100 score.SF36 v1.0 Standard - Mental Health 0-100 Score
SF36120C176150SF361-Phys Functioning Norm-Based ScoreThe Short Form 36 Health Survey Standard, US Version 1.0 - Phys functioning norm-based score.SF36 v1.0 Standard - Phys Functioning Norm-Based Score
SF36121C176151SF361-Role Physical Norm-Based ScoreThe Short Form 36 Health Survey Standard, US Version 1.0 - Role physical norm-based score.SF36 v1.0 Standard - Role Physical Norm-Based Score
SF36122C176152SF361-Bodily Pain Norm-Based ScoreThe Short Form 36 Health Survey Standard, US Version 1.0 - Bodily pain norm-based score.SF36 v1.0 Standard - Bodily Pain Norm-Based Score
SF36123C176153SF361-General Health Norm-Based ScoreThe Short Form 36 Health Survey Standard, US Version 1.0 - General health norm-based score.SF36 v1.0 Standard - General Health Norm-Based Score
SF36124C176154SF361-Vitality Norm-Based ScoreThe Short Form 36 Health Survey Standard, US Version 1.0 - Vitality norm-based score.SF36 v1.0 Standard - Vitality Norm-Based Score
SF36125C176155SF361-Social Function Norm-Based ScoreThe Short Form 36 Health Survey Standard, US Version 1.0 - Social function norm-based score.SF36 v1.0 Standard - Social Function Norm-Based Score
SF36126C176156SF361-Role Emotional Norm-Based ScoreThe Short Form 36 Health Survey Standard, US Version 1.0 - Role emotional norm-based score.SF36 v1.0 Standard - Role Emotional Norm-Based Score
SF36127C176157SF361-Mental Health Norm-Based ScoreThe Short Form 36 Health Survey Standard, US Version 1.0 - Mental health norm-based score.SF36 v1.0 Standard - Mental Health Norm-Based Score
SF36128C176158SF361-Physical Component ScoreThe Short Form 36 Health Survey Standard, US Version 1.0 - Physical component score.SF36 v1.0 Standard - Physical Component Score
SF36129C176159SF361-Mental Component ScoreThe Short Form 36 Health Survey Standard, US Version 1.0 - Mental component score.SF36 v1.0 Standard - Mental Component Score
SF36130C176160SF361-SF-6D (Utility Index) ScoreThe Short Form 36 Health Survey Standard, US Version 1.0 - 6D (utility index) score.SF36 v1.0 Standard - SF-6D (Utility Index) Score
SF36131C176161SF361-SF-6D_R2 (Util Index Rel 2) ScoreThe Short Form 36 Health Survey Standard, US Version 1.0 - 6D_R2 (util index rel 2) score.SF36 v1.0 Standard - SF-6D_R2 (Util Index Rel 2) Score
SF36132C176162SF361-Response Consistency ScoreThe Short Form 36 Health Survey Standard, US Version 1.0 - Response consistency score.SF36 v1.0 Standard - Response Consistency Score
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CL.C100173.SF361TNThe Short Form 36 Health Survey Standard, US Version 1.0 Questionnaire Test Name
(SF361TN)
text
Extensible: No
C100173The Short Form 36 Health Survey Standard, US Version 1.0 Questionnaire Test NameThe Short Form 36 Health Survey Standard, US Version 1.0 test name.CDISC Questionnaire SF36 v1.0 Standard Test Name Terminology
SF361-Bodily Pain 0-100 ScoreC176144SF361-Bodily Pain 0-100 ScoreThe Short Form 36 Health Survey Standard, US Version 1.0 - Bodily pain 0-100 score.SF36 v1.0 Standard - Bodily Pain 0-100 Score
SF361-Bodily Pain Norm-Based ScoreC176152SF361-Bodily Pain Norm-Based ScoreThe Short Form 36 Health Survey Standard, US Version 1.0 - Bodily pain norm-based score.SF36 v1.0 Standard - Bodily Pain Norm-Based Score
SF361-Comp Year Ago Rate Gen Health NowC100814SF361-Comp Year Ago Rate Gen Health NowThe Short Form 36 Health Survey Standard, US Version 1.0 - Compared to one year ago, how would you rate your health in general now?SF36 v1.0 Standard - Comp Year Ago Rate Gen Health Now
SF361-Did You Feel Full of PepC100835SF361-Did You Feel Full of PepThe Short Form 36 Health Survey Standard, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - did you feel full of pep.SF36 v1.0 Standard - Did You Feel Full of Pep
SF361-Did You Feel TiredC100843SF361-Did You Feel TiredThe Short Form 36 Health Survey Standard, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - did you feel tired.SF36 v1.0 Standard - Did You Feel Tired
SF361-Did You Feel Worn OutC100841SF361-Did You Feel Worn OutThe Short Form 36 Health Survey Standard, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - did you feel worn out.SF36 v1.0 Standard - Did You Feel Worn Out
SF361-Did You Have a Lot of EnergyC100839SF361-Did You Have a Lot of EnergyThe Short Form 36 Health Survey Standard, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - did you have a lot of energy.SF36 v1.0 Standard - Did You Have a Lot of Energy
SF361-Emotional: Accomplished LessC100830SF361-Emotional: Accomplished LessThe Short Form 36 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much of the time have you had problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - accomplished less than you would like.SF36 v1.0 Standard - Emotional: Accomplished Less
SF361-Emotional: Cut Down Time on WorkC100829SF361-Emotional: Cut Down Time on WorkThe Short Form 36 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much of the time have you had problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - cut down on the amount of time you spent on work or other activities.SF36 v1.0 Standard - Emotional: Cut Down Time on Work
SF361-Emotional: Did Work Less CarefullyC100831SF361-Emotional: Did Work Less CarefullyThe Short Form 36 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much of the time have you had problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - did work or other activities less carefully than usual.SF36 v1.0 Standard - Emotional: Did Work Less Carefully
SF361-Extent Phys/Emotional InterferedC100832SF361-Extent Phys/Emotional InterferedThe Short Form 36 Health Survey Standard, US Version 1.0 - During the past 4 weeks, to what extent has your physical health or emotional problems interfered with your normal social activities with family, friends, neighbors, or groups?SF36 v1.0 Standard - Extent Phys/Emotional Interfered
SF361-Felt Down Nothing Cheer You UpC100837SF361-Felt Down Nothing Cheer You UpThe Short Form 36 Health Survey Standard, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you felt so down in the dumps that nothing could cheer you up.SF36 v1.0 Standard - Felt Down Nothing Cheer You Up
SF361-General Health 0-100 ScoreC176145SF361-General Health 0-100 ScoreThe Short Form 36 Health Survey Standard, US Version 1.0 - General health 0-100 score.SF36 v1.0 Standard - General Health 0-100 Score
SF361-General Health Norm-Based ScoreC176153SF361-General Health Norm-Based ScoreThe Short Form 36 Health Survey Standard, US Version 1.0 - General health norm-based score.SF36 v1.0 Standard - General Health Norm-Based Score
SF361-Get Sick Little Easier Than OtherC100845SF361-Get Sick Little Easier Than OtherThe Short Form 36 Health Survey Standard, US Version 1.0 - How TRUE or FALSE is the following statement for you - I seem to get sick a little easier than other people.SF36 v1.0 Standard - Get Sick Little Easier Than Other
SF361-Have You Been Happy PersonC100842SF361-Have You Been Happy PersonThe Short Form 36 Health Survey Standard, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you been a happy person.SF36 v1.0 Standard - Have You Been Happy Person
SF361-Have You Been Very Nervous PersonC100836SF361-Have You Been Very Nervous PersonThe Short Form 36 Health Survey Standard, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you been a very nervous person.SF36 v1.0 Standard - Have You Been Very Nervous Person
SF361-Have You Felt Calm and PeacefulC100838SF361-Have You Felt Calm and PeacefulThe Short Form 36 Health Survey Standard, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you felt calm and peaceful.SF36 v1.0 Standard - Have You Felt Calm and Peaceful
SF361-How Much Bodily Pain Have You HadC100833SF361-How Much Bodily Pain Have You HadThe Short Form 36 Health Survey Standard, US Version 1.0 - How much bodily pain have you had during the past 4 weeks?SF36 v1.0 Standard - How Much Bodily Pain Have You Had
SF361-I Am as Healthy as Anybody I KnowC100846SF361-I Am as Healthy as Anybody I KnowThe Short Form 36 Health Survey Standard, US Version 1.0 - How TRUE or FALSE is the following statement for you - I am as healthy as anybody I know.SF36 v1.0 Standard - I Am as Healthy as Anybody I Know
SF361-I Expect My Health to Get WorseC100847SF361-I Expect My Health to Get WorseThe Short Form 36 Health Survey Standard, US Version 1.0 - How TRUE or FALSE is the following statement for you - I expect my health to get worse.SF36 v1.0 Standard - I Expect My Health to Get Worse
SF361-In General You Say Your Health IsC100813SF361-In General You Say Your Health IsThe Short Form 36 Health Survey Standard, US Version 1.0 - In general, would you say your health is.SF36 v1.0 Standard - In General You Say Your Health Is
SF361-Limit Bathing or Dressing YourselfC100824SF361-Limit Bathing or Dressing YourselfThe Short Form 36 Health Survey Standard, US Version 1.0 - How much does your health now limit you in - bathing or dressing yourself.SF36 v1.0 Standard - Limit Bathing or Dressing Yourself
SF361-Limit Bending/Kneeling/StoopingC100820SF361-Limit Bending/Kneeling/StoopingThe Short Form 36 Health Survey Standard, US Version 1.0 - How much does your health now limit you in - bending, kneeling, or stooping.SF36 v1.0 Standard - Limit Bending/Kneeling/Stooping
SF361-Limit Climbing One Flight StairsC100819SF361-Limit Climbing One Flight StairsThe Short Form 36 Health Survey Standard, US Version 1.0 - How much does your health now limit you in - climbing one flight of stairs.SF36 v1.0 Standard - Limit Climbing One Flight Stairs
SF361-Limit Climbing Several FlightsC100818SF361-Limit Climbing Several FlightsThe Short Form 36 Health Survey Standard, US Version 1.0 - How much does your health now limit you in - climbing several flights of stairs.SF36 v1.0 Standard - Limit Climbing Several Flights
SF361-Limit Lifting or CarryingC100817SF361-Limit Lifting or CarryingThe Short Form 36 Health Survey Standard, US Version 1.0 - How much does your health now limit you in - lifting or carrying groceries.SF36 v1.0 Standard - Limit Lifting or Carrying
SF361-Limit Moderate ActivitiesC100816SF361-Limit Moderate ActivitiesThe Short Form 36 Health Survey Standard, US Version 1.0 - How much does your health now limit you in - moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf.SF36 v1.0 Standard - Limit Moderate Activities
SF361-Limit Vigorous ActivitiesC100815SF361-Limit Vigorous ActivitiesThe Short Form 36 Health Survey Standard, US Version 1.0 - How much does your health now limit you in - vigorous activities, such as running, lifting heavy objects, participating in strenuous sports.SF36 v1.0 Standard - Limit Vigorous Activities
SF361-Limit Walking More Than a MileC100821SF361-Limit Walking More Than a MileThe Short Form 36 Health Survey Standard, US Version 1.0 - How much does your health now limit you in - walking more than a mile.SF36 v1.0 Standard - Limit Walking More Than a Mile
SF361-Limit Walking One BlockC100823SF361-Limit Walking One BlockThe Short Form 36 Health Survey Standard, US Version 1.0 - How much does your health now limit you in - walking one block.SF36 v1.0 Standard - Limit Walking One Block
SF361-Limit Walking Several BlocksC100822SF361-Limit Walking Several BlocksThe Short Form 36 Health Survey Standard, US Version 1.0 - How much does your health now limit you in - walking several blocks.SF36 v1.0 Standard - Limit Walking Several Blocks
SF361-Mental Component ScoreC176159SF361-Mental Component ScoreThe Short Form 36 Health Survey Standard, US Version 1.0 - Mental component score.SF36 v1.0 Standard - Mental Component Score
SF361-Mental Health 0-100 ScoreC176149SF361-Mental Health 0-100 ScoreThe Short Form 36 Health Survey Standard, US Version 1.0 - Mental health 0-100 score.SF36 v1.0 Standard - Mental Health 0-100 Score
SF361-Mental Health Norm-Based ScoreC176157SF361-Mental Health Norm-Based ScoreThe Short Form 36 Health Survey Standard, US Version 1.0 - Mental health norm-based score.SF36 v1.0 Standard - Mental Health Norm-Based Score
SF361-My Health is ExcellentC100848SF361-My Health is ExcellentThe Short Form 36 Health Survey Standard, US Version 1.0 - How TRUE or FALSE is the following statement for you - my health is excellentSF36 v1.0 Standard - My Health is Excellent
SF361-Pain Interfere With Normal WorkC100834SF361-Pain Interfere With Normal WorkThe Short Form 36 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much did pain interfere with your normal work (including both work outside the home and housework)?SF36 v1.0 Standard - Pain Interfere With Normal Work
SF361-Phys Functioning Norm-Based ScoreC176150SF361-Phys Functioning Norm-Based ScoreThe Short Form 36 Health Survey Standard, US Version 1.0 - Phys functioning norm-based score.SF36 v1.0 Standard - Phys Functioning Norm-Based Score
SF361-Physical Component ScoreC176158SF361-Physical Component ScoreThe Short Form 36 Health Survey Standard, US Version 1.0 - Physical component score.SF36 v1.0 Standard - Physical Component Score
SF361-Physical Functioning 0-100 ScoreC176142SF361-Physical Functioning 0-100 ScoreThe Short Form 36 Health Survey Standard, US Version 1.0 - Physical functioning 0-100 score.SF36 v1.0 Standard - Physical Functioning 0-100 Score
SF361-Physical: Accomplished LessC100826SF361-Physical: Accomplished LessThe Short Form 36 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much of the time have you had any problems with your work or other regular daily activities as a result of your physical health - accomplished less than you would like.SF36 v1.0 Standard - Physical: Accomplished Less
SF361-Physical: Cut Down Time on WorkC100825SF361-Physical: Cut Down Time on WorkThe Short Form 36 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much of the time have you had any problems with your work or other regular daily activities as a result of your physical health - cut down on the amount of time you spent on work or other activities.SF36 v1.0 Standard - Physical: Cut Down Time on Work
SF361-Physical: Difficulty Perform WorkC100828SF361-Physical: Difficulty Perform WorkThe Short Form 36 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much of the time have you had any problems with your work or other regular daily activities as a result of your physical health - had difficulty performing the work or other activities (for example, it took extra effort).SF36 v1.0 Standard - Physical: Difficulty Perform Work
SF361-Physical: Limited Kind of WorkC100827SF361-Physical: Limited Kind of WorkThe Short Form 36 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much of the time have you had any problems with your work or other regular daily activities as a result of your physical health - were limited in the kind of work or other activities.SF36 v1.0 Standard - Physical: Limited Kind of Work
SF361-Response Consistency ScoreC176162SF361-Response Consistency ScoreThe Short Form 36 Health Survey Standard, US Version 1.0 - Response consistency score.SF36 v1.0 Standard - Response Consistency Score
SF361-Role Emotional 0-100 ScoreC176148SF361-Role Emotional 0-100 ScoreThe Short Form 36 Health Survey Standard, US Version 1.0 - Role emotional 0-100 score.SF36 v1.0 Standard - Role Emotional 0-100 Score
SF361-Role Emotional Norm-Based ScoreC176156SF361-Role Emotional Norm-Based ScoreThe Short Form 36 Health Survey Standard, US Version 1.0 - Role emotional norm-based score.SF36 v1.0 Standard - Role Emotional Norm-Based Score
SF361-Role Physical 0-100 ScoreC176143SF361-Role Physical 0-100 ScoreThe Short Form 36 Health Survey Standard, US Version 1.0 - Role physical 0-100 score.SF36 v1.0 Standard - Role Physical 0-100 Score
SF361-Role Physical Norm-Based ScoreC176151SF361-Role Physical Norm-Based ScoreThe Short Form 36 Health Survey Standard, US Version 1.0 - Role physical norm-based score.SF36 v1.0 Standard - Role Physical Norm-Based Score
SF361-SF-6D (Utility Index) ScoreC176160SF361-SF-6D (Utility Index) ScoreThe Short Form 36 Health Survey Standard, US Version 1.0 - 6D (utility index) score.SF36 v1.0 Standard - SF-6D (Utility Index) Score
SF361-SF-6D_R2 (Util Index Rel 2) ScoreC176161SF361-SF-6D_R2 (Util Index Rel 2) ScoreThe Short Form 36 Health Survey Standard, US Version 1.0 - 6D_R2 (util index rel 2) score.SF36 v1.0 Standard - SF-6D_R2 (Util Index Rel 2) Score
SF361-Social Function Norm-Based ScoreC176155SF361-Social Function Norm-Based ScoreThe Short Form 36 Health Survey Standard, US Version 1.0 - Social function norm-based score.SF36 v1.0 Standard - Social Function Norm-Based Score
SF361-Social Functioning 0-100 ScoreC176147SF361-Social Functioning 0-100 ScoreThe Short Form 36 Health Survey Standard, US Version 1.0 - Social functioning 0-100 score.SF36 v1.0 Standard - Social Functioning 0-100 Score
SF361-Time Phys/Emotional InterferedC100844SF361-Time Phys/Emotional InterferedThe Short Form 36 Health Survey Standard, US Version 1.0 - During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting friends, relatives, etc.)?SF36 v1.0 Standard - Time Phys/Emotional Interfered
SF361-Vitality 0-100 ScoreC176146SF361-Vitality 0-100 ScoreThe Short Form 36 Health Survey Standard, US Version 1.0 - Vitality 0-100 score.SF36 v1.0 Standard - Vitality 0-100 Score
SF361-Vitality Norm-Based ScoreC176154SF361-Vitality Norm-Based ScoreThe Short Form 36 Health Survey Standard, US Version 1.0 - Vitality norm-based score.SF36 v1.0 Standard - Vitality Norm-Based Score
SF361-You Felt Downhearted and BlueC100840SF361-You Felt Downhearted and BlueThe Short Form 36 Health Survey Standard, US Version 1.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you felt downhearted and blue.SF36 v1.0 Standard - You Felt Downhearted and Blue
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CL.C101826.SF363TCThe Short Form 36 Health Survey Standard, US Version 2.0 Questionnaire Test Code
(SF363TC)
text
Extensible: No
C101826The Short Form 36 Health Survey Standard, US Version 2.0 Questionnaire Test CodeThe Short Form 36 Health Survey Standard, US Version 2.0 test code.CDISC Questionnaire SF36 v2.0 Standard Test Code Terminology
SF36301C102197SF363-In General You Say Your Health IsThe Short Form 36 Health Survey Standard, US Version 2.0 - In general, would you say your health is.SF-36 v2.0 Standard - In General You Say Your Health Is
SF36302C102198SF363-Comp Year Ago Rate Gen Health NowThe Short Form 36 Health Survey Standard, US Version 2.0 - Compared to one year ago, how would you rate your health in general now?SF-36 v2.0 Standard - Comp Year Ago Rate Gen Health Now
SF36303AC102199SF363-Limit Vigorous ActivitiesThe Short Form 36 Health Survey Standard, US Version 2.0 - How much does your health now limit you in - vigorous activities, such as running, lifting heavy objects, participating in strenuous sports.SF-36 v2.0 Standard - Limit Vigorous Activities
SF36303BC102200SF363-Limit Moderate ActivitiesThe Short Form 36 Health Survey Standard, US Version 2.0 - How much does your health now limit you in - moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf.SF-36 v2.0 Standard - Limit Moderate Activities
SF36303CC102201SF363-Limit Lifting or CarryingThe Short Form 36 Health Survey Standard, US Version 2.0 - How much does your health now limit you in - lifting or carrying groceries.SF-36 v2.0 Standard - Limit Lifting or Carrying
SF36303DC102202SF363-Limit Climbing Several FlightsThe Short Form 36 Health Survey Standard, US Version 2.0 - How much does your health now limit you in - climbing several flights of stairs.SF-36 v2.0 Standard - Limit Climbing Several Flights
SF36303EC102203SF363-Limit Climbing One Flight StairsThe Short Form 36 Health Survey Standard, US Version 2.0 - How much does your health now limit you in - climbing one flight of stairs.SF-36 v2.0 Standard - Limit Climbing One Flight Stairs
SF36303FC102204SF363-Limit Bending/Kneeling/StoopingThe Short Form 36 Health Survey Standard, US Version 2.0 - How much does your health now limit you in - bending, kneeling, or stooping.SF-36 v2.0 Standard - Limit Bending/Kneeling/Stooping
SF36303GC102205SF363-Limit Walking More Than a MileThe Short Form 36 Health Survey Standard, US Version 2.0 - How much does your health now limit you in - walking more than a mile.SF-36 v2.0 Standard - Limit Walking More Than a Mile
SF36303HC102206SF363-Limit Walking Several Hundred YdsThe Short Form 36 Health Survey Standard, US Version 2.0 - How much does your health now limit you in - walking several hundred yards.SF-36 v2.0 Standard - Limit Walking Several Hundred Yds
SF36303IC102207SF363-Limit Walking One Hundred YardsThe Short Form 36 Health Survey Standard, US Version 2.0 - How much does your health now limit you in - walking one hundred yards.SF-36 v2.0 Standard - Limit Walking One Hundred Yards
SF36303JC102208SF363-Limit Bathing or Dressing YourselfThe Short Form 36 Health Survey Standard, US Version 2.0 - How much does your health now limit you in - bathing or dressing yourself.SF-36 v2.0 Standard - Limit Bathing or Dressing Yourself
SF36304AC102209SF363-Physical: Cut Down Time on WorkThe Short Form 36 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time have you had any problems with your work or other regular daily activities as a result of your physical health - cut down on the amount of time you spent on work or other activities.SF-36 v2.0 Standard - Physical: Cut Down Time on Work
SF36304BC102210SF363-Physical: Accomplished LessThe Short Form 36 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time have you had any problems with your work or other regular daily activities as a result of your physical health - accomplished less than you would like.SF-36 v2.0 Standard - Physical: Accomplished Less
SF36304CC102211SF363-Physical: Limited Kind of WorkThe Short Form 36 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time have you had any problems with your work or other regular daily activities as a result of your physical health - were limited in the kind of work or other activities.SF-36 v2.0 Standard - Physical: Limited Kind of Work
SF36304DC102212SF363-Physical: Difficulty Perform WorkThe Short Form 36 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time have you had any problems with your work or other regular daily activities as a result of your physical health - had difficulty performing the work or other activities (for example, it took extra effort).SF-36 v2.0 Standard - Physical: Difficulty Perform Work
SF36305AC102213SF363-Emotional: Cut Down Time on WorkThe Short Form 36 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time have you had problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - cut down on the amount of time you spent on work or other activities.SF-36 v2.0 Standard - Emotional: Cut Down Time on Work
SF36305BC102214SF363-Emotional: Accomplished LessThe Short Form 36 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time have you had problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - accomplished less than you would like.SF-36 v2.0 Standard - Emotional: Accomplished Less
SF36305CC102215SF363-Emotional: Did Work Less CarefullyThe Short Form 36 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time have you had problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - did work or other activities less carefully than usual.SF-36 v2.0 Standard - Emotional: Did Work Less Carefully
SF36306C102216SF363-Extent Phys/Emotional InterferedThe Short Form 36 Health Survey Standard, US Version 2.0 - During the past 4 weeks, to what extent has your physical health or emotional problems interfered with your normal social activities with family, friends, neighbors, or groups?SF-36 v2.0 Standard - Extent Phys/Emotional Interfered
SF36307C102217SF363-How Much Bodily Pain Have You HadThe Short Form 36 Health Survey Standard, US Version 2.0 - How much bodily pain have you had during the past 4 weeks?SF-36 v2.0 Standard - How Much Bodily Pain Have You Had
SF36308C102218SF363-Pain Interfere With Normal WorkThe Short Form 36 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much did pain interfere with your normal work (including both work outside the home and housework)?SF-36 v2.0 Standard - Pain Interfere With Normal Work
SF36309AC102219SF363-Did You Feel Full of LifeThe Short Form 36 Health Survey Standard, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - did you feel full of life.SF-36 v2.0 Standard - Did You Feel Full of Life
SF36309BC102220SF363-Have You Been Very NervousThe Short Form 36 Health Survey Standard, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you been very nervous.SF-36 v2.0 Standard - Have You Been Very Nervous
SF36309CC102221SF363-Felt Down Nothing Cheer You UpThe Short Form 36 Health Survey Standard, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you felt so down in the dumps that nothing could cheer you up.SF-36 v2.0 Standard - Felt Down Nothing Cheer You Up
SF36309DC102222SF363-Have You Felt Calm and PeacefulThe Short Form 36 Health Survey Standard, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you felt calm and peaceful.SF-36 v2.0 Standard - Have You Felt Calm and Peaceful
SF36309EC102223SF363-Did You Have a Lot of EnergyThe Short Form 36 Health Survey Standard, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - did you have a lot of energy.SF-36 v2.0 Standard - Did You Have a Lot of Energy
SF36309FC102224SF363-You Felt Downhearted and DepressedThe Short Form 36 Health Survey Standard, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you felt downhearted and depressed.SF-36 v2.0 Standard - You Felt Downhearted and Depressed
SF36309GC102225SF363-Did You Feel Worn OutThe Short Form 36 Health Survey Standard, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - did you feel worn out.SF-36 v2.0 Standard - Did You Feel Worn Out
SF36309HC102226SF363-Have You Been HappyThe Short Form 36 Health Survey Standard, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you been happy.SF-36 v2.0 Standard - Have You Been Happy
SF36309IC102227SF363-Did You Feel TiredThe Short Form 36 Health Survey Standard, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - did you feel tired.SF-36 v2.0 Standard - Did You Feel Tired
SF36310C102228SF363-Time Phys/Emotional InterferedThe Short Form 36 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting friends, relatives, etc.)?SF-36 v2.0 Standard - Time Phys/Emotional Interfered
SF36311AC102229SF363-Get Sick Little Easier Than OtherThe Short Form 36 Health Survey Standard, US Version 2.0 - How TRUE or FALSE is the following statement for you - I seem to get sick a little easier than other people.SF-36 v2.0 Standard - Get Sick Little Easier Than Other
SF36311BC102230SF363-I Am as Healthy as Anybody I KnowThe Short Form 36 Health Survey Standard, US Version 2.0 - How TRUE or FALSE is the following statement for you - I am as healthy as anybody I know.SF-36 v2.0 Standard - I Am as Healthy as Anybody I Know
SF36311CC102231SF363-I Expect My Health to Get WorseThe Short Form 36 Health Survey Standard, US Version 2.0 - How TRUE or FALSE is the following statement for you - I expect my health to get worse.SF-36 v2.0 Standard - I Expect My Health to Get Worse
SF36311DC102232SF363-My Health is ExcellentThe Short Form 36 Health Survey Standard, US Version 2.0 - How TRUE or FALSE is the following statement for you - my health is excellentSF-36 v2.0 Standard - My Health is Excellent
SF36312C176184SF363-Physical Functioning 0-100 ScoreThe Short Form 36 Health Survey Standard, US Version 2.0 - Physical functioning 0-100 score.SF-36 v2.0 Standard - Physical Functioning 0-100 Score
SF36313C176185SF363-Role Physical 0-100 ScoreThe Short Form 36 Health Survey Standard, US Version 2.0 - Role physical 0-100 score.SF-36 v2.0 Standard - Role Physical 0-100 Score
SF36314C176186SF363-Bodily Pain 0-100 ScoreThe Short Form 36 Health Survey Standard, US Version 2.0 - Bodily pain 0-100 score.SF-36 v2.0 Standard - Bodily Pain 0-100 Score
SF36315C176187SF363-General Health 0-100 ScoreThe Short Form 36 Health Survey Standard, US Version 2.0 - General health 0-100 score.SF-36 v2.0 Standard - General Health 0-100 Score
SF36316C176188SF363-Vitality 0-100 ScoreThe Short Form 36 Health Survey Standard, US Version 2.0 - Vitality 0-100 score.SF-36 v2.0 Standard - Vitality 0-100 Score
SF36317C176189SF363-Social Functioning 0-100 ScoreThe Short Form 36 Health Survey Standard, US Version 2.0 - Social functioning 0-100 score.SF-36 v2.0 Standard - Social Functioning 0-100 Score
SF36318C176190SF363-Role Emotional 0-100 ScoreThe Short Form 36 Health Survey Standard, US Version 2.0 - Role emotional 0-100 score.SF-36 v2.0 Standard - Role Emotional 0-100 Score
SF36319C176191SF363-Mental Health 0-100 ScoreThe Short Form 36 Health Survey Standard, US Version 2.0 - Mental health 0-100 score.SF-36 v2.0 Standard - Mental Health 0-100 Score
SF36320C176192SF363-Phys Functioning Norm-Based ScoreThe Short Form 36 Health Survey Standard, US Version 2.0 - Phys functioning norm-based score.SF-36 v2.0 Standard - Phys Functioning Norm-Based Score
SF36321C176193SF363-Role Physical Norm-Based ScoreThe Short Form 36 Health Survey Standard, US Version 2.0 - Role physical norm-based score.SF-36 v2.0 Standard - Role Physical Norm-Based Score
SF36322C176194SF363-Bodily Pain Norm-Based ScoreThe Short Form 36 Health Survey Standard, US Version 2.0 - Bodily pain norm-based score.SF-36 v2.0 Standard - Bodily Pain Norm-Based Score
SF36323C176195SF363-General Health Norm-Based ScoreThe Short Form 36 Health Survey Standard, US Version 2.0 - General health norm-based score.SF-36 v2.0 Standard - General Health Norm-Based Score
SF36324C176196SF363-Vitality Norm-Based ScoreThe Short Form 36 Health Survey Standard, US Version 2.0 - Vitality norm-based score.SF-36 v2.0 Standard - Vitality Norm-Based Score
SF36325C176197SF363-Social Function Norm-Based ScoreThe Short Form 36 Health Survey Standard, US Version 2.0 - Social function norm-based score.SF-36 v2.0 Standard - Social Function Norm-Based Score
SF36326C176198SF363-Role Emotional Norm-Based ScoreThe Short Form 36 Health Survey Standard, US Version 2.0 - Role emotional norm-based score.SF-36 v2.0 Standard - Role Emotional Norm-Based Score
SF36327C176199SF363-Mental Health Norm-Based ScoreThe Short Form 36 Health Survey Standard, US Version 2.0 - Mental health norm-based score.SF-36 v2.0 Standard - Mental Health Norm-Based Score
SF36328C176200SF363-Physical Component ScoreThe Short Form 36 Health Survey Standard, US Version 2.0 - Physical component score.SF-36 v2.0 Standard - Physical Component Score
SF36329C176201SF363-Mental Component ScoreThe Short Form 36 Health Survey Standard, US Version 2.0 - Mental component score.SF-36 v2.0 Standard - Mental Component Score
SF36330C176202SF363-SF-6D (Utility Index) ScoreThe Short Form 36 Health Survey Standard, US Version 2.0 - 6D (utility index) score.SF-36 v2.0 Standard - SF-6D (Utility Index) Score
SF36331C176203SF363-SF-6D_R2 (Util Index Rel 2) ScoreThe Short Form 36 Health Survey Standard, US Version 2.0 - 6D_R2 (util index rel 2) score.SF-36 v2.0 Standard - SF-6D_R2 (Util Index Rel 2) Score
SF36332C176204SF363-Mental Health Enhanced ScoreThe Short Form 36 Health Survey Standard, US Version 2.0 - Mental health enhanced score.SF-36 v2.0 Standard - Mental Health Enhanced Score
SF36333C180248SF363-Response Consistency ScoreThe Short Form 36 Health Survey Standard, US Version 2.0 - Response consistency score.SF-36 v2.0 Standard - Response Consistency Score
SF36334C185787SF363-Utility Index Score UK WeightsThe Short Form 36 Health Survey Standard, US Version 2.0 - Utility index score United Kingdom weights.SF-36 v2.0 Standard - Utility Index Score UK Weights
SF36335C185788SF363-Utility Index Score CN WeightsThe Short Form 36 Health Survey Standard, US Version 2.0 - Utility index score Canada weights.SF-36 v2.0 Standard - Utility Index Score CN Weights
SF36336C185789SF363-Utility Index Score AU WeightsThe Short Form 36 Health Survey Standard, US Version 2.0 - Utility index score Australia weights.SF-36 v2.0 Standard - Utility Index Score AU Weights
SF36337C185790SF363-Utility Index Score US WeightsThe Short Form 36 Health Survey Standard, US Version 2.0 - Utility index score United States weights.SF-36 v2.0 Standard - Utility Index Score US Weights
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CL.C101827.SF363TNThe Short Form 36 Health Survey Standard, US Version 2.0 Questionnaire Test Name
(SF363TN)
text
Extensible: No
C101827The Short Form 36 Health Survey Standard, US Version 2.0 Questionnaire Test NameThe Short Form 36 Health Survey Standard, US Version 2.0 test name.CDISC Questionnaire SF36 v2.0 Standard Test Name Terminology
SF363-Bodily Pain 0-100 ScoreC176186SF363-Bodily Pain 0-100 ScoreThe Short Form 36 Health Survey Standard, US Version 2.0 - Bodily pain 0-100 score.SF-36 v2.0 Standard - Bodily Pain 0-100 Score
SF363-Bodily Pain Norm-Based ScoreC176194SF363-Bodily Pain Norm-Based ScoreThe Short Form 36 Health Survey Standard, US Version 2.0 - Bodily pain norm-based score.SF-36 v2.0 Standard - Bodily Pain Norm-Based Score
SF363-Comp Year Ago Rate Gen Health NowC102198SF363-Comp Year Ago Rate Gen Health NowThe Short Form 36 Health Survey Standard, US Version 2.0 - Compared to one year ago, how would you rate your health in general now?SF-36 v2.0 Standard - Comp Year Ago Rate Gen Health Now
SF363-Did You Feel Full of LifeC102219SF363-Did You Feel Full of LifeThe Short Form 36 Health Survey Standard, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - did you feel full of life.SF-36 v2.0 Standard - Did You Feel Full of Life
SF363-Did You Feel TiredC102227SF363-Did You Feel TiredThe Short Form 36 Health Survey Standard, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - did you feel tired.SF-36 v2.0 Standard - Did You Feel Tired
SF363-Did You Feel Worn OutC102225SF363-Did You Feel Worn OutThe Short Form 36 Health Survey Standard, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - did you feel worn out.SF-36 v2.0 Standard - Did You Feel Worn Out
SF363-Did You Have a Lot of EnergyC102223SF363-Did You Have a Lot of EnergyThe Short Form 36 Health Survey Standard, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - did you have a lot of energy.SF-36 v2.0 Standard - Did You Have a Lot of Energy
SF363-Emotional: Accomplished LessC102214SF363-Emotional: Accomplished LessThe Short Form 36 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time have you had problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - accomplished less than you would like.SF-36 v2.0 Standard - Emotional: Accomplished Less
SF363-Emotional: Cut Down Time on WorkC102213SF363-Emotional: Cut Down Time on WorkThe Short Form 36 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time have you had problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - cut down on the amount of time you spent on work or other activities.SF-36 v2.0 Standard - Emotional: Cut Down Time on Work
SF363-Emotional: Did Work Less CarefullyC102215SF363-Emotional: Did Work Less CarefullyThe Short Form 36 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time have you had problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious) - did work or other activities less carefully than usual.SF-36 v2.0 Standard - Emotional: Did Work Less Carefully
SF363-Extent Phys/Emotional InterferedC102216SF363-Extent Phys/Emotional InterferedThe Short Form 36 Health Survey Standard, US Version 2.0 - During the past 4 weeks, to what extent has your physical health or emotional problems interfered with your normal social activities with family, friends, neighbors, or groups?SF-36 v2.0 Standard - Extent Phys/Emotional Interfered
SF363-Felt Down Nothing Cheer You UpC102221SF363-Felt Down Nothing Cheer You UpThe Short Form 36 Health Survey Standard, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you felt so down in the dumps that nothing could cheer you up.SF-36 v2.0 Standard - Felt Down Nothing Cheer You Up
SF363-General Health 0-100 ScoreC176187SF363-General Health 0-100 ScoreThe Short Form 36 Health Survey Standard, US Version 2.0 - General health 0-100 score.SF-36 v2.0 Standard - General Health 0-100 Score
SF363-General Health Norm-Based ScoreC176195SF363-General Health Norm-Based ScoreThe Short Form 36 Health Survey Standard, US Version 2.0 - General health norm-based score.SF-36 v2.0 Standard - General Health Norm-Based Score
SF363-Get Sick Little Easier Than OtherC102229SF363-Get Sick Little Easier Than OtherThe Short Form 36 Health Survey Standard, US Version 2.0 - How TRUE or FALSE is the following statement for you - I seem to get sick a little easier than other people.SF-36 v2.0 Standard - Get Sick Little Easier Than Other
SF363-Have You Been HappyC102226SF363-Have You Been HappyThe Short Form 36 Health Survey Standard, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you been happy.SF-36 v2.0 Standard - Have You Been Happy
SF363-Have You Been Very NervousC102220SF363-Have You Been Very NervousThe Short Form 36 Health Survey Standard, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you been very nervous.SF-36 v2.0 Standard - Have You Been Very Nervous
SF363-Have You Felt Calm and PeacefulC102222SF363-Have You Felt Calm and PeacefulThe Short Form 36 Health Survey Standard, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you felt calm and peaceful.SF-36 v2.0 Standard - Have You Felt Calm and Peaceful
SF363-How Much Bodily Pain Have You HadC102217SF363-How Much Bodily Pain Have You HadThe Short Form 36 Health Survey Standard, US Version 2.0 - How much bodily pain have you had during the past 4 weeks?SF-36 v2.0 Standard - How Much Bodily Pain Have You Had
SF363-I Am as Healthy as Anybody I KnowC102230SF363-I Am as Healthy as Anybody I KnowThe Short Form 36 Health Survey Standard, US Version 2.0 - How TRUE or FALSE is the following statement for you - I am as healthy as anybody I know.SF-36 v2.0 Standard - I Am as Healthy as Anybody I Know
SF363-I Expect My Health to Get WorseC102231SF363-I Expect My Health to Get WorseThe Short Form 36 Health Survey Standard, US Version 2.0 - How TRUE or FALSE is the following statement for you - I expect my health to get worse.SF-36 v2.0 Standard - I Expect My Health to Get Worse
SF363-In General You Say Your Health IsC102197SF363-In General You Say Your Health IsThe Short Form 36 Health Survey Standard, US Version 2.0 - In general, would you say your health is.SF-36 v2.0 Standard - In General You Say Your Health Is
SF363-Limit Bathing or Dressing YourselfC102208SF363-Limit Bathing or Dressing YourselfThe Short Form 36 Health Survey Standard, US Version 2.0 - How much does your health now limit you in - bathing or dressing yourself.SF-36 v2.0 Standard - Limit Bathing or Dressing Yourself
SF363-Limit Bending/Kneeling/StoopingC102204SF363-Limit Bending/Kneeling/StoopingThe Short Form 36 Health Survey Standard, US Version 2.0 - How much does your health now limit you in - bending, kneeling, or stooping.SF-36 v2.0 Standard - Limit Bending/Kneeling/Stooping
SF363-Limit Climbing One Flight StairsC102203SF363-Limit Climbing One Flight StairsThe Short Form 36 Health Survey Standard, US Version 2.0 - How much does your health now limit you in - climbing one flight of stairs.SF-36 v2.0 Standard - Limit Climbing One Flight Stairs
SF363-Limit Climbing Several FlightsC102202SF363-Limit Climbing Several FlightsThe Short Form 36 Health Survey Standard, US Version 2.0 - How much does your health now limit you in - climbing several flights of stairs.SF-36 v2.0 Standard - Limit Climbing Several Flights
SF363-Limit Lifting or CarryingC102201SF363-Limit Lifting or CarryingThe Short Form 36 Health Survey Standard, US Version 2.0 - How much does your health now limit you in - lifting or carrying groceries.SF-36 v2.0 Standard - Limit Lifting or Carrying
SF363-Limit Moderate ActivitiesC102200SF363-Limit Moderate ActivitiesThe Short Form 36 Health Survey Standard, US Version 2.0 - How much does your health now limit you in - moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf.SF-36 v2.0 Standard - Limit Moderate Activities
SF363-Limit Vigorous ActivitiesC102199SF363-Limit Vigorous ActivitiesThe Short Form 36 Health Survey Standard, US Version 2.0 - How much does your health now limit you in - vigorous activities, such as running, lifting heavy objects, participating in strenuous sports.SF-36 v2.0 Standard - Limit Vigorous Activities
SF363-Limit Walking More Than a MileC102205SF363-Limit Walking More Than a MileThe Short Form 36 Health Survey Standard, US Version 2.0 - How much does your health now limit you in - walking more than a mile.SF-36 v2.0 Standard - Limit Walking More Than a Mile
SF363-Limit Walking One Hundred YardsC102207SF363-Limit Walking One Hundred YardsThe Short Form 36 Health Survey Standard, US Version 2.0 - How much does your health now limit you in - walking one hundred yards.SF-36 v2.0 Standard - Limit Walking One Hundred Yards
SF363-Limit Walking Several Hundred YdsC102206SF363-Limit Walking Several Hundred YdsThe Short Form 36 Health Survey Standard, US Version 2.0 - How much does your health now limit you in - walking several hundred yards.SF-36 v2.0 Standard - Limit Walking Several Hundred Yds
SF363-Mental Component ScoreC176201SF363-Mental Component ScoreThe Short Form 36 Health Survey Standard, US Version 2.0 - Mental component score.SF-36 v2.0 Standard - Mental Component Score
SF363-Mental Health 0-100 ScoreC176191SF363-Mental Health 0-100 ScoreThe Short Form 36 Health Survey Standard, US Version 2.0 - Mental health 0-100 score.SF-36 v2.0 Standard - Mental Health 0-100 Score
SF363-Mental Health Enhanced ScoreC176204SF363-Mental Health Enhanced ScoreThe Short Form 36 Health Survey Standard, US Version 2.0 - Mental health enhanced score.SF-36 v2.0 Standard - Mental Health Enhanced Score
SF363-Mental Health Norm-Based ScoreC176199SF363-Mental Health Norm-Based ScoreThe Short Form 36 Health Survey Standard, US Version 2.0 - Mental health norm-based score.SF-36 v2.0 Standard - Mental Health Norm-Based Score
SF363-My Health is ExcellentC102232SF363-My Health is ExcellentThe Short Form 36 Health Survey Standard, US Version 2.0 - How TRUE or FALSE is the following statement for you - my health is excellentSF-36 v2.0 Standard - My Health is Excellent
SF363-Pain Interfere With Normal WorkC102218SF363-Pain Interfere With Normal WorkThe Short Form 36 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much did pain interfere with your normal work (including both work outside the home and housework)?SF-36 v2.0 Standard - Pain Interfere With Normal Work
SF363-Phys Functioning Norm-Based ScoreC176192SF363-Phys Functioning Norm-Based ScoreThe Short Form 36 Health Survey Standard, US Version 2.0 - Phys functioning norm-based score.SF-36 v2.0 Standard - Phys Functioning Norm-Based Score
SF363-Physical Component ScoreC176200SF363-Physical Component ScoreThe Short Form 36 Health Survey Standard, US Version 2.0 - Physical component score.SF-36 v2.0 Standard - Physical Component Score
SF363-Physical Functioning 0-100 ScoreC176184SF363-Physical Functioning 0-100 ScoreThe Short Form 36 Health Survey Standard, US Version 2.0 - Physical functioning 0-100 score.SF-36 v2.0 Standard - Physical Functioning 0-100 Score
SF363-Physical: Accomplished LessC102210SF363-Physical: Accomplished LessThe Short Form 36 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time have you had any problems with your work or other regular daily activities as a result of your physical health - accomplished less than you would like.SF-36 v2.0 Standard - Physical: Accomplished Less
SF363-Physical: Cut Down Time on WorkC102209SF363-Physical: Cut Down Time on WorkThe Short Form 36 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time have you had any problems with your work or other regular daily activities as a result of your physical health - cut down on the amount of time you spent on work or other activities.SF-36 v2.0 Standard - Physical: Cut Down Time on Work
SF363-Physical: Difficulty Perform WorkC102212SF363-Physical: Difficulty Perform WorkThe Short Form 36 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time have you had any problems with your work or other regular daily activities as a result of your physical health - had difficulty performing the work or other activities (for example, it took extra effort).SF-36 v2.0 Standard - Physical: Difficulty Perform Work
SF363-Physical: Limited Kind of WorkC102211SF363-Physical: Limited Kind of WorkThe Short Form 36 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time have you had any problems with your work or other regular daily activities as a result of your physical health - were limited in the kind of work or other activities.SF-36 v2.0 Standard - Physical: Limited Kind of Work
SF363-Response Consistency ScoreC180248SF363-Response Consistency ScoreThe Short Form 36 Health Survey Standard, US Version 2.0 - Response consistency score.SF-36 v2.0 Standard - Response Consistency Score
SF363-Role Emotional 0-100 ScoreC176190SF363-Role Emotional 0-100 ScoreThe Short Form 36 Health Survey Standard, US Version 2.0 - Role emotional 0-100 score.SF-36 v2.0 Standard - Role Emotional 0-100 Score
SF363-Role Emotional Norm-Based ScoreC176198SF363-Role Emotional Norm-Based ScoreThe Short Form 36 Health Survey Standard, US Version 2.0 - Role emotional norm-based score.SF-36 v2.0 Standard - Role Emotional Norm-Based Score
SF363-Role Physical 0-100 ScoreC176185SF363-Role Physical 0-100 ScoreThe Short Form 36 Health Survey Standard, US Version 2.0 - Role physical 0-100 score.SF-36 v2.0 Standard - Role Physical 0-100 Score
SF363-Role Physical Norm-Based ScoreC176193SF363-Role Physical Norm-Based ScoreThe Short Form 36 Health Survey Standard, US Version 2.0 - Role physical norm-based score.SF-36 v2.0 Standard - Role Physical Norm-Based Score
SF363-SF-6D (Utility Index) ScoreC176202SF363-SF-6D (Utility Index) ScoreThe Short Form 36 Health Survey Standard, US Version 2.0 - 6D (utility index) score.SF-36 v2.0 Standard - SF-6D (Utility Index) Score
SF363-SF-6D_R2 (Util Index Rel 2) ScoreC176203SF363-SF-6D_R2 (Util Index Rel 2) ScoreThe Short Form 36 Health Survey Standard, US Version 2.0 - 6D_R2 (util index rel 2) score.SF-36 v2.0 Standard - SF-6D_R2 (Util Index Rel 2) Score
SF363-Social Function Norm-Based ScoreC176197SF363-Social Function Norm-Based ScoreThe Short Form 36 Health Survey Standard, US Version 2.0 - Social function norm-based score.SF-36 v2.0 Standard - Social Function Norm-Based Score
SF363-Social Functioning 0-100 ScoreC176189SF363-Social Functioning 0-100 ScoreThe Short Form 36 Health Survey Standard, US Version 2.0 - Social functioning 0-100 score.SF-36 v2.0 Standard - Social Functioning 0-100 Score
SF363-Time Phys/Emotional InterferedC102228SF363-Time Phys/Emotional InterferedThe Short Form 36 Health Survey Standard, US Version 2.0 - During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting friends, relatives, etc.)?SF-36 v2.0 Standard - Time Phys/Emotional Interfered
SF363-Utility Index Score AU WeightsC185789SF363-Utility Index Score AU WeightsThe Short Form 36 Health Survey Standard, US Version 2.0 - Utility index score Australia weights.SF-36 v2.0 Standard - Utility Index Score AU Weights
SF363-Utility Index Score CN WeightsC185788SF363-Utility Index Score CN WeightsThe Short Form 36 Health Survey Standard, US Version 2.0 - Utility index score Canada weights.SF-36 v2.0 Standard - Utility Index Score CN Weights
SF363-Utility Index Score UK WeightsC185787SF363-Utility Index Score UK WeightsThe Short Form 36 Health Survey Standard, US Version 2.0 - Utility index score United Kingdom weights.SF-36 v2.0 Standard - Utility Index Score UK Weights
SF363-Utility Index Score US WeightsC185790SF363-Utility Index Score US WeightsThe Short Form 36 Health Survey Standard, US Version 2.0 - Utility index score United States weights.SF-36 v2.0 Standard - Utility Index Score US Weights
SF363-Vitality 0-100 ScoreC176188SF363-Vitality 0-100 ScoreThe Short Form 36 Health Survey Standard, US Version 2.0 - Vitality 0-100 score.SF-36 v2.0 Standard - Vitality 0-100 Score
SF363-Vitality Norm-Based ScoreC176196SF363-Vitality Norm-Based ScoreThe Short Form 36 Health Survey Standard, US Version 2.0 - Vitality norm-based score.SF-36 v2.0 Standard - Vitality Norm-Based Score
SF363-You Felt Downhearted and DepressedC102224SF363-You Felt Downhearted and DepressedThe Short Form 36 Health Survey Standard, US Version 2.0 - Please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks - have you felt downhearted and depressed.SF-36 v2.0 Standard - You Felt Downhearted and Depressed
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CL.C166186.WPAI02TCThe Work Productivity and Activity Impairment - General Health Version 2.0 Questionnaire Test Code
(WPAI02TC)
text
Extensible: No
C166186The Work Productivity and Activity Impairment - General Health Version 2.0 Questionnaire Test CodeThe Work Productivity and Activity Impairment - General Health Version 2.0 test code.CDISC Questionnaire WPAI-GH Version 2 Test Code Terminology
WPAI0201C166321WPAI02-Currently EmployedWork Productivity and Activity Impairment Questionnaire - General Health V2.0 - Are you currently employed (working for pay)?WPAI-GH Version 2 - Currently Employed
WPAI0202C166322WPAI02-Hours Miss Work Health ProblemsWork Productivity and Activity Impairment Questionnaire - General Health V2.0 - During the past seven days, how many hours did you miss from work because of your health problems?WPAI-GH Version 2 - Hours Miss Work Health Problems
WPAI0203C166323WPAI02-Hours Miss Work Other ReasonWork Productivity and Activity Impairment Questionnaire - General Health V2.0 - During the past seven days, how many hours did you miss from work because of any other reason, such as vacation, holidays, time off to participate in this study?WPAI-GH Version 2 - Hours Miss Work Other Reason
WPAI0204C166324WPAI02-Hours Actually WorkWork Productivity and Activity Impairment Questionnaire - General Health V2.0 - During the past seven days, how many hours did you actually work?WPAI-GH Version 2 - Hours Actually Work
WPAI0205C166325WPAI02-Problems Affect ProductivityWork Productivity and Activity Impairment Questionnaire - General Health V2.0 - During the past seven days, how much did your health problems affect your productivity while you were working?WPAI-GH Version 2 - Problems Affect Productivity
WPAI0206C166326WPAI02-Problems Affect Daily ActivitiesWork Productivity and Activity Impairment Questionnaire - General Health V2.0 - During the past seven days, how much did your health problems affect your ability to do your regular daily activities, other than work at a job?WPAI-GH Version 2 - Problems Affect Daily Activities
WPAI0207C166327WPAI02-Absenteeism ScoreWork Productivity and Activity Impairment Questionnaire - General Health V2.0 - Absenteeism score.WPAI-GH Version 2 - Absenteeism Score
WPAI0208C166328WPAI02-Presenteeism ScoreWork Productivity and Activity Impairment Questionnaire - General Health V2.0 - Presenteeism score.WPAI-GH Version 2 - Presenteeism Score
WPAI0209C166329WPAI02-Work Productivity Loss ScoreWork Productivity and Activity Impairment Questionnaire - General Health V2.0 - Work productivity loss score.WPAI-GH Version 2 - Work Productivity Loss Score
WPAI0210C166330WPAI02-Activity Impairment ScoreWork Productivity and Activity Impairment Questionnaire - General Health V2.0 - Activity impairment score.WPAI-GH Version 2 - Activity Impairment Score
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CL.C166185.WPAI02TNThe Work Productivity and Activity Impairment - General Health Version 2.0 Questionnaire Test Name
(WPAI02TN)
text
Extensible: No
C166185The Work Productivity and Activity Impairment - General Health Version 2.0 Questionnaire Test NameThe Work Productivity and Activity Impairment - General Health Version 2.0 test name.CDISC Questionnaire WPAI-GH Version 2 Test Name Terminology
WPAI02-Absenteeism ScoreC166327WPAI02-Absenteeism ScoreWork Productivity and Activity Impairment Questionnaire - General Health V2.0 - Absenteeism score.WPAI-GH Version 2 - Absenteeism Score
WPAI02-Activity Impairment ScoreC166330WPAI02-Activity Impairment ScoreWork Productivity and Activity Impairment Questionnaire - General Health V2.0 - Activity impairment score.WPAI-GH Version 2 - Activity Impairment Score
WPAI02-Currently EmployedC166321WPAI02-Currently EmployedWork Productivity and Activity Impairment Questionnaire - General Health V2.0 - Are you currently employed (working for pay)?WPAI-GH Version 2 - Currently Employed
WPAI02-Hours Actually WorkC166324WPAI02-Hours Actually WorkWork Productivity and Activity Impairment Questionnaire - General Health V2.0 - During the past seven days, how many hours did you actually work?WPAI-GH Version 2 - Hours Actually Work
WPAI02-Hours Miss Work Health ProblemsC166322WPAI02-Hours Miss Work Health ProblemsWork Productivity and Activity Impairment Questionnaire - General Health V2.0 - During the past seven days, how many hours did you miss from work because of your health problems?WPAI-GH Version 2 - Hours Miss Work Health Problems
WPAI02-Hours Miss Work Other ReasonC166323WPAI02-Hours Miss Work Other ReasonWork Productivity and Activity Impairment Questionnaire - General Health V2.0 - During the past seven days, how many hours did you miss from work because of any other reason, such as vacation, holidays, time off to participate in this study?WPAI-GH Version 2 - Hours Miss Work Other Reason
WPAI02-Presenteeism ScoreC166328WPAI02-Presenteeism ScoreWork Productivity and Activity Impairment Questionnaire - General Health V2.0 - Presenteeism score.WPAI-GH Version 2 - Presenteeism Score
WPAI02-Problems Affect Daily ActivitiesC166326WPAI02-Problems Affect Daily ActivitiesWork Productivity and Activity Impairment Questionnaire - General Health V2.0 - During the past seven days, how much did your health problems affect your ability to do your regular daily activities, other than work at a job?WPAI-GH Version 2 - Problems Affect Daily Activities
WPAI02-Problems Affect ProductivityC166325WPAI02-Problems Affect ProductivityWork Productivity and Activity Impairment Questionnaire - General Health V2.0 - During the past seven days, how much did your health problems affect your productivity while you were working?WPAI-GH Version 2 - Problems Affect Productivity
WPAI02-Work Productivity Loss ScoreC166329WPAI02-Work Productivity Loss ScoreWork Productivity and Activity Impairment Questionnaire - General Health V2.0 - Work productivity loss score.WPAI-GH Version 2 - Work Productivity Loss Score
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CL.C115398.T25FW1TCTimed 25-Foot Walk Test Functional Test Test Code
(T25FW1TC)
text
Extensible: No
C115398Timed 25-Foot Walk Test Functional Test Test CodeTimed 25-Foot Walk Test test code.CDISC Functional Test T25FW Test Code Terminology
T25FW101C115817T25FW1-Time to Complete 25-Foot WalkTimed 25-Foot Walk - Time in seconds to complete 25-foot walk.T25FW - Time to Complete 25-Foot Walk
T25FW102C115818T25FW1-More Than Two AttemptsTimed 25-Foot Walk - Did it take more than two attempts to get two successful trials?T25FW - More Than Two Attempts
T25FW103C151074T25FW1-Did Patient Wear AFOTimed 25-Foot Walk - Did patient wear an AFO?T25FW - Did Patient Wear AFO
T25FW104C151075T25FW1-Was Assistive Device UsedTimed 25-Foot Walk - Was assistive device used?T25FW - Was Assistive Device Used
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CL.C115397.T25FW1TNTimed 25-Foot Walk Test Functional Test Test Name
(T25FW1TN)
text
Extensible: No
C115397Timed 25-Foot Walk Test Functional Test Test NameTimed 25-Foot Walk Test test name.CDISC Functional Test T25FW Test Name Terminology
T25FW1-Did Patient Wear AFOC151074T25FW1-Did Patient Wear AFOTimed 25-Foot Walk - Did patient wear an AFO?T25FW - Did Patient Wear AFO
T25FW1-More Than Two AttemptsC115818T25FW1-More Than Two AttemptsTimed 25-Foot Walk - Did it take more than two attempts to get two successful trials?T25FW - More Than Two Attempts
T25FW1-Time to Complete 25-Foot WalkC115817T25FW1-Time to Complete 25-Foot WalkTimed 25-Foot Walk - Time in seconds to complete 25-foot walk.T25FW - Time to Complete 25-Foot Walk
T25FW1-Was Assistive Device UsedC151075T25FW1-Was Assistive Device UsedTimed 25-Foot Walk - Was assistive device used?T25FW - Was Assistive Device Used
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CL.C115400.TUG01TCTimed Up and Go Test Functional Test Test Code
(TUG01TC)
text
Extensible: No
C115400Timed Up and Go Test Functional Test Test CodeTimed Up and Go Test test code.CDISC Functional Test TUG Test Code Terminology
TUG0101C115819TUG01-Time to Complete TUG TestTimed Up and Go - Time in seconds to complete TUG test.TUG - Time to Complete TUG Test
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CL.C115399.TUG01TNTimed Up and Go Test Functional Test Test Name
(TUG01TN)
text
Extensible: No
C115399Timed Up and Go Test Functional Test Test NameTimed Up and Go Test test name.CDISC Functional Test TUG Test Name Terminology
TUG01-Time to Complete TUG TestC115819TUG01-Time to Complete TUG TestTimed Up and Go - Time in seconds to complete TUG test.TUG - Time to Complete TUG Test
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CL.C124688.TMT01TCTrail Making Test Functional Test Test Code
(TMT01TC)
text
Extensible: No
C124688Trail Making Test Functional Test Test CodeTrail Making Test test code.CDISC Functional Test TMT Test Code Terminology
TMT0101C124780TMT01-Time to Complete Trails ATrail Making Test - Time (in seconds) to complete Trails A.TMT - Time to Complete Trails A
TMT0102C124781TMT01-Time to Complete Trails BTrail Making Test - Time (in seconds) to complete Trails B.TMT - Time to Complete Trails B
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CL.C124687.TMT01TNTrail Making Test Functional Test Test Name
(TMT01TN)
text
Extensible: No
C124687Trail Making Test Functional Test Test NameTrail Making Test test name.CDISC Functional Test TMT Test Name Terminology
TMT01-Time to Complete Trails AC124780TMT01-Time to Complete Trails ATrail Making Test - Time (in seconds) to complete Trails A.TMT - Time to Complete Trails A
TMT01-Time to Complete Trails BC124781TMT01-Time to Complete Trails BTrail Making Test - Time (in seconds) to complete Trails B.TMT - Time to Complete Trails B
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CL.C106657.TDI01TCTransition Dyspnea Index Clinical Classification Test Code
(TDI01TC)
text
Extensible: No
C106657Transition Dyspnea Index Clinical Classification Test CodeTransition Dyspnea Index test code.CDISC Clinical Classification TDI Test Code Terminology
TDI0101C106704TDI01-Change in Functional ImpairmentTransition Dyspnea Index - Change in functional impairment.TDI - Change in Functional Impairment
TDI0102C106705TDI01-Change in Magnitude of TaskTransition Dyspnea Index - Change in magnitude of task.TDI - Change in Magnitude of Task
TDI0103C106706TDI01-Change in Magnitude of EffortTransition Dyspnea Index - Change in magnitude of effort.TDI - Change in Magnitude of Effort
TDI0104C161763TDI01-Transition Focal ScoreTransition Dyspnea Index - Transition focal score.TDI - Transition Focal Score
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CL.C106656.TDI01TNTransition Dyspnea Index Clinical Classification Test Name
(TDI01TN)
text
Extensible: No
C106656Transition Dyspnea Index Clinical Classification Test NameTransition Dyspnea Index test name.CDISC Clinical Classification TDI Test Name Terminology
TDI01-Change in Functional ImpairmentC106704TDI01-Change in Functional ImpairmentTransition Dyspnea Index - Change in functional impairment.TDI - Change in Functional Impairment
TDI01-Change in Magnitude of EffortC106706TDI01-Change in Magnitude of EffortTransition Dyspnea Index - Change in magnitude of effort.TDI - Change in Magnitude of Effort
TDI01-Change in Magnitude of TaskC106705TDI01-Change in Magnitude of TaskTransition Dyspnea Index - Change in magnitude of task.TDI - Change in Magnitude of Task
TDI01-Transition Focal ScoreC161763TDI01-Transition Focal ScoreTransition Dyspnea Index - Transition focal score.TDI - Transition Focal Score
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CL.C147548.TSCC01TCTrauma Symptom Checklist for Children Questionnaire Test Code
(TSCC01TC)
text
Extensible: No
C147548Trauma Symptom Checklist for Children Questionnaire Test CodeTrauma Symptom Checklist for Children test code.CDISC Questionnaire TSCC Test Code Terminology
TSCC0101C147699TSCC01-Bad Dreams or NightmaresTrauma Symptom Checklist for Children - Bad dreams or nightmares.TSCC - Bad Dreams or Nightmares
TSCC0102C147700TSCC01-Afraid Something Bad Might HappenTrauma Symptom Checklist for Children - Feeling afraid something bad might happen.TSCC - Afraid Something Bad Might Happen
TSCC0103C147701TSCC01-Scary Ideas Just Pop Into My HeadTrauma Symptom Checklist for Children - Scary ideas or pictures just pop into my head.TSCC - Scary Ideas Just Pop Into My Head
TSCC0104C147702TSCC01-Wanting to Say Dirty WordsTrauma Symptom Checklist for Children - Wanting to say dirty words.TSCC - Wanting to Say Dirty Words
TSCC0105C147703TSCC01-Pretending I am Someone ElseTrauma Symptom Checklist for Children - Pretending I am someone else.TSCC - Pretending I am Someone Else
TSCC0106C147704TSCC01-Arguing Too MuchTrauma Symptom Checklist for Children - Arguing too much.TSCC - Arguing Too Much
TSCC0107C147705TSCC01-Feeling LonelyTrauma Symptom Checklist for Children - Feeling lonely.TSCC - Feeling Lonely
TSCC0108C147706TSCC01-Touching Private Parts Too MuchTrauma Symptom Checklist for Children - Touching my private parts too much.TSCC - Touching Private Parts Too Much
TSCC0109C147707TSCC01-Feeling Sad or UnhappyTrauma Symptom Checklist for Children - Feeling sad or unhappy.TSCC - Feeling Sad or Unhappy
TSCC0110C147708TSCC01-Remembering Things I Didn't LikeTrauma Symptom Checklist for Children - Remembering things that happened that I didn't like.TSCC - Remembering Things I Didn't Like
TSCC0111C147709TSCC01-Going Away in My MindTrauma Symptom Checklist for Children - Going away in my mind, trying not to think.TSCC - Going Away in My Mind
TSCC0112C147710TSCC01-Remembering Scary ThingsTrauma Symptom Checklist for Children - Remembering scary things.TSCC - Remembering Scary Things
TSCC0113C147711TSCC01-Wanting to Yell and Break ThingsTrauma Symptom Checklist for Children - Wanting to yell and break things.TSCC - Wanting to Yell and Break Things
TSCC0114C147712TSCC01-CryingTrauma Symptom Checklist for Children - Crying.TSCC - Crying
TSCC0115C147713TSCC01-Getting Scared All of SuddenTrauma Symptom Checklist for Children - Getting scared all of a sudden and don't know why.TSCC - Getting Scared All of Sudden
TSCC0116C147714TSCC01-Getting Mad and Can't Calm DownTrauma Symptom Checklist for Children - Getting mad and can't calm down.TSCC - Getting Mad and Can't Calm Down
TSCC0117C147715TSCC01-Thinking About Having SexTrauma Symptom Checklist for Children - Thinking about having sex.TSCC - Thinking About Having Sex
TSCC0118C147716TSCC01-Feeling DizzyTrauma Symptom Checklist for Children - Feeling dizzy.TSCC - Feeling Dizzy
TSCC0119C147717TSCC01-Wanting to Yell at PeopleTrauma Symptom Checklist for Children - Wanting to yell at people.TSCC - Wanting to Yell at People
TSCC0120C147718TSCC01-Wanting to Hurt MyselfTrauma Symptom Checklist for Children - Wanting to hurt myself.TSCC - Wanting to Hurt Myself
TSCC0121C147719TSCC01-Wanting to Hurt Other PeopleTrauma Symptom Checklist for Children - Wanting to hurt other people.TSCC - Wanting to Hurt Other People
TSCC0122C147720TSCC01-Think Touch People Private PartsTrauma Symptom Checklist for Children - Thinking about touching other people's private parts.TSCC - Think Touch People Private Parts
TSCC0123C147721TSCC01-Think About Sex When Don't WantTrauma Symptom Checklist for Children - Thinking about sex when I don't want to.TSCC - Think About Sex When Don't Want
TSCC0124C147722TSCC01-Feeling Scared of MenTrauma Symptom Checklist for Children - Feeling scared of men.TSCC - Feeling Scared of Men
TSCC0125C147723TSCC01-Feeling Scared of WomenTrauma Symptom Checklist for Children - Feeling scared of women.TSCC - Feeling Scared of Women
TSCC0126C147724TSCC01-Washing Myself Because Feel DirtyTrauma Symptom Checklist for Children - Washing myself because I feel dirty on the inside.TSCC - Washing Myself Because Feel Dirty
TSCC0127C147725TSCC01-Feeling Stupid or BadTrauma Symptom Checklist for Children - Feeling stupid or bad.TSCC - Feeling Stupid or Bad
TSCC0128C147726TSCC01-Feeling Like Did Something WrongTrauma Symptom Checklist for Children - Feeling like I did something wrong.TSCC - Feeling Like Did Something Wrong
TSCC0129C147727TSCC01-Feeling Like Things Aren't RealTrauma Symptom Checklist for Children - Feeling like things aren't real.TSCC - Feeling Like Things Aren't Real
TSCC0130C147728TSCC01-Forgetting ThingsTrauma Symptom Checklist for Children - Forgetting things, can't remember things.TSCC - Forgetting Things
TSCC0131C147729TSCC01-Feeling Like I'm Not in My BodyTrauma Symptom Checklist for Children - Feeling like I'm not in my body.TSCC - Feeling Like I'm Not in My Body
TSCC0132C147730TSCC01-Feeling Nervous or Jumpy InsideTrauma Symptom Checklist for Children - Feeling nervous or jumpy inside.TSCC - Feeling Nervous or Jumpy Inside
TSCC0133C147731TSCC01-Feeling AfraidTrauma Symptom Checklist for Children - Feeling afraid.TSCC - Feeling Afraid
TSCC0134C147732TSCC01-Not Trusting People Because SexTrauma Symptom Checklist for Children - Not trusting people because they might want sex.TSCC - Not Trusting People Because Sex
TSCC0135C147733TSCC01-Can't Stop Thinking Something BadTrauma Symptom Checklist for Children - Can't stop thinking about something bad that happened to me.TSCC - Can't Stop Thinking Something Bad
TSCC0136C147734TSCC01-Getting Into FightsTrauma Symptom Checklist for Children - Getting into fights.TSCC - Getting Into Fights
TSCC0137C147735TSCC01-Feeling MeanTrauma Symptom Checklist for Children - Feeling mean.TSCC - Feeling Mean
TSCC0138C147736TSCC01-Pretending I'm Somewhere ElseTrauma Symptom Checklist for Children - Pretending I'm somewhere else.TSCC - Pretending I'm Somewhere Else
TSCC0139C147737TSCC01-Being Afraid of the DarkTrauma Symptom Checklist for Children - Being afraid of the dark.TSCC - Being Afraid of the Dark
TSCC0140C147738TSCC01-Scared When Think About SexTrauma Symptom Checklist for Children - Getting scared or upset when I think about sex.TSCC - Scared When Think About Sex
TSCC0141C147739TSCC01-Worrying About ThingsTrauma Symptom Checklist for Children - Worrying about things.TSCC - Worrying About Things
TSCC0142C147740TSCC01-Feeling Like Nobody Likes MeTrauma Symptom Checklist for Children - Feeling like nobody likes me.TSCC - Feeling Like Nobody Likes Me
TSCC0143C147741TSCC01-Remembering Things Don't Want ToTrauma Symptom Checklist for Children - Remembering things I don't want to remember.TSCC - Remembering Things Don't Want To
TSCC0144C147742TSCC01-Having Sex Feelings in My BodyTrauma Symptom Checklist for Children - Having sex feelings in my body.TSCC - Having Sex Feelings in My Body
TSCC0145C147743TSCC01-My Mind Going Empty or BlankTrauma Symptom Checklist for Children - My mind going empty or blank.TSCC - My Mind Going Empty or Blank
TSCC0146C147744TSCC01-Feeling Like I Hate PeopleTrauma Symptom Checklist for Children - Feeling like I hate people.TSCC - Feeling Like I Hate People
TSCC0147C147745TSCC01-Can't Stop Thinking About SexTrauma Symptom Checklist for Children - Can't stop thinking about sex.TSCC - Can't Stop Thinking About Sex
TSCC0148C147746TSCC01-Trying Not to Have Any FeelingsTrauma Symptom Checklist for Children - Trying not to have any feelings.TSCC - Trying Not to Have Any Feelings
TSCC0149C147747TSCC01-Feeling MadTrauma Symptom Checklist for Children - Feeling mad.TSCC - Feeling Mad
TSCC0150C147748TSCC01-Feeling Afraid Somebody Kill MeTrauma Symptom Checklist for Children - Feeling afraid somebody will kill me.TSCC - Feeling Afraid Somebody Kill Me
TSCC0151C147749TSCC01-Wishing Bad Things Never HappenedTrauma Symptom Checklist for Children - Wishing bad things had never happened.TSCC - Wishing Bad Things Never Happened
TSCC0152C147750TSCC01-Wanting to Kill MyselfTrauma Symptom Checklist for Children - Wanting to kill myself.TSCC - Wanting to Kill Myself
TSCC0153C147751TSCC01-DaydreamingTrauma Symptom Checklist for Children - Daydreaming.TSCC - Daydreaming
TSCC0154C147752TSCC01-Getting Upset People Talk SexTrauma Symptom Checklist for Children - Getting upset when people talk about sex.TSCC - Getting Upset People Talk Sex
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CL.C147547.TSCC01TNTrauma Symptom Checklist for Children Questionnaire Test Name
(TSCC01TN)
text
Extensible: No
C147547Trauma Symptom Checklist for Children Questionnaire Test NameTrauma Symptom Checklist for Children test name.CDISC Questionnaire TSCC Test Name Terminology
TSCC01-Afraid Something Bad Might HappenC147700TSCC01-Afraid Something Bad Might HappenTrauma Symptom Checklist for Children - Feeling afraid something bad might happen.TSCC - Afraid Something Bad Might Happen
TSCC01-Arguing Too MuchC147704TSCC01-Arguing Too MuchTrauma Symptom Checklist for Children - Arguing too much.TSCC - Arguing Too Much
TSCC01-Bad Dreams or NightmaresC147699TSCC01-Bad Dreams or NightmaresTrauma Symptom Checklist for Children - Bad dreams or nightmares.TSCC - Bad Dreams or Nightmares
TSCC01-Being Afraid of the DarkC147737TSCC01-Being Afraid of the DarkTrauma Symptom Checklist for Children - Being afraid of the dark.TSCC - Being Afraid of the Dark
TSCC01-Can't Stop Thinking About SexC147745TSCC01-Can't Stop Thinking About SexTrauma Symptom Checklist for Children - Can't stop thinking about sex.TSCC - Can't Stop Thinking About Sex
TSCC01-Can't Stop Thinking Something BadC147733TSCC01-Can't Stop Thinking Something BadTrauma Symptom Checklist for Children - Can't stop thinking about something bad that happened to me.TSCC - Can't Stop Thinking Something Bad
TSCC01-CryingC147712TSCC01-CryingTrauma Symptom Checklist for Children - Crying.TSCC - Crying
TSCC01-DaydreamingC147751TSCC01-DaydreamingTrauma Symptom Checklist for Children - Daydreaming.TSCC - Daydreaming
TSCC01-Feeling Afraid Somebody Kill MeC147748TSCC01-Feeling Afraid Somebody Kill MeTrauma Symptom Checklist for Children - Feeling afraid somebody will kill me.TSCC - Feeling Afraid Somebody Kill Me
TSCC01-Feeling AfraidC147731TSCC01-Feeling AfraidTrauma Symptom Checklist for Children - Feeling afraid.TSCC - Feeling Afraid
TSCC01-Feeling DizzyC147716TSCC01-Feeling DizzyTrauma Symptom Checklist for Children - Feeling dizzy.TSCC - Feeling Dizzy
TSCC01-Feeling Like Did Something WrongC147726TSCC01-Feeling Like Did Something WrongTrauma Symptom Checklist for Children - Feeling like I did something wrong.TSCC - Feeling Like Did Something Wrong
TSCC01-Feeling Like I Hate PeopleC147744TSCC01-Feeling Like I Hate PeopleTrauma Symptom Checklist for Children - Feeling like I hate people.TSCC - Feeling Like I Hate People
TSCC01-Feeling Like I'm Not in My BodyC147729TSCC01-Feeling Like I'm Not in My BodyTrauma Symptom Checklist for Children - Feeling like I'm not in my body.TSCC - Feeling Like I'm Not in My Body
TSCC01-Feeling Like Nobody Likes MeC147740TSCC01-Feeling Like Nobody Likes MeTrauma Symptom Checklist for Children - Feeling like nobody likes me.TSCC - Feeling Like Nobody Likes Me
TSCC01-Feeling Like Things Aren't RealC147727TSCC01-Feeling Like Things Aren't RealTrauma Symptom Checklist for Children - Feeling like things aren't real.TSCC - Feeling Like Things Aren't Real
TSCC01-Feeling LonelyC147705TSCC01-Feeling LonelyTrauma Symptom Checklist for Children - Feeling lonely.TSCC - Feeling Lonely
TSCC01-Feeling MadC147747TSCC01-Feeling MadTrauma Symptom Checklist for Children - Feeling mad.TSCC - Feeling Mad
TSCC01-Feeling MeanC147735TSCC01-Feeling MeanTrauma Symptom Checklist for Children - Feeling mean.TSCC - Feeling Mean
TSCC01-Feeling Nervous or Jumpy InsideC147730TSCC01-Feeling Nervous or Jumpy InsideTrauma Symptom Checklist for Children - Feeling nervous or jumpy inside.TSCC - Feeling Nervous or Jumpy Inside
TSCC01-Feeling Sad or UnhappyC147707TSCC01-Feeling Sad or UnhappyTrauma Symptom Checklist for Children - Feeling sad or unhappy.TSCC - Feeling Sad or Unhappy
TSCC01-Feeling Scared of MenC147722TSCC01-Feeling Scared of MenTrauma Symptom Checklist for Children - Feeling scared of men.TSCC - Feeling Scared of Men
TSCC01-Feeling Scared of WomenC147723TSCC01-Feeling Scared of WomenTrauma Symptom Checklist for Children - Feeling scared of women.TSCC - Feeling Scared of Women
TSCC01-Feeling Stupid or BadC147725TSCC01-Feeling Stupid or BadTrauma Symptom Checklist for Children - Feeling stupid or bad.TSCC - Feeling Stupid or Bad
TSCC01-Forgetting ThingsC147728TSCC01-Forgetting ThingsTrauma Symptom Checklist for Children - Forgetting things, can't remember things.TSCC - Forgetting Things
TSCC01-Getting Into FightsC147734TSCC01-Getting Into FightsTrauma Symptom Checklist for Children - Getting into fights.TSCC - Getting Into Fights
TSCC01-Getting Mad and Can't Calm DownC147714TSCC01-Getting Mad and Can't Calm DownTrauma Symptom Checklist for Children - Getting mad and can't calm down.TSCC - Getting Mad and Can't Calm Down
TSCC01-Getting Scared All of SuddenC147713TSCC01-Getting Scared All of SuddenTrauma Symptom Checklist for Children - Getting scared all of a sudden and don't know why.TSCC - Getting Scared All of Sudden
TSCC01-Getting Upset People Talk SexC147752TSCC01-Getting Upset People Talk SexTrauma Symptom Checklist for Children - Getting upset when people talk about sex.TSCC - Getting Upset People Talk Sex
TSCC01-Going Away in My MindC147709TSCC01-Going Away in My MindTrauma Symptom Checklist for Children - Going away in my mind, trying not to think.TSCC - Going Away in My Mind
TSCC01-Having Sex Feelings in My BodyC147742TSCC01-Having Sex Feelings in My BodyTrauma Symptom Checklist for Children - Having sex feelings in my body.TSCC - Having Sex Feelings in My Body
TSCC01-My Mind Going Empty or BlankC147743TSCC01-My Mind Going Empty or BlankTrauma Symptom Checklist for Children - My mind going empty or blank.TSCC - My Mind Going Empty or Blank
TSCC01-Not Trusting People Because SexC147732TSCC01-Not Trusting People Because SexTrauma Symptom Checklist for Children - Not trusting people because they might want sex.TSCC - Not Trusting People Because Sex
TSCC01-Pretending I am Someone ElseC147703TSCC01-Pretending I am Someone ElseTrauma Symptom Checklist for Children - Pretending I am someone else.TSCC - Pretending I am Someone Else
TSCC01-Pretending I'm Somewhere ElseC147736TSCC01-Pretending I'm Somewhere ElseTrauma Symptom Checklist for Children - Pretending I'm somewhere else.TSCC - Pretending I'm Somewhere Else
TSCC01-Remembering Scary ThingsC147710TSCC01-Remembering Scary ThingsTrauma Symptom Checklist for Children - Remembering scary things.TSCC - Remembering Scary Things
TSCC01-Remembering Things Don't Want ToC147741TSCC01-Remembering Things Don't Want ToTrauma Symptom Checklist for Children - Remembering things I don't want to remember.TSCC - Remembering Things Don't Want To
TSCC01-Remembering Things I Didn't LikeC147708TSCC01-Remembering Things I Didn't LikeTrauma Symptom Checklist for Children - Remembering things that happened that I didn't like.TSCC - Remembering Things I Didn't Like
TSCC01-Scared When Think About SexC147738TSCC01-Scared When Think About SexTrauma Symptom Checklist for Children - Getting scared or upset when I think about sex.TSCC - Scared When Think About Sex
TSCC01-Scary Ideas Just Pop Into My HeadC147701TSCC01-Scary Ideas Just Pop Into My HeadTrauma Symptom Checklist for Children - Scary ideas or pictures just pop into my head.TSCC - Scary Ideas Just Pop Into My Head
TSCC01-Think About Sex When Don't WantC147721TSCC01-Think About Sex When Don't WantTrauma Symptom Checklist for Children - Thinking about sex when I don't want to.TSCC - Think About Sex When Don't Want
TSCC01-Think Touch People Private PartsC147720TSCC01-Think Touch People Private PartsTrauma Symptom Checklist for Children - Thinking about touching other people's private parts.TSCC - Think Touch People Private Parts
TSCC01-Thinking About Having SexC147715TSCC01-Thinking About Having SexTrauma Symptom Checklist for Children - Thinking about having sex.TSCC - Thinking About Having Sex
TSCC01-Touching Private Parts Too MuchC147706TSCC01-Touching Private Parts Too MuchTrauma Symptom Checklist for Children - Touching my private parts too much.TSCC - Touching Private Parts Too Much
TSCC01-Trying Not to Have Any FeelingsC147746TSCC01-Trying Not to Have Any FeelingsTrauma Symptom Checklist for Children - Trying not to have any feelings.TSCC - Trying Not to Have Any Feelings
TSCC01-Wanting to Hurt MyselfC147718TSCC01-Wanting to Hurt MyselfTrauma Symptom Checklist for Children - Wanting to hurt myself.TSCC - Wanting to Hurt Myself
TSCC01-Wanting to Hurt Other PeopleC147719TSCC01-Wanting to Hurt Other PeopleTrauma Symptom Checklist for Children - Wanting to hurt other people.TSCC - Wanting to Hurt Other People
TSCC01-Wanting to Kill MyselfC147750TSCC01-Wanting to Kill MyselfTrauma Symptom Checklist for Children - Wanting to kill myself.TSCC - Wanting to Kill Myself
TSCC01-Wanting to Say Dirty WordsC147702TSCC01-Wanting to Say Dirty WordsTrauma Symptom Checklist for Children - Wanting to say dirty words.TSCC - Wanting to Say Dirty Words
TSCC01-Wanting to Yell and Break ThingsC147711TSCC01-Wanting to Yell and Break ThingsTrauma Symptom Checklist for Children - Wanting to yell and break things.TSCC - Wanting to Yell and Break Things
TSCC01-Wanting to Yell at PeopleC147717TSCC01-Wanting to Yell at PeopleTrauma Symptom Checklist for Children - Wanting to yell at people.TSCC - Wanting to Yell at People
TSCC01-Washing Myself Because Feel DirtyC147724TSCC01-Washing Myself Because Feel DirtyTrauma Symptom Checklist for Children - Washing myself because I feel dirty on the inside.TSCC - Washing Myself Because Feel Dirty
TSCC01-Wishing Bad Things Never HappenedC147749TSCC01-Wishing Bad Things Never HappenedTrauma Symptom Checklist for Children - Wishing bad things had never happened.TSCC - Wishing Bad Things Never Happened
TSCC01-Worrying About ThingsC147739TSCC01-Worrying About ThingsTrauma Symptom Checklist for Children - Worrying about things.TSCC - Worrying About Things
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CL.C147550.TSCYC1TCTrauma Symptom Checklist for Young Children Questionnaire Test Code
(TSCYC1TC)
text
Extensible: No
C147550Trauma Symptom Checklist for Young Children Questionnaire Test CodeTrauma Symptom Checklist for Young Children test code.CDISC Questionnaire TSCYC Test Code Terminology
TSCYC101C147753TSCYC1-Temper TantrumsTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Temper tantrums.TSCYC - Temper Tantrums
TSCYC102C147754TSCYC1-Looking SadTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Looking sad.TSCYC - Looking Sad
TSCYC103C147755TSCYC1-Telling a LieTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Telling a lie.TSCYC - Telling a Lie
TSCYC104C147756TSCYC1-Bad Dreams or NightmaresTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Bad dreams or nightmares.TSCYC - Bad Dreams or Nightmares
TSCYC105C147757TSCYC1-Living in a Fantasy WorldTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Living in a fantasy world.TSCYC - Living in a Fantasy World
TSCYC106C147758TSCYC1-Seeming to Know More About SexTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Seeming to know more about sex than he or she should.TSCYC - Seeming to Know More About Sex
TSCYC107C147759TSCYC1-Being Easily ScaredTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Being easily scared.TSCYC - Being Easily Scared
TSCYC108C147760TSCYC1-Not Wanting to Go SomewhereTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Not wanting to go somewhere that reminded him or her of a bad thing from the past.TSCYC - Not Wanting to Go Somewhere
TSCYC109C147761TSCYC1-Worrying Food Was PoisonedTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Worrying that his or her food was poisoned.TSCYC - Worrying Food Was Poisoned
TSCYC110C147762TSCYC1-Flinching When Someone MovedTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Flinching or jumping when someone moved quickly or there was a loud noise.TSCYC - Flinching When Someone Moved
TSCYC111C147763TSCYC1-Being Bothered by MemoriesTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Being bothered by memories of something that happened to him or her.TSCYC - Being Bothered by Memories
TSCYC112C147764TSCYC1-Worrying Someone Might Be SexualTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Worrying that someone might be sexual with him or her.TSCYC - Worrying Someone Might Be Sexual
TSCYC113C147765TSCYC1-Not Wanting to TalkTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Not wanting to talk about something that happened to him or her.TSCYC - Not Wanting to Talk
TSCYC114C147766TSCYC1-Not Do Something Supposed to DoTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Not doing something he or she was supposed to do.TSCYC - Not Do Something Supposed to Do
TSCYC115C147767TSCYC1-Breaking Things on PurposeTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Breaking things on purpose.TSCYC - Breaking Things on Purpose
TSCYC116C147768TSCYC1-Talking About Sexual ThingsTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Talking about sexual things.TSCYC - Talking About Sexual Things
TSCYC117C147769TSCYC1-Having Trouble ConcentratingTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Having trouble concentrating.TSCYC - Having Trouble Concentrating
TSCYC118C147770TSCYC1-Blaming for Things Weren't FaultTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Blaming himself or herself for things that weren't his or her fault.TSCYC - Blaming for Things Weren't Fault
TSCYC119C147771TSCYC1-Acting Frightened Reminded PastTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Acting frightened when he or she was reminded of something that happened in the past.TSCYC - Acting Frightened Reminded Past
TSCYC120C147772TSCYC1-Pretending to Have SexTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Pretending to have sex.TSCYC - Pretending to Have Sex
TSCYC121C147773TSCYC1-Worrying Bad Things in FutureTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Worrying that bad things would happen in the future.TSCYC - Worrying Bad Things in Future
TSCYC122C147774TSCYC1-ArguingTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Arguing.TSCYC - Arguing
TSCYC123C147775TSCYC1-Getting Into Physical FightsTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Getting into physical fights.TSCYC - Getting Into Physical Fights
TSCYC124C147776TSCYC1-Drawing Pictures Upsetting ThingTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Drawing pictures about an upsetting thing that happened to him or her.TSCYC - Drawing Pictures Upsetting Thing
TSCYC125C147777TSCYC1-Not Noticing What He or She DoingTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Not noticing what he or she was doing.TSCYC - Not Noticing What He or She Doing
TSCYC126C147778TSCYC1-Having Trouble Sitting StillTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Having trouble sitting still.TSCYC - Having Trouble Sitting Still
TSCYC127C147779TSCYC1-Playing Games Something Bad PastTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Playing games about something bad that actually happened to him or her in the past.TSCYC - Playing Games Something Bad Past
TSCYC128C147780TSCYC1-Seeming to Be in a DazeTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Seeming to be in a daze.TSCYC - Seeming to Be in a Daze
TSCYC129C147781TSCYC1-Trouble Remember Upsetting ThingTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Having trouble remembering an upsetting thing that happened in the past.TSCYC - Trouble Remember Upsetting Thing
TSCYC130C147782TSCYC1-Using DrugsTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Using drugs.TSCYC - Using Drugs
TSCYC131C147783TSCYC1-Fear of the DarkTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Fear of the dark.TSCYC - Fear of the Dark
TSCYC132C147784TSCYC1-Being Afraid to Be AloneTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Being afraid to be alone.TSCYC - Being Afraid to Be Alone
TSCYC133C147785TSCYC1-Spacing OutTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Spacing out.TSCYC - Spacing Out
TSCYC134C147786TSCYC1-Being Too AggressiveTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Being too aggressive.TSCYC - Being Too Aggressive
TSCYC135C147787TSCYC1-Touching Other Private PartsTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Touching other children's or adults' private parts (under or over clothes).TSCYC - Touching Other Private Parts
TSCYC136C147788TSCYC1-Seeing Bad Happened in the PastTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Suddenly seeing, feeling, or hearing something bad that happened in the past.TSCYC - Seeing Bad Happened in the Past
TSCYC137C147789TSCYC1-Hearing Voices to Hurt SomeoneTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Hearing voices telling him or her to hurt someone.TSCYC - Hearing Voices to Hurt Someone
TSCYC138C147790TSCYC1-Staring Off Into SpaceTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Staring off into space.TSCYC - Staring Off Into Space
TSCYC139C147791TSCYC1-Changing Subject About Bad ThingTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Changing the subject or not answering when he or she was asked about a bad thing that happened to him or her.TSCYC - Changing Subject About Bad Thing
TSCYC140C147792TSCYC1-Having a Nervous BreakdownTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Having a nervous breakdown.TSCYC - Having a Nervous Breakdown
TSCYC141C147793TSCYC1-Not Happy Like Other ChildrenTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Not laughing or being happy like other children.TSCYC - Not Happy Like Other Children
TSCYC142C147794TSCYC1-Crying at Night FrightenedTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Crying at night because he or she was frightened.TSCYC - Crying at Night Frightened
TSCYC143C147795TSCYC1-Hitting AdultsTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Hitting adults (including parents).TSCYC - Hitting Adults
TSCYC144C147796TSCYC1-Being Frightened of MenTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Being frightened of men.TSCYC - Being Frightened of Men
TSCYC145C147797TSCYC1-Not Being Able to Pay AttentionTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Not being able to pay attention.TSCYC - Not Being Able to Pay Attention
TSCYC146C147798TSCYC1-Seeming to Be Million Miles AwayTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Seeming to be a million miles away.TSCYC - Seeming to Be Million Miles Away
TSCYC147C147799TSCYC1-Being Easily StartledTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Being easily startled.TSCYC - Being Easily Startled
TSCYC148C147800TSCYC1-Watching Out for Possible DangerTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Watching out everywhere for possible danger.TSCYC - Watching Out for Possible Danger
TSCYC149C147801TSCYC1-No Longer Doing Things EnjoyTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: No longer doing things that he or she used to enjoy.TSCYC - No Longer Doing Things Enjoy
TSCYC150C147802TSCYC1-Frightened Something Sexual SeenTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Becoming frightened or disturbed when something sexual was mentioned or seen.TSCYC - Frightened Something Sexual Seen
TSCYC151C147803TSCYC1-Not Sleeping for Two or More DaysTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Not sleeping for two or more days.TSCYC - Not Sleeping for Two or More Days
TSCYC152C147804TSCYC1-Not Paying Attention in Own WorldTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Not paying attention because he or she was in his or her own world.TSCYC - Not Paying Attention in Own World
TSCYC153C147805TSCYC1-Making MistakesTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Making mistakes.TSCYC - Making Mistakes
TSCYC154C147806TSCYC1-Crying for No Obvious ReasonTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Crying for no obvious reason.TSCYC - Crying for No Obvious Reason
TSCYC155C147807TSCYC1-Not Wanting to Be Around SomeoneTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Not wanting to be around someone who did something bad to him or her or reminded him or her of something bad.TSCYC - Not Wanting to Be Around Someone
TSCYC156C147808TSCYC1-Being TenseTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Being tense.TSCYC - Being Tense
TSCYC157C147809TSCYC1-Worrying About People's SafetyTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Worrying about other people's safety.TSCYC - Worrying About People's Safety
TSCYC158C147810TSCYC1-Very Angry Over a Little ThingTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Becoming very angry over a little thing.TSCYC - Very Angry Over a Little Thing
TSCYC159C147811TSCYC1-Drawing Pictures About Sex ThingsTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Drawing pictures about sexual things.TSCYC - Drawing Pictures About Sex Things
TSCYC160C147812TSCYC1-Pulling His or Her Hair OutTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Pulling his or her hair out.TSCYC - Pulling His or Her Hair Out
TSCYC161C147813TSCYC1-Calling Himself or Herself BadTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Calling himself or herself bad, stupid, or ugly.TSCYC - Calling Himself or Herself Bad
TSCYC162C147814TSCYC1-Throwing Things at Friends/FamilyTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Throwing things at friends or family members.TSCYC - Throwing Things at Friends/Family
TSCYC163C147815TSCYC1-Getting Upset About the PastTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Getting upset about something in the past.TSCYC - Getting Upset About the Past
TSCYC164C147816TSCYC1-Temporary Blindness or ParalysisTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Temporary blindness or paralysis.TSCYC - Temporary Blindness or Paralysis
TSCYC165C147817TSCYC1-Getting Upset Something SexualTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Getting upset about something sexual.TSCYC - Getting Upset Something Sexual
TSCYC166C147818TSCYC1-Not Going to Bed First Time AskedTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Not going to bed at night the first time he or she was asked.TSCYC - Not Going to Bed First Time Asked
TSCYC167C147819TSCYC1-Fear He or She Killed by SomeoneTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Fear that he or she would be killed by someone.TSCYC - Fear He or She Killed by Someone
TSCYC168C147820TSCYC1-Saying Nobody Liked Him or HerTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Saying that nobody liked him or her.TSCYC - Saying Nobody Liked Him or Her
TSCYC169C147821TSCYC1-Crying When Reminded From PastTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Crying when he or she was reminded of something from the past.TSCYC - Crying When Reminded From Past
TSCYC170C147822TSCYC1-Saying Bad Didn't HappenTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Saying that something bad didn't happen to him or her even though it did happen.TSCYC - Saying Bad Didn't Happen
TSCYC171C147823TSCYC1-Saying He or She Wanted to DieTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Saying he or she wanted to die or be killed.TSCYC - Saying He or She Wanted to Die
TSCYC172C147824TSCYC1-Acting as If Didn't Have FeelingsTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Acting as if he or she didn't have any feelings about something bad that happened to him or her.TSCYC - Acting as If Didn't Have Feelings
TSCYC173C147825TSCYC1-WhiningTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Whining.TSCYC - Whining
TSCYC174C147826TSCYC1-Not Sleeping WellTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Not sleeping well.TSCYC - Not Sleeping Well
TSCYC175C147827TSCYC1-Worrying About Sexual ThingsTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Worrying about sexual things.TSCYC - Worrying About Sexual Things
TSCYC176C147828TSCYC1-Being Frightened by ThingsTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Being frightened by things that didn't used to scare him or her.TSCYC - Being Frightened by Things
TSCYC177C147829TSCYC1-HallucinatingTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Hallucinating.TSCYC - Hallucinating
TSCYC178C147830TSCYC1-Acting Like He/She Was in TranceTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Acting like he or she was in a trance.TSCYC - Acting Like He or She Was in Trance
TSCYC179C147831TSCYC1-Forgetting His or Her Own NameTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Forgetting his or her own name.TSCYC - Forgetting His or Her Own Name
TSCYC180C147832TSCYC1-Upset When Reminded Bad HappenedTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Getting upset when he or she was reminded of something bad that happened.TSCYC - Upset When Reminded Bad Happened
TSCYC181C147833TSCYC1-Avoiding Bad Happened in PastTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Avoiding things that reminded him or her of a bad thing that had happened in the past.TSCYC - Avoiding Bad Happened in Past
TSCYC182C147834TSCYC1-Acting JumpyTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Acting jumpy.TSCYC - Acting Jumpy
TSCYC183C147835TSCYC1-Making a MessTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Making a mess.TSCYC - Making a Mess
TSCYC184C147836TSCYC1-Acting Sad or DepressedTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Acting sad or depressed.TSCYC - Acting Sad or Depressed
TSCYC185C147837TSCYC1-Being Absent-mindedTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Being so absent-minded that he or she didn't notice what was going on around him or her.TSCYC - Being Absent-minded
TSCYC186C147838TSCYC1-Not Wanting to Eat Certain FoodsTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Not wanting to eat certain foods.TSCYC - Not Wanting to Eat Certain Foods
TSCYC187C147839TSCYC1-Yelling at Family/Friend/TeachersTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Yelling at family, friends, or teachers.TSCYC - Yelling at Family, Friends or Teachers
TSCYC188C147840TSCYC1-Not Playing Because DepressedTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Not playing because he or she was depressed.TSCYC - Not Playing Because Depressed
TSCYC189C147841TSCYC1-Being DisobedientTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Being disobedient.TSCYC - Being Disobedient
TSCYC190C147842TSCYC1-Intentionally Hurt Other ChildrenTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Intentionally hurting other children or family members.TSCYC - Intentionally Hurt Other Children
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CL.C147549.TSCYC1TNTrauma Symptom Checklist for Young Children Questionnaire Test Name
(TSCYC1TN)
text
Extensible: No
C147549Trauma Symptom Checklist for Young Children Questionnaire Test NameTrauma Symptom Checklist for Young Children test name.CDISC Questionnaire TSCYC Test Name Terminology
TSCYC1-Acting as If Didn't Have FeelingsC147824TSCYC1-Acting as If Didn't Have FeelingsTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Acting as if he or she didn't have any feelings about something bad that happened to him or her.TSCYC - Acting as If Didn't Have Feelings
TSCYC1-Acting Frightened Reminded PastC147771TSCYC1-Acting Frightened Reminded PastTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Acting frightened when he or she was reminded of something that happened in the past.TSCYC - Acting Frightened Reminded Past
TSCYC1-Acting JumpyC147834TSCYC1-Acting JumpyTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Acting jumpy.TSCYC - Acting Jumpy
TSCYC1-Acting Like He/She Was in TranceC147830TSCYC1-Acting Like He/She Was in TranceTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Acting like he or she was in a trance.TSCYC - Acting Like He or She Was in Trance
TSCYC1-Acting Sad or DepressedC147836TSCYC1-Acting Sad or DepressedTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Acting sad or depressed.TSCYC - Acting Sad or Depressed
TSCYC1-ArguingC147774TSCYC1-ArguingTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Arguing.TSCYC - Arguing
TSCYC1-Avoiding Bad Happened in PastC147833TSCYC1-Avoiding Bad Happened in PastTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Avoiding things that reminded him or her of a bad thing that had happened in the past.TSCYC - Avoiding Bad Happened in Past
TSCYC1-Bad Dreams or NightmaresC147756TSCYC1-Bad Dreams or NightmaresTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Bad dreams or nightmares.TSCYC - Bad Dreams or Nightmares
TSCYC1-Being Absent-mindedC147837TSCYC1-Being Absent-mindedTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Being so absent-minded that he or she didn't notice what was going on around him or her.TSCYC - Being Absent-minded
TSCYC1-Being Afraid to Be AloneC147784TSCYC1-Being Afraid to Be AloneTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Being afraid to be alone.TSCYC - Being Afraid to Be Alone
TSCYC1-Being Bothered by MemoriesC147763TSCYC1-Being Bothered by MemoriesTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Being bothered by memories of something that happened to him or her.TSCYC - Being Bothered by Memories
TSCYC1-Being DisobedientC147841TSCYC1-Being DisobedientTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Being disobedient.TSCYC - Being Disobedient
TSCYC1-Being Easily ScaredC147759TSCYC1-Being Easily ScaredTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Being easily scared.TSCYC - Being Easily Scared
TSCYC1-Being Easily StartledC147799TSCYC1-Being Easily StartledTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Being easily startled.TSCYC - Being Easily Startled
TSCYC1-Being Frightened by ThingsC147828TSCYC1-Being Frightened by ThingsTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Being frightened by things that didn't used to scare him or her.TSCYC - Being Frightened by Things
TSCYC1-Being Frightened of MenC147796TSCYC1-Being Frightened of MenTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Being frightened of men.TSCYC - Being Frightened of Men
TSCYC1-Being TenseC147808TSCYC1-Being TenseTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Being tense.TSCYC - Being Tense
TSCYC1-Being Too AggressiveC147786TSCYC1-Being Too AggressiveTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Being too aggressive.TSCYC - Being Too Aggressive
TSCYC1-Blaming for Things Weren't FaultC147770TSCYC1-Blaming for Things Weren't FaultTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Blaming himself or herself for things that weren't his or her fault.TSCYC - Blaming for Things Weren't Fault
TSCYC1-Breaking Things on PurposeC147767TSCYC1-Breaking Things on PurposeTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Breaking things on purpose.TSCYC - Breaking Things on Purpose
TSCYC1-Calling Himself or Herself BadC147813TSCYC1-Calling Himself or Herself BadTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Calling himself or herself bad, stupid, or ugly.TSCYC - Calling Himself or Herself Bad
TSCYC1-Changing Subject About Bad ThingC147791TSCYC1-Changing Subject About Bad ThingTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Changing the subject or not answering when he or she was asked about a bad thing that happened to him or her.TSCYC - Changing Subject About Bad Thing
TSCYC1-Crying at Night FrightenedC147794TSCYC1-Crying at Night FrightenedTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Crying at night because he or she was frightened.TSCYC - Crying at Night Frightened
TSCYC1-Crying for No Obvious ReasonC147806TSCYC1-Crying for No Obvious ReasonTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Crying for no obvious reason.TSCYC - Crying for No Obvious Reason
TSCYC1-Crying When Reminded From PastC147821TSCYC1-Crying When Reminded From PastTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Crying when he or she was reminded of something from the past.TSCYC - Crying When Reminded From Past
TSCYC1-Drawing Pictures About Sex ThingsC147811TSCYC1-Drawing Pictures About Sex ThingsTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Drawing pictures about sexual things.TSCYC - Drawing Pictures About Sex Things
TSCYC1-Drawing Pictures Upsetting ThingC147776TSCYC1-Drawing Pictures Upsetting ThingTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Drawing pictures about an upsetting thing that happened to him or her.TSCYC - Drawing Pictures Upsetting Thing
TSCYC1-Fear He or She Killed by SomeoneC147819TSCYC1-Fear He or She Killed by SomeoneTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Fear that he or she would be killed by someone.TSCYC - Fear He or She Killed by Someone
TSCYC1-Fear of the DarkC147783TSCYC1-Fear of the DarkTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Fear of the dark.TSCYC - Fear of the Dark
TSCYC1-Flinching When Someone MovedC147762TSCYC1-Flinching When Someone MovedTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Flinching or jumping when someone moved quickly or there was a loud noise.TSCYC - Flinching When Someone Moved
TSCYC1-Forgetting His or Her Own NameC147831TSCYC1-Forgetting His or Her Own NameTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Forgetting his or her own name.TSCYC - Forgetting His or Her Own Name
TSCYC1-Frightened Something Sexual SeenC147802TSCYC1-Frightened Something Sexual SeenTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Becoming frightened or disturbed when something sexual was mentioned or seen.TSCYC - Frightened Something Sexual Seen
TSCYC1-Getting Into Physical FightsC147775TSCYC1-Getting Into Physical FightsTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Getting into physical fights.TSCYC - Getting Into Physical Fights
TSCYC1-Getting Upset About the PastC147815TSCYC1-Getting Upset About the PastTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Getting upset about something in the past.TSCYC - Getting Upset About the Past
TSCYC1-Getting Upset Something SexualC147817TSCYC1-Getting Upset Something SexualTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Getting upset about something sexual.TSCYC - Getting Upset Something Sexual
TSCYC1-HallucinatingC147829TSCYC1-HallucinatingTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Hallucinating.TSCYC - Hallucinating
TSCYC1-Having a Nervous BreakdownC147792TSCYC1-Having a Nervous BreakdownTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Having a nervous breakdown.TSCYC - Having a Nervous Breakdown
TSCYC1-Having Trouble ConcentratingC147769TSCYC1-Having Trouble ConcentratingTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Having trouble concentrating.TSCYC - Having Trouble Concentrating
TSCYC1-Having Trouble Sitting StillC147778TSCYC1-Having Trouble Sitting StillTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Having trouble sitting still.TSCYC - Having Trouble Sitting Still
TSCYC1-Hearing Voices to Hurt SomeoneC147789TSCYC1-Hearing Voices to Hurt SomeoneTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Hearing voices telling him or her to hurt someone.TSCYC - Hearing Voices to Hurt Someone
TSCYC1-Hitting AdultsC147795TSCYC1-Hitting AdultsTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Hitting adults (including parents).TSCYC - Hitting Adults
TSCYC1-Intentionally Hurt Other ChildrenC147842TSCYC1-Intentionally Hurt Other ChildrenTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Intentionally hurting other children or family members.TSCYC - Intentionally Hurt Other Children
TSCYC1-Living in a Fantasy WorldC147757TSCYC1-Living in a Fantasy WorldTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Living in a fantasy world.TSCYC - Living in a Fantasy World
TSCYC1-Looking SadC147754TSCYC1-Looking SadTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Looking sad.TSCYC - Looking Sad
TSCYC1-Making a MessC147835TSCYC1-Making a MessTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Making a mess.TSCYC - Making a Mess
TSCYC1-Making MistakesC147805TSCYC1-Making MistakesTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Making mistakes.TSCYC - Making Mistakes
TSCYC1-No Longer Doing Things EnjoyC147801TSCYC1-No Longer Doing Things EnjoyTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: No longer doing things that he or she used to enjoy.TSCYC - No Longer Doing Things Enjoy
TSCYC1-Not Being Able to Pay AttentionC147797TSCYC1-Not Being Able to Pay AttentionTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Not being able to pay attention.TSCYC - Not Being Able to Pay Attention
TSCYC1-Not Do Something Supposed to DoC147766TSCYC1-Not Do Something Supposed to DoTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Not doing something he or she was supposed to do.TSCYC - Not Do Something Supposed to Do
TSCYC1-Not Going to Bed First Time AskedC147818TSCYC1-Not Going to Bed First Time AskedTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Not going to bed at night the first time he or she was asked.TSCYC - Not Going to Bed First Time Asked
TSCYC1-Not Happy Like Other ChildrenC147793TSCYC1-Not Happy Like Other ChildrenTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Not laughing or being happy like other children.TSCYC - Not Happy Like Other Children
TSCYC1-Not Noticing What He or She DoingC147777TSCYC1-Not Noticing What He or She DoingTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Not noticing what he or she was doing.TSCYC - Not Noticing What He or She Doing
TSCYC1-Not Paying Attention in Own WorldC147804TSCYC1-Not Paying Attention in Own WorldTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Not paying attention because he or she was in his or her own world.TSCYC - Not Paying Attention in Own World
TSCYC1-Not Playing Because DepressedC147840TSCYC1-Not Playing Because DepressedTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Not playing because he or she was depressed.TSCYC - Not Playing Because Depressed
TSCYC1-Not Sleeping for Two or More DaysC147803TSCYC1-Not Sleeping for Two or More DaysTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Not sleeping for two or more days.TSCYC - Not Sleeping for Two or More Days
TSCYC1-Not Sleeping WellC147826TSCYC1-Not Sleeping WellTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Not sleeping well.TSCYC - Not Sleeping Well
TSCYC1-Not Wanting to Be Around SomeoneC147807TSCYC1-Not Wanting to Be Around SomeoneTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Not wanting to be around someone who did something bad to him or her or reminded him or her of something bad.TSCYC - Not Wanting to Be Around Someone
TSCYC1-Not Wanting to Eat Certain FoodsC147838TSCYC1-Not Wanting to Eat Certain FoodsTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Not wanting to eat certain foods.TSCYC - Not Wanting to Eat Certain Foods
TSCYC1-Not Wanting to Go SomewhereC147760TSCYC1-Not Wanting to Go SomewhereTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Not wanting to go somewhere that reminded him or her of a bad thing from the past.TSCYC - Not Wanting to Go Somewhere
TSCYC1-Not Wanting to TalkC147765TSCYC1-Not Wanting to TalkTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Not wanting to talk about something that happened to him or her.TSCYC - Not Wanting to Talk
TSCYC1-Playing Games Something Bad PastC147779TSCYC1-Playing Games Something Bad PastTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Playing games about something bad that actually happened to him or her in the past.TSCYC - Playing Games Something Bad Past
TSCYC1-Pretending to Have SexC147772TSCYC1-Pretending to Have SexTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Pretending to have sex.TSCYC - Pretending to Have Sex
TSCYC1-Pulling His or Her Hair OutC147812TSCYC1-Pulling His or Her Hair OutTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Pulling his or her hair out.TSCYC - Pulling His or Her Hair Out
TSCYC1-Saying Bad Didn't HappenC147822TSCYC1-Saying Bad Didn't HappenTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Saying that something bad didn't happen to him or her even though it did happen.TSCYC - Saying Bad Didn't Happen
TSCYC1-Saying He or She Wanted to DieC147823TSCYC1-Saying He or She Wanted to DieTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Saying he or she wanted to die or be killed.TSCYC - Saying He or She Wanted to Die
TSCYC1-Saying Nobody Liked Him or HerC147820TSCYC1-Saying Nobody Liked Him or HerTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Saying that nobody liked him or her.TSCYC - Saying Nobody Liked Him or Her
TSCYC1-Seeing Bad Happened in the PastC147788TSCYC1-Seeing Bad Happened in the PastTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Suddenly seeing, feeling, or hearing something bad that happened in the past.TSCYC - Seeing Bad Happened in the Past
TSCYC1-Seeming to Be in a DazeC147780TSCYC1-Seeming to Be in a DazeTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Seeming to be in a daze.TSCYC - Seeming to Be in a Daze
TSCYC1-Seeming to Be Million Miles AwayC147798TSCYC1-Seeming to Be Million Miles AwayTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Seeming to be a million miles away.TSCYC - Seeming to Be Million Miles Away
TSCYC1-Seeming to Know More About SexC147758TSCYC1-Seeming to Know More About SexTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Seeming to know more about sex than he or she should.TSCYC - Seeming to Know More About Sex
TSCYC1-Spacing OutC147785TSCYC1-Spacing OutTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Spacing out.TSCYC - Spacing Out
TSCYC1-Staring Off Into SpaceC147790TSCYC1-Staring Off Into SpaceTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Staring off into space.TSCYC - Staring Off Into Space
TSCYC1-Talking About Sexual ThingsC147768TSCYC1-Talking About Sexual ThingsTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Talking about sexual things.TSCYC - Talking About Sexual Things
TSCYC1-Telling a LieC147755TSCYC1-Telling a LieTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Telling a lie.TSCYC - Telling a Lie
TSCYC1-Temper TantrumsC147753TSCYC1-Temper TantrumsTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Temper tantrums.TSCYC - Temper Tantrums
TSCYC1-Temporary Blindness or ParalysisC147816TSCYC1-Temporary Blindness or ParalysisTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Temporary blindness or paralysis.TSCYC - Temporary Blindness or Paralysis
TSCYC1-Throwing Things at Friends/FamilyC147814TSCYC1-Throwing Things at Friends/FamilyTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Throwing things at friends or family members.TSCYC - Throwing Things at Friends/Family
TSCYC1-Touching Other Private PartsC147787TSCYC1-Touching Other Private PartsTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Touching other children's or adults' private parts (under or over clothes).TSCYC - Touching Other Private Parts
TSCYC1-Trouble Remember Upsetting ThingC147781TSCYC1-Trouble Remember Upsetting ThingTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Having trouble remembering an upsetting thing that happened in the past.TSCYC - Trouble Remember Upsetting Thing
TSCYC1-Upset When Reminded Bad HappenedC147832TSCYC1-Upset When Reminded Bad HappenedTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Getting upset when he or she was reminded of something bad that happened.TSCYC - Upset When Reminded Bad Happened
TSCYC1-Using DrugsC147782TSCYC1-Using DrugsTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Using drugs.TSCYC - Using Drugs
TSCYC1-Very Angry Over a Little ThingC147810TSCYC1-Very Angry Over a Little ThingTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Becoming very angry over a little thing.TSCYC - Very Angry Over a Little Thing
TSCYC1-Watching Out for Possible DangerC147800TSCYC1-Watching Out for Possible DangerTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Watching out everywhere for possible danger.TSCYC - Watching Out for Possible Danger
TSCYC1-WhiningC147825TSCYC1-WhiningTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Whining.TSCYC - Whining
TSCYC1-Worrying About People's SafetyC147809TSCYC1-Worrying About People's SafetyTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Worrying about other people's safety.TSCYC - Worrying About People's Safety
TSCYC1-Worrying About Sexual ThingsC147827TSCYC1-Worrying About Sexual ThingsTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Worrying about sexual things.TSCYC - Worrying About Sexual Things
TSCYC1-Worrying Bad Things in FutureC147773TSCYC1-Worrying Bad Things in FutureTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Worrying that bad things would happen in the future.TSCYC - Worrying Bad Things in Future
TSCYC1-Worrying Food Was PoisonedC147761TSCYC1-Worrying Food Was PoisonedTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Worrying that his or her food was poisoned.TSCYC - Worrying Food Was Poisoned
TSCYC1-Worrying Someone Might Be SexualC147764TSCYC1-Worrying Someone Might Be SexualTrauma Symptom Checklist for Young Children - Please indicate how often he or she has done, felt, or experienced each of the following things in the last month: Worrying that someone might be sexual with him or her.TSCYC - Worrying Someone Might Be Sexual
TSCYC1-Yelling at Family/Friend/TeachersC147839TSCYC1-Yelling at Family/Friend/TeachersTrauma Symptom Checklist for Young Children - Please indicate how often the child has done, felt, or experienced each of the following things in the last month: Yelling at family, friends, or teachers.TSCYC - Yelling at Family, Friends or Teachers
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CL.C132525.TSQM01TCTreatment Satisfaction Questionnaire for Medication Version 1.4 Questionnaire Test Code
(TSQM01TC)
text
Extensible: No
C132525Treatment Satisfaction Questionnaire for Medication Version 1.4 Questionnaire Test CodeTreatment Satisfaction Questionnaire for Medication Version 1.4 test code.CDISC Questionnaire TSQM Version 1.4 Test Code Terminology
TSQM0101C132618TSQM01-Med to Prevent/Treat ConditionTreatment Satisfaction Questionnaire for Medication - How satisfied or dissatisfied are you with the ability of the medication to prevent or treat your condition?TSQM Version 1.4 - Medication to Prevent or Treat Condition
TSQM0102C132619TSQM01-Way Medication Relieves SymptomsTreatment Satisfaction Questionnaire for Medication - How satisfied or dissatisfied are you with the way the medication relieves your symptoms?TSQM Version 1.4 - Way Medication Relieves Symptoms
TSQM0103C132620TSQM01-Time Takes Med to Start WorkingTreatment Satisfaction Questionnaire for Medication - How satisfied or dissatisfied are you with the amount of time it takes the medication to start working?TSQM Version 1.4 - Time Takes Medication to Start Working
TSQM0104C132621TSQM01-Experience Any Side Effect at AllTreatment Satisfaction Questionnaire for Medication - As a result of taking this medication, do you experience any side effects at all?TSQM Version 1.4 - Experience Any Side Effect at All
TSQM0105C132622TSQM01-How Bothersome Are Side EffectsTreatment Satisfaction Questionnaire for Medication - How bothersome are the side effects of the medication you take to treat your condition?TSQM Version 1.4 - How Bothersome Are Side Effects
TSQM0106C132623TSQM01-Interfere With Physical HealthTreatment Satisfaction Questionnaire for Medication - To what extent do the side effects interfere with your physical health and ability to function (i.e., strength, energy levels, etc.)?TSQM Version 1.4 - Interfere With Physical Health
TSQM0107C132624TSQM01-Interfere With Mental FunctionTreatment Satisfaction Questionnaire for Medication - To what extent do the side effects interfere with your mental function (i.e., ability to think clearly, stay awake, etc.)?TSQM Version 1.4 - Interfere With Mental Function
TSQM0108C132625TSQM01-Side Effect Affect Overall SatisfTreatment Satisfaction Questionnaire for Medication - To what degree have medication side effects affected your overall satisfaction with the medication?TSQM Version 1.4 - Side Effect Affect Overall Satisfaction
TSQM0109C132626TSQM01-Easy/Difficult Use MedicationTreatment Satisfaction Questionnaire for Medication - How easy or difficult is it to use the medication in its current form?TSQM Version 1.4 - Easy or Difficult Use Medication
TSQM0110C132627TSQM01-Easy/Difficult to Plan Use of MedTreatment Satisfaction Questionnaire for Medication - How easy or difficult is it to plan when you will use the medication each time?TSQM Version 1.4 - Easy or Difficult to Plan Use of Medication
TSQM0111C132628TSQM01-Convenient/Inconvenient Take MedTreatment Satisfaction Questionnaire for Medication - How convenient or inconvenient is it to take the medication as instructed?TSQM Version 1.4 - Convenient or Inconvenient Take Medication
TSQM0112C132629TSQM01-Confident Med Is Good for YouTreatment Satisfaction Questionnaire for Medication - Overall, how confident are you that taking this medication is a good thing for you?TSQM Version 1.4 - Confident Medication Is Good for You
TSQM0113C132630TSQM01-Certain Good Things Outweigh BadTreatment Satisfaction Questionnaire for Medication - How certain are you that the good things about your medication outweigh the bad things?TSQM Version 1.4 - Certain Good Things Outweigh Bad
TSQM0114C132631TSQM01-Satisfied/Dissatisfied With MedTreatment Satisfaction Questionnaire for Medication - Taking all things into account, how satisfied or dissatisfied are you with this medication?TSQM Version 1.4 - Satisfied or Dissatisfied With Medication
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CL.C132524.TSQM01TNTreatment Satisfaction Questionnaire for Medication Version 1.4 Questionnaire Test Name
(TSQM01TN)
text
Extensible: No
C132524Treatment Satisfaction Questionnaire for Medication Version 1.4 Questionnaire Test NameTreatment Satisfaction Questionnaire for Medication Version 1.4 test name.CDISC Questionnaire TSQM Version 1.4 Test Name Terminology
TSQM01-Certain Good Things Outweigh BadC132630TSQM01-Certain Good Things Outweigh BadTreatment Satisfaction Questionnaire for Medication - How certain are you that the good things about your medication outweigh the bad things?TSQM Version 1.4 - Certain Good Things Outweigh Bad
TSQM01-Confident Med Is Good for YouC132629TSQM01-Confident Med Is Good for YouTreatment Satisfaction Questionnaire for Medication - Overall, how confident are you that taking this medication is a good thing for you?TSQM Version 1.4 - Confident Medication Is Good for You
TSQM01-Convenient/Inconvenient Take MedC132628TSQM01-Convenient/Inconvenient Take MedTreatment Satisfaction Questionnaire for Medication - How convenient or inconvenient is it to take the medication as instructed?TSQM Version 1.4 - Convenient or Inconvenient Take Medication
TSQM01-Easy/Difficult to Plan Use of MedC132627TSQM01-Easy/Difficult to Plan Use of MedTreatment Satisfaction Questionnaire for Medication - How easy or difficult is it to plan when you will use the medication each time?TSQM Version 1.4 - Easy or Difficult to Plan Use of Medication
TSQM01-Easy/Difficult Use MedicationC132626TSQM01-Easy/Difficult Use MedicationTreatment Satisfaction Questionnaire for Medication - How easy or difficult is it to use the medication in its current form?TSQM Version 1.4 - Easy or Difficult Use Medication
TSQM01-Experience Any Side Effect at AllC132621TSQM01-Experience Any Side Effect at AllTreatment Satisfaction Questionnaire for Medication - As a result of taking this medication, do you experience any side effects at all?TSQM Version 1.4 - Experience Any Side Effect at All
TSQM01-How Bothersome Are Side EffectsC132622TSQM01-How Bothersome Are Side EffectsTreatment Satisfaction Questionnaire for Medication - How bothersome are the side effects of the medication you take to treat your condition?TSQM Version 1.4 - How Bothersome Are Side Effects
TSQM01-Interfere With Mental FunctionC132624TSQM01-Interfere With Mental FunctionTreatment Satisfaction Questionnaire for Medication - To what extent do the side effects interfere with your mental function (i.e., ability to think clearly, stay awake, etc.)?TSQM Version 1.4 - Interfere With Mental Function
TSQM01-Interfere With Physical HealthC132623TSQM01-Interfere With Physical HealthTreatment Satisfaction Questionnaire for Medication - To what extent do the side effects interfere with your physical health and ability to function (i.e., strength, energy levels, etc.)?TSQM Version 1.4 - Interfere With Physical Health
TSQM01-Med to Prevent/Treat ConditionC132618TSQM01-Med to Prevent/Treat ConditionTreatment Satisfaction Questionnaire for Medication - How satisfied or dissatisfied are you with the ability of the medication to prevent or treat your condition?TSQM Version 1.4 - Medication to Prevent or Treat Condition
TSQM01-Satisfied/Dissatisfied With MedC132631TSQM01-Satisfied/Dissatisfied With MedTreatment Satisfaction Questionnaire for Medication - Taking all things into account, how satisfied or dissatisfied are you with this medication?TSQM Version 1.4 - Satisfied or Dissatisfied With Medication
TSQM01-Side Effect Affect Overall SatisfC132625TSQM01-Side Effect Affect Overall SatisfTreatment Satisfaction Questionnaire for Medication - To what degree have medication side effects affected your overall satisfaction with the medication?TSQM Version 1.4 - Side Effect Affect Overall Satisfaction
TSQM01-Time Takes Med to Start WorkingC132620TSQM01-Time Takes Med to Start WorkingTreatment Satisfaction Questionnaire for Medication - How satisfied or dissatisfied are you with the amount of time it takes the medication to start working?TSQM Version 1.4 - Time Takes Medication to Start Working
TSQM01-Way Medication Relieves SymptomsC132619TSQM01-Way Medication Relieves SymptomsTreatment Satisfaction Questionnaire for Medication - How satisfied or dissatisfied are you with the way the medication relieves your symptoms?TSQM Version 1.4 - Way Medication Relieves Symptoms
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CL.C154449.UHDR1TCUnified Huntington's Disease Rating Scale '99 Clinical Classification Test Code
(UHDR1TC)
text
Extensible: No
C154449Unified Huntington's Disease Rating Scale '99 Clinical Classification Test CodeUnified Huntington's Disease Rating Scale '99 test code.CDISC Clinical Classification UHDRS 1999 Version Test Code Terminology
UHDR101AC155370UHDR1-Ocular Pursuit: HorizontalUnified Huntington's Disease Rating Scale '99 - Ocular pursuit, horizontal.UHDRS 1999 Version - Ocular Pursuit: Horizontal
UHDR101BC155371UHDR1-Ocular Pursuit: VerticalUnified Huntington's Disease Rating Scale '99 - Ocular pursuit, vertical.UHDRS 1999 Version - Ocular Pursuit: Vertical
UHDR102AC155372UHDR1-Saccade Initiation: HorizontalUnified Huntington's Disease Rating Scale '99 - Saccade initiation, horizontal.UHDRS 1999 Version - Saccade Initiation: Horizontal
UHDR102BC155373UHDR1-Saccade Initiation: VerticalUnified Huntington's Disease Rating Scale '99 - Saccade initiation, vertical.UHDRS 1999 Version - Saccade Initiation: Vertical
UHDR103AC155374UHDR1-Saccade Velocity: HorizontalUnified Huntington's Disease Rating Scale '99 - Saccade velocity, horizontal.UHDRS 1999 Version - Saccade Velocity: Horizontal
UHDR103BC155375UHDR1-Saccade Velocity: VerticalUnified Huntington's Disease Rating Scale '99 - Saccade velocity, vertical.UHDRS 1999 Version - Saccade Velocity: Vertical
UHDR104C155376UHDR1-DysarthriaUnified Huntington's Disease Rating Scale '99 - Dysarthria.UHDRS 1999 Version - Dysarthria
UHDR105C155377UHDR1-Tongue ProtrusionUnified Huntington's Disease Rating Scale '99 - Tongue protrusion.UHDRS 1999 Version - Tongue Protrusion
UHDR106AC155378UHDR1-Finger Taps: RightUnified Huntington's Disease Rating Scale '99 - Finger taps, right.UHDRS 1999 Version - Finger Taps: Right
UHDR106BC155379UHDR1-Finger Taps: LeftUnified Huntington's Disease Rating Scale '99 - Finger taps, left.UHDRS 1999 Version - Finger Taps: Left
UHDR107AC155380UHDR1-Pronate/Supinate: Hands: RightUnified Huntington's Disease Rating Scale '99 - Pronate/supinate-hands, right.UHDRS 1999 Version - Pronate/Supinate: Hands: Right
UHDR107BC155381UHDR1-Pronate/Supinate: Hands: LeftUnified Huntington's Disease Rating Scale '99 - Pronate/supinate-hands, left.UHDRS 1999 Version - Pronate/Supinate: Hands: Left
UHDR108C155382UHDR1-LuriaUnified Huntington's Disease Rating Scale '99 - Luria (fist-hand palm test).UHDRS 1999 Version - Luria
UHDR109AC155383UHDR1-Rigidity: Arms: RightUnified Huntington's Disease Rating Scale '99 - Rigidity-arms, right.UHDRS 1999 Version - Rigidity: Arms: Right
UHDR109BC155384UHDR1-Rigidity: Arms: LeftUnified Huntington's Disease Rating Scale '99 - Rigidity-arms, left.UHDRS 1999 Version - Rigidity: Arms: Left
UHDR110C155385UHDR1-Bradykinesia: BodyUnified Huntington's Disease Rating Scale '99 - Bradykinesia-body.UHDRS 1999 Version - Bradykinesia: Body
UHDR111AC155386UHDR1-Maximal Dystonia: TrunkUnified Huntington's Disease Rating Scale '99 - Maximal dystonia-Trunk.UHDRS 1999 Version - Maximal Dystonia: Trunk
UHDR111BC155387UHDR1-Maximal Dystonia: RUEUnified Huntington's Disease Rating Scale '99 - Maximal dystonia-RUE.UHDRS 1999 Version - Maximal Dystonia: RUE
UHDR111CC155388UHDR1-Maximal Dystonia: LUEUnified Huntington's Disease Rating Scale '99 - Maximal dystonia-LUE.UHDRS 1999 Version - Maximal Dystonia: LUE
UHDR111DC155389UHDR1-Maximal Dystonia: RLEUnified Huntington's Disease Rating Scale '99 - Maximal dystonia-RLE.UHDRS 1999 Version - Maximal Dystonia: RLE
UHDR111EC155390UHDR1-Maximal Dystonia: LLEUnified Huntington's Disease Rating Scale '99 - Maximal dystonia-LLE.UHDRS 1999 Version - Maximal Dystonia: LLE
UHDR112AC155391UHDR1-Maximal Chorea: FaceUnified Huntington's Disease Rating Scale '99 - Maximal chorea-Face.UHDRS 1999 Version - Maximal Chorea: Face
UHDR112BC155392UHDR1-Maximal Chorea: BOLUnified Huntington's Disease Rating Scale '99 - Maximal chorea-BOL.UHDRS 1999 Version - Maximal Chorea: BOL
UHDR112CC155393UHDR1-Maximal Chorea: TrunkUnified Huntington's Disease Rating Scale '99 - Maximal chorea-Trunk.UHDRS 1999 Version - Maximal Chorea: Trunk
UHDR112DC155394UHDR1-Maximal Chorea: RUEUnified Huntington's Disease Rating Scale '99 - Maximal chorea-RUE.UHDRS 1999 Version - Maximal Chorea: RUE
UHDR112EC155395UHDR1-Maximal Chorea: LUEUnified Huntington's Disease Rating Scale '99 - Maximal chorea-LUE.UHDRS 1999 Version - Maximal Chorea: LUE
UHDR112FC155396UHDR1-Maximal Chorea: RLEUnified Huntington's Disease Rating Scale '99 - Maximal chorea-RLE.UHDRS 1999 Version - Maximal Chorea: RLE
UHDR112GC155397UHDR1-Maximal Chorea: LLEUnified Huntington's Disease Rating Scale '99 - Maximal chorea-LLE.UHDRS 1999 Version - Maximal Chorea: LLE
UHDR113C155398UHDR1-GaitUnified Huntington's Disease Rating Scale '99 - Gait.UHDRS 1999 Version - Gait
UHDR114C155399UHDR1-Tandem WalkingUnified Huntington's Disease Rating Scale '99 - Tandem walking.UHDRS 1999 Version - Tandem Walking
UHDR115C155400UHDR1-Retropulsion Pull TestUnified Huntington's Disease Rating Scale '99 - Retropulsion pull test.UHDRS 1999 Version - Retropulsion Pull Test
UHDR117C155401UHDR1-Diagnosis Confidence LevelUnified Huntington's Disease Rating Scale '99 - Diagnosis confidence level: To what degree are you confident that this person meets the operational definition of the unequivocal presence of an otherwise unexplained extrapyramidal movement disorder (e.g., chorea, dystonia, bradykinesia, rigidity) in a subject at risk of HD?UHDRS 1999 Version - Diagnosis Confidence Level
UHDR119C155402UHDR1-Verbal Fluency TestUnified Huntington's Disease Rating Scale '99 - Verbal fluency test (raw score).UHDRS 1999 Version - Verbal Fluency Test
UHDR120C155403UHDR1-Symbol Digit Modalities TestUnified Huntington's Disease Rating Scale '99 - Symbol digit modalities test (raw score).UHDRS 1999 Version - Symbol Digit Modalities Test
UHDR125AC155404UHDR1-Depressed Mood: FrequencyUnified Huntington's Disease Rating Scale '99 - Depressed mood: Frequency: Within the past month, how often have you been feeling sad, down or "blue"?UHDRS 1999 Version - Depressed Mood: Frequency
UHDR125BC155405UHDR1-Depressed Mood: SeverityUnified Huntington's Disease Rating Scale '99 - Depressed mood: Severity: How has your mood affected your daily activities? [Evidence of sad mood from behavioral observation includes sad voice or expression, tearfulness.].UHDRS 1999 Version - Depressed Mood: Severity
UHDR126AC155406UHDR1-Apathy: FrequencyUnified Huntington's Disease Rating Scale '99 - Apathy: Frequency: Within the past month, how often have you found that you have lost interest in things that used to be important to you?UHDRS 1999 Version - Apathy: Frequency
UHDR126BC155407UHDR1-Apathy: SeverityUnified Huntington's Disease Rating Scale '99 - Apathy: Severity: How has apathy impacted your ability to carry out daily activities?UHDRS 1999 Version - Apathy: Severity
UHDR127AC155408UHDR1-Self-esteem/Guilt: FrequencyUnified Huntington's Disease Rating Scale '99 - Self-esteem/guilt: Frequency: Within the past month, how often have you been feeling badly about yourself?UHDRS 1999 Version - Self-esteem/Guilt: Frequency
UHDR127BC155409UHDR1-Self-esteem/Guilt: SeverityUnified Huntington's Disease Rating Scale '99 - Self-esteem/guilt: Severity: How have these feelings affected your daily activities?UHDRS 1999 Version - Self-esteem/Guilt: Severity
UHDR128AC155410UHDR1-Suicidal Thoughts: FrequencyUnified Huntington's Disease Rating Scale '99 - Suicidal thoughts: Frequency: Within the past month, how often have you thought about hurting yourself or ending it all?UHDRS 1999 Version - Suicidal Thoughts: Frequency
UHDR128BC155411UHDR1-Suicidal Thoughts: SeverityUnified Huntington's Disease Rating Scale '99 - Suicidal thoughts: Severity: Do you have a plan in mind to end it all? Have you taken any steps toward carrying out your plan?UHDRS 1999 Version - Suicidal Thoughts: Severity
UHDR129AC155412UHDR1-Anxiety: FrequencyUnified Huntington's Disease Rating Scale '99 - Anxiety: Frequency: Within the past month, how often have you found yourself worrying about things?UHDRS 1999 Version - Anxiety: Frequency
UHDR129BC155413UHDR1-Anxiety: SeverityUnified Huntington's Disease Rating Scale '99 - Anxiety: Severity: How much has nervousness or worry affected your daily activities?UHDRS 1999 Version - Anxiety: Severity
UHDR130AC155414UHDR1-Irritable Behavior: FrequencyUnified Huntington's Disease Rating Scale '99 - Irritable behavior: Frequency: In the past month, how often have you felt impatient, irritable, or "cranky"?UHDRS 1999 Version - Irritable Behavior: Frequency
UHDR130BC155415UHDR1-Irritable Behavior: SeverityUnified Huntington's Disease Rating Scale '99 - Irritable behavior: Severity: How has irritability impacted your ability to get along with others?UHDRS 1999 Version - Irritable Behavior: Severity
UHDR131AC155416UHDR1-Disruptive Behavior: FrequencyUnified Huntington's Disease Rating Scale '99 - Disruptive or aggressive behavior: Frequency: Within the past month, how often have you had emotional or temper outbursts? How often have you had times when you lost control of yourself?UHDRS 1999 Version - Disruptive Behavior: Frequency
UHDR131BC155417UDHR1-Disruptive Behavior: SeverityUnified Huntington's Disease Rating Scale '99 - Disruptive or aggressive behavior: Severity: Have you used threats or hostile words? Have you hit or shoved or thrown things or expressed your temper in a physical way?UHDRS 1999 Version - UDHR1-Disruptive Behavior: Severity
UHDR132AC155418UHDR1-Perseverative Thinking: FrequencyUnified Huntington's Disease Rating Scale '99 - Perseverative/obsessional thinking: Frequency: Within the past month, how often have you found yourself getting stuck on certain ideas? How often have you been bothered by thoughts, images, or fears that keep coming back even if you try not to have them?UHDRS 1999 Version - Perseverative Thinking: Frequency
UHDR132BC155419UDHR1-Perseverative Thinking: SeverityUnified Huntington's Disease Rating Scale '99 - Perseverative/obsessional thinking: Severity: Have do repeated thoughts impact your daily life?UHDRS 1999 Version - UDHR1-Perseverative Thinking: Severity
UHDR133AC155420UHDR1-Compulsive Behavior: FrequencyUnified Huntington's Disease Rating Scale '99 - Compulsive behavior: Frequency: Within the past month, how often have you found yourself doing certain things over and over again (counting, washing, checking)?UHDRS 1999 Version - Compulsive Behavior: Frequency
UHDR133BC155421UDHR1-Compulsive Behavior: SeverityUnified Huntington's Disease Rating Scale '99 - Compulsive behavior: Severity: Are you unable to resist doing some of these things?UHDRS 1999 Version - UDHR1-Compulsive Behavior: Severity
UHDR134AC155422UHDR1-Delusions: FrequencyUnified Huntington's Disease Rating Scale '99 - Delusions: Frequency: How often does it seem like people are out to get you, people are controlling you, or you are very suspicious of others? Do you have special powers or importance?UHDRS 1999 Version - Delusions: Frequency
UHDR134BC155423UDHR1-Delusions: SeverityUnified Huntington's Disease Rating Scale '99 - Delusions: Severity: When you feel suspicious (insert delusion here), are you able to convince yourself that it is not rational? [Severity should reflect the behavior's impact on the individual's ability to carry out daily activities as indicated by response choices.].UHDRS 1999 Version - UDHR1-Delusions: Severity
UHDR135AC155424UHDR1-Hallucinations: FrequencyUnified Huntington's Disease Rating Scale '99 - Hallucinations: Frequency: How often have you heard things that other people couldn't hear, or seen things that other people couldn't see?UHDRS 1999 Version - Hallucinations: Frequency
UHDR135BC155425UDHR1-Hallucinations: SeverityUnified Huntington's Disease Rating Scale '99 - Hallucinations: Severity: When you see or hear things (insert hallucination here), are you able to convince yourself that it is not rational? [Severity should reflect the behavior's impact on the individual's ability to carry out daily activities as indicated by response choices.].UHDRS 1999 Version - UDHR1-Hallucinations: Severity
UHDR136C155426UDHR1-Examiner Believe Subject ConfusedUnified Huntington's Disease Rating Scale '99 - Confusion is defined as intermittent or persistent disorganized thinking, perceptual disturbances or disorientation to time, place, or person. Does the examiner believe the subject is confused?UHDRS 1999 Version - UDHR1-Examiner Believe Subject Confused
UHDR136AC155427UDHR1-Confusion Altered PerformanceUnified Huntington's Disease Rating Scale '99 - If yes: Does the examiner believe that this has altered the performance on the UHDRS?UHDRS 1999 Version - UDHR1-Confusion Altered Performance
UHDR137C155428UDHR1-Examiner Believe Signs of DementiaUnified Huntington's Disease Rating Scale '99 - Dementia is defined as progressive impairment in memory, abstract thinking or judgment that interferes with work or usual social activities and relationships. Does the examiner believe that the participant is showing signs of dementia?UHDRS 1999 Version - UDHR1-Examiner Believe Signs of Dementia
UHDR137AC155429UDHR1-Dementia Altered PerformanceUnified Huntington's Disease Rating Scale '99 - If yes: Does the examiner believe that this has altered the performance on the UHDRS?UHDRS 1999 Version - UDHR1-Dementia Altered Performance
UHDR138C155430UDHR1-Examiner Believe Signs DepressionUnified Huntington's Disease Rating Scale '99 - Depression is defined as persistent depressed mood, anhedonia, or vegetative signs sufficient to interfere with daily functioning. Does the examiner believe that the participant is showing signs of depression?UHDRS 1999 Version - UDHR1-Examiner Believe Signs Depression
UHDR139C155431UHDR1-Pharmacotherapy of DepressionUnified Huntington's Disease Rating Scale '99 - In the opinion of the examiner, is a clinical evaluation or follow up warranted for possible pharmacotherapy of depression?UHDRS 1999 Version - Pharmacotherapy of Depression
UHDR140C155432UHDR1-Pharmacotherapy of IrritabilityUnified Huntington's Disease Rating Scale '99 - In the opinion of the examiner, is a clinical evaluation or follow up warranted for possible pharmacotherapy of irritability?UHDRS 1999 Version - Pharmacotherapy of Irritability
UHDR141C155433UHDR1-Behavior Assessment Obtained FromUnified Huntington's Disease Rating Scale '99 - Was the Behavioral Assessment information obtained from.UHDRS 1999 Version - Behavior Assessment Obtained From
UHDR143C155434UHDR1-Gainful Employment Accustomed WorkUnified Huntington's Disease Rating Scale '99 - Could the subject engage in gainful employment in his/her accustomed work?UHDRS 1999 Version - Gainful Employment Accustomed Work
UHDR144C155435UHDR1-Any Gainful EmploymentUnified Huntington's Disease Rating Scale '99 - Could the subject engage in any kind of gainful employment?UHDRS 1999 Version - Any Gainful Employment
UHDR145C155436UHDR1-Volunteer or Non Gainful WorkUnified Huntington's Disease Rating Scale '99 - Could the subject engage in any kind of volunteer or non gainful work?UHDRS 1999 Version - Volunteer or Non Gainful Work
UHDR146C155437UHDR1-Manage Finances Without HelpUnified Huntington's Disease Rating Scale '99 - Could the subject manage his/her finances (monthly) without any help?UHDRS 1999 Version - Manage Finances Without Help
UHDR147C155438UHDR1-Shop for Groceries Without HelpUnified Huntington's Disease Rating Scale '99 - Could the subject shop for groceries without help?UHDRS 1999 Version - Shop for Groceries Without Help
UHDR148C155439UHDR1-Handle Money as PurchaserUnified Huntington's Disease Rating Scale '99 - Could the subject handle money as a purchaser in a simple cash (store) transaction?UHDRS 1999 Version - Handle Money as Purchaser
UHDR149C155440UHDR1-Supervise Children Without HelpUnified Huntington's Disease Rating Scale '99 - Could the subject supervise children without help?UHDRS 1999 Version - Supervise Children Without Help
UHDR150C155441UHDR1-Operate Automobile SafelyUnified Huntington's Disease Rating Scale '99 - Could the subject operate an automobile safely and independently?UHDRS 1999 Version - Operate Automobile Safely
UHDR151C155442UHDR1-Do Housework Without HelpUnified Huntington's Disease Rating Scale '99 - Could the subject do his/her own housework without help?UHDRS 1999 Version - Do Housework Without Help
UHDR152C155443UHDR1-Do Laundry Without HelpUnified Huntington's Disease Rating Scale '99 - Could the subject do his/her own laundry (wash/dry) without help?UHDRS 1999 Version - Do Laundry Without Help
UHDR153C155444UHDR1-Prepare Own Meals Without HelpUnified Huntington's Disease Rating Scale '99 - Could the subject prepare his/her own meals without help?UHDRS 1999 Version - Prepare Own Meals Without Help
UHDR154C155445UHDR1-Use Telephone Without HelpUnified Huntington's Disease Rating Scale '99 - Could the subject use the telephone without help?UHDRS 1999 Version - Use Telephone Without Help
UHDR155C155446UHDR1-Take Medications Without HelpUnified Huntington's Disease Rating Scale '99 - Could the subject take his/her own medications without help?UHDRS 1999 Version - Take Medications Without Help
UHDR156C155447UHDR1-Feed Himself/Herself Without HelpUnified Huntington's Disease Rating Scale '99 - Could the subject feed himself/herself without help?UHDRS 1999 Version - Feed Himself/Herself Without Help
UHDR157C155448UHDR1-Dress Himself/Herself Without HelpUnified Huntington's Disease Rating Scale '99 - Could the subject dress himself/herself without help?UHDRS 1999 Version - Dress Himself/Herself Without Help
UHDR158C155449UHDR1-Bathe Himself/Herself Without HelpUnified Huntington's Disease Rating Scale '99 - Could the subject bathe himself/herself without help?UHDRS 1999 Version - Bathe Himself/Herself Without Help
UHDR159C155450UHDR1-Public Transportation Without HelpUnified Huntington's Disease Rating Scale '99 - Could the subject use public transportation to get places without help?UHDRS 1999 Version - Public Transportation Without Help
UHDR160C155451UHDR1-Walk Own Neighborhood Without HelpUnified Huntington's Disease Rating Scale '99 - Could the subject walk to places in his/her own neighborhood without help?UHDRS 1999 Version - Walk Own Neighborhood Without Help
UHDR161C155452UHDR1-Walk Without FallingUnified Huntington's Disease Rating Scale '99 - Could the subject walk without falling?UHDRS 1999 Version - Walk Without Falling
UHDR162C155453UHDR1-Walk Without HelpUnified Huntington's Disease Rating Scale '99 - Could the subject walk without help?UHDRS 1999 Version - Walk Without Help
UHDR163C155454UHDR1-Comb Hair Without HelpUnified Huntington's Disease Rating Scale '99 - Could the subject comb hair without help?UHDRS 1999 Version - Comb Hair Without Help
UHDR164C155455UHDR1-Transfer Chair Without HelpUnified Huntington's Disease Rating Scale '99 - Could the subject transfer between chairs without help?UHDRS 1999 Version - Transfer Chair Without Help
UHDR165C155456UHDR1-Get in and Out of Bed Without HelpUnified Huntington's Disease Rating Scale '99 - Could the subject get in and out of bed without help?UHDRS 1999 Version - Get in and Out of Bed Without Help
UHDR166C155457UHDR1-Use Toilet/Commode Without HelpUnified Huntington's Disease Rating Scale '99 - Could the subject use the toilet/commode without help?UHDRS 1999 Version - Use Toilet/Commode Without Help
UHDR167C155458UHDR1-Care Provided at HomeUnified Huntington's Disease Rating Scale '99 - Could the subject's care still be provided at home?UHDRS 1999 Version - Care Provided at Home
UHDR168C155459UHDR1-Functional Assess Obtained FromUnified Huntington's Disease Rating Scale '99 - Was the Functional Assessment information obtained from.UHDRS 1999 Version - Functional Assess Obtained From
UHDR169C155460UHDR1-Current Level Subject IndependenceUnified Huntington's Disease Rating Scale '99 - Please indicate the most accurate current level of subject's independence (only increments of 5 are acceptable).UHDRS 1999 Version - Current Level Subject Independence
UHDR170C155461UHDR1-OccupationUnified Huntington's Disease Rating Scale '99 - Occupation.UHDRS 1999 Version - Occupation
UHDR171C155462UHDR1-FinancesUnified Huntington's Disease Rating Scale '99 - Finances.UHDRS 1999 Version - Finances
UHDR172C155463UHDR1-Domestic ChoresUnified Huntington's Disease Rating Scale '99 - Domestic Chores.UHDRS 1999 Version - Domestic Chores
UHDR173C155464UHDR1-ADLUnified Huntington's Disease Rating Scale '99 - ADL.UHDRS 1999 Version - ADL
UHDR174C155465UHDR1-Care LevelUnified Huntington's Disease Rating Scale '99 - Care Level.UHDRS 1999 Version - Care Level
UHDR175C155466UHDR1-Functional Capacity Obtained FromUnified Huntington's Disease Rating Scale '99 - Was the Functional Capacity information obtained from.UHDRS 1999 Version - Functional Capacity Obtained From
UHDR177C155467UHDR1-Purpose of This VisitUnified Huntington's Disease Rating Scale '99 - What was the purpose of this visit?UHDRS 1999 Version - Purpose of This Visit
UHDR178C155468UHDR1-Since Last Assessment OpinionUnified Huntington's Disease Rating Scale '99 - Since your last assessment of the subject, in your opinion, has the subject.UHDRS 1999 Version - Since Last Assessment Opinion
UHDR179C155469UHDR1-Since Last Assessment FeelUnified Huntington's Disease Rating Scale '99 - Since your last assessment does the subject feel.UHDRS 1999 Version - Since Last Assessment Feel
UHDR180C155470UHDR1-Believe Subject Has Manifest HDUnified Huntington's Disease Rating Scale '99 - Based on the entire UHDRS (Motor, Cognitive, Behavioral and Functional components) do you believe with a confidence level >= 99% that this subject has manifest HD?UHDRS 1999 Version - Believe Subject Has Manifest HD
UHDR183AC155471UHDR1-Permanently InstitutionalizedUnified Huntington's Disease Rating Scale '99 - Since the last visit, has the subject been permanently institutionalized?UHDRS 1999 Version - Permanently Institutionalized
UHDR183BC155472UHDR1-Continue to Be Assessed for StudyUnified Huntington's Disease Rating Scale '99 - If the subject was institutionalized will the subject continue to be assessed for this study?UHDRS 1999 Version - Continue to Be Assessed for Study
UHDR184C155473UHDR1-Total Motor ScoreUnified Huntington's Disease Rating Scale '99 - Total Motor score.UHDRS 1999 Version - Total Motor Score
UHDR185C155474UHDR1-Total Behavior ScoreUnified Huntington's Disease Rating Scale '99 - Total Behavior score.UHDRS 1999 Version - Total Behavior Score
UHDR186C155475UHDR1-Mood Subscale ScoreUnified Huntington's Disease Rating Scale '99 - Mood subscale score of the total behavior score.UHDRS 1999 Version - Mood Subscale Score
UHDR187C155476UHDR1-Behavior Subscale ScoreUnified Huntington's Disease Rating Scale '99 - Behavior subscale score of the total behavior score.UHDRS 1999 Version - Behavior Subscale Score
UHDR188C155477UHDR1-Psychosis Subscale ScoreUnified Huntington's Disease Rating Scale '99 - Psychosis subscale score of the total behavior score.UHDRS 1999 Version - Psychosis Subscale Score
UHDR189C155478UHDR1-Obsessive Subscale ScoreUnified Huntington's Disease Rating Scale '99 - Obsessive subscale score of the total behavior score.UHDRS 1999 Version - Obsessive Subscale Score
UHDR190C155479UHDR1-Total Functional Capacity ScoreUnified Huntington's Disease Rating Scale '99 - Total functional capacity score.UHDRS 1999 Version - Total Functional Capacity Score
UHDR191C155480UHDR1-Independence Scale ScoreUnified Huntington's Disease Rating Scale '99 - Independence scale score.UHDRS 1999 Version - Independence Scale Score
UHDR192C155481UHDR1-Functional Checklist ScoreUnified Huntington's Disease Rating Scale '99 - Functional checklist score.UHDRS 1999 Version - Functional Checklist Score
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CL.C154448.UHDR1TNUnified Huntington's Disease Rating Scale '99 Clinical Classification Test Name
(UHDR1TN)
text
Extensible: No
C154448Unified Huntington's Disease Rating Scale '99 Clinical Classification Test NameUnified Huntington's Disease Rating Scale '99 test name.CDISC Clinical Classification UHDRS 1999 Version Test Name Terminology
UDHR1-Compulsive Behavior: SeverityC155421UDHR1-Compulsive Behavior: SeverityUnified Huntington's Disease Rating Scale '99 - Compulsive behavior: Severity: Are you unable to resist doing some of these things?UHDRS 1999 Version - UDHR1-Compulsive Behavior: Severity
UDHR1-Confusion Altered PerformanceC155427UDHR1-Confusion Altered PerformanceUnified Huntington's Disease Rating Scale '99 - If yes: Does the examiner believe that this has altered the performance on the UHDRS?UHDRS 1999 Version - UDHR1-Confusion Altered Performance
UDHR1-Delusions: SeverityC155423UDHR1-Delusions: SeverityUnified Huntington's Disease Rating Scale '99 - Delusions: Severity: When you feel suspicious (insert delusion here), are you able to convince yourself that it is not rational? [Severity should reflect the behavior's impact on the individual's ability to carry out daily activities as indicated by response choices.].UHDRS 1999 Version - UDHR1-Delusions: Severity
UDHR1-Dementia Altered PerformanceC155429UDHR1-Dementia Altered PerformanceUnified Huntington's Disease Rating Scale '99 - If yes: Does the examiner believe that this has altered the performance on the UHDRS?UHDRS 1999 Version - UDHR1-Dementia Altered Performance
UDHR1-Disruptive Behavior: SeverityC155417UDHR1-Disruptive Behavior: SeverityUnified Huntington's Disease Rating Scale '99 - Disruptive or aggressive behavior: Severity: Have you used threats or hostile words? Have you hit or shoved or thrown things or expressed your temper in a physical way?UHDRS 1999 Version - UDHR1-Disruptive Behavior: Severity
UDHR1-Examiner Believe Signs DepressionC155430UDHR1-Examiner Believe Signs DepressionUnified Huntington's Disease Rating Scale '99 - Depression is defined as persistent depressed mood, anhedonia, or vegetative signs sufficient to interfere with daily functioning. Does the examiner believe that the participant is showing signs of depression?UHDRS 1999 Version - UDHR1-Examiner Believe Signs Depression
UDHR1-Examiner Believe Signs of DementiaC155428UDHR1-Examiner Believe Signs of DementiaUnified Huntington's Disease Rating Scale '99 - Dementia is defined as progressive impairment in memory, abstract thinking or judgment that interferes with work or usual social activities and relationships. Does the examiner believe that the participant is showing signs of dementia?UHDRS 1999 Version - UDHR1-Examiner Believe Signs of Dementia
UDHR1-Examiner Believe Subject ConfusedC155426UDHR1-Examiner Believe Subject ConfusedUnified Huntington's Disease Rating Scale '99 - Confusion is defined as intermittent or persistent disorganized thinking, perceptual disturbances or disorientation to time, place, or person. Does the examiner believe the subject is confused?UHDRS 1999 Version - UDHR1-Examiner Believe Subject Confused
UDHR1-Hallucinations: SeverityC155425UDHR1-Hallucinations: SeverityUnified Huntington's Disease Rating Scale '99 - Hallucinations: Severity: When you see or hear things (insert hallucination here), are you able to convince yourself that it is not rational? [Severity should reflect the behavior's impact on the individual's ability to carry out daily activities as indicated by response choices.].UHDRS 1999 Version - UDHR1-Hallucinations: Severity
UDHR1-Perseverative Thinking: SeverityC155419UDHR1-Perseverative Thinking: SeverityUnified Huntington's Disease Rating Scale '99 - Perseverative/obsessional thinking: Severity: Have do repeated thoughts impact your daily life?UHDRS 1999 Version - UDHR1-Perseverative Thinking: Severity
UHDR1-ADLC155464UHDR1-ADLUnified Huntington's Disease Rating Scale '99 - ADL.UHDRS 1999 Version - ADL
UHDR1-Anxiety: FrequencyC155412UHDR1-Anxiety: FrequencyUnified Huntington's Disease Rating Scale '99 - Anxiety: Frequency: Within the past month, how often have you found yourself worrying about things?UHDRS 1999 Version - Anxiety: Frequency
UHDR1-Anxiety: SeverityC155413UHDR1-Anxiety: SeverityUnified Huntington's Disease Rating Scale '99 - Anxiety: Severity: How much has nervousness or worry affected your daily activities?UHDRS 1999 Version - Anxiety: Severity
UHDR1-Any Gainful EmploymentC155435UHDR1-Any Gainful EmploymentUnified Huntington's Disease Rating Scale '99 - Could the subject engage in any kind of gainful employment?UHDRS 1999 Version - Any Gainful Employment
UHDR1-Apathy: FrequencyC155406UHDR1-Apathy: FrequencyUnified Huntington's Disease Rating Scale '99 - Apathy: Frequency: Within the past month, how often have you found that you have lost interest in things that used to be important to you?UHDRS 1999 Version - Apathy: Frequency
UHDR1-Apathy: SeverityC155407UHDR1-Apathy: SeverityUnified Huntington's Disease Rating Scale '99 - Apathy: Severity: How has apathy impacted your ability to carry out daily activities?UHDRS 1999 Version - Apathy: Severity
UHDR1-Bathe Himself/Herself Without HelpC155449UHDR1-Bathe Himself/Herself Without HelpUnified Huntington's Disease Rating Scale '99 - Could the subject bathe himself/herself without help?UHDRS 1999 Version - Bathe Himself/Herself Without Help
UHDR1-Behavior Assessment Obtained FromC155433UHDR1-Behavior Assessment Obtained FromUnified Huntington's Disease Rating Scale '99 - Was the Behavioral Assessment information obtained from.UHDRS 1999 Version - Behavior Assessment Obtained From
UHDR1-Behavior Subscale ScoreC155476UHDR1-Behavior Subscale ScoreUnified Huntington's Disease Rating Scale '99 - Behavior subscale score of the total behavior score.UHDRS 1999 Version - Behavior Subscale Score
UHDR1-Believe Subject Has Manifest HDC155470UHDR1-Believe Subject Has Manifest HDUnified Huntington's Disease Rating Scale '99 - Based on the entire UHDRS (Motor, Cognitive, Behavioral and Functional components) do you believe with a confidence level >= 99% that this subject has manifest HD?UHDRS 1999 Version - Believe Subject Has Manifest HD
UHDR1-Bradykinesia: BodyC155385UHDR1-Bradykinesia: BodyUnified Huntington's Disease Rating Scale '99 - Bradykinesia-body.UHDRS 1999 Version - Bradykinesia: Body
UHDR1-Care LevelC155465UHDR1-Care LevelUnified Huntington's Disease Rating Scale '99 - Care Level.UHDRS 1999 Version - Care Level
UHDR1-Care Provided at HomeC155458UHDR1-Care Provided at HomeUnified Huntington's Disease Rating Scale '99 - Could the subject's care still be provided at home?UHDRS 1999 Version - Care Provided at Home
UHDR1-Comb Hair Without HelpC155454UHDR1-Comb Hair Without HelpUnified Huntington's Disease Rating Scale '99 - Could the subject comb hair without help?UHDRS 1999 Version - Comb Hair Without Help
UHDR1-Compulsive Behavior: FrequencyC155420UHDR1-Compulsive Behavior: FrequencyUnified Huntington's Disease Rating Scale '99 - Compulsive behavior: Frequency: Within the past month, how often have you found yourself doing certain things over and over again (counting, washing, checking)?UHDRS 1999 Version - Compulsive Behavior: Frequency
UHDR1-Continue to Be Assessed for StudyC155472UHDR1-Continue to Be Assessed for StudyUnified Huntington's Disease Rating Scale '99 - If the subject was institutionalized will the subject continue to be assessed for this study?UHDRS 1999 Version - Continue to Be Assessed for Study
UHDR1-Current Level Subject IndependenceC155460UHDR1-Current Level Subject IndependenceUnified Huntington's Disease Rating Scale '99 - Please indicate the most accurate current level of subject's independence (only increments of 5 are acceptable).UHDRS 1999 Version - Current Level Subject Independence
UHDR1-Delusions: FrequencyC155422UHDR1-Delusions: FrequencyUnified Huntington's Disease Rating Scale '99 - Delusions: Frequency: How often does it seem like people are out to get you, people are controlling you, or you are very suspicious of others? Do you have special powers or importance?UHDRS 1999 Version - Delusions: Frequency
UHDR1-Depressed Mood: FrequencyC155404UHDR1-Depressed Mood: FrequencyUnified Huntington's Disease Rating Scale '99 - Depressed mood: Frequency: Within the past month, how often have you been feeling sad, down or "blue"?UHDRS 1999 Version - Depressed Mood: Frequency
UHDR1-Depressed Mood: SeverityC155405UHDR1-Depressed Mood: SeverityUnified Huntington's Disease Rating Scale '99 - Depressed mood: Severity: How has your mood affected your daily activities? [Evidence of sad mood from behavioral observation includes sad voice or expression, tearfulness.].UHDRS 1999 Version - Depressed Mood: Severity
UHDR1-Diagnosis Confidence LevelC155401UHDR1-Diagnosis Confidence LevelUnified Huntington's Disease Rating Scale '99 - Diagnosis confidence level: To what degree are you confident that this person meets the operational definition of the unequivocal presence of an otherwise unexplained extrapyramidal movement disorder (e.g., chorea, dystonia, bradykinesia, rigidity) in a subject at risk of HD?UHDRS 1999 Version - Diagnosis Confidence Level
UHDR1-Disruptive Behavior: FrequencyC155416UHDR1-Disruptive Behavior: FrequencyUnified Huntington's Disease Rating Scale '99 - Disruptive or aggressive behavior: Frequency: Within the past month, how often have you had emotional or temper outbursts? How often have you had times when you lost control of yourself?UHDRS 1999 Version - Disruptive Behavior: Frequency
UHDR1-Do Housework Without HelpC155442UHDR1-Do Housework Without HelpUnified Huntington's Disease Rating Scale '99 - Could the subject do his/her own housework without help?UHDRS 1999 Version - Do Housework Without Help
UHDR1-Do Laundry Without HelpC155443UHDR1-Do Laundry Without HelpUnified Huntington's Disease Rating Scale '99 - Could the subject do his/her own laundry (wash/dry) without help?UHDRS 1999 Version - Do Laundry Without Help
UHDR1-Domestic ChoresC155463UHDR1-Domestic ChoresUnified Huntington's Disease Rating Scale '99 - Domestic Chores.UHDRS 1999 Version - Domestic Chores
UHDR1-Dress Himself/Herself Without HelpC155448UHDR1-Dress Himself/Herself Without HelpUnified Huntington's Disease Rating Scale '99 - Could the subject dress himself/herself without help?UHDRS 1999 Version - Dress Himself/Herself Without Help
UHDR1-DysarthriaC155376UHDR1-DysarthriaUnified Huntington's Disease Rating Scale '99 - Dysarthria.UHDRS 1999 Version - Dysarthria
UHDR1-Feed Himself/Herself Without HelpC155447UHDR1-Feed Himself/Herself Without HelpUnified Huntington's Disease Rating Scale '99 - Could the subject feed himself/herself without help?UHDRS 1999 Version - Feed Himself/Herself Without Help
UHDR1-FinancesC155462UHDR1-FinancesUnified Huntington's Disease Rating Scale '99 - Finances.UHDRS 1999 Version - Finances
UHDR1-Finger Taps: LeftC155379UHDR1-Finger Taps: LeftUnified Huntington's Disease Rating Scale '99 - Finger taps, left.UHDRS 1999 Version - Finger Taps: Left
UHDR1-Finger Taps: RightC155378UHDR1-Finger Taps: RightUnified Huntington's Disease Rating Scale '99 - Finger taps, right.UHDRS 1999 Version - Finger Taps: Right
UHDR1-Functional Assess Obtained FromC155459UHDR1-Functional Assess Obtained FromUnified Huntington's Disease Rating Scale '99 - Was the Functional Assessment information obtained from.UHDRS 1999 Version - Functional Assess Obtained From
UHDR1-Functional Capacity Obtained FromC155466UHDR1-Functional Capacity Obtained FromUnified Huntington's Disease Rating Scale '99 - Was the Functional Capacity information obtained from.UHDRS 1999 Version - Functional Capacity Obtained From
UHDR1-Functional Checklist ScoreC155481UHDR1-Functional Checklist ScoreUnified Huntington's Disease Rating Scale '99 - Functional checklist score.UHDRS 1999 Version - Functional Checklist Score
UHDR1-Gainful Employment Accustomed WorkC155434UHDR1-Gainful Employment Accustomed WorkUnified Huntington's Disease Rating Scale '99 - Could the subject engage in gainful employment in his/her accustomed work?UHDRS 1999 Version - Gainful Employment Accustomed Work
UHDR1-GaitC155398UHDR1-GaitUnified Huntington's Disease Rating Scale '99 - Gait.UHDRS 1999 Version - Gait
UHDR1-Get in and Out of Bed Without HelpC155456UHDR1-Get in and Out of Bed Without HelpUnified Huntington's Disease Rating Scale '99 - Could the subject get in and out of bed without help?UHDRS 1999 Version - Get in and Out of Bed Without Help
UHDR1-Hallucinations: FrequencyC155424UHDR1-Hallucinations: FrequencyUnified Huntington's Disease Rating Scale '99 - Hallucinations: Frequency: How often have you heard things that other people couldn't hear, or seen things that other people couldn't see?UHDRS 1999 Version - Hallucinations: Frequency
UHDR1-Handle Money as PurchaserC155439UHDR1-Handle Money as PurchaserUnified Huntington's Disease Rating Scale '99 - Could the subject handle money as a purchaser in a simple cash (store) transaction?UHDRS 1999 Version - Handle Money as Purchaser
UHDR1-Independence Scale ScoreC155480UHDR1-Independence Scale ScoreUnified Huntington's Disease Rating Scale '99 - Independence scale score.UHDRS 1999 Version - Independence Scale Score
UHDR1-Irritable Behavior: FrequencyC155414UHDR1-Irritable Behavior: FrequencyUnified Huntington's Disease Rating Scale '99 - Irritable behavior: Frequency: In the past month, how often have you felt impatient, irritable, or "cranky"?UHDRS 1999 Version - Irritable Behavior: Frequency
UHDR1-Irritable Behavior: SeverityC155415UHDR1-Irritable Behavior: SeverityUnified Huntington's Disease Rating Scale '99 - Irritable behavior: Severity: How has irritability impacted your ability to get along with others?UHDRS 1999 Version - Irritable Behavior: Severity
UHDR1-LuriaC155382UHDR1-LuriaUnified Huntington's Disease Rating Scale '99 - Luria (fist-hand palm test).UHDRS 1999 Version - Luria
UHDR1-Manage Finances Without HelpC155437UHDR1-Manage Finances Without HelpUnified Huntington's Disease Rating Scale '99 - Could the subject manage his/her finances (monthly) without any help?UHDRS 1999 Version - Manage Finances Without Help
UHDR1-Maximal Chorea: BOLC155392UHDR1-Maximal Chorea: BOLUnified Huntington's Disease Rating Scale '99 - Maximal chorea-BOL.UHDRS 1999 Version - Maximal Chorea: BOL
UHDR1-Maximal Chorea: FaceC155391UHDR1-Maximal Chorea: FaceUnified Huntington's Disease Rating Scale '99 - Maximal chorea-Face.UHDRS 1999 Version - Maximal Chorea: Face
UHDR1-Maximal Chorea: LLEC155397UHDR1-Maximal Chorea: LLEUnified Huntington's Disease Rating Scale '99 - Maximal chorea-LLE.UHDRS 1999 Version - Maximal Chorea: LLE
UHDR1-Maximal Chorea: LUEC155395UHDR1-Maximal Chorea: LUEUnified Huntington's Disease Rating Scale '99 - Maximal chorea-LUE.UHDRS 1999 Version - Maximal Chorea: LUE
UHDR1-Maximal Chorea: RLEC155396UHDR1-Maximal Chorea: RLEUnified Huntington's Disease Rating Scale '99 - Maximal chorea-RLE.UHDRS 1999 Version - Maximal Chorea: RLE
UHDR1-Maximal Chorea: RUEC155394UHDR1-Maximal Chorea: RUEUnified Huntington's Disease Rating Scale '99 - Maximal chorea-RUE.UHDRS 1999 Version - Maximal Chorea: RUE
UHDR1-Maximal Chorea: TrunkC155393UHDR1-Maximal Chorea: TrunkUnified Huntington's Disease Rating Scale '99 - Maximal chorea-Trunk.UHDRS 1999 Version - Maximal Chorea: Trunk
UHDR1-Maximal Dystonia: LLEC155390UHDR1-Maximal Dystonia: LLEUnified Huntington's Disease Rating Scale '99 - Maximal dystonia-LLE.UHDRS 1999 Version - Maximal Dystonia: LLE
UHDR1-Maximal Dystonia: LUEC155388UHDR1-Maximal Dystonia: LUEUnified Huntington's Disease Rating Scale '99 - Maximal dystonia-LUE.UHDRS 1999 Version - Maximal Dystonia: LUE
UHDR1-Maximal Dystonia: RLEC155389UHDR1-Maximal Dystonia: RLEUnified Huntington's Disease Rating Scale '99 - Maximal dystonia-RLE.UHDRS 1999 Version - Maximal Dystonia: RLE
UHDR1-Maximal Dystonia: RUEC155387UHDR1-Maximal Dystonia: RUEUnified Huntington's Disease Rating Scale '99 - Maximal dystonia-RUE.UHDRS 1999 Version - Maximal Dystonia: RUE
UHDR1-Maximal Dystonia: TrunkC155386UHDR1-Maximal Dystonia: TrunkUnified Huntington's Disease Rating Scale '99 - Maximal dystonia-Trunk.UHDRS 1999 Version - Maximal Dystonia: Trunk
UHDR1-Mood Subscale ScoreC155475UHDR1-Mood Subscale ScoreUnified Huntington's Disease Rating Scale '99 - Mood subscale score of the total behavior score.UHDRS 1999 Version - Mood Subscale Score
UHDR1-Obsessive Subscale ScoreC155478UHDR1-Obsessive Subscale ScoreUnified Huntington's Disease Rating Scale '99 - Obsessive subscale score of the total behavior score.UHDRS 1999 Version - Obsessive Subscale Score
UHDR1-OccupationC155461UHDR1-OccupationUnified Huntington's Disease Rating Scale '99 - Occupation.UHDRS 1999 Version - Occupation
UHDR1-Ocular Pursuit: HorizontalC155370UHDR1-Ocular Pursuit: HorizontalUnified Huntington's Disease Rating Scale '99 - Ocular pursuit, horizontal.UHDRS 1999 Version - Ocular Pursuit: Horizontal
UHDR1-Ocular Pursuit: VerticalC155371UHDR1-Ocular Pursuit: VerticalUnified Huntington's Disease Rating Scale '99 - Ocular pursuit, vertical.UHDRS 1999 Version - Ocular Pursuit: Vertical
UHDR1-Operate Automobile SafelyC155441UHDR1-Operate Automobile SafelyUnified Huntington's Disease Rating Scale '99 - Could the subject operate an automobile safely and independently?UHDRS 1999 Version - Operate Automobile Safely
UHDR1-Permanently InstitutionalizedC155471UHDR1-Permanently InstitutionalizedUnified Huntington's Disease Rating Scale '99 - Since the last visit, has the subject been permanently institutionalized?UHDRS 1999 Version - Permanently Institutionalized
UHDR1-Perseverative Thinking: FrequencyC155418UHDR1-Perseverative Thinking: FrequencyUnified Huntington's Disease Rating Scale '99 - Perseverative/obsessional thinking: Frequency: Within the past month, how often have you found yourself getting stuck on certain ideas? How often have you been bothered by thoughts, images, or fears that keep coming back even if you try not to have them?UHDRS 1999 Version - Perseverative Thinking: Frequency
UHDR1-Pharmacotherapy of DepressionC155431UHDR1-Pharmacotherapy of DepressionUnified Huntington's Disease Rating Scale '99 - In the opinion of the examiner, is a clinical evaluation or follow up warranted for possible pharmacotherapy of depression?UHDRS 1999 Version - Pharmacotherapy of Depression
UHDR1-Pharmacotherapy of IrritabilityC155432UHDR1-Pharmacotherapy of IrritabilityUnified Huntington's Disease Rating Scale '99 - In the opinion of the examiner, is a clinical evaluation or follow up warranted for possible pharmacotherapy of irritability?UHDRS 1999 Version - Pharmacotherapy of Irritability
UHDR1-Prepare Own Meals Without HelpC155444UHDR1-Prepare Own Meals Without HelpUnified Huntington's Disease Rating Scale '99 - Could the subject prepare his/her own meals without help?UHDRS 1999 Version - Prepare Own Meals Without Help
UHDR1-Pronate/Supinate: Hands: LeftC155381UHDR1-Pronate/Supinate: Hands: LeftUnified Huntington's Disease Rating Scale '99 - Pronate/supinate-hands, left.UHDRS 1999 Version - Pronate/Supinate: Hands: Left
UHDR1-Pronate/Supinate: Hands: RightC155380UHDR1-Pronate/Supinate: Hands: RightUnified Huntington's Disease Rating Scale '99 - Pronate/supinate-hands, right.UHDRS 1999 Version - Pronate/Supinate: Hands: Right
UHDR1-Psychosis Subscale ScoreC155477UHDR1-Psychosis Subscale ScoreUnified Huntington's Disease Rating Scale '99 - Psychosis subscale score of the total behavior score.UHDRS 1999 Version - Psychosis Subscale Score
UHDR1-Public Transportation Without HelpC155450UHDR1-Public Transportation Without HelpUnified Huntington's Disease Rating Scale '99 - Could the subject use public transportation to get places without help?UHDRS 1999 Version - Public Transportation Without Help
UHDR1-Purpose of This VisitC155467UHDR1-Purpose of This VisitUnified Huntington's Disease Rating Scale '99 - What was the purpose of this visit?UHDRS 1999 Version - Purpose of This Visit
UHDR1-Retropulsion Pull TestC155400UHDR1-Retropulsion Pull TestUnified Huntington's Disease Rating Scale '99 - Retropulsion pull test.UHDRS 1999 Version - Retropulsion Pull Test
UHDR1-Rigidity: Arms: LeftC155384UHDR1-Rigidity: Arms: LeftUnified Huntington's Disease Rating Scale '99 - Rigidity-arms, left.UHDRS 1999 Version - Rigidity: Arms: Left
UHDR1-Rigidity: Arms: RightC155383UHDR1-Rigidity: Arms: RightUnified Huntington's Disease Rating Scale '99 - Rigidity-arms, right.UHDRS 1999 Version - Rigidity: Arms: Right
UHDR1-Saccade Initiation: HorizontalC155372UHDR1-Saccade Initiation: HorizontalUnified Huntington's Disease Rating Scale '99 - Saccade initiation, horizontal.UHDRS 1999 Version - Saccade Initiation: Horizontal
UHDR1-Saccade Initiation: VerticalC155373UHDR1-Saccade Initiation: VerticalUnified Huntington's Disease Rating Scale '99 - Saccade initiation, vertical.UHDRS 1999 Version - Saccade Initiation: Vertical
UHDR1-Saccade Velocity: HorizontalC155374UHDR1-Saccade Velocity: HorizontalUnified Huntington's Disease Rating Scale '99 - Saccade velocity, horizontal.UHDRS 1999 Version - Saccade Velocity: Horizontal
UHDR1-Saccade Velocity: VerticalC155375UHDR1-Saccade Velocity: VerticalUnified Huntington's Disease Rating Scale '99 - Saccade velocity, vertical.UHDRS 1999 Version - Saccade Velocity: Vertical
UHDR1-Self-esteem/Guilt: FrequencyC155408UHDR1-Self-esteem/Guilt: FrequencyUnified Huntington's Disease Rating Scale '99 - Self-esteem/guilt: Frequency: Within the past month, how often have you been feeling badly about yourself?UHDRS 1999 Version - Self-esteem/Guilt: Frequency
UHDR1-Self-esteem/Guilt: SeverityC155409UHDR1-Self-esteem/Guilt: SeverityUnified Huntington's Disease Rating Scale '99 - Self-esteem/guilt: Severity: How have these feelings affected your daily activities?UHDRS 1999 Version - Self-esteem/Guilt: Severity
UHDR1-Shop for Groceries Without HelpC155438UHDR1-Shop for Groceries Without HelpUnified Huntington's Disease Rating Scale '99 - Could the subject shop for groceries without help?UHDRS 1999 Version - Shop for Groceries Without Help
UHDR1-Since Last Assessment FeelC155469UHDR1-Since Last Assessment FeelUnified Huntington's Disease Rating Scale '99 - Since your last assessment does the subject feel.UHDRS 1999 Version - Since Last Assessment Feel
UHDR1-Since Last Assessment OpinionC155468UHDR1-Since Last Assessment OpinionUnified Huntington's Disease Rating Scale '99 - Since your last assessment of the subject, in your opinion, has the subject.UHDRS 1999 Version - Since Last Assessment Opinion
UHDR1-Suicidal Thoughts: FrequencyC155410UHDR1-Suicidal Thoughts: FrequencyUnified Huntington's Disease Rating Scale '99 - Suicidal thoughts: Frequency: Within the past month, how often have you thought about hurting yourself or ending it all?UHDRS 1999 Version - Suicidal Thoughts: Frequency
UHDR1-Suicidal Thoughts: SeverityC155411UHDR1-Suicidal Thoughts: SeverityUnified Huntington's Disease Rating Scale '99 - Suicidal thoughts: Severity: Do you have a plan in mind to end it all? Have you taken any steps toward carrying out your plan?UHDRS 1999 Version - Suicidal Thoughts: Severity
UHDR1-Supervise Children Without HelpC155440UHDR1-Supervise Children Without HelpUnified Huntington's Disease Rating Scale '99 - Could the subject supervise children without help?UHDRS 1999 Version - Supervise Children Without Help
UHDR1-Symbol Digit Modalities TestC155403UHDR1-Symbol Digit Modalities TestUnified Huntington's Disease Rating Scale '99 - Symbol digit modalities test (raw score).UHDRS 1999 Version - Symbol Digit Modalities Test
UHDR1-Take Medications Without HelpC155446UHDR1-Take Medications Without HelpUnified Huntington's Disease Rating Scale '99 - Could the subject take his/her own medications without help?UHDRS 1999 Version - Take Medications Without Help
UHDR1-Tandem WalkingC155399UHDR1-Tandem WalkingUnified Huntington's Disease Rating Scale '99 - Tandem walking.UHDRS 1999 Version - Tandem Walking
UHDR1-Tongue ProtrusionC155377UHDR1-Tongue ProtrusionUnified Huntington's Disease Rating Scale '99 - Tongue protrusion.UHDRS 1999 Version - Tongue Protrusion
UHDR1-Total Behavior ScoreC155474UHDR1-Total Behavior ScoreUnified Huntington's Disease Rating Scale '99 - Total Behavior score.UHDRS 1999 Version - Total Behavior Score
UHDR1-Total Functional Capacity ScoreC155479UHDR1-Total Functional Capacity ScoreUnified Huntington's Disease Rating Scale '99 - Total functional capacity score.UHDRS 1999 Version - Total Functional Capacity Score
UHDR1-Total Motor ScoreC155473UHDR1-Total Motor ScoreUnified Huntington's Disease Rating Scale '99 - Total Motor score.UHDRS 1999 Version - Total Motor Score
UHDR1-Transfer Chair Without HelpC155455UHDR1-Transfer Chair Without HelpUnified Huntington's Disease Rating Scale '99 - Could the subject transfer between chairs without help?UHDRS 1999 Version - Transfer Chair Without Help
UHDR1-Use Telephone Without HelpC155445UHDR1-Use Telephone Without HelpUnified Huntington's Disease Rating Scale '99 - Could the subject use the telephone without help?UHDRS 1999 Version - Use Telephone Without Help
UHDR1-Use Toilet/Commode Without HelpC155457UHDR1-Use Toilet/Commode Without HelpUnified Huntington's Disease Rating Scale '99 - Could the subject use the toilet/commode without help?UHDRS 1999 Version - Use Toilet/Commode Without Help
UHDR1-Verbal Fluency TestC155402UHDR1-Verbal Fluency TestUnified Huntington's Disease Rating Scale '99 - Verbal fluency test (raw score).UHDRS 1999 Version - Verbal Fluency Test
UHDR1-Volunteer or Non Gainful WorkC155436UHDR1-Volunteer or Non Gainful WorkUnified Huntington's Disease Rating Scale '99 - Could the subject engage in any kind of volunteer or non gainful work?UHDRS 1999 Version - Volunteer or Non Gainful Work
UHDR1-Walk Own Neighborhood Without HelpC155451UHDR1-Walk Own Neighborhood Without HelpUnified Huntington's Disease Rating Scale '99 - Could the subject walk to places in his/her own neighborhood without help?UHDRS 1999 Version - Walk Own Neighborhood Without Help
UHDR1-Walk Without FallingC155452UHDR1-Walk Without FallingUnified Huntington's Disease Rating Scale '99 - Could the subject walk without falling?UHDRS 1999 Version - Walk Without Falling
UHDR1-Walk Without HelpC155453UHDR1-Walk Without HelpUnified Huntington's Disease Rating Scale '99 - Could the subject walk without help?UHDRS 1999 Version - Walk Without Help
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CL.C100148.UPD1TCUnified Parkinson's Disease Rating Scale Clinical Classification Test Code
(UPD1TC)
text
Extensible: No
C100148Unified Parkinson's Disease Rating Scale Clinical Classification Test CodeUnified Parkinson's Disease Rating Scale test code.CDISC Clinical Classification UPDRS Test Code Terminology
UPD101C100901UPD1-Mentation:Intellectual ImpairmentUnified Parkinson's Disease Rating Scale - Mentation, behavior and mood: Intellectual impairment.UPDRS - Mentation, Behavior and Mood: Intellectual Impairment
UPD102C100902UPD1-Mentation:Thought DisorderUnified Parkinson's Disease Rating Scale - Mentation, behavior and mood: Thought disorder.UPDRS - Mentation, Behavior and Mood: Thought Disorder
UPD103C100903UPD1-Mentation:DepressionUnified Parkinson's Disease Rating Scale - Mentation, behavior and mood: Depression.UPDRS - Mentation, Behavior and Mood: Depression
UPD104C100904UPD1-Mentation:Motivation/InitiativeUnified Parkinson's Disease Rating Scale - Mentation, behavior and mood: Motivation/Initiative.UPDRS - Mentation, Behavior and Mood: Motivation/Initiative
UPD105C100905UPD1-Activities:SpeechUnified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Speech.UPDRS - Activities of Daily Living: Speech
UPD106C100906UPD1-Activities:SalivationUnified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Salivation.UPDRS - Activities of Daily Living: Salivation
UPD107C100907UPD1-Activities:SwallowingUnified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Swallowing.UPDRS - Activities of Daily Living: Swallowing
UPD108C100908UPD1-Activities:HandwritingUnified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Handwriting.UPDRS - Activities of Daily Living: Handwriting
UPD109C100909UPD1-Activities:Cut Food/Handle UtensilUnified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Cutting food and handling utensils.UPDRS - Activities of Daily Living: Cutting Food and Handling Utensils
UPD110C100910UPD1-Activities:DressingUnified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Dressing.UPDRS - Activities of Daily Living: Dressing
UPD111C100911UPD1-Activities:HygieneUnified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Hygiene.UPDRS - Activities of Daily Living: Hygiene
UPD112C100912UPD1-Activities:Turn Bed/Adj ClothesUnified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Turning in bed and adjusting bed clothes.UPDRS - Activities of Daily Living: Turning in Bed and Adjusting Bed Clothes
UPD113C100913UPD1-Activities:FallingUnified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Falling (unrelated to freezing).UPDRS - Activities of Daily Living: Falling
UPD114C100914UPD1-Activities:Freezing When WalkingUnified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Freezing when walking.UPDRS - Activities of Daily Living: Freezing When Walking
UPD115C100915UPD1-Activities:WalkingUnified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Walking.UPDRS - Activities of Daily Living: Walking
UPD116C100916UPD1-Activities:TremorUnified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Tremor (Symptomatic complaint of tremor in any part of body.).UPDRS - Activities of Daily Living: Tremor
UPD117C100917UPD1-Activities:Sensory ComplaintsUnified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Sensory complaints related to Parkinsonism.UPDRS - Activities of Daily Living: Sensory Complaints Related to Parkinsonism
UPD118C100918UPD1-Motor:SpeechUnified Parkinson's Disease Rating Scale - Motor examination: Speech.UPDRS - Motor Examination: Speech
UPD119C100919UPD1-Motor:Facial ExpressionUnified Parkinson's Disease Rating Scale - Motor examination: Facial expression.UPDRS - Motor Examination: Facial Expression
UPD120AC111585UPD1-Motor:Tremor at Rest:Face Lips ChinUnified Parkinson's Disease Rating Scale - Motor examination: Tremor at rest: face, lips, chin.UPDRS - Motor Examination: Tremor at Rest, Face, Lips, Chin
UPD120BC111586UPD1-Motor:Tremor at Rest:Hands: RightUnified Parkinson's Disease Rating Scale - Motor examination: Tremor at rest: Hands: Right.UPDRS - Motor Examination: Tremor at Rest, Hands, Right
UPD120CC111587UPD1-Motor:Tremor at Rest:Hands: LeftUnified Parkinson's Disease Rating Scale - Motor examination: Tremor at rest: Hands: Left.UPDRS - Motor Examination: Tremor at Rest, Hands, Left
UPD120DC111588UPD1-Motor:Tremor at Rest:Feet: RightUnified Parkinson's Disease Rating Scale - Motor examination: Tremor at rest: Feet: Right.UPDRS - Motor Examination: Tremor at Rest, Feet, Right
UPD120EC111589UPD1-Motor:Tremor at Rest:Feet: LeftUnified Parkinson's Disease Rating Scale - Motor examination: Tremor at rest: Feet: Left.UPDRS - Motor Examination: Tremor at Rest, Feet, Left
UPD121AC111590UPD1--Motor:Action Tremor:Hand: RightUnified Parkinson's Disease Rating Scale - Motor examination: Action tremor: Hand: Right.UPDRS - Motor Examination: Action Tremor, Hand, Right
UPD121BC111591UPD1--Motor:Action Tremor:Hand: LeftUnified Parkinson's Disease Rating Scale - Motor examination: Action tremor: Hand: Left.UPDRS - Motor Examination: Action Tremor, Hand, Left
UPD122AC111592UPD1-Motor:Rigidity NeckUnified Parkinson's Disease Rating Scale - Motor examination: Rigidity neck.UPDRS - Motor Examination: Rigidity Neck
UPD122BC111593UPD1-Motor:Rigidity Upper Extrem: RightUnified Parkinson's Disease Rating Scale - Motor examination: Rigidity upper extremity: Right.UPDRS - Motor Examination: Rigidity Upper Extremity, Right
UPD122CC111594UPD1-Motor:Rigidity Upper Extrem: LeftUnified Parkinson's Disease Rating Scale - Motor examination: Rigidity upper extremity: Left.UPDRS - Motor Examination: Rigidity Upper Extremity, Left
UPD122DC111595UPD1-Motor:Rigidity Lower Extrem: RightUnified Parkinson's Disease Rating Scale - Motor examination: Rigidity lower extremity: Right.UPDRS - Motor Examination: Rigidity Lower Extremity, Right
UPD122EC111596UPD1-Motor:Rigidity Lower Extrem: LeftUnified Parkinson's Disease Rating Scale - Motor examination: Rigidity lower extremity: Left.UPDRS - Motor Examination: Rigidity Lower Extremity, Left
UPD123AC111597UPD1-Motor:Finger Taps: RightUnified Parkinson's Disease Rating Scale - Motor examination: Finger taps: Right.UPDRS - Motor Examination: Finger Taps, Right
UPD123BC111598UPD1-Motor:Finger Taps: LeftUnified Parkinson's Disease Rating Scale - Motor examination: Finger taps: Left.UPDRS - Motor Examination: Finger Taps, Left
UPD124AC111599UPD1-Motor:Hand Grips: RightUnified Parkinson's Disease Rating Scale - Motor examination: Hand grips: Right.UPDRS - Motor Examination: Hand Grips, Right
UPD124BC111600UPD1-Motor:Hand Grips: LeftUnified Parkinson's Disease Rating Scale - Motor examination: Hand grips: Left.UPDRS - Motor Examination: Hand Grips, Left
UPD125AC111601UPD1-Motor:Hand Pronate/Supinate: RightUnified Parkinson's Disease Rating Scale - Motor examination: Hand pronate/supinate: Right.UPDRS - Motor Examination: Hand Pronate/Supinate, Right
UPD125BC111602UPD1-Motor:Hand Pronate/Supinate: LeftUnified Parkinson's Disease Rating Scale - Motor examination: Hand pronate/supinate: Left.UPDRS - Motor Examination: Hand Pronate/Supinate, Left
UPD126AC111603UPD1-Motor:Leg Agility: RightUnified Parkinson's Disease Rating Scale - Motor examination: Leg agility: Right.UPDRS - Motor Examination: Leg Agility, Right
UPD126BC111604UPD1-Motor:Leg Agility: LeftUnified Parkinson's Disease Rating Scale - Motor examination: Leg agility: Left.UPDRS - Motor Examination: Leg Agility, Left
UPD127C100927UPD1-Motor:Arising from ChairUnified Parkinson's Disease Rating Scale - Motor examination: Arising from chair (Patient attempts to rise from a straightbacked chair, with arms folded across chest.).UPDRS - Motor Examination: Arising from Chair
UPD128C100928UPD1-Motor:PostureUnified Parkinson's Disease Rating Scale - Motor examination: Posture.UPDRS - Motor Examination: Posture
UPD129C100929UPD1-Motor:GaitUnified Parkinson's Disease Rating Scale - Motor examination: Gait.UPDRS - Motor Examination: Gait
UPD130C100930UPD1-Motor:Postural StabilityUnified Parkinson's Disease Rating Scale - Motor examination: Postural stability (Response to sudden, strong posterior displacement produced by pull on shoulders while patient erect with eyes open and feet slightly apart. Patient is prepared.).UPDRS - Motor Examination: Postural Stability
UPD131C100931UPD1-Motor:Bradykinesia and HypokinesiaUnified Parkinson's Disease Rating Scale - Motor examination: Body bradykinesia and hypokinesia (Combining slowness, hesitancy, decreased arm swing, small amplitude, and poverty of movement in general.).UPDRS - Motor Examination: Body Bradykinesia and Hypokinesia
UPD132C100932UPD1-Complications:Dyskinesias DurationUnified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Dyskinesias, Duration: What proportion of the waking day are dyskinesias present? (Historical information.).UPDRS - Complications of Therapy: Dyskinesias - Duration
UPD133C100933UPD1-Complications:Dyskinesias DisableUnified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Dyskinesias, Disability: How disabling are the dyskinesias? (Historical information; may be modified by office examination.).UPDRS - Complications of Therapy: Dyskinesias - Disability
UPD134C100934UPD1-Complications:Dyskinesias PainfulUnified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Dyskinesias, Painful dyskinesias: How painful are the dyskinesias?UPDRS - Complications of Therapy: Dyskinesias - Painful Dyskinesias
UPD135C100935UPD1-Complications:Dyskinesias DystoniaUnified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Dyskinesias, Presence of early morning dystonia (Historical information.).UPDRS - Complications of Therapy: Dyskinesias - Presence of Early Morning Dystonia
UPD136C100936UPD1-Complications:Fluct PredictableUnified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Clinical fluctuations, Are 'off' periods predictable?UPDRS - Complications of Therapy: Clinical Fluctuations - Off Periods Predictable
UPD137C100937UPD1-Complications:Fluct UnpredictableUnified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Clinical fluctuations, Are 'off' periods unpredictable?UPDRS - Complications of Therapy: Clinical Fluctuations - Off Periods Unpredictable
UPD138C100938UPD1-Complications:Fluct SuddenlyUnified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Clinical fluctuations, Do 'off' periods come on suddenly, within a few seconds?UPDRS - Complications of Therapy: Clinical Fluctuations - Off Periods Sudden
UPD139C100939UPD1-Complications:Fluct AverageUnified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Clinical fluctuations, What proportion of the waking day is the patient 'off' on average?UPDRS - Complications of Therapy: Clinical Fluctuations - Average Off Periods Per Day
UPD140C100940UPD1-Complications:Anorex Nausea VomitUnified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Other complications, Does the patient have anorexia, nausea, or vomiting?UPDRS - Complications of Therapy: Other Complications - Anorexia, Nausea, or Vomiting
UPD141C100941UPD1-Complications:Insomnia HypersomnolUnified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Other complications, Any sleep disturbances, such as insomnia or hypersomnolence?UPDRS - Complications of Therapy: Other Complications - Sleep Disturbances
UPD142C100942UPD1-Complications:Symptom OrthostasisUnified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Other complications, Does the patient have symptomatic orthostasis? (Record the patient's blood pressure, height and weight on the scoring form).UPDRS - Complications of Therapy: Other Complications - Symptomatic Orthostasis
UPD142AC111605UPD1-Blood Pressure: SeatedUnified Parkinson's Disease Rating Scale - Blood pressure: Seated.UPDRS - Symptomatic Orthostasis: Blood Pressure, Seated
UPD142BC111606UPD1-Blood Pressure: SupineUnified Parkinson's Disease Rating Scale - Blood pressure: Supine.UPDRS - Symptomatic Orthostasis: Blood Pressure, Supine
UPD142CC111607UPD1-Blood Pressure: StandingUnified Parkinson's Disease Rating Scale - Blood pressure: Standing.UPDRS - Symptomatic Orthostasis: Blood Pressure, Standing
UPD142DC111608UPD1-WeightUnified Parkinson's Disease Rating Scale - Weight.UPDRS - Symptomatic Orthostasis: Weight
UPD142EC111609UPD1-Pulse: SeatedUnified Parkinson's Disease Rating Scale - Pulse: Seated.UPDRS - Symptomatic Orthostasis: Pulse, Seated
UPD142FC111610UPD1-Pulse: StandingUnified Parkinson's Disease Rating Scale - Pulse: Standing.UPDRS - Symptomatic Orthostasis: Pulse, Standing
UPD143C100943UPD1-Modified Hoehn and Yahr StagingUnified Parkinson's Disease Rating Scale - Modified Hoehn and Yahr Staging.UPDRS - Modified Hoehn and Yahr Staging
UPD144AC111611UPD1-Schwab/England % ADL Score (PD)Unified Parkinson's Disease Rating Scale - Schwab and England % ADL Score (PD).UPDRS - Schwab and England % ADL Score (PD)
UPD144BC111612UPD1-Schwab/England % ADL (Dyskinesia)Unified Parkinson's Disease Rating Scale - Schwab and England % ADL (with dyskinesia).UPDRS - Schwab and England % ADL (With Dyskinesia)
UPD145C111613UPD1-Mentation, Behavior, Mood Sub-TotalUnified Parkinson's Disease Rating Scale - Mentation, behavior and mood sub-total.UPDRS - Mentation, Behavior and Mood Sub-total
UPD146C111614UPD1-Activities Daily Living Sub-TotalUnified Parkinson's Disease Rating Scale - Activities of daily living sub-total.UPDRS - Activities of Daily Living Sub-total
UPD147C111615UPD1-Motor Examination Sub-TotalUnified Parkinson's Disease Rating Scale - Motor examination sub-total.UPDRS - Motor Examination Sub-total
UPD148C111616UPD1-UPDRS TotalUnified Parkinson's Disease Rating Scale - UPDRS total.UPDRS - UPDRS Total
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CL.C100147.UPD1TNUnified Parkinson's Disease Rating Scale Clinical Classification Test Name
(UPD1TN)
text
Extensible: No
C100147Unified Parkinson's Disease Rating Scale Clinical Classification Test NameUnified Parkinson's Disease Rating Scale test name.CDISC Clinical Classification UPDRS Test Name Terminology
UPD1--Motor:Action Tremor:Hand: LeftC111591UPD1--Motor:Action Tremor:Hand: LeftUnified Parkinson's Disease Rating Scale - Motor examination: Action tremor: Hand: Left.UPDRS - Motor Examination: Action Tremor, Hand, Left
UPD1--Motor:Action Tremor:Hand: RightC111590UPD1--Motor:Action Tremor:Hand: RightUnified Parkinson's Disease Rating Scale - Motor examination: Action tremor: Hand: Right.UPDRS - Motor Examination: Action Tremor, Hand, Right
UPD1-Activities Daily Living Sub-TotalC111614UPD1-Activities Daily Living Sub-TotalUnified Parkinson's Disease Rating Scale - Activities of daily living sub-total.UPDRS - Activities of Daily Living Sub-total
UPD1-Activities:Cut Food/Handle UtensilC100909UPD1-Activities:Cut Food/Handle UtensilUnified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Cutting food and handling utensils.UPDRS - Activities of Daily Living: Cutting Food and Handling Utensils
UPD1-Activities:DressingC100910UPD1-Activities:DressingUnified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Dressing.UPDRS - Activities of Daily Living: Dressing
UPD1-Activities:FallingC100913UPD1-Activities:FallingUnified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Falling (unrelated to freezing).UPDRS - Activities of Daily Living: Falling
UPD1-Activities:Freezing When WalkingC100914UPD1-Activities:Freezing When WalkingUnified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Freezing when walking.UPDRS - Activities of Daily Living: Freezing When Walking
UPD1-Activities:HandwritingC100908UPD1-Activities:HandwritingUnified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Handwriting.UPDRS - Activities of Daily Living: Handwriting
UPD1-Activities:HygieneC100911UPD1-Activities:HygieneUnified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Hygiene.UPDRS - Activities of Daily Living: Hygiene
UPD1-Activities:SalivationC100906UPD1-Activities:SalivationUnified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Salivation.UPDRS - Activities of Daily Living: Salivation
UPD1-Activities:Sensory ComplaintsC100917UPD1-Activities:Sensory ComplaintsUnified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Sensory complaints related to Parkinsonism.UPDRS - Activities of Daily Living: Sensory Complaints Related to Parkinsonism
UPD1-Activities:SpeechC100905UPD1-Activities:SpeechUnified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Speech.UPDRS - Activities of Daily Living: Speech
UPD1-Activities:SwallowingC100907UPD1-Activities:SwallowingUnified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Swallowing.UPDRS - Activities of Daily Living: Swallowing
UPD1-Activities:TremorC100916UPD1-Activities:TremorUnified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Tremor (Symptomatic complaint of tremor in any part of body.).UPDRS - Activities of Daily Living: Tremor
UPD1-Activities:Turn Bed/Adj ClothesC100912UPD1-Activities:Turn Bed/Adj ClothesUnified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Turning in bed and adjusting bed clothes.UPDRS - Activities of Daily Living: Turning in Bed and Adjusting Bed Clothes
UPD1-Activities:WalkingC100915UPD1-Activities:WalkingUnified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Walking.UPDRS - Activities of Daily Living: Walking
UPD1-Blood Pressure: SeatedC111605UPD1-Blood Pressure: SeatedUnified Parkinson's Disease Rating Scale - Blood pressure: Seated.UPDRS - Symptomatic Orthostasis: Blood Pressure, Seated
UPD1-Blood Pressure: StandingC111607UPD1-Blood Pressure: StandingUnified Parkinson's Disease Rating Scale - Blood pressure: Standing.UPDRS - Symptomatic Orthostasis: Blood Pressure, Standing
UPD1-Blood Pressure: SupineC111606UPD1-Blood Pressure: SupineUnified Parkinson's Disease Rating Scale - Blood pressure: Supine.UPDRS - Symptomatic Orthostasis: Blood Pressure, Supine
UPD1-Complications:Anorex Nausea VomitC100940UPD1-Complications:Anorex Nausea VomitUnified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Other complications, Does the patient have anorexia, nausea, or vomiting?UPDRS - Complications of Therapy: Other Complications - Anorexia, Nausea, or Vomiting
UPD1-Complications:Dyskinesias DisableC100933UPD1-Complications:Dyskinesias DisableUnified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Dyskinesias, Disability: How disabling are the dyskinesias? (Historical information; may be modified by office examination.).UPDRS - Complications of Therapy: Dyskinesias - Disability
UPD1-Complications:Dyskinesias DurationC100932UPD1-Complications:Dyskinesias DurationUnified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Dyskinesias, Duration: What proportion of the waking day are dyskinesias present? (Historical information.).UPDRS - Complications of Therapy: Dyskinesias - Duration
UPD1-Complications:Dyskinesias DystoniaC100935UPD1-Complications:Dyskinesias DystoniaUnified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Dyskinesias, Presence of early morning dystonia (Historical information.).UPDRS - Complications of Therapy: Dyskinesias - Presence of Early Morning Dystonia
UPD1-Complications:Dyskinesias PainfulC100934UPD1-Complications:Dyskinesias PainfulUnified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Dyskinesias, Painful dyskinesias: How painful are the dyskinesias?UPDRS - Complications of Therapy: Dyskinesias - Painful Dyskinesias
UPD1-Complications:Fluct AverageC100939UPD1-Complications:Fluct AverageUnified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Clinical fluctuations, What proportion of the waking day is the patient 'off' on average?UPDRS - Complications of Therapy: Clinical Fluctuations - Average Off Periods Per Day
UPD1-Complications:Fluct PredictableC100936UPD1-Complications:Fluct PredictableUnified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Clinical fluctuations, Are 'off' periods predictable?UPDRS - Complications of Therapy: Clinical Fluctuations - Off Periods Predictable
UPD1-Complications:Fluct SuddenlyC100938UPD1-Complications:Fluct SuddenlyUnified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Clinical fluctuations, Do 'off' periods come on suddenly, within a few seconds?UPDRS - Complications of Therapy: Clinical Fluctuations - Off Periods Sudden
UPD1-Complications:Fluct UnpredictableC100937UPD1-Complications:Fluct UnpredictableUnified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Clinical fluctuations, Are 'off' periods unpredictable?UPDRS - Complications of Therapy: Clinical Fluctuations - Off Periods Unpredictable
UPD1-Complications:Insomnia HypersomnolC100941UPD1-Complications:Insomnia HypersomnolUnified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Other complications, Any sleep disturbances, such as insomnia or hypersomnolence?UPDRS - Complications of Therapy: Other Complications - Sleep Disturbances
UPD1-Complications:Symptom OrthostasisC100942UPD1-Complications:Symptom OrthostasisUnified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Other complications, Does the patient have symptomatic orthostasis? (Record the patient's blood pressure, height and weight on the scoring form).UPDRS - Complications of Therapy: Other Complications - Symptomatic Orthostasis
UPD1-Mentation, Behavior, Mood Sub-TotalC111613UPD1-Mentation, Behavior, Mood Sub-TotalUnified Parkinson's Disease Rating Scale - Mentation, behavior and mood sub-total.UPDRS - Mentation, Behavior and Mood Sub-total
UPD1-Mentation:DepressionC100903UPD1-Mentation:DepressionUnified Parkinson's Disease Rating Scale - Mentation, behavior and mood: Depression.UPDRS - Mentation, Behavior and Mood: Depression
UPD1-Mentation:Intellectual ImpairmentC100901UPD1-Mentation:Intellectual ImpairmentUnified Parkinson's Disease Rating Scale - Mentation, behavior and mood: Intellectual impairment.UPDRS - Mentation, Behavior and Mood: Intellectual Impairment
UPD1-Mentation:Motivation/InitiativeC100904UPD1-Mentation:Motivation/InitiativeUnified Parkinson's Disease Rating Scale - Mentation, behavior and mood: Motivation/Initiative.UPDRS - Mentation, Behavior and Mood: Motivation/Initiative
UPD1-Mentation:Thought DisorderC100902UPD1-Mentation:Thought DisorderUnified Parkinson's Disease Rating Scale - Mentation, behavior and mood: Thought disorder.UPDRS - Mentation, Behavior and Mood: Thought Disorder
UPD1-Modified Hoehn and Yahr StagingC100943UPD1-Modified Hoehn and Yahr StagingUnified Parkinson's Disease Rating Scale - Modified Hoehn and Yahr Staging.UPDRS - Modified Hoehn and Yahr Staging
UPD1-Motor Examination Sub-TotalC111615UPD1-Motor Examination Sub-TotalUnified Parkinson's Disease Rating Scale - Motor examination sub-total.UPDRS - Motor Examination Sub-total
UPD1-Motor:Arising from ChairC100927UPD1-Motor:Arising from ChairUnified Parkinson's Disease Rating Scale - Motor examination: Arising from chair (Patient attempts to rise from a straightbacked chair, with arms folded across chest.).UPDRS - Motor Examination: Arising from Chair
UPD1-Motor:Bradykinesia and HypokinesiaC100931UPD1-Motor:Bradykinesia and HypokinesiaUnified Parkinson's Disease Rating Scale - Motor examination: Body bradykinesia and hypokinesia (Combining slowness, hesitancy, decreased arm swing, small amplitude, and poverty of movement in general.).UPDRS - Motor Examination: Body Bradykinesia and Hypokinesia
UPD1-Motor:Facial ExpressionC100919UPD1-Motor:Facial ExpressionUnified Parkinson's Disease Rating Scale - Motor examination: Facial expression.UPDRS - Motor Examination: Facial Expression
UPD1-Motor:Finger Taps: LeftC111598UPD1-Motor:Finger Taps: LeftUnified Parkinson's Disease Rating Scale - Motor examination: Finger taps: Left.UPDRS - Motor Examination: Finger Taps, Left
UPD1-Motor:Finger Taps: RightC111597UPD1-Motor:Finger Taps: RightUnified Parkinson's Disease Rating Scale - Motor examination: Finger taps: Right.UPDRS - Motor Examination: Finger Taps, Right
UPD1-Motor:GaitC100929UPD1-Motor:GaitUnified Parkinson's Disease Rating Scale - Motor examination: Gait.UPDRS - Motor Examination: Gait
UPD1-Motor:Hand Grips: LeftC111600UPD1-Motor:Hand Grips: LeftUnified Parkinson's Disease Rating Scale - Motor examination: Hand grips: Left.UPDRS - Motor Examination: Hand Grips, Left
UPD1-Motor:Hand Grips: RightC111599UPD1-Motor:Hand Grips: RightUnified Parkinson's Disease Rating Scale - Motor examination: Hand grips: Right.UPDRS - Motor Examination: Hand Grips, Right
UPD1-Motor:Hand Pronate/Supinate: LeftC111602UPD1-Motor:Hand Pronate/Supinate: LeftUnified Parkinson's Disease Rating Scale - Motor examination: Hand pronate/supinate: Left.UPDRS - Motor Examination: Hand Pronate/Supinate, Left
UPD1-Motor:Hand Pronate/Supinate: RightC111601UPD1-Motor:Hand Pronate/Supinate: RightUnified Parkinson's Disease Rating Scale - Motor examination: Hand pronate/supinate: Right.UPDRS - Motor Examination: Hand Pronate/Supinate, Right
UPD1-Motor:Leg Agility: LeftC111604UPD1-Motor:Leg Agility: LeftUnified Parkinson's Disease Rating Scale - Motor examination: Leg agility: Left.UPDRS - Motor Examination: Leg Agility, Left
UPD1-Motor:Leg Agility: RightC111603UPD1-Motor:Leg Agility: RightUnified Parkinson's Disease Rating Scale - Motor examination: Leg agility: Right.UPDRS - Motor Examination: Leg Agility, Right
UPD1-Motor:Postural StabilityC100930UPD1-Motor:Postural StabilityUnified Parkinson's Disease Rating Scale - Motor examination: Postural stability (Response to sudden, strong posterior displacement produced by pull on shoulders while patient erect with eyes open and feet slightly apart. Patient is prepared.).UPDRS - Motor Examination: Postural Stability
UPD1-Motor:PostureC100928UPD1-Motor:PostureUnified Parkinson's Disease Rating Scale - Motor examination: Posture.UPDRS - Motor Examination: Posture
UPD1-Motor:Rigidity Lower Extrem: LeftC111596UPD1-Motor:Rigidity Lower Extrem: LeftUnified Parkinson's Disease Rating Scale - Motor examination: Rigidity lower extremity: Left.UPDRS - Motor Examination: Rigidity Lower Extremity, Left
UPD1-Motor:Rigidity Lower Extrem: RightC111595UPD1-Motor:Rigidity Lower Extrem: RightUnified Parkinson's Disease Rating Scale - Motor examination: Rigidity lower extremity: Right.UPDRS - Motor Examination: Rigidity Lower Extremity, Right
UPD1-Motor:Rigidity NeckC111592UPD1-Motor:Rigidity NeckUnified Parkinson's Disease Rating Scale - Motor examination: Rigidity neck.UPDRS - Motor Examination: Rigidity Neck
UPD1-Motor:Rigidity Upper Extrem: LeftC111594UPD1-Motor:Rigidity Upper Extrem: LeftUnified Parkinson's Disease Rating Scale - Motor examination: Rigidity upper extremity: Left.UPDRS - Motor Examination: Rigidity Upper Extremity, Left
UPD1-Motor:Rigidity Upper Extrem: RightC111593UPD1-Motor:Rigidity Upper Extrem: RightUnified Parkinson's Disease Rating Scale - Motor examination: Rigidity upper extremity: Right.UPDRS - Motor Examination: Rigidity Upper Extremity, Right
UPD1-Motor:SpeechC100918UPD1-Motor:SpeechUnified Parkinson's Disease Rating Scale - Motor examination: Speech.UPDRS - Motor Examination: Speech
UPD1-Motor:Tremor at Rest:Face Lips ChinC111585UPD1-Motor:Tremor at Rest:Face Lips ChinUnified Parkinson's Disease Rating Scale - Motor examination: Tremor at rest: face, lips, chin.UPDRS - Motor Examination: Tremor at Rest, Face, Lips, Chin
UPD1-Motor:Tremor at Rest:Feet: LeftC111589UPD1-Motor:Tremor at Rest:Feet: LeftUnified Parkinson's Disease Rating Scale - Motor examination: Tremor at rest: Feet: Left.UPDRS - Motor Examination: Tremor at Rest, Feet, Left
UPD1-Motor:Tremor at Rest:Feet: RightC111588UPD1-Motor:Tremor at Rest:Feet: RightUnified Parkinson's Disease Rating Scale - Motor examination: Tremor at rest: Feet: Right.UPDRS - Motor Examination: Tremor at Rest, Feet, Right
UPD1-Motor:Tremor at Rest:Hands: LeftC111587UPD1-Motor:Tremor at Rest:Hands: LeftUnified Parkinson's Disease Rating Scale - Motor examination: Tremor at rest: Hands: Left.UPDRS - Motor Examination: Tremor at Rest, Hands, Left
UPD1-Motor:Tremor at Rest:Hands: RightC111586UPD1-Motor:Tremor at Rest:Hands: RightUnified Parkinson's Disease Rating Scale - Motor examination: Tremor at rest: Hands: Right.UPDRS - Motor Examination: Tremor at Rest, Hands, Right
UPD1-Pulse: SeatedC111609UPD1-Pulse: SeatedUnified Parkinson's Disease Rating Scale - Pulse: Seated.UPDRS - Symptomatic Orthostasis: Pulse, Seated
UPD1-Pulse: StandingC111610UPD1-Pulse: StandingUnified Parkinson's Disease Rating Scale - Pulse: Standing.UPDRS - Symptomatic Orthostasis: Pulse, Standing
UPD1-Schwab/England % ADL (Dyskinesia)C111612UPD1-Schwab/England % ADL (Dyskinesia)Unified Parkinson's Disease Rating Scale - Schwab and England % ADL (with dyskinesia).UPDRS - Schwab and England % ADL (With Dyskinesia)
UPD1-Schwab/England % ADL Score (PD)C111611UPD1-Schwab/England % ADL Score (PD)Unified Parkinson's Disease Rating Scale - Schwab and England % ADL Score (PD).UPDRS - Schwab and England % ADL Score (PD)
UPD1-UPDRS TotalC111616UPD1-UPDRS TotalUnified Parkinson's Disease Rating Scale - UPDRS total.UPDRS - UPDRS Total
UPD1-WeightC111608UPD1-WeightUnified Parkinson's Disease Rating Scale - Weight.UPDRS - Symptomatic Orthostasis: Weight
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CL.C103489.UPS01TCUrgency Perception Scale Questionnaire Test Code
(UPS01TC)
text
Extensible: No
C103489Urgency Perception Scale Questionnaire Test CodeUrgency Perception Scale test code.CDISC Questionnaire UPS Test Code Terminology
UPS0101C103761UPS01-Describe Your Desire to UrinateUrgency Perception Scale - Which of the following would typically describe your experience when you have a desire to urinate.UPS - Describe Your Experience When You Desire to Urinate
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CL.C103488.UPS01TNUrgency Perception Scale Questionnaire Test Name
(UPS01TN)
text
Extensible: No
C103488Urgency Perception Scale Questionnaire Test NameUrgency Perception Scale test name.CDISC Questionnaire UPS Test Name Terminology
UPS01-Describe Your Desire to UrinateC103761UPS01-Describe Your Desire to UrinateUrgency Perception Scale - Which of the following would typically describe your experience when you have a desire to urinate.UPS - Describe Your Experience When You Desire to Urinate
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CL.C141653.VALG01TCVeterans Administration Lung Study Group Clinical Classification Test Code
(VALG01TC)
text
Extensible: No
C141653Veterans Administration Lung Study Group Clinical Classification Test CodeVeterans Administration Lung Study Group test code.CDISC Clinical Classification VALG Test Code Terminology
VALG0101C141695VALG01-Cancer StageVeterans Administration Lung Study Group - Cancer stage.VALG - Cancer Stage
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CL.C141652.VALG01TNVeterans Administration Lung Study Group Clinical Classification Test Name
(VALG01TN)
text
Extensible: No
C141652Veterans Administration Lung Study Group Clinical Classification Test NameVeterans Administration Lung Study Group test name.CDISC Clinical Classification VALG Test Name Terminology
VALG01-Cancer StageC141695VALG01-Cancer StageVeterans Administration Lung Study Group - Cancer stage.VALG - Cancer Stage
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CL.C130241.VLERS1TCVignos Lower Extremity Rating Scale Clinical Classification Test Code
(VLERS1TC)
text
Extensible: No
C130241Vignos Lower Extremity Rating Scale Clinical Classification Test CodeVignos Lower Extremity Rating Scale test code.CDISC Clinical Classification VLERS Test Code Terminology
VLERS101C130327VLERS1-Vignos Lower Extremity RatingVignos Lower Extremity Rating Scale - Vignos rating scale.VLERS - Vignos Lower Extremity Rating
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CL.C130240.VLERS1TNVignos Lower Extremity Rating Scale Clinical Classification Test Name
(VLERS1TN)
text
Extensible: No
C130240Vignos Lower Extremity Rating Scale Clinical Classification Test NameVignos Lower Extremity Rating Scale test name.CDISC Clinical Classification VLERS Test Name Terminology
VLERS1-Vignos Lower Extremity RatingC130327VLERS1-Vignos Lower Extremity RatingVignos Lower Extremity Rating Scale - Vignos rating scale.VLERS - Vignos Lower Extremity Rating
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CL.C124680.WHEG01TCWest Haven Hepatic Encephalopathy Grade Clinical Classification Test Code
(WHEG01TC)
text
Extensible: No
C124680West Haven Hepatic Encephalopathy Grade Clinical Classification Test CodeWest Haven Hepatic Encephalopathy Grade test code.CDISC Clinical Classification West Haven Criteria Test Code Terminology
WHEG0101C117747WHEG01-WH Hepatic Encephalopathy GradeWest Haven Hepatic Encephalopathy Grade - Grade.West Haven Criteria - West Haven Hepatic Encephalopathy Grade
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CL.C124679.WHEG01TNWest Haven Hepatic Encephalopathy Grade Clinical Classification Test Name
(WHEG01TN)
text
Extensible: No
C124679West Haven Hepatic Encephalopathy Grade Clinical Classification Test NameWest Haven Hepatic Encephalopathy Grade test name.CDISC Clinical Classification West Haven Criteria Test Name Terminology
WHEG01-WH Hepatic Encephalopathy GradeC117747WHEG01-WH Hepatic Encephalopathy GradeWest Haven Hepatic Encephalopathy Grade - Grade.West Haven Criteria - West Haven Hepatic Encephalopathy Grade
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CL.C124674.WHIVS1TCWHO Clinical Staging of HIV/AIDS for Adults and Adolescents Clinical Classification Test Code
(WHIVS1TC)
text
Extensible: No
C124674WHO Clinical Staging of HIV/AIDS for Adults and Adolescents Clinical Classification Test CodeWHO Clinical Staging of HIV/AIDS for Adults and Adolescents test code.CDISC Clinical Classification WHO Clinical Staging of HIV/AIDS for Adults and Adolescents Test Code Terminology
WHIVS101C124777WHIVS1-WHO Clinical Stage of HIV/AIDSWHO Clinical Staging of HIV/AIDS for Adults and Adolescents - WHO clinical stage of HIV/AIDS.WHO Clinical Staging of HIV/AIDS for Adults and Adolescents - WHO Clinical Stage of HIV/AIDS
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CL.C124673.WHIVS1TNWHO Clinical Staging of HIV/AIDS for Adults and Adolescents Clinical Classification Test Name
(WHIVS1TN)
text
Extensible: No
C124673WHO Clinical Staging of HIV/AIDS for Adults and Adolescents Clinical Classification Test NameWHO Clinical Staging of HIV/AIDS for Adults and Adolescents test name.CDISC Clinical Classification WHO Clinical Staging of HIV/AIDS for Adults and Adolescents Test Name Terminology
WHIVS1-WHO Clinical Stage of HIV/AIDSC124777WHIVS1-WHO Clinical Stage of HIV/AIDSWHO Clinical Staging of HIV/AIDS for Adults and Adolescents - WHO clinical stage of HIV/AIDS.WHO Clinical Staging of HIV/AIDS for Adults and Adolescents - WHO Clinical Stage of HIV/AIDS
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CL.C124676.WHIVS2TCWHO Clinical Staging of HIV/AIDS for Children Clinical Classification Test Code
(WHIVS2TC)
text
Extensible: No
C124676WHO Clinical Staging of HIV/AIDS for Children Clinical Classification Test CodeWHO Clinical Staging of HIV/AIDS for Children test code.CDISC Clinical Classification WHO Clinical Staging of HIV/AIDS for Children Test Code Terminology
WHIVS201C124778WHIVS2-WHO Clinical Stage of HIV/AIDSWHO Clinical Staging of HIV/AIDS for Children - WHO clinical stage of HIV/AIDS.WHO Clinical Staging of HIV/AIDS for Children - WHO Clinical Stage of HIV/AIDS
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CL.C124675.WHIVS2TNWHO Clinical Staging of HIV/AIDS for Children Clinical Classification Test Name
(WHIVS2TN)
text
Extensible: No
C124675WHO Clinical Staging of HIV/AIDS for Children Clinical Classification Test NameWHO Clinical Staging of HIV/AIDS for Children test name.CDISC Clinical Classification WHO Clinical Staging of HIV/AIDS for Children Test Name Terminology
WHIVS2-WHO Clinical Stage of HIV/AIDSC124778WHIVS2-WHO Clinical Stage of HIV/AIDSWHO Clinical Staging of HIV/AIDS for Children - WHO clinical stage of HIV/AIDS.WHO Clinical Staging of HIV/AIDS for Children - WHO Clinical Stage of HIV/AIDS
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CL.C100176.WPAI01TCWork Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 Questionnaire Test Code
(WPAI01TC)
text
Extensible: No
C100176Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 Questionnaire Test CodeWork Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 test code.CDISC Questionnaire WPAI:SHP v2.0 Test Code Terminology
WPAI0101C100949WPAI01-Currently EmployedWork Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - Are you currently employed (working for pay)?WPAI:SHP v2.0 - Currently Employed
WPAI0102C100950WPAI01-Missed Work Hours Due to ProblemWork Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - During the past seven days, how many hours did you miss from work because of problems associated with your problem?WPAI:SHP v2.0 - Missed Work Hours Due to Problem
WPAI0103C100951WPAI01-Missed Work Hours Due to OtherWork Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - During the past seven days, how many hours did you miss from work because of any other reason, such as vacation, holidays, time off to participate in this study?WPAI:SHP v2.0 - Missed Work Hours Due to Other Reasons
WPAI0104C100952WPAI01-Hours Actually WorkedWork Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - During the past seven days, how many hours did you actually work?WPAI:SHP v2.0 - Hours Actually Worked
WPAI0105C100953WPAI01-Problem Affect ProductivityWork Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - During the past seven days, how much did your problem affect your productivity while you were working?WPAI:SHP v2.0 - Problem Affects Productivity
WPAI0106C100954WPAI01-Problem Affect Reg Daily ActivityWork Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - During the past seven days, how much did your problem affect your ability to do your regular daily activities, other than work at a job?WPAI:SHP v2.0 - Problem Affects Regular Daily Activity
WPAI0107C166349WPAI01-Absenteeism ScoreWork Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - Absenteeism score.WPAI:SHP v2.0 - Absenteeism Score
WPAI0108C166350WPAI01-Presenteeism ScoreWork Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - Presenteeism score.WPAI:SHP v2.0 - Presenteeism Score
WPAI0109C166351WPAI01-Work Productivity Loss ScoreWork Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - Work productivity loss score.WPAI:SHP v2.0 - Work Productivity Loss Score
WPAI0110C166352WPAI01-Activity Impairment ScoreWork Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - Activity impairment score.WPAI:SHP v2.0 - Activity Impairment Score
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CL.C100175.WPAI01TNWork Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 Questionnaire Test Name
(WPAI01TN)
text
Extensible: No
C100175Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 Questionnaire Test NameWork Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 test name.CDISC Questionnaire WPAI:SHP v2.0 Test Name Terminology
WPAI01-Absenteeism ScoreC166349WPAI01-Absenteeism ScoreWork Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - Absenteeism score.WPAI:SHP v2.0 - Absenteeism Score
WPAI01-Activity Impairment ScoreC166352WPAI01-Activity Impairment ScoreWork Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - Activity impairment score.WPAI:SHP v2.0 - Activity Impairment Score
WPAI01-Currently EmployedC100949WPAI01-Currently EmployedWork Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - Are you currently employed (working for pay)?WPAI:SHP v2.0 - Currently Employed
WPAI01-Hours Actually WorkedC100952WPAI01-Hours Actually WorkedWork Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - During the past seven days, how many hours did you actually work?WPAI:SHP v2.0 - Hours Actually Worked
WPAI01-Missed Work Hours Due to OtherC100951WPAI01-Missed Work Hours Due to OtherWork Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - During the past seven days, how many hours did you miss from work because of any other reason, such as vacation, holidays, time off to participate in this study?WPAI:SHP v2.0 - Missed Work Hours Due to Other Reasons
WPAI01-Missed Work Hours Due to ProblemC100950WPAI01-Missed Work Hours Due to ProblemWork Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - During the past seven days, how many hours did you miss from work because of problems associated with your problem?WPAI:SHP v2.0 - Missed Work Hours Due to Problem
WPAI01-Presenteeism ScoreC166350WPAI01-Presenteeism ScoreWork Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - Presenteeism score.WPAI:SHP v2.0 - Presenteeism Score
WPAI01-Problem Affect ProductivityC100953WPAI01-Problem Affect ProductivityWork Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - During the past seven days, how much did your problem affect your productivity while you were working?WPAI:SHP v2.0 - Problem Affects Productivity
WPAI01-Problem Affect Reg Daily ActivityC100954WPAI01-Problem Affect Reg Daily ActivityWork Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - During the past seven days, how much did your problem affect your ability to do your regular daily activities, other than work at a job?WPAI:SHP v2.0 - Problem Affects Regular Daily Activity
WPAI01-Work Productivity Loss ScoreC166351WPAI01-Work Productivity Loss ScoreWork Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - Work productivity loss score.WPAI:SHP v2.0 - Work Productivity Loss Score
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CL.C130281.WD4TCWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer Questionnaire Test Code
(WD4TC)
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Extensible: No
C130281World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer Questionnaire Test CodeWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer test code.CDISC Questionnaire WHODAS 2.0 12+24-item Version Interviewer-administered Test Code Terminology
WD4A1C130850WD4-Sex as ObservedWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - Record sex as observed.WHODAS 2.0 12+24-item Version Interviewer-administered - Observed Sex
WD4A2C130851WD4-How Old Are You NowWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - How old are you now?WHODAS 2.0 12+24-item Version Interviewer-administered - How Old Are You Now
WD4A3C130852WD4-Years Studying in School/CollegeWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - How many years in all did you spend studying in school, college or university?WHODAS 2.0 12+24-item Version Interviewer-administered - Years Studying in School or College
WD4A4C130853WD4-Current Marital StatusWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - What is your current marital status?WHODAS 2.0 12+24-item Version Interviewer-administered - Current Marital Status
WD4A5C130854WD4-Describes Main Work Status BestWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - Which describes your main work status best?WHODAS 2.0 12+24-item Version Interviewer-administered - Describes Main Work Status Best
WD4D1_2C130867WD4-Remembering to Do Important ThingsWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Remembering to do important things?WHODAS 2.0 12+24-item Version Interviewer-administered - Remembering to Do Important Things
WD4D1_3C130868WD4-Finding Solutions to ProblemsWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Analysing and finding solutions to problems in day-to-day life?WHODAS 2.0 12+24-item Version Interviewer-administered - Finding Solutions to Problems
WD4D1_5C130869WD4-Understanding What People SayWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Generally understanding what people say?WHODAS 2.0 12+24-item Version Interviewer-administered - Understanding What People Say
WD4D1_6C130870WD4-Starting/Maintaining ConversationWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Starting and maintaining a conversation?WHODAS 2.0 12+24-item Version Interviewer-administered - Starting or Maintaining Conversation
WD4D2_2C130871WD4-Standing Up From Sitting DownWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Standing up from sitting down?WHODAS 2.0 12+24-item Version Interviewer-administered - Standing Up From Sitting Down
WD4D2_3C130872WD4-Moving Around Inside Your HomeWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Moving around inside your home?WHODAS 2.0 12+24-item Version Interviewer-administered - Moving Around Inside Your Home
WD4D2_4C130873WD4-Getting Out of Your HomeWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Getting out of your home?WHODAS 2.0 12+24-item Version Interviewer-administered - Getting Out of Your Home
WD4D3_3C130874WD4-EatingWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Eating?WHODAS 2.0 12+24-item Version Interviewer-administered - Eating
WD4D3_4C130875WD4-Staying By Yourself for a Few DaysWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Staying by yourself for a few days?WHODAS 2.0 12+24-item Version Interviewer-administered - Staying By Yourself for a Few Days
WD4D4_3C130876WD4-Get Along with People Close to YouWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Getting along with people who are close to you?WHODAS 2.0 12+24-item Version Interviewer-administered - Get Along with People Close to You
WD4D4_4C130877WD4-Making New FriendsWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Making new friends?WHODAS 2.0 12+24-item Version Interviewer-administered - Making New Friends
WD4D4_5C130878WD4-Sexual ActivitiesWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Sexual activities?WHODAS 2.0 12+24-item Version Interviewer-administered - Sexual Activities
WD4D5_01C130882WD4-Reduce or Miss Household WorkWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, on how many days did you reduce or completely miss household work because of your health condition?WHODAS 2.0 12+24-item Version Interviewer-administered - Reduce or Miss Household Work
WD4D5_02C130888WD4-Miss Work Half Day or MoreWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, on how many days did you miss work for half a day or more because of your health condition?WHODAS 2.0 12+24-item Version Interviewer-administered - Miss Work Half Day or More
WD4D5_10C130887WD4-Earn Less MoneyWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - Because of your health condition, in the past 30 days how much difficulty did you have in: Did you earn less money as the result of a health condition?WHODAS 2.0 12+24-item Version Interviewer-administered - Earn Less Money
WD4D5_2C130879WD4-Doing Important Household TasksWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - Because of your health condition, in the past 30 days, how much difficulty did you have in: Doing your most important household tasks well?WHODAS 2.0 12+24-item Version Interviewer-administered - Doing Important Household Tasks
WD4D5_3C130880WD4-Getting Household Work Done NeededWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - Because of your health condition, in the past 30 days, how much difficulty did you have in: Getting all the household work done that you needed to do?WHODAS 2.0 12+24-item Version Interviewer-administered - Getting Household Work Done Needed
WD4D5_4C130881WD4-Getting Household Work Done QuicklyWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - Because of your health condition, in the past 30 days, how much difficulty did you have in: Getting your household work done as quickly as needed?WHODAS 2.0 12+24-item Version Interviewer-administered - Getting Household Work Done Quickly
WD4D5_6C130883WD4-Doing Important Work/School TasksWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - Because of your health condition, in the past 30 days how much difficulty did you have in: Doing your most important work/school tasks well?WHODAS 2.0 12+24-item Version Interviewer-administered - Doing Important Work or School Tasks
WD4D5_7C130884WD4-Getting All Work Done You NeedWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - Because of your health condition, in the past 30 days how much difficulty did you have in: Getting all the work done that you need to do?WHODAS 2.0 12+24-item Version Interviewer-administered - Getting All Work Done You Need
WD4D5_8C130885WD4-Getting Work Done Quickly as NeededWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - Because of your health condition, in the past 30 days how much difficulty did you have in: Getting your work done as quickly as needed?WHODAS 2.0 12+24-item Version Interviewer-administered - Getting Work Done Quickly as Needed
WD4D5_9C130886WD4-Had to Work at a Lower LevelWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - Because of your health condition, in the past 30 days how much difficulty did you have in: Have you had to work at a lower level because of a health condition?WHODAS 2.0 12+24-item Version Interviewer-administered - Had to Work at a Lower Level
WD4D6_2C130889WD4-Problem Because of Barriers in WorldWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days: How much of a problem did you have because of barriers or hindrances in the world around you?WHODAS 2.0 12+24-item Version Interviewer-administered - Problem Because of Barriers in World
WD4D6_3C130890WD4-Problem Living With DignityWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days: How much of a problem did you have living with dignity because of the attitudes and actions of others?WHODAS 2.0 12+24-item Version Interviewer-administered - Problem Living With Dignity
WD4D6_4C130891WD4-Time Spend on Your Health ConditionWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days: How much time did you spend on your health condition, or its consequences?WHODAS 2.0 12+24-item Version Interviewer-administered - Time Spend on Your Health Condition
WD4D6_6C130892WD4-Drain on Financial ResourcesWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days: How much has your health been a drain on the financial resources of you or your family?WHODAS 2.0 12+24-item Version Interviewer-administered - Drain on Financial Resources
WD4D6_7C130893WD4-Problem Did Your Family HaveWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days: How much of a problem did your family have because of your health problems?WHODAS 2.0 12+24-item Version Interviewer-administered - Problem Did Your Family Have
WD4D6_8C130894WD4-Problem Doing Things for RelaxationWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days: How much of a problem did you have in doing things by yourself for relaxation or pleasure?WHODAS 2.0 12+24-item Version Interviewer-administered - Problem Doing Things for Relaxation
WD4F5C130849WD4-Living Situation at InterviewWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - Living situation at time of interview.WHODAS 2.0 12+24-item Version Interviewer-administered - Living Situation at Interview
WD4H1C130895WD4-How Many Days Difficulties PresentWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - Overall, in the past 30 days, how many days were these difficulties present?WHODAS 2.0 12+24-item Version Interviewer-administered - How Many Days Difficulties Present
WD4H2C130896WD4-Days Unable to Carry Out ActivitiesWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, for how many days were you totally unable to carry out your usual activities or work because of any health condition?WHODAS 2.0 12+24-item Version Interviewer-administered - Days Unable to Carry Out Activities
WD4H3C130897WD4-How Many Days Reduce ActivitiesWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, not counting the days that you were totally unable, for how many days did you cut back or reduce your usual activities or work because of any health condition?WHODAS 2.0 12+24-item Version Interviewer-administered - How Many Days Reduce Activities
WD4S1C130855WD4-Standing for Long PeriodsWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Standing for long periods such as 30 minutes?WHODAS 2.0 12+24-item Version Interviewer-administered - Standing for Long Periods
WD4S10C130864WD4-Dealing With People You Do Not KnowWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Dealing with people you do not know?WHODAS 2.0 12+24-item Version Interviewer-administered - Dealing With People You Do Not Know
WD4S11C130865WD4-Maintaining a FiendshipWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Maintaining a friendship?WHODAS 2.0 12+24-item Version Interviewer-administered - Maintaining a Fiendship
WD4S12C130866WD4-Your Day-to-Day WorkWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Your day-to-day work?WHODAS 2.0 12+24-item Version Interviewer-administered - Your Day-to-Day Work
WD4S2C130856WD4-Care of Household ResponsibilitiesWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Taking care of your household responsibilities?WHODAS 2.0 12+24-item Version Interviewer-administered - Care of Household Responsibilities
WD4S3C130857WD4-Learning a New TaskWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Learning a new task, for example, learning how to get to a new place?WHODAS 2.0 12+24-item Version Interviewer-administered - Learning a New Task
WD4S4C130858WD4-Problem Joining Community ActivitiesWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Joining in community activities (for example, festivities, religious or other activities) in the same way as anyone else can?WHODAS 2.0 12+24-item Version Interviewer-administered - Problem Joining Community Activities
WD4S5C130859WD4-Emotionally Affected by HealthWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: How much have you been emotionally affected by your health problems?WHODAS 2.0 12+24-item Version Interviewer-administered - Emotionally Affected by Health
WD4S6C130860WD4-Concentrating for Ten MinutesWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Concentrating on doing something for ten minutes?WHODAS 2.0 12+24-item Version Interviewer-administered - Concentrating for Ten Minutes
WD4S7C130861WD4-Walking a Long DistanceWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Walking a long distance such as a kilometre [or equivalent]?WHODAS 2.0 12+24-item Version Interviewer-administered - Walking a Long Distance
WD4S8C130862WD4-Washing Your Whole BodyWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Washing your whole body?WHODAS 2.0 12+24-item Version Interviewer-administered - Washing Your Whole Body
WD4S9C130863WD4-Getting DressedWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Getting dressed?WHODAS 2.0 12+24-item Version Interviewer-administered - Getting Dressed
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CL.C130280.WD4TNWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer Questionnaire Test Name
(WD4TN)
text
Extensible: No
C130280World Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer Questionnaire Test NameWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer test name.CDISC Questionnaire WHODAS 2.0 12+24-item Version Interviewer-administered Test Name Terminology
WD4-Care of Household ResponsibilitiesC130856WD4-Care of Household ResponsibilitiesWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Taking care of your household responsibilities?WHODAS 2.0 12+24-item Version Interviewer-administered - Care of Household Responsibilities
WD4-Concentrating for Ten MinutesC130860WD4-Concentrating for Ten MinutesWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Concentrating on doing something for ten minutes?WHODAS 2.0 12+24-item Version Interviewer-administered - Concentrating for Ten Minutes
WD4-Current Marital StatusC130853WD4-Current Marital StatusWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - What is your current marital status?WHODAS 2.0 12+24-item Version Interviewer-administered - Current Marital Status
WD4-Days Unable to Carry Out ActivitiesC130896WD4-Days Unable to Carry Out ActivitiesWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, for how many days were you totally unable to carry out your usual activities or work because of any health condition?WHODAS 2.0 12+24-item Version Interviewer-administered - Days Unable to Carry Out Activities
WD4-Dealing With People You Do Not KnowC130864WD4-Dealing With People You Do Not KnowWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Dealing with people you do not know?WHODAS 2.0 12+24-item Version Interviewer-administered - Dealing With People You Do Not Know
WD4-Describes Main Work Status BestC130854WD4-Describes Main Work Status BestWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - Which describes your main work status best?WHODAS 2.0 12+24-item Version Interviewer-administered - Describes Main Work Status Best
WD4-Doing Important Household TasksC130879WD4-Doing Important Household TasksWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - Because of your health condition, in the past 30 days, how much difficulty did you have in: Doing your most important household tasks well?WHODAS 2.0 12+24-item Version Interviewer-administered - Doing Important Household Tasks
WD4-Doing Important Work/School TasksC130883WD4-Doing Important Work/School TasksWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - Because of your health condition, in the past 30 days how much difficulty did you have in: Doing your most important work/school tasks well?WHODAS 2.0 12+24-item Version Interviewer-administered - Doing Important Work or School Tasks
WD4-Drain on Financial ResourcesC130892WD4-Drain on Financial ResourcesWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days: How much has your health been a drain on the financial resources of you or your family?WHODAS 2.0 12+24-item Version Interviewer-administered - Drain on Financial Resources
WD4-Earn Less MoneyC130887WD4-Earn Less MoneyWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - Because of your health condition, in the past 30 days how much difficulty did you have in: Did you earn less money as the result of a health condition?WHODAS 2.0 12+24-item Version Interviewer-administered - Earn Less Money
WD4-EatingC130874WD4-EatingWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Eating?WHODAS 2.0 12+24-item Version Interviewer-administered - Eating
WD4-Emotionally Affected by HealthC130859WD4-Emotionally Affected by HealthWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: How much have you been emotionally affected by your health problems?WHODAS 2.0 12+24-item Version Interviewer-administered - Emotionally Affected by Health
WD4-Finding Solutions to ProblemsC130868WD4-Finding Solutions to ProblemsWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Analysing and finding solutions to problems in day-to-day life?WHODAS 2.0 12+24-item Version Interviewer-administered - Finding Solutions to Problems
WD4-Get Along with People Close to YouC130876WD4-Get Along with People Close to YouWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Getting along with people who are close to you?WHODAS 2.0 12+24-item Version Interviewer-administered - Get Along with People Close to You
WD4-Getting All Work Done You NeedC130884WD4-Getting All Work Done You NeedWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - Because of your health condition, in the past 30 days how much difficulty did you have in: Getting all the work done that you need to do?WHODAS 2.0 12+24-item Version Interviewer-administered - Getting All Work Done You Need
WD4-Getting DressedC130863WD4-Getting DressedWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Getting dressed?WHODAS 2.0 12+24-item Version Interviewer-administered - Getting Dressed
WD4-Getting Household Work Done NeededC130880WD4-Getting Household Work Done NeededWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - Because of your health condition, in the past 30 days, how much difficulty did you have in: Getting all the household work done that you needed to do?WHODAS 2.0 12+24-item Version Interviewer-administered - Getting Household Work Done Needed
WD4-Getting Household Work Done QuicklyC130881WD4-Getting Household Work Done QuicklyWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - Because of your health condition, in the past 30 days, how much difficulty did you have in: Getting your household work done as quickly as needed?WHODAS 2.0 12+24-item Version Interviewer-administered - Getting Household Work Done Quickly
WD4-Getting Out of Your HomeC130873WD4-Getting Out of Your HomeWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Getting out of your home?WHODAS 2.0 12+24-item Version Interviewer-administered - Getting Out of Your Home
WD4-Getting Work Done Quickly as NeededC130885WD4-Getting Work Done Quickly as NeededWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - Because of your health condition, in the past 30 days how much difficulty did you have in: Getting your work done as quickly as needed?WHODAS 2.0 12+24-item Version Interviewer-administered - Getting Work Done Quickly as Needed
WD4-Had to Work at a Lower LevelC130886WD4-Had to Work at a Lower LevelWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - Because of your health condition, in the past 30 days how much difficulty did you have in: Have you had to work at a lower level because of a health condition?WHODAS 2.0 12+24-item Version Interviewer-administered - Had to Work at a Lower Level
WD4-How Many Days Difficulties PresentC130895WD4-How Many Days Difficulties PresentWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - Overall, in the past 30 days, how many days were these difficulties present?WHODAS 2.0 12+24-item Version Interviewer-administered - How Many Days Difficulties Present
WD4-How Many Days Reduce ActivitiesC130897WD4-How Many Days Reduce ActivitiesWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, not counting the days that you were totally unable, for how many days did you cut back or reduce your usual activities or work because of any health condition?WHODAS 2.0 12+24-item Version Interviewer-administered - How Many Days Reduce Activities
WD4-How Old Are You NowC130851WD4-How Old Are You NowWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - How old are you now?WHODAS 2.0 12+24-item Version Interviewer-administered - How Old Are You Now
WD4-Learning a New TaskC130857WD4-Learning a New TaskWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Learning a new task, for example, learning how to get to a new place?WHODAS 2.0 12+24-item Version Interviewer-administered - Learning a New Task
WD4-Living Situation at InterviewC130849WD4-Living Situation at InterviewWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - Living situation at time of interview.WHODAS 2.0 12+24-item Version Interviewer-administered - Living Situation at Interview
WD4-Maintaining a FiendshipC130865WD4-Maintaining a FiendshipWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Maintaining a friendship?WHODAS 2.0 12+24-item Version Interviewer-administered - Maintaining a Fiendship
WD4-Making New FriendsC130877WD4-Making New FriendsWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Making new friends?WHODAS 2.0 12+24-item Version Interviewer-administered - Making New Friends
WD4-Miss Work Half Day or MoreC130888WD4-Miss Work Half Day or MoreWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, on how many days did you miss work for half a day or more because of your health condition?WHODAS 2.0 12+24-item Version Interviewer-administered - Miss Work Half Day or More
WD4-Moving Around Inside Your HomeC130872WD4-Moving Around Inside Your HomeWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Moving around inside your home?WHODAS 2.0 12+24-item Version Interviewer-administered - Moving Around Inside Your Home
WD4-Problem Because of Barriers in WorldC130889WD4-Problem Because of Barriers in WorldWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days: How much of a problem did you have because of barriers or hindrances in the world around you?WHODAS 2.0 12+24-item Version Interviewer-administered - Problem Because of Barriers in World
WD4-Problem Did Your Family HaveC130893WD4-Problem Did Your Family HaveWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days: How much of a problem did your family have because of your health problems?WHODAS 2.0 12+24-item Version Interviewer-administered - Problem Did Your Family Have
WD4-Problem Doing Things for RelaxationC130894WD4-Problem Doing Things for RelaxationWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days: How much of a problem did you have in doing things by yourself for relaxation or pleasure?WHODAS 2.0 12+24-item Version Interviewer-administered - Problem Doing Things for Relaxation
WD4-Problem Joining Community ActivitiesC130858WD4-Problem Joining Community ActivitiesWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Joining in community activities (for example, festivities, religious or other activities) in the same way as anyone else can?WHODAS 2.0 12+24-item Version Interviewer-administered - Problem Joining Community Activities
WD4-Problem Living With DignityC130890WD4-Problem Living With DignityWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days: How much of a problem did you have living with dignity because of the attitudes and actions of others?WHODAS 2.0 12+24-item Version Interviewer-administered - Problem Living With Dignity
WD4-Reduce or Miss Household WorkC130882WD4-Reduce or Miss Household WorkWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, on how many days did you reduce or completely miss household work because of your health condition?WHODAS 2.0 12+24-item Version Interviewer-administered - Reduce or Miss Household Work
WD4-Remembering to Do Important ThingsC130867WD4-Remembering to Do Important ThingsWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Remembering to do important things?WHODAS 2.0 12+24-item Version Interviewer-administered - Remembering to Do Important Things
WD4-Sex as ObservedC130850WD4-Sex as ObservedWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - Record sex as observed.WHODAS 2.0 12+24-item Version Interviewer-administered - Observed Sex
WD4-Sexual ActivitiesC130878WD4-Sexual ActivitiesWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Sexual activities?WHODAS 2.0 12+24-item Version Interviewer-administered - Sexual Activities
WD4-Standing for Long PeriodsC130855WD4-Standing for Long PeriodsWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Standing for long periods such as 30 minutes?WHODAS 2.0 12+24-item Version Interviewer-administered - Standing for Long Periods
WD4-Standing Up From Sitting DownC130871WD4-Standing Up From Sitting DownWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Standing up from sitting down?WHODAS 2.0 12+24-item Version Interviewer-administered - Standing Up From Sitting Down
WD4-Starting/Maintaining ConversationC130870WD4-Starting/Maintaining ConversationWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Starting and maintaining a conversation?WHODAS 2.0 12+24-item Version Interviewer-administered - Starting or Maintaining Conversation
WD4-Staying By Yourself for a Few DaysC130875WD4-Staying By Yourself for a Few DaysWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Staying by yourself for a few days?WHODAS 2.0 12+24-item Version Interviewer-administered - Staying By Yourself for a Few Days
WD4-Time Spend on Your Health ConditionC130891WD4-Time Spend on Your Health ConditionWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days: How much time did you spend on your health condition, or its consequences?WHODAS 2.0 12+24-item Version Interviewer-administered - Time Spend on Your Health Condition
WD4-Understanding What People SayC130869WD4-Understanding What People SayWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Generally understanding what people say?WHODAS 2.0 12+24-item Version Interviewer-administered - Understanding What People Say
WD4-Walking a Long DistanceC130861WD4-Walking a Long DistanceWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Walking a long distance such as a kilometre [or equivalent]?WHODAS 2.0 12+24-item Version Interviewer-administered - Walking a Long Distance
WD4-Washing Your Whole BodyC130862WD4-Washing Your Whole BodyWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Washing your whole body?WHODAS 2.0 12+24-item Version Interviewer-administered - Washing Your Whole Body
WD4-Years Studying in School/CollegeC130852WD4-Years Studying in School/CollegeWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - How many years in all did you spend studying in school, college or university?WHODAS 2.0 12+24-item Version Interviewer-administered - Years Studying in School or College
WD4-Your Day-to-Day WorkC130866WD4-Your Day-to-Day WorkWorld Health Organization Disability Assessment Schedule 2.0 - 12 + 24-Item Interviewer - In the past 30 days, how much difficulty did you have in: Your day-to-day work?WHODAS 2.0 12+24-item Version Interviewer-administered - Your Day-to-Day Work
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CL.C130275.WD1TCWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer Questionnaire Test Code
(WD1TC)
text
Extensible: No
C130275World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer Questionnaire Test CodeWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer test code.CDISC Questionnaire WHODAS 2.0 12-item Version Interviewer-administered Test Code Terminology
WD1A1C130899WD1-Sex as ObservedWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - Record sex as observed.WHODAS 2.0 12-item Version Interviewer-administered - Observed Sex
WD1A2C130900WD1-How Old Are You NowWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - How old are you now?WHODAS 2.0 12-item Version Interviewer-administered - How Old Are You Now
WD1A3C130901WD1-Years Studying in School/CollegeWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - How many years in all did you spend studying in school, college or university?WHODAS 2.0 12-item Version Interviewer-administered - Years Studying in School or College
WD1A4C130902WD1-Current Marital StatusWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - What is your current marital status?WHODAS 2.0 12-item Version Interviewer-administered - Current Marital Status
WD1A5C130903WD1-Describes Main Work Status BestWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - Which describes your main work status best?WHODAS 2.0 12-item Version Interviewer-administered - Describes Main Work Status Best
WD1F5C130898WD1-Living Situation at InterviewWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - Living situation at time of interview.WHODAS 2.0 12-item Version Interviewer-administered - Living Situation at Interview
WD1H1C130916WD1-How Many Days Difficulties PresentWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - Overall, in the past 30 days, how many days were these difficulties present?WHODAS 2.0 12-item Version Interviewer-administered - How Many Days Difficulties Present
WD1H2C130917WD1-Days Unable to Carry Out ActivitiesWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, for how many days were you totally unable to carry out your usual activities or work because of any health condition?WHODAS 2.0 12-item Version Interviewer-administered - Days Unable to Carry Out Activities
WD1H3C130918WD1-How Many Days Reduce ActivitiesWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, not counting the days that you were totally unable, for how many days did you cut back or reduce your usual activities or work because of any health condition?WHODAS 2.0 12-item Version Interviewer-administered - How Many Days Reduce Activities
WD1S1C130904WD1-Standing for Long PeriodsWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, how much difficulty did you have in: Standing for long periods such as 30 minutes?WHODAS 2.0 12-item Version Interviewer-administered - Standing for Long Periods
WD1S10C130913WD1-Dealing With People You Do Not KnowWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, how much difficulty did you have in: Dealing with people you do not know?WHODAS 2.0 12-item Version Interviewer-administered - Dealing With People You Do Not Know
WD1S11C130914WD1-Maintaining a FriendshipWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, how much difficulty did you have in: Maintaining a friendship?WHODAS 2.0 12-item Version Interviewer-administered - Maintaining a Friendship
WD1S12C130915WD1-Your Day-to-Day Work/SchoolWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, how much difficulty did you have in: Your day-to-day work/school?WHODAS 2.0 12-item Version Interviewer-administered - Your Day-to-Day Work or School
WD1S2C130905WD1-Care of Household ResponsibilitiesWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, how much difficulty did you have in: Taking care of your household responsibilities?WHODAS 2.0 12-item Version Interviewer-administered - Care of Household Responsibilities
WD1S3C130906WD1-Learning a New TaskWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, how much difficulty did you have in: Learning a new task, for example, learning how to get to a new place?WHODAS 2.0 12-item Version Interviewer-administered - Learning a New Task
WD1S4C130907WD1-Problem Joining Community ActivitiesWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, how much difficulty did you have in: How much of a problem did you have joining in community activities (for example, festivities, religious or other activities) in the same way as anyone else can?WHODAS 2.0 12-item Version Interviewer-administered - Problem Joining Community Activities
WD1S5C130908WD1-Emotionally Affected by HealthWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, how much difficulty did you have in: How much have you been emotionally affected by your health problems?WHODAS 2.0 12-item Version Interviewer-administered - Emotionally Affected by Health
WD1S6C130909WD1-Concentrating for Ten MinutesWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, how much difficulty did you have in: Concentrating on doing something for ten minutes?WHODAS 2.0 12-item Version Interviewer-administered - Concentrating for Ten Minutes
WD1S7C130910WD1-Walking a Long DistanceWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, how much difficulty did you have in: Walking a long distance such as a kilometre [or equivalent]?WHODAS 2.0 12-item Version Interviewer-administered - Walking a Long Distance
WD1S8C130911WD1-Washing Your Whole BodyWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, how much difficulty did you have in: Washing your whole body?WHODAS 2.0 12-item Version Interviewer-administered - Washing Your Whole Body
WD1S9C130912WD1-Getting DressedWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, how much difficulty did you have in: Getting dressed?WHODAS 2.0 12-item Version Interviewer-administered - Getting Dressed
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CL.C130274.WD1TNWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer Questionnaire Test Name
(WD1TN)
text
Extensible: No
C130274World Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer Questionnaire Test NameWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer test name.CDISC Questionnaire WHODAS 2.0 12-item Version Interviewer-administered Test Name Terminology
WD1-Care of Household ResponsibilitiesC130905WD1-Care of Household ResponsibilitiesWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, how much difficulty did you have in: Taking care of your household responsibilities?WHODAS 2.0 12-item Version Interviewer-administered - Care of Household Responsibilities
WD1-Concentrating for Ten MinutesC130909WD1-Concentrating for Ten MinutesWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, how much difficulty did you have in: Concentrating on doing something for ten minutes?WHODAS 2.0 12-item Version Interviewer-administered - Concentrating for Ten Minutes
WD1-Current Marital StatusC130902WD1-Current Marital StatusWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - What is your current marital status?WHODAS 2.0 12-item Version Interviewer-administered - Current Marital Status
WD1-Days Unable to Carry Out ActivitiesC130917WD1-Days Unable to Carry Out ActivitiesWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, for how many days were you totally unable to carry out your usual activities or work because of any health condition?WHODAS 2.0 12-item Version Interviewer-administered - Days Unable to Carry Out Activities
WD1-Dealing With People You Do Not KnowC130913WD1-Dealing With People You Do Not KnowWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, how much difficulty did you have in: Dealing with people you do not know?WHODAS 2.0 12-item Version Interviewer-administered - Dealing With People You Do Not Know
WD1-Describes Main Work Status BestC130903WD1-Describes Main Work Status BestWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - Which describes your main work status best?WHODAS 2.0 12-item Version Interviewer-administered - Describes Main Work Status Best
WD1-Emotionally Affected by HealthC130908WD1-Emotionally Affected by HealthWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, how much difficulty did you have in: How much have you been emotionally affected by your health problems?WHODAS 2.0 12-item Version Interviewer-administered - Emotionally Affected by Health
WD1-Getting DressedC130912WD1-Getting DressedWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, how much difficulty did you have in: Getting dressed?WHODAS 2.0 12-item Version Interviewer-administered - Getting Dressed
WD1-How Many Days Difficulties PresentC130916WD1-How Many Days Difficulties PresentWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - Overall, in the past 30 days, how many days were these difficulties present?WHODAS 2.0 12-item Version Interviewer-administered - How Many Days Difficulties Present
WD1-How Many Days Reduce ActivitiesC130918WD1-How Many Days Reduce ActivitiesWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, not counting the days that you were totally unable, for how many days did you cut back or reduce your usual activities or work because of any health condition?WHODAS 2.0 12-item Version Interviewer-administered - How Many Days Reduce Activities
WD1-How Old Are You NowC130900WD1-How Old Are You NowWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - How old are you now?WHODAS 2.0 12-item Version Interviewer-administered - How Old Are You Now
WD1-Learning a New TaskC130906WD1-Learning a New TaskWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, how much difficulty did you have in: Learning a new task, for example, learning how to get to a new place?WHODAS 2.0 12-item Version Interviewer-administered - Learning a New Task
WD1-Living Situation at InterviewC130898WD1-Living Situation at InterviewWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - Living situation at time of interview.WHODAS 2.0 12-item Version Interviewer-administered - Living Situation at Interview
WD1-Maintaining a FriendshipC130914WD1-Maintaining a FriendshipWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, how much difficulty did you have in: Maintaining a friendship?WHODAS 2.0 12-item Version Interviewer-administered - Maintaining a Friendship
WD1-Problem Joining Community ActivitiesC130907WD1-Problem Joining Community ActivitiesWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, how much difficulty did you have in: How much of a problem did you have joining in community activities (for example, festivities, religious or other activities) in the same way as anyone else can?WHODAS 2.0 12-item Version Interviewer-administered - Problem Joining Community Activities
WD1-Sex as ObservedC130899WD1-Sex as ObservedWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - Record sex as observed.WHODAS 2.0 12-item Version Interviewer-administered - Observed Sex
WD1-Standing for Long PeriodsC130904WD1-Standing for Long PeriodsWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, how much difficulty did you have in: Standing for long periods such as 30 minutes?WHODAS 2.0 12-item Version Interviewer-administered - Standing for Long Periods
WD1-Walking a Long DistanceC130910WD1-Walking a Long DistanceWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, how much difficulty did you have in: Walking a long distance such as a kilometre [or equivalent]?WHODAS 2.0 12-item Version Interviewer-administered - Walking a Long Distance
WD1-Washing Your Whole BodyC130911WD1-Washing Your Whole BodyWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, how much difficulty did you have in: Washing your whole body?WHODAS 2.0 12-item Version Interviewer-administered - Washing Your Whole Body
WD1-Years Studying in School/CollegeC130901WD1-Years Studying in School/CollegeWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - How many years in all did you spend studying in school, college or university?WHODAS 2.0 12-item Version Interviewer-administered - Years Studying in School or College
WD1-Your Day-to-Day Work/SchoolC130915WD1-Your Day-to-Day Work/SchoolWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Interviewer - In the past 30 days, how much difficulty did you have in: Your day-to-day work/school?WHODAS 2.0 12-item Version Interviewer-administered - Your Day-to-Day Work or School
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CL.C130277.WD2TCWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy Questionnaire Test Code
(WD2TC)
text
Extensible: No
C130277World Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy Questionnaire Test CodeWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy test code.CDISC Questionnaire WHODAS 2.0 12-item Version Proxy-administered Test Code Terminology
WD2H1C130932WD2-How Many Days Difficulties PresentWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - Overall, in the past 30 days, how many days were these difficulties present?WHODAS 2.0 12-item Version Proxy-administered - How Many Days Difficulties Present
WD2H2C130933WD2-Days Unable to Carry Out ActivitiesWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, for how many days were you totally unable to carry out your usual activities or work because of any health condition?WHODAS 2.0 12-item Version Proxy-administered - Days Unable to Carry Out Activities
WD2H3C130934WD2-How Many Days Reduce ActivitiesWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, not counting the days that you were totally unable, for how many days did you cut back or reduce your usual activities or work because of any health condition?WHODAS 2.0 12-item Version Proxy-administered - How Many Days Reduce Activities
WD2H4C130919WD2-I Am (Fill in Blank) of This PersonWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - I am the (Fill in the Blank) of this person.WHODAS 2.0 12-item Version Proxy-administered - I Am the (Fill in the Blank) of This Person
WD2S1C130920WD2-Standing for Long PeriodsWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Standing for long periods such as 30 minutes?WHODAS 2.0 12-item Version Proxy-administered - Standing for Long Periods
WD2S10C130929WD2-Dealing With People Does Not KnowWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Dealing with people he or she does not know?WHODAS 2.0 12-item Version Proxy-administered - Dealing With People Does Not Know
WD2S11C130930WD2-Maintaining a FriendshipWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Maintaining a friendship?WHODAS 2.0 12-item Version Proxy-administered - Maintaining a Friendship
WD2S12C130931WD2-Your Day-to-Day Work/SchoolWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, how much difficulty did your relative have in: His or her day-to-day work?WHODAS 2.0 12-item Version Proxy-administered - Your Day-to-Day Work or School
WD2S2C130921WD2-Care of Household ResponsibilitiesWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Taking care of his or her household responsibilities?WHODAS 2.0 12-item Version Proxy-administered - Care of Household Responsibilities
WD2S3C130922WD2-Learning a New TaskWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Learning a new task, for example, learning how to get to a new place?WHODAS 2.0 12-item Version Proxy-administered - Learning a New Task
WD2S4C130923WD2-Problem Joining Community ActivitiesWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, how much difficulty did your relative have in: How much of a problem did your relative have joining in community activities (for example, festivities, religious or other activities) in the same way as anyone else can?WHODAS 2.0 12-item Version Proxy-administered - Problem Joining Community Activities
WD2S5C130924WD2-Emotionally Affected by HealthWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, how much difficulty did your relative have in: How much has your relative been emotionally affected by his or her health condition?WHODAS 2.0 12-item Version Proxy-administered - Emotionally Affected by Health
WD2S6C130925WD2-Concentrating for Ten MinutesWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Concentrating on doing something for ten minutes?WHODAS 2.0 12-item Version Proxy-administered - Concentrating for Ten Minutes
WD2S7C130926WD2-Walking a Long DistanceWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Walking a long distance such as a kilometre [or equivalent]?WHODAS 2.0 12-item Version Proxy-administered - Walking a Long Distance
WD2S8C130927WD2-Washing His/Her Whole BodyWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Washing his or her whole body?WHODAS 2.0 12-item Version Proxy-administered - Washing His or Her Whole Body
WD2S9C130928WD2-Getting DressedWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Getting dressed?WHODAS 2.0 12-item Version Proxy-administered - Getting Dressed
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CL.C130276.WD2TNWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy Questionnaire Test Name
(WD2TN)
text
Extensible: No
C130276World Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy Questionnaire Test NameWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy test name.CDISC Questionnaire WHODAS 2.0 12-item Version Proxy-administered Test Name Terminology
WD2-Care of Household ResponsibilitiesC130921WD2-Care of Household ResponsibilitiesWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Taking care of his or her household responsibilities?WHODAS 2.0 12-item Version Proxy-administered - Care of Household Responsibilities
WD2-Concentrating for Ten MinutesC130925WD2-Concentrating for Ten MinutesWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Concentrating on doing something for ten minutes?WHODAS 2.0 12-item Version Proxy-administered - Concentrating for Ten Minutes
WD2-Days Unable to Carry Out ActivitiesC130933WD2-Days Unable to Carry Out ActivitiesWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, for how many days were you totally unable to carry out your usual activities or work because of any health condition?WHODAS 2.0 12-item Version Proxy-administered - Days Unable to Carry Out Activities
WD2-Dealing With People Does Not KnowC130929WD2-Dealing With People Does Not KnowWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Dealing with people he or she does not know?WHODAS 2.0 12-item Version Proxy-administered - Dealing With People Does Not Know
WD2-Emotionally Affected by HealthC130924WD2-Emotionally Affected by HealthWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, how much difficulty did your relative have in: How much has your relative been emotionally affected by his or her health condition?WHODAS 2.0 12-item Version Proxy-administered - Emotionally Affected by Health
WD2-Getting DressedC130928WD2-Getting DressedWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Getting dressed?WHODAS 2.0 12-item Version Proxy-administered - Getting Dressed
WD2-How Many Days Difficulties PresentC130932WD2-How Many Days Difficulties PresentWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - Overall, in the past 30 days, how many days were these difficulties present?WHODAS 2.0 12-item Version Proxy-administered - How Many Days Difficulties Present
WD2-How Many Days Reduce ActivitiesC130934WD2-How Many Days Reduce ActivitiesWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, not counting the days that you were totally unable, for how many days did you cut back or reduce your usual activities or work because of any health condition?WHODAS 2.0 12-item Version Proxy-administered - How Many Days Reduce Activities
WD2-I Am (Fill in Blank) of This PersonC130919WD2-I Am (Fill in Blank) of This PersonWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - I am the (Fill in the Blank) of this person.WHODAS 2.0 12-item Version Proxy-administered - I Am the (Fill in the Blank) of This Person
WD2-Learning a New TaskC130922WD2-Learning a New TaskWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Learning a new task, for example, learning how to get to a new place?WHODAS 2.0 12-item Version Proxy-administered - Learning a New Task
WD2-Maintaining a FriendshipC130930WD2-Maintaining a FriendshipWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Maintaining a friendship?WHODAS 2.0 12-item Version Proxy-administered - Maintaining a Friendship
WD2-Problem Joining Community ActivitiesC130923WD2-Problem Joining Community ActivitiesWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, how much difficulty did your relative have in: How much of a problem did your relative have joining in community activities (for example, festivities, religious or other activities) in the same way as anyone else can?WHODAS 2.0 12-item Version Proxy-administered - Problem Joining Community Activities
WD2-Standing for Long PeriodsC130920WD2-Standing for Long PeriodsWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Standing for long periods such as 30 minutes?WHODAS 2.0 12-item Version Proxy-administered - Standing for Long Periods
WD2-Walking a Long DistanceC130926WD2-Walking a Long DistanceWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Walking a long distance such as a kilometre [or equivalent]?WHODAS 2.0 12-item Version Proxy-administered - Walking a Long Distance
WD2-Washing His/Her Whole BodyC130927WD2-Washing His/Her Whole BodyWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Washing his or her whole body?WHODAS 2.0 12-item Version Proxy-administered - Washing His or Her Whole Body
WD2-Your Day-to-Day Work/SchoolC130931WD2-Your Day-to-Day Work/SchoolWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Proxy - In the past 30 days, how much difficulty did your relative have in: His or her day-to-day work?WHODAS 2.0 12-item Version Proxy-administered - Your Day-to-Day Work or School
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CL.C130279.WD3TCWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Self Questionnaire Test Code
(WD3TC)
text
Extensible: No
C130279World Health Organization Disability Assessment Schedule 2.0 - 12-Item Self Questionnaire Test CodeWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Self test code.CDISC Questionnaire WHODAS 2.0 12-item Version Self-administered Test Code Terminology
WD3H1C130947WD3-How Many Days Difficulties PresentWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - Overall, in the past 30 days, how many days were these difficulties present?WHODAS 2.0 12-item Version Self-administered - How Many Days Difficulties Present
WD3H2C130948WD3-Days Unable to Carry Out ActivitiesWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, for how many days were you totally unable to carry out your usual activities or work because of any health condition?WHODAS 2.0 12-item Version Self-administered - Days Unable to Carry Out Activities
WD3H3C130949WD3-How Many Days Reduce ActivitiesWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, not counting the days that you were totally unable, for how many days did you cut back or reduce your usual activities or work because of any health condition?WHODAS 2.0 12-item Version Self-administered - How Many Days Reduce Activities
WD3S1C130935WD3-Standing for Long PeriodsWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, how much difficulty did you have in: Standing for long periods such as 30 minutes?WHODAS 2.0 12-item Version Self-administered - Standing for Long Periods
WD3S10C130944WD3-Dealing With People You Do Not KnowWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, how much difficulty did you have in: Dealing with people you do not know?WHODAS 2.0 12-item Version Self-administered - Dealing With People You Do Not Know
WD3S11C130945WD3-Maintaining a FriendshipWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, how much difficulty did you have in: Maintaining a friendship?WHODAS 2.0 12-item Version Self-administered - Maintaining a Friendship
WD3S12C130946WD3-Your Day-to-Day Work/SchoolWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, how much difficulty did you have in: Your day-to-day work?WHODAS 2.0 12-item Version Self-administered - Your Day-to-Day Work or School
WD3S2C130936WD3-Care of Household ResponsibilitiesWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, how much difficulty did you have in: Taking care of your household responsibilities?WHODAS 2.0 12-item Version Self-administered - Care of Household Responsibilities
WD3S3C130937WD3-Learning a New TaskWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, how much difficulty did you have in: Learning a new task, for example, learning how to get to a new place?WHODAS 2.0 12-item Version Self-administered - Learning a New Task
WD3S4C130938WD3-Problem Joining Community ActivitiesWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, how much difficulty did you have in: How much of a problem did you have joining in community activities (for example, festivities, religious or other activities) in the same way as anyone else can?WHODAS 2.0 12-item Version Self-administered - Problem Joining Community Activities
WD3S5C130939WD3-Emotionally Affected by HealthWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, how much difficulty did you have in: How much have you been emotionally affected by your health problems?WHODAS 2.0 12-item Version Self-administered - Emotionally Affected by Health
WD3S6C130940WD3-Concentrating for Ten MinutesWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, how much difficulty did you have in: Concentrating on doing something for ten minutes?WHODAS 2.0 12-item Version Self-administered - Concentrating for Ten Minutes
WD3S7C130941WD3-Walking a Long DistanceWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, how much difficulty did you have in: Walking a long distance such as a kilometre [or equivalent]?WHODAS 2.0 12-item Version Self-administered - Walking a Long Distance
WD3S8C130942WD3-Washing Your Whole BodyWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, how much difficulty did you have in: Washing your whole body?WHODAS 2.0 12-item Version Self-administered - Washing Your Whole Body
WD3S9C130943WD3-Getting DressedWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, how much difficulty did you have in: Getting dressed?WHODAS 2.0 12-item Version Self-administered - Getting Dressed
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CL.C130278.WD3TNWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Self Questionnaire Test Name
(WD3TN)
text
Extensible: No
C130278World Health Organization Disability Assessment Schedule 2.0 - 12-Item Self Questionnaire Test NameWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Self test name.CDISC Questionnaire WHODAS 2.0 12-item Version Self-administered Test Name Terminology
WD3-Care of Household ResponsibilitiesC130936WD3-Care of Household ResponsibilitiesWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, how much difficulty did you have in: Taking care of your household responsibilities?WHODAS 2.0 12-item Version Self-administered - Care of Household Responsibilities
WD3-Concentrating for Ten MinutesC130940WD3-Concentrating for Ten MinutesWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, how much difficulty did you have in: Concentrating on doing something for ten minutes?WHODAS 2.0 12-item Version Self-administered - Concentrating for Ten Minutes
WD3-Days Unable to Carry Out ActivitiesC130948WD3-Days Unable to Carry Out ActivitiesWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, for how many days were you totally unable to carry out your usual activities or work because of any health condition?WHODAS 2.0 12-item Version Self-administered - Days Unable to Carry Out Activities
WD3-Dealing With People You Do Not KnowC130944WD3-Dealing With People You Do Not KnowWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, how much difficulty did you have in: Dealing with people you do not know?WHODAS 2.0 12-item Version Self-administered - Dealing With People You Do Not Know
WD3-Emotionally Affected by HealthC130939WD3-Emotionally Affected by HealthWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, how much difficulty did you have in: How much have you been emotionally affected by your health problems?WHODAS 2.0 12-item Version Self-administered - Emotionally Affected by Health
WD3-Getting DressedC130943WD3-Getting DressedWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, how much difficulty did you have in: Getting dressed?WHODAS 2.0 12-item Version Self-administered - Getting Dressed
WD3-How Many Days Difficulties PresentC130947WD3-How Many Days Difficulties PresentWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - Overall, in the past 30 days, how many days were these difficulties present?WHODAS 2.0 12-item Version Self-administered - How Many Days Difficulties Present
WD3-How Many Days Reduce ActivitiesC130949WD3-How Many Days Reduce ActivitiesWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, not counting the days that you were totally unable, for how many days did you cut back or reduce your usual activities or work because of any health condition?WHODAS 2.0 12-item Version Self-administered - How Many Days Reduce Activities
WD3-Learning a New TaskC130937WD3-Learning a New TaskWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, how much difficulty did you have in: Learning a new task, for example, learning how to get to a new place?WHODAS 2.0 12-item Version Self-administered - Learning a New Task
WD3-Maintaining a FriendshipC130945WD3-Maintaining a FriendshipWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, how much difficulty did you have in: Maintaining a friendship?WHODAS 2.0 12-item Version Self-administered - Maintaining a Friendship
WD3-Problem Joining Community ActivitiesC130938WD3-Problem Joining Community ActivitiesWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, how much difficulty did you have in: How much of a problem did you have joining in community activities (for example, festivities, religious or other activities) in the same way as anyone else can?WHODAS 2.0 12-item Version Self-administered - Problem Joining Community Activities
WD3-Standing for Long PeriodsC130935WD3-Standing for Long PeriodsWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, how much difficulty did you have in: Standing for long periods such as 30 minutes?WHODAS 2.0 12-item Version Self-administered - Standing for Long Periods
WD3-Walking a Long DistanceC130941WD3-Walking a Long DistanceWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, how much difficulty did you have in: Walking a long distance such as a kilometre [or equivalent]?WHODAS 2.0 12-item Version Self-administered - Walking a Long Distance
WD3-Washing Your Whole BodyC130942WD3-Washing Your Whole BodyWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, how much difficulty did you have in: Washing your whole body?WHODAS 2.0 12-item Version Self-administered - Washing Your Whole Body
WD3-Your Day-to-Day Work/SchoolC130946WD3-Your Day-to-Day Work/SchoolWorld Health Organization Disability Assessment Schedule 2.0 - 12-Item Self - In the past 30 days, how much difficulty did you have in: Your day-to-day work?WHODAS 2.0 12-item Version Self-administered - Your Day-to-Day Work or School
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CL.C130269.WD5TCWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer Questionnaire Test Code
(WD5TC)
text
Extensible: No
C130269World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer Questionnaire Test CodeWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer test code.CDISC Questionnaire WHODAS 2.0 36-item Version Interviewer-administered Test Code Terminology
WD5A1C130722WD5-Sex as ObservedWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Record sex as observed.WHODAS 2.0 36-item Version Interviewer-administered - Sex as Observed
WD5A2C130723WD5-How Old Are You NowWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - How old are you now?WHODAS 2.0 36-item Version Interviewer-administered - How Old Are You Now
WD5A3C130724WD5-Years Studying in School/CollegeWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - How many years in all did you spend studying in school, college or university?WHODAS 2.0 36-item Version Interviewer-administered - Years Studying in School or College
WD5A4C130725WD5-Current Marital StatusWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - What is your current marital status?WHODAS 2.0 36-item Version Interviewer-administered - Current Marital Status
WD5A5C130726WD5-Describes Main Work Status BestWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Which describes your main work status best?WHODAS 2.0 36-item Version Interviewer-administered - Describes Main Work Status Best
WD5D1_1C130727WD5-Concentrating for Ten MinutesWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Concentrating on doing something for ten minutes?WHODAS 2.0 36-item Version Interviewer-administered - Concentrating for Ten Minutes
WD5D1_2C130728WD5-Remembering to Do Important ThingsWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Remembering to do important things?WHODAS 2.0 36-item Version Interviewer-administered - Remembering to Do Important Things
WD5D1_3C130729WD5-Finding Solutions to ProblemsWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Analysing and finding solutions to problems in day-to-day life?WHODAS 2.0 36-item Version Interviewer-administered - Finding Solutions to Problems
WD5D1_4C130730WD5-Learning a New TaskWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Learning a new task, for example, learning how to get to a new place?WHODAS 2.0 36-item Version Interviewer-administered - Learning a New Task
WD5D1_5C130731WD5-Understanding What People SayWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Generally understanding what people say?WHODAS 2.0 36-item Version Interviewer-administered - Understanding What People Say
WD5D1_6C130732WD5-Starting/Maintaining ConversationWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Starting and maintaining a conversation?WHODAS 2.0 36-item Version Interviewer-administered - Starting or Maintaining Conversation
WD5D2_1C130733WD5-Standing for Long PeriodsWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Standing for long periods such as 30 minutes?WHODAS 2.0 36-item Version Interviewer-administered - Standing for Long Periods
WD5D2_2C130734WD5-Standing Up From Sitting DownWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Standing up from sitting down?WHODAS 2.0 36-item Version Interviewer-administered - Standing Up From Sitting Down
WD5D2_3C130735WD5-Moving Around Inside Your HomeWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Moving around inside your home?WHODAS 2.0 36-item Version Interviewer-administered - Moving Around Inside Your Home
WD5D3_1C130738WD5-Washing Your Whole BodyWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Washing your whole body?WHODAS 2.0 36-item Version Interviewer-administered - Washing Your Whole Body
WD5D3_2C130739WD5-Getting DressedWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Getting dressed?WHODAS 2.0 36-item Version Interviewer-administered - Getting Dressed
WD5D3_3C130740WD5-EatingWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Eating?WHODAS 2.0 36-item Version Interviewer-administered - Eating
WD5D3_4C130741WD5-Staying by Yourself for a Few DaysWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Staying by yourself for a few days?WHODAS 2.0 36-item Version Interviewer-administered - Staying by Yourself for a Few Days
WD5D4_1C130742WD5-Dealing With People You Do Not KnowWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Dealing with people you do not know?WHODAS 2.0 36-item Version Interviewer-administered - Dealing With People You Do Not Know
WD5D4_2C130743WD5-Maintaining a FriendshipWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Maintaining a friendship?WHODAS 2.0 36-item Version Interviewer-administered - Maintaining a Friendship
WD5D4_3C130744WD5-Get Along With People Close to YouWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Getting along with people who are close to you?WHODAS 2.0 36-item Version Interviewer-administered - Get Along With People Close to You
WD5D4_4C130745WD5-Making New FriendsWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Making new friends?WHODAS 2.0 36-item Version Interviewer-administered - Making New Friends
WD5D4_5C130746WD5-Sexual ActivitiesWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Sexual activities?WHODAS 2.0 36-item Version Interviewer-administered - Sexual Activities
WD5D5_01C130751WD5-Days Reduce or Miss Household WorkWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, on how many days did you reduce or completely miss household work because of your health condition?WHODAS 2.0 36-item Version Interviewer-administered - Days Reduce or Miss Household Work
WD5D5_02C130758WD5-How Many Days Did You Miss WorkWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, on how many days did you miss work for half a day or more because of your health condition?WHODAS 2.0 36-item Version Interviewer-administered - How Many Days Did You Miss Work
WD5D5_1C130747WD5-Care of Household ResponsibilitiesWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Because of your health condition, in the past 30 days, how much difficulty did you have in: Taking care of your household responsibilities?WHODAS 2.0 36-item Version Interviewer-administered - Care of Household Responsibilities
WD5D5_10C130757WD5-Earn Less MoneyWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Because of your health condition, in the past 30 days how much difficulty did you have in: Did you earn less money as the result of a health condition?WHODAS 2.0 36-item Version Interviewer-administered - Earn Less Money
WD5D5_2C130748WD5-Doing Important Household TasksWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Because of your health condition, in the past 30 days, how much difficulty did you have in: Doing your most important household tasks well?WHODAS 2.0 36-item Version Interviewer-administered - Doing Important Household Tasks
WD5D5_3C130749WD5-Getting Household Work Done NeededWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Because of your health condition, in the past 30 days, how much difficulty did you have in: Getting all the household work done that you needed to do?WHODAS 2.0 36-item Version Interviewer-administered - Getting Household Work Done Needed
WD5D5_4C130750WD5-Getting Household Work Done QuicklyWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Because of your health condition, in the past 30 days, how much difficulty did you have in: Getting your household work done as quickly as needed?WHODAS 2.0 36-item Version Interviewer-administered - Getting Household Work Done Quickly
WD5D5_5C130752WD5-Your Day-to-Day Work/SchoolWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Because of your health condition, in the past 30 days how much difficulty did you have in: Your day-to-day work/school?WHODAS 2.0 36-item Version Interviewer-administered - Your Day-to-Day Work or School
WD5D5_6C130753WD5-Doing Important Work/School TasksWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Because of your health condition, in the past 30 days how much difficulty did you have in: Doing your most important work/school tasks well?WHODAS 2.0 36-item Version Interviewer-administered - Doing Important Work or School Tasks
WD5D5_7C130754WD5-Getting All Work Done You NeedWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Because of your health condition, in the past 30 days how much difficulty did you have in: Getting all the work done that you need to do?WHODAS 2.0 36-item Version Interviewer-administered - Getting All Work Done You Need to Do
WD5D5_8C130755WD5-Getting Work Done Quickly as NeededWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Because of your health condition, in the past 30 days how much difficulty did you have in: Getting your work done as quickly as needed?WHODAS 2.0 36-item Version Interviewer-administered - Getting Work Done Quickly as Needed
WD5D5_9C130756WD5-Had to Work at a Lower LevelWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Because of your health condition, in the past 30 days how much difficulty did you have in: Have you had to work at a lower level because of a health condition?WHODAS 2.0 36-item Version Interviewer-administered - Had to Work at a Lower Level
WD5D6_1C130759WD5-Problem Joining Community ActivitiesWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days: How much of a problem did you have joining in community activities (for example, festivities, religious or other activities) in the same way as anyone else can?WHODAS 2.0 36-item Version Interviewer-administered - Problem Joining Community Activities
WD5D6_2C130760WD5-Problem Because of Barriers in WorldWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days: How much of a problem did you have because of barriers or hindrances in the world around you?WHODAS 2.0 36-item Version Interviewer-administered - Problem Because of Barriers in World
WD5D6_3C130761WD5-Problem Living with DignityWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days: How much of a problem did you have living with dignity because of the attitudes and actions of others?WHODAS 2.0 36-item Version Interviewer-administered - Problem Living with Dignity
WD5D6_4C130762WD5-Time Spend on Your Health ConditionWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days: How much time did you spend on your health condition or its consequences?WHODAS 2.0 36-item Version Interviewer-administered - Time Spend on Your Health Condition
WD5D6_5C130763WD5-Emotionally Affected by HealthWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days: How much have you been emotionally affected by your health condition?WHODAS 2.0 36-item Version Interviewer-administered - Emotionally Affected by Health
WD5D6_6C130764WD5-Drain on Financial ResourcesWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days: How much has your health been a drain on the financial resources of you or your family?WHODAS 2.0 36-item Version Interviewer-administered - Drain on Financial Resources
WD5D6_7C130765WD5-Problem Did Your Family HaveWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days: How much of a problem did your family have because of your health problems?WHODAS 2.0 36-item Version Interviewer-administered - How Much Problem Did Your Family Have
WD5D6_8C130766WD5-Problem Doing Things for RelaxationWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days: How much of a problem did you have in doing things by yourself for relaxation or pleasure?WHODAS 2.0 36-item Version Interviewer-administered - Problem Doing Things for Relaxation
WD5F5C130721WD5-Living Situation at InterviewWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Living situation at time of interview.WHODAS 2.0 36-item Version Interviewer-administered - Living Situation at Interview
WD5H1C130767WD5-How Many Days Difficulties PresentWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Overall, in the past 30 days, how many days were these difficulties present?WHODAS 2.0 36-item Version Interviewer-administered - How Many Days Difficulties Present
WD5H2C130768WD5-Days Unable to Carry Out ActivitiesWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, for how many days were you totally unable to carry out your usual activities or work because of any health condition?WHODAS 2.0 36-item Version Interviewer-administered - Days Unable to Carry Out Activities
WD5H3C130769WD5-How Many Days Reduce ActivitiesWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, not counting the days that you were totally unable, for how many days did you cut back or reduce your usual activities or work because of any health condition?WHODAS 2.0 36-item Version Interviewer-administered - How Many Days Reduce Activities
WD5SD2_4C130736WD5-Getting Out of Your HomeWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Getting out of your home?WHODAS 2.0 36-item Version Interviewer-administered - Getting Out of Your Home
WD5SD2_5C130737WD5-Walking a Long DistanceWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Walking a long distance such as a kilometre [or equivalent]?WHODAS 2.0 36-item Version Interviewer-administered - Walking a Long Distance
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CL.C130268.WD5TNWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer Questionnaire Test Name
(WD5TN)
text
Extensible: No
C130268World Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer Questionnaire Test NameWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer test name.CDISC Questionnaire WHODAS 2.0 36-item Version Interviewer-administered Test Name Terminology
WD5-Care of Household ResponsibilitiesC130747WD5-Care of Household ResponsibilitiesWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Because of your health condition, in the past 30 days, how much difficulty did you have in: Taking care of your household responsibilities?WHODAS 2.0 36-item Version Interviewer-administered - Care of Household Responsibilities
WD5-Concentrating for Ten MinutesC130727WD5-Concentrating for Ten MinutesWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Concentrating on doing something for ten minutes?WHODAS 2.0 36-item Version Interviewer-administered - Concentrating for Ten Minutes
WD5-Current Marital StatusC130725WD5-Current Marital StatusWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - What is your current marital status?WHODAS 2.0 36-item Version Interviewer-administered - Current Marital Status
WD5-Days Reduce or Miss Household WorkC130751WD5-Days Reduce or Miss Household WorkWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, on how many days did you reduce or completely miss household work because of your health condition?WHODAS 2.0 36-item Version Interviewer-administered - Days Reduce or Miss Household Work
WD5-Days Unable to Carry Out ActivitiesC130768WD5-Days Unable to Carry Out ActivitiesWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, for how many days were you totally unable to carry out your usual activities or work because of any health condition?WHODAS 2.0 36-item Version Interviewer-administered - Days Unable to Carry Out Activities
WD5-Dealing With People You Do Not KnowC130742WD5-Dealing With People You Do Not KnowWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Dealing with people you do not know?WHODAS 2.0 36-item Version Interviewer-administered - Dealing With People You Do Not Know
WD5-Describes Main Work Status BestC130726WD5-Describes Main Work Status BestWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Which describes your main work status best?WHODAS 2.0 36-item Version Interviewer-administered - Describes Main Work Status Best
WD5-Doing Important Household TasksC130748WD5-Doing Important Household TasksWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Because of your health condition, in the past 30 days, how much difficulty did you have in: Doing your most important household tasks well?WHODAS 2.0 36-item Version Interviewer-administered - Doing Important Household Tasks
WD5-Doing Important Work/School TasksC130753WD5-Doing Important Work/School TasksWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Because of your health condition, in the past 30 days how much difficulty did you have in: Doing your most important work/school tasks well?WHODAS 2.0 36-item Version Interviewer-administered - Doing Important Work or School Tasks
WD5-Drain on Financial ResourcesC130764WD5-Drain on Financial ResourcesWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days: How much has your health been a drain on the financial resources of you or your family?WHODAS 2.0 36-item Version Interviewer-administered - Drain on Financial Resources
WD5-Earn Less MoneyC130757WD5-Earn Less MoneyWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Because of your health condition, in the past 30 days how much difficulty did you have in: Did you earn less money as the result of a health condition?WHODAS 2.0 36-item Version Interviewer-administered - Earn Less Money
WD5-EatingC130740WD5-EatingWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Eating?WHODAS 2.0 36-item Version Interviewer-administered - Eating
WD5-Emotionally Affected by HealthC130763WD5-Emotionally Affected by HealthWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days: How much have you been emotionally affected by your health condition?WHODAS 2.0 36-item Version Interviewer-administered - Emotionally Affected by Health
WD5-Finding Solutions to ProblemsC130729WD5-Finding Solutions to ProblemsWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Analysing and finding solutions to problems in day-to-day life?WHODAS 2.0 36-item Version Interviewer-administered - Finding Solutions to Problems
WD5-Get Along With People Close to YouC130744WD5-Get Along With People Close to YouWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Getting along with people who are close to you?WHODAS 2.0 36-item Version Interviewer-administered - Get Along With People Close to You
WD5-Getting All Work Done You NeedC130754WD5-Getting All Work Done You NeedWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Because of your health condition, in the past 30 days how much difficulty did you have in: Getting all the work done that you need to do?WHODAS 2.0 36-item Version Interviewer-administered - Getting All Work Done You Need to Do
WD5-Getting DressedC130739WD5-Getting DressedWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Getting dressed?WHODAS 2.0 36-item Version Interviewer-administered - Getting Dressed
WD5-Getting Household Work Done NeededC130749WD5-Getting Household Work Done NeededWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Because of your health condition, in the past 30 days, how much difficulty did you have in: Getting all the household work done that you needed to do?WHODAS 2.0 36-item Version Interviewer-administered - Getting Household Work Done Needed
WD5-Getting Household Work Done QuicklyC130750WD5-Getting Household Work Done QuicklyWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Because of your health condition, in the past 30 days, how much difficulty did you have in: Getting your household work done as quickly as needed?WHODAS 2.0 36-item Version Interviewer-administered - Getting Household Work Done Quickly
WD5-Getting Out of Your HomeC130736WD5-Getting Out of Your HomeWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Getting out of your home?WHODAS 2.0 36-item Version Interviewer-administered - Getting Out of Your Home
WD5-Getting Work Done Quickly as NeededC130755WD5-Getting Work Done Quickly as NeededWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Because of your health condition, in the past 30 days how much difficulty did you have in: Getting your work done as quickly as needed?WHODAS 2.0 36-item Version Interviewer-administered - Getting Work Done Quickly as Needed
WD5-Had to Work at a Lower LevelC130756WD5-Had to Work at a Lower LevelWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Because of your health condition, in the past 30 days how much difficulty did you have in: Have you had to work at a lower level because of a health condition?WHODAS 2.0 36-item Version Interviewer-administered - Had to Work at a Lower Level
WD5-How Many Days Did You Miss WorkC130758WD5-How Many Days Did You Miss WorkWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, on how many days did you miss work for half a day or more because of your health condition?WHODAS 2.0 36-item Version Interviewer-administered - How Many Days Did You Miss Work
WD5-How Many Days Difficulties PresentC130767WD5-How Many Days Difficulties PresentWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Overall, in the past 30 days, how many days were these difficulties present?WHODAS 2.0 36-item Version Interviewer-administered - How Many Days Difficulties Present
WD5-How Many Days Reduce ActivitiesC130769WD5-How Many Days Reduce ActivitiesWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, not counting the days that you were totally unable, for how many days did you cut back or reduce your usual activities or work because of any health condition?WHODAS 2.0 36-item Version Interviewer-administered - How Many Days Reduce Activities
WD5-How Old Are You NowC130723WD5-How Old Are You NowWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - How old are you now?WHODAS 2.0 36-item Version Interviewer-administered - How Old Are You Now
WD5-Learning a New TaskC130730WD5-Learning a New TaskWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Learning a new task, for example, learning how to get to a new place?WHODAS 2.0 36-item Version Interviewer-administered - Learning a New Task
WD5-Living Situation at InterviewC130721WD5-Living Situation at InterviewWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Living situation at time of interview.WHODAS 2.0 36-item Version Interviewer-administered - Living Situation at Interview
WD5-Maintaining a FriendshipC130743WD5-Maintaining a FriendshipWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Maintaining a friendship?WHODAS 2.0 36-item Version Interviewer-administered - Maintaining a Friendship
WD5-Making New FriendsC130745WD5-Making New FriendsWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Making new friends?WHODAS 2.0 36-item Version Interviewer-administered - Making New Friends
WD5-Moving Around Inside Your HomeC130735WD5-Moving Around Inside Your HomeWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Moving around inside your home?WHODAS 2.0 36-item Version Interviewer-administered - Moving Around Inside Your Home
WD5-Problem Because of Barriers in WorldC130760WD5-Problem Because of Barriers in WorldWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days: How much of a problem did you have because of barriers or hindrances in the world around you?WHODAS 2.0 36-item Version Interviewer-administered - Problem Because of Barriers in World
WD5-Problem Did Your Family HaveC130765WD5-Problem Did Your Family HaveWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days: How much of a problem did your family have because of your health problems?WHODAS 2.0 36-item Version Interviewer-administered - How Much Problem Did Your Family Have
WD5-Problem Doing Things for RelaxationC130766WD5-Problem Doing Things for RelaxationWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days: How much of a problem did you have in doing things by yourself for relaxation or pleasure?WHODAS 2.0 36-item Version Interviewer-administered - Problem Doing Things for Relaxation
WD5-Problem Joining Community ActivitiesC130759WD5-Problem Joining Community ActivitiesWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days: How much of a problem did you have joining in community activities (for example, festivities, religious or other activities) in the same way as anyone else can?WHODAS 2.0 36-item Version Interviewer-administered - Problem Joining Community Activities
WD5-Problem Living with DignityC130761WD5-Problem Living with DignityWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days: How much of a problem did you have living with dignity because of the attitudes and actions of others?WHODAS 2.0 36-item Version Interviewer-administered - Problem Living with Dignity
WD5-Remembering to Do Important ThingsC130728WD5-Remembering to Do Important ThingsWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Remembering to do important things?WHODAS 2.0 36-item Version Interviewer-administered - Remembering to Do Important Things
WD5-Sex as ObservedC130722WD5-Sex as ObservedWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Record sex as observed.WHODAS 2.0 36-item Version Interviewer-administered - Sex as Observed
WD5-Sexual ActivitiesC130746WD5-Sexual ActivitiesWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Sexual activities?WHODAS 2.0 36-item Version Interviewer-administered - Sexual Activities
WD5-Standing for Long PeriodsC130733WD5-Standing for Long PeriodsWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Standing for long periods such as 30 minutes?WHODAS 2.0 36-item Version Interviewer-administered - Standing for Long Periods
WD5-Standing Up From Sitting DownC130734WD5-Standing Up From Sitting DownWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Standing up from sitting down?WHODAS 2.0 36-item Version Interviewer-administered - Standing Up From Sitting Down
WD5-Starting/Maintaining ConversationC130732WD5-Starting/Maintaining ConversationWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Starting and maintaining a conversation?WHODAS 2.0 36-item Version Interviewer-administered - Starting or Maintaining Conversation
WD5-Staying by Yourself for a Few DaysC130741WD5-Staying by Yourself for a Few DaysWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Staying by yourself for a few days?WHODAS 2.0 36-item Version Interviewer-administered - Staying by Yourself for a Few Days
WD5-Time Spend on Your Health ConditionC130762WD5-Time Spend on Your Health ConditionWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days: How much time did you spend on your health condition or its consequences?WHODAS 2.0 36-item Version Interviewer-administered - Time Spend on Your Health Condition
WD5-Understanding What People SayC130731WD5-Understanding What People SayWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Generally understanding what people say?WHODAS 2.0 36-item Version Interviewer-administered - Understanding What People Say
WD5-Walking a Long DistanceC130737WD5-Walking a Long DistanceWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Walking a long distance such as a kilometre [or equivalent]?WHODAS 2.0 36-item Version Interviewer-administered - Walking a Long Distance
WD5-Washing Your Whole BodyC130738WD5-Washing Your Whole BodyWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - In the past 30 days, how much difficulty did you have in: Washing your whole body?WHODAS 2.0 36-item Version Interviewer-administered - Washing Your Whole Body
WD5-Years Studying in School/CollegeC130724WD5-Years Studying in School/CollegeWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - How many years in all did you spend studying in school, college or university?WHODAS 2.0 36-item Version Interviewer-administered - Years Studying in School or College
WD5-Your Day-to-Day Work/SchoolC130752WD5-Your Day-to-Day Work/SchoolWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Interviewer - Because of your health condition, in the past 30 days how much difficulty did you have in: Your day-to-day work/school?WHODAS 2.0 36-item Version Interviewer-administered - Your Day-to-Day Work or School
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CL.C130271.WD6TCWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy Questionnaire Test Code
(WD6TC)
text
Extensible: No
C130271World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy Questionnaire Test CodeWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy test code.CDISC Questionnaire WHODAS 2.0 36-item Version Proxy-administered Test Code Terminology
WD6D1_1C130771WD6-Concentrating for Ten MinutesWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Concentrating on doing something for ten minutes?WHODAS 2.0 36-item Version Proxy-administered - Concentrating for Ten Minutes
WD6D1_2C130772WD6-Remembering to Do Important ThingsWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Remembering to do important things?WHODAS 2.0 36-item Version Proxy-administered - Remembering to Do Important Things
WD6D1_3C130773WD6-Finding Solutions to ProblemsWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Analysing and finding solutions to problems in day-to-day life?WHODAS 2.0 36-item Version Proxy-administered - Finding Solutions to Problems
WD6D1_4C130774WD6-Learning a New TaskWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Learning a new task, for example, learning how to get to a new place?WHODAS 2.0 36-item Version Proxy-administered - Learning a New Task
WD6D1_5C130775WD6-Understanding What People SayWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Generally understanding what people say?WHODAS 2.0 36-item Version Proxy-administered - Understanding What People Say
WD6D1_6C130776WD6-Starting/Maintaining ConversationWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Starting and maintaining a conversation?WHODAS 2.0 36-item Version Proxy-administered - Starting or Maintaining Conversation
WD6D2_1C130777WD6-Standing for Long PeriodsWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Standing for long periods such as 30 minutes?WHODAS 2.0 36-item Version Proxy-administered - Standing for Long Periods
WD6D2_2C130778WD6-Standing Up From Sitting DownWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Standing up from sitting down?WHODAS 2.0 36-item Version Proxy-administered - Standing Up From Sitting Down
WD6D2_3C130779WD6-Moving Around Inside Their HomeWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Moving around inside their home?WHODAS 2.0 36-item Version Proxy-administered - Moving Around Inside Their Home
WD6D3_1C130782WD6-Washing His/Her Whole BodyWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Washing his or her whole body?WHODAS 2.0 36-item Version Proxy-administered - Washing His or Her Whole Body
WD6D3_2C130783WD6-Getting DressedWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Getting dressed?WHODAS 2.0 36-item Version Proxy-administered - Getting Dressed
WD6D3_3C130784WD6-EatingWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Eating?WHODAS 2.0 36-item Version Proxy-administered - Eating
WD6D3_4C130785WD6-Staying by Him/Herself a Few DaysWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Staying by himself or herself for a few days?WHODAS 2.0 36-item Version Proxy-administered - Staying by Him or Herself a Few Days
WD6D4_1C130786WD6-Dealing With People Does Not KnowWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Dealing with people he or she does not know?WHODAS 2.0 36-item Version Proxy-administered - Dealing With People Does Not Know
WD6D4_2C130787WD6-Maintaining a FriendshipWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Maintaining a friendship?WHODAS 2.0 36-item Version Proxy-administered - Maintaining a Friendship
WD6D4_3C130788WD6-Get Along With People Close to HimWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Getting along with people who are close to him or her?WHODAS 2.0 36-item Version Proxy-administered - Get Along With People Close to Him
WD6D4_4C130789WD6-Making New FriendsWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Making new friends?WHODAS 2.0 36-item Version Proxy-administered - Making New Friends
WD6D4_5C130790WD6-Sexual ActivitiesWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Sexual activities?WHODAS 2.0 36-item Version Proxy-administered - Sexual Activities
WD6D5_1C130791WD6-Care of Household ResponsibilitiesWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Taking care of his or her household responsibilities?WHODAS 2.0 36-item Version Proxy-administered - Care of Household Responsibilities
WD6D5_2C130792WD6-Doing Important Household TasksWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Doing his or her most important household tasks well?WHODAS 2.0 36-item Version Proxy-administered - Doing Important Household Tasks
WD6D5_3C130793WD6-Getting Household Work Done NeededWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Getting all the household work done that is needed?WHODAS 2.0 36-item Version Proxy-administered - Getting Household Work Done Needed
WD6D5_4C130794WD6-Getting Household Work Done QuicklyWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Getting the household work done as quickly as needed?WHODAS 2.0 36-item Version Proxy-administered - Getting Household Work Done Quickly
WD6D5_5C130795WD6-Their Day-to-Day Work/SchoolWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: His or her day-to-day work/school?WHODAS 2.0 36-item Version Proxy-administered - Their Day-to-Day Work or School
WD6D5_6C130796WD6-Doing Important Work/School TasksWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Doing his or her most important work/school tasks well?WHODAS 2.0 36-item Version Proxy-administered - Doing Important Work or School Tasks
WD6D5_7C130797WD6-Getting All Work Done You NeedWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Getting all the work done that is needed?WHODAS 2.0 36-item Version Proxy-administered - Getting All Work Done You Need
WD6D5_8C130798WD6-Getting Work Done Quickly as NeededWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Getting the work done as quickly as needed?WHODAS 2.0 36-item Version Proxy-administered - Getting Work Done Quickly as Needed
WD6D6_1C130799WD6-Problem Joining Community ActivitiesWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Participation in society in the past 30 days: How much of a problem did your relative have in joining in community activities (for example, festivities, religious or other activities) in the same way as anyone else can?WHODAS 2.0 36-item Version Proxy-administered - Problem Joining Community Activities
WD6D6_2C130800WD6-Problem Because of Barriers in WorldWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Participation in society in the past 30 days: How much of a problem did your relative have because of barriers or hindrances in the world around him or her?WHODAS 2.0 36-item Version Proxy-administered - Problem Because of Barriers in World
WD6D6_3C130801WD6-Problem Living with DignityWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Participation in society in the past 30 days: How much of a problem did your relative have living with dignity because of the attitudes and actions of others?WHODAS 2.0 36-item Version Proxy-administered - Problem Living with Dignity
WD6D6_4C130802WD6-Time Spend on Your Health ConditionWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Participation in society in the past 30 days: How much time did your relative spend on his or her health condition, or its consequences?WHODAS 2.0 36-item Version Proxy-administered - Time Spend on Your Health Condition
WD6D6_5C130803WD6-Emotionally Affected by HealthWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Participation in society in the past 30 days: How much has your relative been emotionally affected by his or her health condition?WHODAS 2.0 36-item Version Proxy-administered - Emotionally Affected by Health
WD6D6_6C130804WD6-Drain on Financial ResourcesWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Participation in society in the past 30 days: How much has his or her health been a drain on his or her financial resources or on the financial resources of other relatives?WHODAS 2.0 36-item Version Proxy-administered - Drain on Financial Resources
WD6D6_7C130805WD6-Problem Did Your Family HaveWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Participation in society in the past 30 days: How much of a problem did you or the rest of his or her family have because of his or her health problems?WHODAS 2.0 36-item Version Proxy-administered - Problem Did Your Family Have
WD6D6_8C130806WD6-Problem Doing Things for RelaxationWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Participation in society in the past 30 days: How much of a problem did your relative have in doing things by himself or herself for relaxation or pleasure?WHODAS 2.0 36-item Version Proxy-administered - Problem Doing Things for Relaxation
WD6H1C130807WD6-How Many Days Difficulties PresentWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Overall, in the past 30 days, how many days were these difficulties present?WHODAS 2.0 36-item Version Proxy-administered - How Many Days Difficulties Present
WD6H2C130808WD6-Days Unable to Carry Out ActivitiesWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, for how many days was your relative totally unable to carry out his or her usual activities or work because of any health condition?WHODAS 2.0 36-item Version Proxy-administered - Days Unable to Carry Out Activities
WD6H3C130809WD6-How Many Days Reduce ActivitiesWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, not counting the days that your relative was totally unable, for how many days did your relative cut back or reduce his or her usual activities or work because of any health condition?WHODAS 2.0 36-item Version Proxy-administered - How Many Days Reduce Activities
WD6H4C130770WD6-I Am (Fill in Blank) of This PersonWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - I am the (Fill in the Blank) of this person.WHODAS 2.0 36-item Version Proxy-administered - I Am (Fill in the Blank) of this Person
WD6SD2_4C130780WD6-Getting Out of Their HomeWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Getting out of their home?WHODAS 2.0 36-item Version Proxy-administered - Getting Out of Their Home
WD6SD2_5C130781WD6-Walking a Long DistanceWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Walking a long distance such as a kilometre [or equivalent]?WHODAS 2.0 36-item Version Proxy-administered - Walking a Long Distance
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CL.C130270.WD6TNWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy Questionnaire Test Name
(WD6TN)
text
Extensible: No
C130270World Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy Questionnaire Test NameWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy test name.CDISC Questionnaire WHODAS 2.0 36-item Version Proxy-administered Test Name Terminology
WD6-Care of Household ResponsibilitiesC130791WD6-Care of Household ResponsibilitiesWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Taking care of his or her household responsibilities?WHODAS 2.0 36-item Version Proxy-administered - Care of Household Responsibilities
WD6-Concentrating for Ten MinutesC130771WD6-Concentrating for Ten MinutesWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Concentrating on doing something for ten minutes?WHODAS 2.0 36-item Version Proxy-administered - Concentrating for Ten Minutes
WD6-Days Unable to Carry Out ActivitiesC130808WD6-Days Unable to Carry Out ActivitiesWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, for how many days was your relative totally unable to carry out his or her usual activities or work because of any health condition?WHODAS 2.0 36-item Version Proxy-administered - Days Unable to Carry Out Activities
WD6-Dealing With People Does Not KnowC130786WD6-Dealing With People Does Not KnowWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Dealing with people he or she does not know?WHODAS 2.0 36-item Version Proxy-administered - Dealing With People Does Not Know
WD6-Doing Important Household TasksC130792WD6-Doing Important Household TasksWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Doing his or her most important household tasks well?WHODAS 2.0 36-item Version Proxy-administered - Doing Important Household Tasks
WD6-Doing Important Work/School TasksC130796WD6-Doing Important Work/School TasksWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Doing his or her most important work/school tasks well?WHODAS 2.0 36-item Version Proxy-administered - Doing Important Work or School Tasks
WD6-Drain on Financial ResourcesC130804WD6-Drain on Financial ResourcesWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Participation in society in the past 30 days: How much has his or her health been a drain on his or her financial resources or on the financial resources of other relatives?WHODAS 2.0 36-item Version Proxy-administered - Drain on Financial Resources
WD6-EatingC130784WD6-EatingWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Eating?WHODAS 2.0 36-item Version Proxy-administered - Eating
WD6-Emotionally Affected by HealthC130803WD6-Emotionally Affected by HealthWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Participation in society in the past 30 days: How much has your relative been emotionally affected by his or her health condition?WHODAS 2.0 36-item Version Proxy-administered - Emotionally Affected by Health
WD6-Finding Solutions to ProblemsC130773WD6-Finding Solutions to ProblemsWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Analysing and finding solutions to problems in day-to-day life?WHODAS 2.0 36-item Version Proxy-administered - Finding Solutions to Problems
WD6-Get Along With People Close to HimC130788WD6-Get Along With People Close to HimWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Getting along with people who are close to him or her?WHODAS 2.0 36-item Version Proxy-administered - Get Along With People Close to Him
WD6-Getting All Work Done You NeedC130797WD6-Getting All Work Done You NeedWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Getting all the work done that is needed?WHODAS 2.0 36-item Version Proxy-administered - Getting All Work Done You Need
WD6-Getting DressedC130783WD6-Getting DressedWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Getting dressed?WHODAS 2.0 36-item Version Proxy-administered - Getting Dressed
WD6-Getting Household Work Done NeededC130793WD6-Getting Household Work Done NeededWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Getting all the household work done that is needed?WHODAS 2.0 36-item Version Proxy-administered - Getting Household Work Done Needed
WD6-Getting Household Work Done QuicklyC130794WD6-Getting Household Work Done QuicklyWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Getting the household work done as quickly as needed?WHODAS 2.0 36-item Version Proxy-administered - Getting Household Work Done Quickly
WD6-Getting Out of Their HomeC130780WD6-Getting Out of Their HomeWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Getting out of their home?WHODAS 2.0 36-item Version Proxy-administered - Getting Out of Their Home
WD6-Getting Work Done Quickly as NeededC130798WD6-Getting Work Done Quickly as NeededWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Getting the work done as quickly as needed?WHODAS 2.0 36-item Version Proxy-administered - Getting Work Done Quickly as Needed
WD6-How Many Days Difficulties PresentC130807WD6-How Many Days Difficulties PresentWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Overall, in the past 30 days, how many days were these difficulties present?WHODAS 2.0 36-item Version Proxy-administered - How Many Days Difficulties Present
WD6-How Many Days Reduce ActivitiesC130809WD6-How Many Days Reduce ActivitiesWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, not counting the days that your relative was totally unable, for how many days did your relative cut back or reduce his or her usual activities or work because of any health condition?WHODAS 2.0 36-item Version Proxy-administered - How Many Days Reduce Activities
WD6-I Am (Fill in Blank) of This PersonC130770WD6-I Am (Fill in Blank) of This PersonWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - I am the (Fill in the Blank) of this person.WHODAS 2.0 36-item Version Proxy-administered - I Am (Fill in the Blank) of this Person
WD6-Learning a New TaskC130774WD6-Learning a New TaskWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Learning a new task, for example, learning how to get to a new place?WHODAS 2.0 36-item Version Proxy-administered - Learning a New Task
WD6-Maintaining a FriendshipC130787WD6-Maintaining a FriendshipWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Maintaining a friendship?WHODAS 2.0 36-item Version Proxy-administered - Maintaining a Friendship
WD6-Making New FriendsC130789WD6-Making New FriendsWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Making new friends?WHODAS 2.0 36-item Version Proxy-administered - Making New Friends
WD6-Moving Around Inside Their HomeC130779WD6-Moving Around Inside Their HomeWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Moving around inside their home?WHODAS 2.0 36-item Version Proxy-administered - Moving Around Inside Their Home
WD6-Problem Because of Barriers in WorldC130800WD6-Problem Because of Barriers in WorldWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Participation in society in the past 30 days: How much of a problem did your relative have because of barriers or hindrances in the world around him or her?WHODAS 2.0 36-item Version Proxy-administered - Problem Because of Barriers in World
WD6-Problem Did Your Family HaveC130805WD6-Problem Did Your Family HaveWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Participation in society in the past 30 days: How much of a problem did you or the rest of his or her family have because of his or her health problems?WHODAS 2.0 36-item Version Proxy-administered - Problem Did Your Family Have
WD6-Problem Doing Things for RelaxationC130806WD6-Problem Doing Things for RelaxationWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Participation in society in the past 30 days: How much of a problem did your relative have in doing things by himself or herself for relaxation or pleasure?WHODAS 2.0 36-item Version Proxy-administered - Problem Doing Things for Relaxation
WD6-Problem Joining Community ActivitiesC130799WD6-Problem Joining Community ActivitiesWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Participation in society in the past 30 days: How much of a problem did your relative have in joining in community activities (for example, festivities, religious or other activities) in the same way as anyone else can?WHODAS 2.0 36-item Version Proxy-administered - Problem Joining Community Activities
WD6-Problem Living with DignityC130801WD6-Problem Living with DignityWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Participation in society in the past 30 days: How much of a problem did your relative have living with dignity because of the attitudes and actions of others?WHODAS 2.0 36-item Version Proxy-administered - Problem Living with Dignity
WD6-Remembering to Do Important ThingsC130772WD6-Remembering to Do Important ThingsWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Remembering to do important things?WHODAS 2.0 36-item Version Proxy-administered - Remembering to Do Important Things
WD6-Sexual ActivitiesC130790WD6-Sexual ActivitiesWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Sexual activities?WHODAS 2.0 36-item Version Proxy-administered - Sexual Activities
WD6-Standing for Long PeriodsC130777WD6-Standing for Long PeriodsWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Standing for long periods such as 30 minutes?WHODAS 2.0 36-item Version Proxy-administered - Standing for Long Periods
WD6-Standing Up From Sitting DownC130778WD6-Standing Up From Sitting DownWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Standing up from sitting down?WHODAS 2.0 36-item Version Proxy-administered - Standing Up From Sitting Down
WD6-Starting/Maintaining ConversationC130776WD6-Starting/Maintaining ConversationWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Starting and maintaining a conversation?WHODAS 2.0 36-item Version Proxy-administered - Starting or Maintaining Conversation
WD6-Staying by Him/Herself a Few DaysC130785WD6-Staying by Him/Herself a Few DaysWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Staying by himself or herself for a few days?WHODAS 2.0 36-item Version Proxy-administered - Staying by Him or Herself a Few Days
WD6-Their Day-to-Day Work/SchoolC130795WD6-Their Day-to-Day Work/SchoolWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: His or her day-to-day work/school?WHODAS 2.0 36-item Version Proxy-administered - Their Day-to-Day Work or School
WD6-Time Spend on Your Health ConditionC130802WD6-Time Spend on Your Health ConditionWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Participation in society in the past 30 days: How much time did your relative spend on his or her health condition, or its consequences?WHODAS 2.0 36-item Version Proxy-administered - Time Spend on Your Health Condition
WD6-Understanding What People SayC130775WD6-Understanding What People SayWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Generally understanding what people say?WHODAS 2.0 36-item Version Proxy-administered - Understanding What People Say
WD6-Walking a Long DistanceC130781WD6-Walking a Long DistanceWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - In the past 30 days, how much difficulty did your relative have in: Walking a long distance such as a kilometre [or equivalent]?WHODAS 2.0 36-item Version Proxy-administered - Walking a Long Distance
WD6-Washing His/Her Whole BodyC130782WD6-Washing His/Her Whole BodyWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Proxy - Because of their health condition, in the past 30 days, how much difficulty did your relative have in: Washing his or her whole body?WHODAS 2.0 36-item Version Proxy-administered - Washing His or Her Whole Body
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CL.C130273.WD7TCWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self Questionnaire Test Code
(WD7TC)
text
Extensible: No
C130273World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self Questionnaire Test CodeWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self test code.CDISC Questionnaire WHODAS 2.0 36-item Version Self-administered Test Code Terminology
WD7D1_1C130810WD7-Concentrating for Ten MinutesWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Concentrating on doing something for ten minutes?WHODAS 2.0 36-item Version Self-administered - Concentrating for Ten Minutes
WD7D1_2C130811WD7-Remembering to Do Important ThingsWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Remembering to do important things?WHODAS 2.0 36-item Version Self-administered - Remembering to Do Important Things
WD7D1_3C130812WD7-Finding Solutions to ProblemsWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Analysing and finding solutions to problems in day-to-day life?WHODAS 2.0 36-item Version Self-administered - Finding Solutions to Problems
WD7D1_4C130813WD7-Learning a New TaskWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Learning a new task, for example, learning how to get to a new place?WHODAS 2.0 36-item Version Self-administered - Learning a New Task
WD7D1_5C130814WD7-Understanding What People SayWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Generally understanding what people say?WHODAS 2.0 36-item Version Self-administered - Understanding What People Say
WD7D1_6C130815WD7-Starting/Maintaining ConversationWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Starting and maintaining a conversation?WHODAS 2.0 36-item Version Self-administered - Starting or Maintaining Conversation
WD7D2_1C130816WD7-Standing for Long PeriodsWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Standing for long periods such as 30 minutes?WHODAS 2.0 36-item Version Self-administered - Standing for Long Periods
WD7D2_2C130817WD7-Standing Up From Sitting DownWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Standing up from sitting down?WHODAS 2.0 36-item Version Self-administered - Standing Up From Sitting Down
WD7D2_3C130818WD7-Moving Around Inside Your HomeWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Moving around inside your home?WHODAS 2.0 36-item Version Self-administered - Moving Around Inside Your Home
WD7D2_4C130819WD7-Getting Out of Your HomeWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Getting out of your home?WHODAS 2.0 36-item Version Self-administered - Getting Out of Your Home
WD7D2_5C130820WD7-Walking a Long DistanceWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Walking a long distance such as a kilometre [or equivalent]?WHODAS 2.0 36-item Version Self-administered - Walking a Long Distance
WD7D3_1C130821WD7-Washing Your Whole BodyWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - in the past 30 days, how much difficulty did you have in: Washing your whole body?WHODAS 2.0 36-item Version Self-administered - Washing Your Whole Body
WD7D3_2C130822WD7-Getting DressedWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Getting dressed?WHODAS 2.0 36-item Version Self-administered - Getting Dressed
WD7D3_3C130823WD7-EatingWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Eating?WHODAS 2.0 36-item Version Self-administered - Eating
WD7D3_4C130824WD7-Staying by Yourself for a Few DaysWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Staying by yourself for a few days?WHODAS 2.0 36-item Version Self-administered - Staying by Yourself for a Few Days
WD7D4_1C130825WD7-Dealing With People You Do Not KnowWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Dealing with people you do not know?WHODAS 2.0 36-item Version Self-administered - Dealing With People You Do Not Know
WD7D4_2C130826WD7-Maintaining a FriendshipWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Maintaining a friendship?WHODAS 2.0 36-item Version Self-administered - Maintaining a Friendship
WD7D4_3C130827WD7-Get Along With People Close to YouWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Getting along with people who are close to you?WHODAS 2.0 36-item Version Self-administered - Get Along With People Close to You
WD7D4_4C130828WD7-Making New FriendsWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Making new friends?WHODAS 2.0 36-item Version Self-administered - Making New Friends
WD7D4_5C130829WD7-Sexual ActivitiesWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Sexual activities?WHODAS 2.0 36-item Version Self-administered - Sexual Activities
WD7D5_1C130830WD7-Care of Household ResponsibilitiesWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Taking care of your household responsibilities?WHODAS 2.0 36-item Version Self-administered - Care of Household Responsibilities
WD7D5_2C130831WD7-Doing Important Household TasksWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Doing most important household tasks well?WHODAS 2.0 36-item Version Self-administered - Doing Important Household Tasks
WD7D5_3C130832WD7-Getting Household Work Done NeededWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Getting all the household work done that you needed to do?WHODAS 2.0 36-item Version Self-administered - Getting Household Work Done Needed
WD7D5_4C130833WD7-Getting Household Work Done QuicklyWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Getting your household work done as quickly as needed?WHODAS 2.0 36-item Version Self-administered - Getting Household Work Done Quickly
WD7D5_5C130834WD7-Your Day-to-Day Work/SchoolWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - Because of your health condition, in the past 30 days, how much difficulty did you have in: your day-to-day work/school?WHODAS 2.0 36-item Version Self-administered - Your Day-to-Day Work or School
WD7D5_6C130835WD7-Doing Important Work/School TasksWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - Because of your health condition, in the past 30 days, how much difficulty did you have in: Doing your most important work/school tasks well?WHODAS 2.0 36-item Version Self-administered - Doing Important Work or School Tasks
WD7D5_7C130836WD7-Getting All Work Done You NeedWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - Because of your health condition, in the past 30 days, how much difficulty did you have in: Getting all the work done that you need to do?WHODAS 2.0 36-item Version Self-administered - Getting All Work Done You Need
WD7D5_8C130837WD7-Getting Work Done Quickly as NeededWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - Because of your health condition, in the past 30 days, how much difficulty did you have in: Getting your work done as quickly as needed?WHODAS 2.0 36-item Version Self-administered - Getting Work Done Quickly as Needed
WD7D6_1C130838WD7-Problem Joining Community ActivitiesWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days: How much of a problem did you have in joining in community activities (for example, festivities, religious or other activities) in the same way as anyone else can?WHODAS 2.0 36-item Version Self-administered - Problem Joining Community Activities
WD7D6_2C130839WD7-Problem Because of Barriers in WorldWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days: How much of a problem did you have because of barriers or hindrances in the world around you?WHODAS 2.0 36-item Version Self-administered - Problem Because of Barriers in World
WD7D6_3C130840WD7-Problem Living with DignityWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days: How much of a problem did you have living with dignity because of the attitudes and actions of others?WHODAS 2.0 36-item Version Self-administered - Problem Living with Dignity
WD7D6_4C130841WD7-Time Spend on Your Health ConditionWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days: How much time did you spend on your health condition, or its consequences?WHODAS 2.0 36-item Version Self-administered - Time Spend on Your Health Condition
WD7D6_5C130842WD7-Emotionally Affected by HealthWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days: How much have you been emotionally affected by your health condition?WHODAS 2.0 36-item Version Self-administered - Emotionally Affected by Health
WD7D6_6C130843WD7-Drain on Financial ResourcesWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days: How much has your health been a drain on the financial resources of you or your family?WHODAS 2.0 36-item Version Self-administered - Drain on Financial Resources
WD7D6_7C130844WD7-Problem Did Your Family HaveWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days: How much of a problem did your family have because of your health problems?WHODAS 2.0 36-item Version Self-administered - Problem Did Your Family Have
WD7D6_8C130845WD7-Problem Doing Things for RelaxationWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days: How much of a problem did you have in doing things by yourself for relaxation or pleasure?WHODAS 2.0 36-item Version Self-administered - Problem Doing Things for Relaxation
WD7H1C130846WD7-How Many Days Difficulties PresentWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - Overall, in the past 30 days, how many days were these difficulties present?WHODAS 2.0 36-item Version Self-administered - How Many Days Difficulties Present
WD7H2C130847WD7-Days Unable to Carry Out ActivitiesWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, for how many days were you totally unable to carry out your usual activities or work because of any health condition?WHODAS 2.0 36-item Version Self-administered - Days Unable to Carry Out Activities
WD7H3C130848WD7-How Many Days Reduce ActivitiesWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, not counting the days that you were totally unable, for how many days did you cut back or reduce your usual activities or work because of any health condition?WHODAS 2.0 36-item Version Self-administered - How Many Days Reduce Activities
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CL.C130272.WD7TNWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self Questionnaire Test Name
(WD7TN)
text
Extensible: No
C130272World Health Organization Disability Assessment Schedule 2.0 - 36-Item Self Questionnaire Test NameWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self test name.CDISC Questionnaire WHODAS 2.0 36-item Version Self-administered Test Name Terminology
WD7-Care of Household ResponsibilitiesC130830WD7-Care of Household ResponsibilitiesWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Taking care of your household responsibilities?WHODAS 2.0 36-item Version Self-administered - Care of Household Responsibilities
WD7-Concentrating for Ten MinutesC130810WD7-Concentrating for Ten MinutesWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Concentrating on doing something for ten minutes?WHODAS 2.0 36-item Version Self-administered - Concentrating for Ten Minutes
WD7-Days Unable to Carry Out ActivitiesC130847WD7-Days Unable to Carry Out ActivitiesWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, for how many days were you totally unable to carry out your usual activities or work because of any health condition?WHODAS 2.0 36-item Version Self-administered - Days Unable to Carry Out Activities
WD7-Dealing With People You Do Not KnowC130825WD7-Dealing With People You Do Not KnowWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Dealing with people you do not know?WHODAS 2.0 36-item Version Self-administered - Dealing With People You Do Not Know
WD7-Doing Important Household TasksC130831WD7-Doing Important Household TasksWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Doing most important household tasks well?WHODAS 2.0 36-item Version Self-administered - Doing Important Household Tasks
WD7-Doing Important Work/School TasksC130835WD7-Doing Important Work/School TasksWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - Because of your health condition, in the past 30 days, how much difficulty did you have in: Doing your most important work/school tasks well?WHODAS 2.0 36-item Version Self-administered - Doing Important Work or School Tasks
WD7-Drain on Financial ResourcesC130843WD7-Drain on Financial ResourcesWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days: How much has your health been a drain on the financial resources of you or your family?WHODAS 2.0 36-item Version Self-administered - Drain on Financial Resources
WD7-EatingC130823WD7-EatingWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Eating?WHODAS 2.0 36-item Version Self-administered - Eating
WD7-Emotionally Affected by HealthC130842WD7-Emotionally Affected by HealthWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days: How much have you been emotionally affected by your health condition?WHODAS 2.0 36-item Version Self-administered - Emotionally Affected by Health
WD7-Finding Solutions to ProblemsC130812WD7-Finding Solutions to ProblemsWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Analysing and finding solutions to problems in day-to-day life?WHODAS 2.0 36-item Version Self-administered - Finding Solutions to Problems
WD7-Get Along With People Close to YouC130827WD7-Get Along With People Close to YouWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Getting along with people who are close to you?WHODAS 2.0 36-item Version Self-administered - Get Along With People Close to You
WD7-Getting All Work Done You NeedC130836WD7-Getting All Work Done You NeedWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - Because of your health condition, in the past 30 days, how much difficulty did you have in: Getting all the work done that you need to do?WHODAS 2.0 36-item Version Self-administered - Getting All Work Done You Need
WD7-Getting DressedC130822WD7-Getting DressedWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Getting dressed?WHODAS 2.0 36-item Version Self-administered - Getting Dressed
WD7-Getting Household Work Done NeededC130832WD7-Getting Household Work Done NeededWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Getting all the household work done that you needed to do?WHODAS 2.0 36-item Version Self-administered - Getting Household Work Done Needed
WD7-Getting Household Work Done QuicklyC130833WD7-Getting Household Work Done QuicklyWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Getting your household work done as quickly as needed?WHODAS 2.0 36-item Version Self-administered - Getting Household Work Done Quickly
WD7-Getting Out of Your HomeC130819WD7-Getting Out of Your HomeWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Getting out of your home?WHODAS 2.0 36-item Version Self-administered - Getting Out of Your Home
WD7-Getting Work Done Quickly as NeededC130837WD7-Getting Work Done Quickly as NeededWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - Because of your health condition, in the past 30 days, how much difficulty did you have in: Getting your work done as quickly as needed?WHODAS 2.0 36-item Version Self-administered - Getting Work Done Quickly as Needed
WD7-How Many Days Difficulties PresentC130846WD7-How Many Days Difficulties PresentWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - Overall, in the past 30 days, how many days were these difficulties present?WHODAS 2.0 36-item Version Self-administered - How Many Days Difficulties Present
WD7-How Many Days Reduce ActivitiesC130848WD7-How Many Days Reduce ActivitiesWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, not counting the days that you were totally unable, for how many days did you cut back or reduce your usual activities or work because of any health condition?WHODAS 2.0 36-item Version Self-administered - How Many Days Reduce Activities
WD7-Learning a New TaskC130813WD7-Learning a New TaskWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Learning a new task, for example, learning how to get to a new place?WHODAS 2.0 36-item Version Self-administered - Learning a New Task
WD7-Maintaining a FriendshipC130826WD7-Maintaining a FriendshipWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Maintaining a friendship?WHODAS 2.0 36-item Version Self-administered - Maintaining a Friendship
WD7-Making New FriendsC130828WD7-Making New FriendsWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Making new friends?WHODAS 2.0 36-item Version Self-administered - Making New Friends
WD7-Moving Around Inside Your HomeC130818WD7-Moving Around Inside Your HomeWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Moving around inside your home?WHODAS 2.0 36-item Version Self-administered - Moving Around Inside Your Home
WD7-Problem Because of Barriers in WorldC130839WD7-Problem Because of Barriers in WorldWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days: How much of a problem did you have because of barriers or hindrances in the world around you?WHODAS 2.0 36-item Version Self-administered - Problem Because of Barriers in World
WD7-Problem Did Your Family HaveC130844WD7-Problem Did Your Family HaveWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days: How much of a problem did your family have because of your health problems?WHODAS 2.0 36-item Version Self-administered - Problem Did Your Family Have
WD7-Problem Doing Things for RelaxationC130845WD7-Problem Doing Things for RelaxationWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days: How much of a problem did you have in doing things by yourself for relaxation or pleasure?WHODAS 2.0 36-item Version Self-administered - Problem Doing Things for Relaxation
WD7-Problem Joining Community ActivitiesC130838WD7-Problem Joining Community ActivitiesWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days: How much of a problem did you have in joining in community activities (for example, festivities, religious or other activities) in the same way as anyone else can?WHODAS 2.0 36-item Version Self-administered - Problem Joining Community Activities
WD7-Problem Living with DignityC130840WD7-Problem Living with DignityWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days: How much of a problem did you have living with dignity because of the attitudes and actions of others?WHODAS 2.0 36-item Version Self-administered - Problem Living with Dignity
WD7-Remembering to Do Important ThingsC130811WD7-Remembering to Do Important ThingsWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Remembering to do important things?WHODAS 2.0 36-item Version Self-administered - Remembering to Do Important Things
WD7-Sexual ActivitiesC130829WD7-Sexual ActivitiesWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Sexual activities?WHODAS 2.0 36-item Version Self-administered - Sexual Activities
WD7-Standing for Long PeriodsC130816WD7-Standing for Long PeriodsWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Standing for long periods such as 30 minutes?WHODAS 2.0 36-item Version Self-administered - Standing for Long Periods
WD7-Standing Up From Sitting DownC130817WD7-Standing Up From Sitting DownWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Standing up from sitting down?WHODAS 2.0 36-item Version Self-administered - Standing Up From Sitting Down
WD7-Starting/Maintaining ConversationC130815WD7-Starting/Maintaining ConversationWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Starting and maintaining a conversation?WHODAS 2.0 36-item Version Self-administered - Starting or Maintaining Conversation
WD7-Staying by Yourself for a Few DaysC130824WD7-Staying by Yourself for a Few DaysWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Staying by yourself for a few days?WHODAS 2.0 36-item Version Self-administered - Staying by Yourself for a Few Days
WD7-Time Spend on Your Health ConditionC130841WD7-Time Spend on Your Health ConditionWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days: How much time did you spend on your health condition, or its consequences?WHODAS 2.0 36-item Version Self-administered - Time Spend on Your Health Condition
WD7-Understanding What People SayC130814WD7-Understanding What People SayWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Generally understanding what people say?WHODAS 2.0 36-item Version Self-administered - Understanding What People Say
WD7-Walking a Long DistanceC130820WD7-Walking a Long DistanceWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - In the past 30 days, how much difficulty did you have in: Walking a long distance such as a kilometre [or equivalent]?WHODAS 2.0 36-item Version Self-administered - Walking a Long Distance
WD7-Washing Your Whole BodyC130821WD7-Washing Your Whole BodyWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - in the past 30 days, how much difficulty did you have in: Washing your whole body?WHODAS 2.0 36-item Version Self-administered - Washing Your Whole Body
WD7-Your Day-to-Day Work/SchoolC130834WD7-Your Day-to-Day Work/SchoolWorld Health Organization Disability Assessment Schedule 2.0 - 36-Item Self - Because of your health condition, in the past 30 days, how much difficulty did you have in: your day-to-day work/school?WHODAS 2.0 36-item Version Self-administered - Your Day-to-Day Work or School
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